United States or French Guiana ? Vote for the TOP Country of the Week !
Primary suture should not be attempted so long as the wound shows signs of infection, as it is almost certain to end in failure. The ends should be sutured, however, as soon as the wound is aseptic or has healed. #Secondary Suture.# The term secondary suture is applied to the operation of stitching the ends of the divided nerve after the wound has healed. Results of Secondary Suture.
This minimizes granulation of tissue, and there results less scar if the detached portions are kept near, even if not in contact with the proximal wound margins. The skin together with subcutaneous fascia is sutured on either side unless drainage is to be provided for on one side, and the lowermost part of that side is left unsutured. After-care.
Already he was clinging to life by a fragile thread; the additional shock of the surgery, of the anaesthesia and the necessary conversion to the heart-lung machine while the delicate tissues of the new heart were fitted and sutured into place vessel by vessel was more than any patient could be expected to survive.
The patient remained conscious and calm throughout; finally deep anesthesia was produced by ether and chloroform, three and a half hours after the accident, and in twenty minutes the intestines were all replaced in the abdominal cavity. The edges were pared, sutured, and the wound dressed. The woman was placed in bed, on the right side, and morphin was administered.
With the execution of a good surgical technic, the ruptured tendon might be sutured; the wound of the tendon sheath as well as that of the skin carefully united by means of gut sutures, the leg bandaged and immobilized with leather splints and recovery follow in a reasonable percentage of cases so treated.
Septicaemia usually terminates fatally in from two to ten days. The treatment is largely preventive. Wounds should be given prompt attention. They should be freed from all foreign substances and washed with a disinfecting solution. A contused-lacerated wound should not be sutured if this interferes with the cleansing of it, and the escape of the wound secretions.
The oozing of blood is arrested by packing the cavity for a few minutes with gauze. After the packing is removed, iodoform powder is rubbed into the raw surface. The soft parts divided by the incision are sutured in layers so as to ensure primary union.
Mitchell of Belfast advises exposing the varices at numerous points by half-inch incisions, and, after clamping the vein between two pairs of forceps, cutting it across and twisting out the segments of the vein between adjacent incisions. The edges of the incisions are sutured; and the limb is firmly bandaged from below upwards, and kept in an elevated position.
It is essential that the ends should be sutured to each other, and as the proximal end is retracted the original wound may require to be enlarged in an upward direction. When primary suture has been omitted, or has failed in consequence of suppuration, the separated ends of the tendon become adherent to adjacent structures, and the function of the associated muscle is impaired or lost.
In neglected cases, a perfect functional result can only be obtained by operation; under a local anæsthetic, the ruptured tendon is exposed and is sutured to the base of the phalanx, which may be drilled for the passage of the sutures. Subcutaneous rupture of one or other of the digital tendons in the hand or at the wrist can be remedied only by operation.
Word Of The Day