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Halsted's principles. Halsted's principles, also known as Tenets of Halsted, are the basic principles of surgical technique regarding tissue handling. [1] These key points were introduced in the late 19th century by William Stewart Halsted, co-founder of Johns Hopkins Hospital. [2][3] Gentle handling of tissue. Meticulous haemostasis.
shown above. [edit on Wikidata] A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread. There are numerous types of suture which differ by needle shape and ...
Dashed lines are under the skin. The horizontal mattress stitch is a suture technique used to close wounds. It everts skin well and spreads tension along the wound edge. [ 1 ][ 2 ][ 3 ] This makes it ideal for holding together fragile skin [ 4 ] as well as skin under high tension such as the distant edges of a large laceration or as the initial ...
This page is dedicated specifically to listing surgical instruments used in general surgery. Instruments can be classified in many ways - but broadly speaking, there are five kinds of instruments. Cutting and dissecting instruments: Scalpels, scissors, and saws are the most traditional. Elevators can be both cutting and lifting/retracting.
Catgut Chrome (B Braun) suture is a variant treated with chromic acid salts. This treatment produces roughly twice the stitch-holding time of plain catgut, but greater tissue inflammation occurs. Full tensile strength is extended to 18–21 days. It is brown rather than straw-colored, and has improved smoothness due to the dry presentation of ...
The following table compares some of the most common adsorbable sutures. Plain catgut. Chromic catgut. Polyglycolide. (P.G.A.) Polydioxanone (PDS) Description. Adsorbable biological suture material. Plain is an adsorbable suture made by twisting together strands of purified collagen taken from bovine intestines.
General surgery. Femoral hernias are hernias which occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness in the abdominal wall called the femoral canal. Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and ...
Vertical mattress stitch. All bites are in the same vertical plane. The vertical mattress stitch, often called vertical Donati stitch (named after the Italian surgeon Mario Donati), [1] is a suture type used to close skin wounds. The advantages of the vertical mattress suture are that it provides closure for both deep and superficial layers ...