Stapling Devices Chapter 11 2004 by Delmar Learning a division of Thomson Learning Inc All Rights Reserved 11 2 Types of Wounds Surgical Wound Incisional Excisional Traumatic Wound ID: 410870
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Wound Healing, Sutures, Needles, and Stapling Devices
Chapter 11Slide2
© 2004 by Delmar Learning, a division of Thomson Learning, Inc. All Rights Reserved.
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Types of Wounds
Surgical Wound
Incisional Excisional
Traumatic Wound
Closed
Open
Simple
Complicated
Clean
ContaminatedSlide3
© 2004 by Delmar Learning, a division of Thomson Learning, Inc. All Rights Reserved.
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Inflammatory Process
Pain (dolor)
Heat (calor)Redness (rubor)Swelling (tumor)Loss of function (functio laesa)Slide4
© 2004 by Delmar Learning, a division of Thomson Learning, Inc. All Rights Reserved.
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Phases of Wound Healing
First intention (primary union)
Lag/inflammatory responseProliferationMaturation/differentiation
Second intention (granulation)
Third intention (delayed primary closure)Slide5
© 2004 by Delmar Learning, a division of Thomson Learning, Inc. All Rights Reserved.
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Factors Influencing Wound Healing
Age
NutritionDisease SmokingRadiation
Immune deficiencySlide6
© 2004 by Delmar Learning, a division of Thomson Learning, Inc. All Rights Reserved.
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Suture
Types
AbsorbableNonabsorbableMonofilament
Multifilament
Suture ties
Size
Selected to correspond to type of tissue
11-0 to #6Slide7
© 2004 by Delmar Learning, a division of Thomson Learning, Inc. All Rights Reserved.
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Characteristics of a Common Suture
Absorption rate
SizeTensile strengthElasticity
Knot strength
Memory
Wicking
Tissue reactionSlide8
© 2004 by Delmar Learning, a division of Thomson Learning, Inc. All Rights Reserved.
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Examples of Suture Types
Plain and chromic gut
PDS IIMonocrylProlene, SurgileneEthilon, Dermalon
Steel
Novafil
Dermalene
Dexon
Silk
Nurolon, Surgilon
Mersilene
Ethibond, Dacron
Pronova
VicrylSlide9
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Layer Closure for Abdominal Wounds
Peritoneum
FasciaMuscleSubcutaneousSubcuticular
SkinSlide10
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Needles
Characteristics
EyePointBodyShape
Placement on needle holderSlide11
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Needle Point
Cutting
Tough tissue: skinReverseSide: ophthalmology
Tapered
Delicate tissue: bowel, artery
TapercutSlide12
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Needle Point
(continued)
BluntKidney, liver