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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 size as well as thread material ...
The effective tying of surgical knots is a critical skill for surgeons since if the knot does not stay intact, the consequences may be serious such as after pulmonary resection, laparoscopic cholecystectomy, and hysterectomy. The primary goal of surgical knot tying is to allow the capacity of a knot (or ligature) to be tightened and remain tight.
For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing.The dressing should be changed and the wound irrigated with normal saline at least twice each day. [4]
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]
Immediately after surgery, a case of gossypiboma can commonly be mistaken for an abscess, especially when it is near a passage between organs (a "fistula"). In those cases where a sponge isn't discovered until much later, it may be impossible to tell the difference between gossypiboma and an "intra-abdominal abscess". [ 10 ]
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.
Princess Kate Middleton has broken her silence after her abdominal surgery and ongoing recovery. “Thank you for your kind wishes and continued support over the last two months,” Kate, 42 ...
After surgery, drains can be placed to remove blood, lymph, or other fluids that accumulate in the wound bed. This helps to promote wound healing and allows healthcare providers to monitor the wound for any signs of internal infection or damage to surgically repaired structures.