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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]
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.
A lower (uterine) segment caesarean section (LSCS) is the most commonly used type of caesarean section. [1] Most commonly, a baby is delivered by making a transverse incision in the lower uterine segment, above the attachment of the urinary bladder to the uterus. This type of incision results in less blood loss and is easier to repair than ...
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 holding suture in complicated ...
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 type of wound (incision, laceration, puncture, etc.) has a major effect on the way a wound is managed, as does the area of the body affected and presence of any foreign objects in the wound. A serious wound or any complication may require a call to emergency medical services. Any wound requires being disinfected after it stops bleeding.
Surgical incision. A surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure. Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions and recovery.
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 ...
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