Wound Closure Manual (PDF) - Penn Medicine

More documents

Recommendations

Info

~ PREFACE T his manual has been prepared for the medical professional who would like to learn more about the practice of surgery–the dynamics of tissue healing, the principles of wound closure, and the materials available to today’s practitioners. Most important, it touches on some of the critical decisions which must be made on a daily basis to help ensure proper wound closure. ETHICON PRODUCTS, a Johnson & Johnson company, is the world’s leading marketer of surgical sutures and is the only U.S. company that offers an adhesive with microbial protection as an alternative to sutures for topical skin closure. ETHICON enjoys a reputation for developing quality products to enhance the lives of patients and for providing outstanding service to customers. We hope you find this manual useful. But, above all, we hope that it reflects our high regard for the men and women who have chosen the medical profession as a career. ETHICON PRODUCTS ~
CONTRIBUTING EDITOR David, L. Dunn, M.D., Ph. D. Jay Phillips Professor and Chairman of Surgery, University of Minnesota We thank Dr. Dunn for his contributions to the Wound Closure Manual. Dr. Dunn is currently the Jay Phillips Professor and Chairman of Surgery at the University of Minnesota. This department has a long-standing tradition and has attained national and international recognition for excellence in training academic general surgeons and surgical scientists. He is also the Division Chief of General Surgery, Head of Surgical Infectious Diseases, Director of Graduate Studies, and Residency Program Director of the Department of Surgery. Dr. Dunn has published over 400 articles and book chapters in the areas of Surgical Infectious Diseases and Transplantation. He has received regional and nationwide recognition in several academic organizations and is a Past-President of the Surgical Infection Society, the Association for Academic Surgery, the Minnesota Chapter of the American College of Surgeons, the Society of University Surgeons and the Society of University Surgeons Foundation.
Page 1: ✛✛✛✛✛✛✛✛✛✛✛
Page 5 and 6: 4 PACKAGING An Integral Part of the
Page 7 and 8: 2 WOUND HEALING & MANAGEMENT THE WO
Page 9 and 10: 4 WOUND HEALING SURGICAL PRINCIPLES
Page 11 and 12: 6 WOUND HEALING contaminated wounds
Page 13 and 14: 8 WOUND HEALING occur, the wound is
Page 15 and 16: 10 THE SUTURE WHAT IS A SUTURE? The
Page 17 and 18: 12 THE SUTURE ABSORBABLE VS. NONABS
Page 19 and 20: 14 THE SUTURE gut being used, the t
Page 21 and 22: 16 THE SUTURE support for up to 6 w
Page 23 and 24: 18 THE SUTURE dyed green, polyester
Page 25 and 26: ABSORBABLE SUTURES SUTURE Surgical
Page 27 and 28: 22 THE SUTURE tissue strangulation.
Page 29 and 30: 24 THE SUTURE increases in intra-ab
Page 31 and 32: 26 THE SUTURE PDS* II (polydioxanon
Page 33 and 34: 28 THE SUTURE the biologic forces i
Page 35 and 36: 30 THE SUTURE Monofilament sutures
Page 37 and 38: 32 THE SUTURE and the anterior fasc
Page 39 and 40: 34 THE SUTURE straining, or distent
Page 41 and 42: 36 THE SUTURE preferred. Patients,
Page 43 and 44: 38 THE SUTURE anastomoses. Multifil
Page 45 and 46: 40 THE SUTURE VICRYL sutures may be
Page 47 and 48: 42 THE SURGICAL NEEDLE Necessary fo
Page 49 and 50: 44 THE SURGICAL NEEDLE curved needl
Page 51 and 52: 46 THE SURGICAL NEEDLE THE NEEDLE E
Page 53 and 54:
48 THE SURGICAL NEEDLE uniform bite
Page 55 and 56:
50 THE SURGICAL NEEDLE exclusive ET
Page 57 and 58:
52 THE SURGICAL NEEDLE penetration.
Page 59 and 60:
54 THE SURGICAL NEEDLE edges inside
Page 61 and 62:
56 PACKAGING AN INTEGRAL PART OF TH
Page 63 and 64:
58 PACKAGING ABSORBABLE SUTURE Surg
Page 65 and 66:
60 PACKAGING in an organizer sleeve
Page 67 and 68:
62 PACKAGING PREPARATION OF STANDAR
Page 69 and 70:
64 PACKAGING closure materials are
Page 71 and 72:
66 PACKAGING 1. Protect absorbable
Page 73 and 74:
68 TOPICAL SKIN ADHESIVES Low tensi
Page 75 and 76:
70 TOPICAL SKIN ADHESIVES HOW TO CA
Page 77 and 78:
OTHER SURGICAL PRODUCTS CHAPTER 6
Page 79 and 80:
CHAPTER 6 75 1. Using sterile techn
Page 81 and 82:
CHAPTER 6 77 the staplers are not r
Page 83 and 84:
PRODUCT TERMS AND TRADEMARKS CHAPTE
Page 85 and 86:
CUTICULAR SUTURES Sutures designed
Page 87 and 88:
MODULAR SUTURE STORAGE RACK Plastic
Page 89 and 90:
STERILE Free of living microorganis
Page 91 and 92:
PRODUCT INFORMATION CHAPTER 8
Page 93 and 94:
CHAPTER 8 93 ETHILON* NYLON SUTURE
Page 95 and 96:
CHAPTER 8 91
Page 97 and 98:
CHAPTER 8 93 ETHILON* NYLON SUTURE
Page 99 and 100:
CHAPTER 8 95 MERSILENE* POLYESTER F
Page 101 and 102:
CHAPTER 8 97 MONOCRYL* (Poliglecapr
Page 103 and 104:
CHAPTER 8 99 NUROLON* NYLON SUTURE
Page 105 and 106:
CHAPTER 8 101 PERMA-HAND* SILK SUTU
Page 107 and 108:
CHAPTER 8 103 PROLENE* (POLYPROPYLE
Page 109 and 110:
CHAPTER 8 105 PRONOVA* POLY (HEXAFL
Page 111 and 112:
CHAPTER 8 107 PROXIMATE ® SKIN STA
Page 113 and 114:
CHAPTER 8 109 SURGICAL GUT SUTURE A
Page 115 and 116:
CHAPTER 8 111 VICRYL* Knitted Mesh
Page 117 and 118:
INDEX CHAPTER 9
Page 119 and 120:
CHAPTER 9 115 K L M KNOT SECURITY,
Page 121 and 122:
CHAPTER 9 117 subcuticular techniqu
Page 123 and 124:
CHAPTER 9 119 V W VASCULAR SURGERY,
Page 125 and 126:
NOTES
Page 127:
W OUND H EALING S UTURES N EEDLES A
show all

Wound Closure Manual (PDF) - Penn Medicine

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?