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Jenkin's rule was the first research result in this area, showing that the then-typical use of a suture-length to wound-length ratio of 2:1 increased the risk of a burst wound, and suggesting a SL:WL ratio of 4:1 or more in abdominal wounds. [19] [20] A later study suggested 6:1 as the optimal ratio in abdominal closure. [21]
Certainly modern synthetic sutures are more predictable and less prone to infection than catgut, silk and linen, which were the main suture materials used up to the 1990s. One key feature of intestinal staplers is that the edges of the stapler act as a haemostat , compressing the edges of the wound and closing blood vessels during the stapling ...
The wound usually appears red and can be accompanied by drainage. Clinicians delay re-opening the wound unless it is necessary due to the potential of other complications. If the surgical wound worsens, or if a rupture of the digestive system is suspected the decision may be to investigate the source of the drainage or infection. [2] [3]
Sutures are often used, aided by a needle holder. Cautery and related instruments are used with increasing frequency in high resource countries. Retractors: Surgery is often considered to be largely about exposure. A multitude of retractors exist to aid in exposing the body's cavities accessed during surgery.
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
The Edwin Smith Papyrus from Egypt described 48 cases of injuries, fractures, wounds, dislocations, and tumors, with treatment and prognosis including closing wounds with sutures, using honey and moldy bread as antiseptics, stopping bleeding with raw meat, and immobilization for head and spinal cord injuries, reserving magic as a last resort ...
A wound is any disruption of or damage to living tissue, such as skin, mucous membranes, or organs. [1] [2] Wounds can either be the sudden result of direct trauma (mechanical, thermal, chemical), or can develop slowly over time due to underlying disease processes such as diabetes mellitus, venous/arterial insufficiency, or immunologic disease. [3]
Sutures and ties – Sutures are often used to close an open wound, allowing for the injured area to stay free of pathogens and other unwanted debris to enter the site; however, it is also essential to the process of hemostasis. Sutures and ties allow for skin to be joined back together allowing for platelets to start the process of hemostasis ...