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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 ...
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.
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 ...
Stronger braided suturing thread is preferred because the knot has a tendency to fray as it is slid down the cannula. At the end of the running suture line, clips can be placed across the suture tail. Barbed suture is a knotless surgical suture that has a pattern of barbs on its surface. These barbs lock the suture into the tissue, eliminating ...
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.
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 ...
Projectional radiograph of surgical staples. Surgical staples are specialized staples used in surgery in place of sutures to close skin wounds or connect or remove parts of the bowels or lungs. The use of staples over sutures reduces the local inflammatory response, width of the wound, and time it takes to close. [1]
Surgery [a] is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or improve aesthetics and appearance (cosmetic surgery), or to remove unwanted tissues (body fat, glands ...
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