7: skin and fascial wound closure Flashcards Preview

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Flashcards in 7: skin and fascial wound closure Deck (13):
1

How does incorporation of the peritoneum into the closure of the abdominal wall contribute to closure

Increase in adhesion formation, not strength
causes inflammation
don't suture this!

2

Advantages of continuous suture patterns

decreased surgery time
Decrease suture material
similar dehiscence as interrupted

3

Disadvantages of continuous

one break breaks it all

4

Holding layers of fascia

linea alba
rectus abdominus fascia

5

What direction do you want your lines to run during incision

parallel to lines of tension

6

General skin closure rules

sharp instruments
parallel lines
maintain tissue hydration
avoid grasping skin

7

Skin closure has how many layers

2
Subcuticular
skin

8

Subcutaneous suture techniques

Interrupted or continuous
avoid adipose tissue
5-10mm bites

9

Suture material for subq

non-reactive absorbable
small diameter
PDS, Vicryl, Maxon, Monocryl

10

Skin closure pattern

Cruciate
simple interrupted

11

Cutaneous suture types

monofilament
reverse cutting needle
nylon, prolene, fluorofil

12

When do you use intradermal pattern for skin closure

clean wound
healthy patient
minimal to no lesion
mass removal or spay

13

Suture material for intradermal

absorbable
vicryl, PDS, monocryl
small diameter
reverse cutting needle