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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; Preservation of blood supply
Other stitches or suturing techniques include: Purse-string suture, a continuous, circular inverting suture which is made to secure apposition of the edges of a surgical or traumatic wound. [13] [14] Figure-of-eight stitch; Subcuticular stitch. A continuous suture where the needle enters and exits the epidermis along the plane of the skin.
The corner stitch is a common suture technique. [1] It used to close wounds that are angled or Y-shaped without appreciably compromising blood supply to the wound tip. [2] [3] The corner stitch is a variation of the horizontal mattress stitch, and is sometimes called the "half-buried horizontal mattress stitch". [4]
It is the most commonly used technique in the closure of skin. [1] It is known as an interrupted stitch because the individual stitches aren't connected; they are separate. Placing and tying each stitch individually is time-consuming, but this technique keeps the wound together even if one suture fails. [1] It is simple, and relatively easy to ...
Many surgical procedure names can be broken into parts to indicate the meaning. For example, in gastrectomy, "ectomy" is a suffix meaning the removal of a part of the body. "Gastro-" means stomach. Thus, gastrectomy refers to the surgical removal of the stomach (or sections thereof).
Although there are various ways in which to carry out this procedure, all share a common sequence of steps: Prepare the recipient site of tissue exhibiting recession by incising the gingivae; Obtain the SECT from the donor site; Secure the SECT at the recipient site; Suture the incised gingival tissue at both the donor and recipient sites
The vertical mattress stitch is most commonly used in anatomic locations which tend to invert, such as the posterior aspect of the neck, and sites of greater skin laxity such as the closure of lax skin after removing a dermoid cyst or reduced subcutaneous tissue (e.g., the shin) that do not provide adequate subcutaneous tissue for dermal closure. [6]
They tend to absorb this suture at a higher rate. Special precautions should be taken in elderly patients and patients with history of anemia and malnutrition conditions. As with any suture material, adequate knot security requires the accepted surgical technique of flat and square ties. The PDS suture knots must be properly placed to be secure.
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