Veterinary sutures handbook
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Veterinary sutures handbook

Expanded edition

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This edition of the Veterinary suture handbook expands the contents of the previous edition with updated and more practical information. It includes basic aspects such as the different types of sutures, their characteristics and those of the instruments used, and the latest and most innovative materials. It also provides detailed descriptions of their use and advice on how to apply them to ensure the best results. In addition, the authors give greater relevance to the suturing of the different organs according to their characteristics and to new techniques, and a whole chapter is dedicated to eye surgery.

José María Carbonell Tatay

Dr Carbonell graduated in veterinary medicine from the University of Córdoba, Spain, in 1989. He founded the Taibaira Small Animal Veterinary Hospital in Teulada–Moraira (Alicante) in 1989 and is still the owner, manager, and currently the head of general surgery and traumatology. He is also a co-owner of the La Nao de Jávea veterinary practice in Alicante.

He dedicates his time in the clinic exclusively to small animal surgery. In the field of hernia repair, Dr Carbonell has pioneered the use of surgical meshes and created the mesh–plug technique for use in animals. He has participated in seminars and courses, published articles in various national journals, and is a coauthor of Manual de suturas en veterinaria (Veterinary suture handbook) published by Editorial Servet (2007) and author of La pesca deportiva del atún rojo (Recreational tuna fishing) published by Tutor (2013).

He currently focuses entirely on small animal clinical medicine, particularly on surgery.

Julián Rodríguez Fernández

Dr Rodríguez graduated in veterinary medicine from the University of Zaragoza, Spain, in 1994. He works as a small animal veterinary surgeon at the La Nao de Jávea, of which he is co-owner, and Ambra de Pego veterinary practices in Alicante.

He concentrates most of his time on surgery and collaborates in the application of the mesh–plug surgical technique for small animal hernia repairs.

He has given lectures in seminars and courses and published articles in a variety of national journals. He is the author of the book Manual de suturas en Veterinaria (Veterinary suture handbook) published by Editorial Servet (2007).


Chapter 9. Sutures in eye surgery

José Mª Molleda Carbonell

Lecturer at the Faculty of Veterinary Medicine of the University of Córdoba and graduate of the Latin American College of Veterinary Ophthalmologists (CLOVE).

Eva Mª Martín Suárez

Lecturer at the Faculty of Veterinary Medicine of the University of Córdoba and graduate of the Latin American College of Veterinary Ophthalmologists (CLOVE).

1. Sutures


Classification of suture materials




Advantages and disadvantages of each suture material

2. Basic suture instruments

Needle holders

Types of needle holder

Dissecting forceps

Types of forceps

Types of scissors

3. Suture threads


Mechanical properties

Biological properties

Description of the most common suture threads


Polyglycolic acid (PGA)

Low molecular weight polyglycolic acid

Polyglactin 910

Low molecular weight polyglactin 910


Poly(trimethylene carbonate), PTMC

Poliglecaprone 25


Surgical stainless steel




Polyester fibre sutures


Polyvinylidene difluoride (PVDF)

Expanded polytetrafluoroethylene (PTFE)

4. Surgical needles

Key design elements for surgical needles




Stability in the needle holder

Surgical needle selection criteria

Tissue type

Surgical technique

Needle anatomy

Parts of the needle



Needle point

5. Key tips for successful sutures

6. Tissue repair

Wound suturing

Wound classification

Clean wounds

Clean–contaminated wounds

Contaminated wounds

Dirty or infected wounds

Basic tips for wound closure

Contaminated or potentially contaminated wounds

Thread diameter selection

In the urinary and biliary tracts

In hernia repairs

In wild animals

Subcutaneous sutures

In asymmetrical wounds or cases with tissue loss

Vascular clips and ligatures

Vascular clips


7. Surgical knots

The human factor in surgical knot security

Surgical knot tying techniques

The square knot

The surgeon’s knot

The deep tie

Instrument tie

Ligation around haemostatic clamps or vascular pedicle ligatures

8. Sutures in different tissues


Skin staples

Simple stitches

Apposition sutures

Tension sutures

Subcutaneous tissue

Fascial and aponeurotic tissues

Muscle tissues

Gastrointestinal tract

The stomach

The small intestine

The colon

The rectum

Blood vessels



The urinary tract

Parenchymal organs

Other sutures

9. Sutures in ophthalmology

The appendages of the eye

The eyelids and the orbicularis oculi muscle

The conjunctivae

The eyeball

The cornea and sclera


Adhesives in ophthalmology

Synthetic adhesives

Biological adhesives

10. Mechanical sutures

Classification and description

Circular staplers

Linear staplers

Linear cutter staplers

Vascular clips

Skin staplers

11. Sutures in laparoscopic surgery

Manual suturing

Instruments and handling

Suturing procedure

Needle handling


12. Tissue adhesives

Cyanoacrylate-based tissue adhesives


Types of cyanoacrylates

Surgical applications

Wound closure procedure

Clinical toxicity

Biological adhesives or fibrin sealants

13. Regulatory control of suture characteristics

14. Sterile suture materials: manufacturing processes and current legislation

Production process and quality control parameters


  • Autor/es José María Carbonell Tatay Carbonell Tatay, Julián Rodríguez Fernández
  • Fecha de edición febrero 2018
  • Nº Páginas 216
  • Encuadernación Tapa dura
  • Tamaño 17 X 24
  • Idioma Inglés

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