Practical Plastic Surgery for Nonsurgeons

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$finger fractures and dislocations - Practical Plastic Surgery$

Suturing: The Basics 17 Close the skin with clips. The stapler should be centered over the skin edges before the staple is released. Be sure that the skin is everted. (From Skandalakis JE, et al (eds): Hernia Surgical Anatomy and Technique. New York, McGraw-Hill, 1989, with permission.) 4. Release the handle, and move the stapler a few millimeters back to separate the staple from the stapling device. 5. The staples should be placed about 1 cm apart. To Remove the Staples A staple remover device can be used to remove the staples easily (see figures on next page). Put the jaws under the staple, and close the device. This bends the staple and allows it to be removed. If you do not have a staple remover, a clamp can be placed under the staple. Then open the clamp to bend the staple so that it can be removed. Removing a staple in this fashion can be painful. Adhesives Specialized surgical adhesive materials allow the skin edges to be “glued” together. The advantage of adhesives is that the wound does not need to be anesthetized for closure. However, a traumatic wound must be thoroughly cleaned before closure, which often requires local anesthetic. Thus, this advantage may be only theoretical. Adhesive compounds are quite expensive, and the quality of the resultant scar has still not been fully evaluated and compared with the scar
18 Practical Plastic Surgery for Nonsurgeons Removing a staple with a staple remover. from a properly sutured wound. Thus only adhesive tapes are further discussed. Never use regular household adhesives to try to close a wound. Adhesive Tapes Adhesive tapes often are placed after sutures are removed to help keep the skin closure from separating. They also can be used as a means of closure for relatively small wounds whose edges easily come together.
Page 1 and 2: Practical Plastic Surgery for Nonsu
Page 3 and 4: Dedication To Chris and Jenny McCon
Page 5 and 6: Table of Contents Chapter 1 Suturin
Page 7: Contents vii Chapter 33 Nerve and V
Page 10 and 11: Chapter 1 SUTURING: THE BASICS KEY
Page 12 and 13: SSuuttuurree MMaatteerriiaall Sutur
Page 14 and 15: Instruments Needed Suturing: The Ba
Page 16 and 17: Placing the Sutures Suturing: The B
Page 18 and 19: Interrupted or Continuous Closure A
Page 20 and 21: The vertical mattress suture. Sutur
Page 22 and 23: Figure-of-eight suture. This techni
Page 24 and 25: Suturing: The Basics 15 8. Bring th
Page 28 and 29: Suturing: The Basics 19 A, Closing
Page 30 and 31: Chapter 2 BASIC SURGICAL TECHNIQUES
Page 32 and 33: Basic Surgical Techniques 23 Make t
Page 34 and 35: Regular Tie Basic Surgical Techniqu
Page 36 and 37: Basic Surgical Techniques 27 that a
Page 38 and 39: 30 Practical Plastic Surgery for No
Page 74 and 75: Chapter 7 GUNSHOT WOUNDS KEY FIGURE
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Gunshot Wounds 69 Feel for the dist
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Gunshot Wounds 71 loosely closed to
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74 Practical Plastic Surgery for No
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Chapter 11 PRIMARY WOUND CLOSURE KE
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HHooww ttoo SSuuttuurree tthhee WWo
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Primary Wound Closure 95 If the wou
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Chapter 12 SKIN GRAFTS KEY FIGURES:
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Skin Grafts 99 alive for, at most,
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Procedure for Taking the Graft Skin
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Skin Grafts 103 blade edge. You may
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Skin Grafts 105 3. Scraping the wou
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Indications Skin Grafts 107 FTSGs a
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Skin Grafts 109 4. Keep the dressin
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112 Practical Plastic Surgery for N
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Chapter 15 SCAR FORMATION KEY FIGUR
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MMeetthhoodd ooff WWoouunndd CClloo
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Scar Formation 141 How to use the s
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Scar Formation 143 area may become
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Chapter 16 FACIAL LACERATIONS KEY F
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Facial Lacerations 147 Bupivacaine
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Suture Removal Facial Lacerations 1
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Facial Lacerations 151 1. It often
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Skin Facial Lacerations 153 • It
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Full-thickness Forehead Lacerations
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Anterior Side of the Ear Facial Lac
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BBiibblliiooggrraapphhyy Facial Lac
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Chapter 19 SOFT TISSUE INFECTIONS S
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Soft Tissue Infections 185 Cuts fro
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Soft Tissue Infections 187 1. Remin
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Soft Tissue Infections 189 Temporiz
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Chapter 22 SKIN CANCER KEY FIGURES:
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Skin Cancer 223 Most melanomas aris
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Skin Cancer 225 History of sun expo
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How to Do the Biopsy Skin Cancer 22
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Skin Cancer 229 approach is especia
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Skin Cancer 231 Performing a shave
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Re-excision for Melanoma Skin Cance
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Chapter 23 CLEFT LIP/PALATE KEY FIG
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PPrreesseennttaattiioonn aanndd IIn
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Helpful Strategies Cleft Lip/Palate
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Optimally, a pediatric dentist or o
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Cleft Lip/Palate 243 palate forms t
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246 Basic Surgical Procedures for t
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Chapter 28 HAND SPLINTING AND GENER
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Hand Splinting and General Aftercar
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Splinting the hand with an extensor
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Hand Splinting and General Aftercar
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Chapter 29 FINGERTIP AND NAIL BED I
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Treatment Fingertip and Nail Bed In
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Subungual Hematoma Fingertip and Na
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Fingertip and Nail Bed Injuries 289
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Nail bed lacerations are often mult
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Chapter 31 TRAUMATIC HAND AND FINGE
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Traumatic Hand and Finger Amputatio
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Chapter 32 TENDON INJURIES OF THE H
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Repair of the Extensor Tendon Tendo
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Tendon Injuries of the Hand 311 Spl
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Chapter 33 NERVE AND VASCULAR INJUR
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Nerve and Vascular Injuries of the
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Chapter 37 SPECIFIC TYPES OF HAND I
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Specific Types of Hand Infections 3
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Chapter 38 CHRONIC HAND CONDITIONS
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Chronic Hand Conditions 357 On phys
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Chronic Hand Conditions 359 of the
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Chronic Hand Conditions 361 The car
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Chronic Hand Conditions 363 Also, u
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Chronic Hand Conditions 365 gentle
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Chapter 39 EXPLORATION OF AN INJURE
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Exploration of an Injured Hand or F
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Proper placement of incisions is im
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Dorsal Surface Exploration of an In
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Index Page numbers in boldface type
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Burns (cont.) subsequent care for,
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Dressings (cont.) wet-to-wet, 83 an
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Fractures (cont.) of fingers, 63, 2
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Instruments sharp disposal of, 47 s
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Nutritional support, for burn patie
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Shotgun injuries, 71 Silicone breas
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Tendon injuries (cont.) traumatic a
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