Surgery Theory

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Author:
Porky
ID:
245647
Filename:
Surgery Theory
Updated:
2013-11-07 11:32:43
Tags:
Surgery wound suture CFC
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Description:
3 surgery lectures (+Fossum)
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  1. Wound Classification
    • (1) Clean - XPA, nonT, nonI
    • (2) Clean-contaminated - maybePA, nonT
    • (3) Contaminated - √PA, freshT
    • (4) Dirty - √PA+therapeutic oral course, infectedT


    (PA=prophylactic antibiotics - T=traumatic - I=inflammatory)
  2. Halsted's Principles of Surgery
    • - aseptic technique
    • - sharp anatomic dissection
    • - gentle tissue handling
    • - careful haemostasis with preservation of blood supply
    • - avoid tension
    • - obliteration of dead space and accurate tissue apposition
  3. Suture Material Classification
    - absorbable/non-absorbable

    - monofiament/multifilament

    - synthetic/natural

    - coated/non-coated
  4. Key Points on Suture Materials
    • - monofilament preferred
    • - synthetic material preferred
    • - match suture to initial required wound strength
    • - match rate of loss of tensile strength to anticipated rate of tissue strength gain
    • - use smallest diameter suture possible
    • - tie secure knots

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