1 00:00:00,520 --> 00:00:03,600 Speaker 1: Welcome to brain stuff front House, stuff works dot Com 2 00:00:03,600 --> 00:00:14,920 Speaker 1: where smart happens Him Marshall Brain with today's question, what 3 00:00:15,160 --> 00:00:23,640 Speaker 1: are dissolvable stitches? For centuries, dennists and oral surgeons, plastic surgeons, obstetricians, urologists, 4 00:00:23,680 --> 00:00:28,040 Speaker 1: and even veterinarians have used stitches to close up gashes, cuts, 5 00:00:28,040 --> 00:00:32,480 Speaker 1: and surgical incisions. Now many physicians are using some form 6 00:00:32,600 --> 00:00:38,000 Speaker 1: of dissolvable stitches, also called absorbable suitures. The great thing 7 00:00:38,040 --> 00:00:41,080 Speaker 1: about dissolvable stitches is that they can be used on 8 00:00:41,240 --> 00:00:47,840 Speaker 1: internal or external wounds. Stitches dissolvable or not have three features. 9 00:00:47,960 --> 00:00:52,120 Speaker 1: The first is thickness. Some stitches must be thin, perhaps 10 00:00:52,159 --> 00:00:55,480 Speaker 1: for a simple cut or plastic surgery, or a wound 11 00:00:55,520 --> 00:00:58,840 Speaker 1: that needs to heal with less scarring, and others thicker, 12 00:00:59,040 --> 00:01:02,520 Speaker 1: perhaps for in eternal wounds were scarring isn't is worrisome, 13 00:01:03,120 --> 00:01:06,160 Speaker 1: or so the stitch will last longer. To make a 14 00:01:06,200 --> 00:01:09,720 Speaker 1: thicker stitch, more of the material is woven together. For 15 00:01:09,800 --> 00:01:14,640 Speaker 1: a thinner stitch, less material is woven together. Second, there's elasticity. 16 00:01:14,800 --> 00:01:17,520 Speaker 1: Stitches on your knee need to be more elastic than 17 00:01:17,560 --> 00:01:20,399 Speaker 1: those on your forearm, because your knee must be able 18 00:01:20,400 --> 00:01:24,560 Speaker 1: to bend. Without property elasticity, the stitches can snap and 19 00:01:24,600 --> 00:01:29,199 Speaker 1: come out, or even tear the wound and delay healing. Then, third, 20 00:01:29,240 --> 00:01:33,720 Speaker 1: there's decomposition rate. A deep, wide wound will need longer 21 00:01:33,760 --> 00:01:36,560 Speaker 1: to heal, so the stitches will have to last longer. 22 00:01:36,920 --> 00:01:40,720 Speaker 1: Stitches can be formulated and strengthened to dissolve slowly or 23 00:01:40,920 --> 00:01:46,119 Speaker 1: rapidly over the desired treatment period. Dissolvable stitches differ from 24 00:01:46,600 --> 00:01:51,440 Speaker 1: non absorbable stitches because they are first naturally decomposed by 25 00:01:51,440 --> 00:01:55,320 Speaker 1: the body and second temporary and don't usually require a 26 00:01:55,400 --> 00:01:58,840 Speaker 1: follow up doctor's visit to remove the stitches or to 27 00:01:58,960 --> 00:02:02,400 Speaker 1: check on the wound. To your body, stitches are a 28 00:02:02,440 --> 00:02:06,360 Speaker 1: foreign substance, and the body is programmed to destroy things 29 00:02:06,400 --> 00:02:10,240 Speaker 1: that are foreign to it. Dissolvable stitches are made from 30 00:02:10,360 --> 00:02:15,440 Speaker 1: natural materials such as process callagen, animal stitches in other words, silk, 31 00:02:15,520 --> 00:02:18,840 Speaker 1: and hair, as well as some synthetic materials that the 32 00:02:18,880 --> 00:02:22,600 Speaker 1: body can break down. This allows the body to dissolve 33 00:02:22,600 --> 00:02:26,040 Speaker 1: the stitches over time. Usually, by the time the stitches 34 00:02:26,080 --> 00:02:30,120 Speaker 1: are dissolved, the wound is completely healed. Occasionally, a stitch 35 00:02:30,200 --> 00:02:34,080 Speaker 1: won't dissolve completely. This usually occurs when part of the 36 00:02:34,120 --> 00:02:37,360 Speaker 1: stitches left on the outside of the body. There, the 37 00:02:37,440 --> 00:02:41,280 Speaker 1: body's fluids cannot dissolve and decompose the stitch, so it 38 00:02:41,320 --> 00:02:45,280 Speaker 1: remains intact. A doctor can easily remove the remaining piece 39 00:02:45,280 --> 00:02:48,360 Speaker 1: of stitch once the wound is closed, or the patient 40 00:02:48,440 --> 00:02:50,480 Speaker 1: may be able to give it a gentle tug to 41 00:02:50,520 --> 00:02:54,920 Speaker 1: remove that remaining bit for moral this and thousands of 42 00:02:54,919 --> 00:03:01,839 Speaker 1: other topics. Is it hastof works dot com. 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