Wound Closure Manual

WOUND CLOSURE MANUAL......Page 1
PREFACE......Page 2
CONTRIBUTING EDITOR......Page 3
TABLE OF CONTENTS......Page 4
CHAPTER 1: WOUND HEALING AND MANAGEMENT......Page 6
Patient Factors that Affect Wound Healing......Page 7
Surgical Principles......Page 9
Classification of Wounds......Page 10
Healing by Primary Intention......Page 11
Delayed by Primary Closure......Page 12
CHAPTER 2: THE SUTURE......Page 14
Personal Suture Preference......Page 15
Monofilament vs. Multifilament Strands......Page 16
Absorbable vs. Nonabsorbable Sutures......Page 17
Specific Suturing Materials......Page 18
Synthetic Absorbable Sutures......Page 19
Nonabsorbable Sutures......Page 21
Synthetic Nonabsorbable Sutures......Page 22
Ligatures......Page 23
Continuous Sutures......Page 24
Subcuticular Sutures......Page 27
The Secondary Suture Line......Page 28
Knot Security......Page 29
Square Knot......Page 30
Cutting the Secured Sutures......Page 31
Suture Selection Procedure......Page 32
Surgery Within the Abdominal Wall Cavity......Page 33
Closing the Abdomen......Page 35
Closing Contaminated or Infected Wounds......Page 45
CHAPTER 3: THE SURGICAL NEEDLE......Page 46
Elements of Needle Design......Page 47
Principles of Choosing a Surgical Needle......Page 49
The Needle Eye......Page 50
Straight Needle......Page 51
Compound Curved Needle......Page 52
Types of Needles......Page 53
Reverse Cutting Needles......Page 54
Taper Point Needles......Page 55
Taper Surgical Needles......Page 56
Needleholder Use......Page 57
Needle Handling Tips......Page 58
CHAPTER 4: PACKAGING......Page 60
Modular Storage Racks......Page 61
Primary Packets......Page 62
E-PACK* Procedure Kit......Page 64
Suture Sterilization......Page 65
Sterile Transfer of Suture Packets......Page 66
Suture Preparation in the Sterile Field......Page 67
Suture Handling Technique......Page 68
CHAPTER 5: TOPICAL SKIN ADHESIVES......Page 72
DERMABOND* Topical Skin Adhesive......Page 73
CHAPTER 6: OTHER SURGICAL PRODUCTS......Page 77
After Care and Removal......Page 78
Surgical Staples......Page 79
PROXIMATE* Skin Staplers......Page 80
Retention Suture Devices......Page 81
CHAPTER 7: PRODUCT TERMS AND TRADEMARKS......Page 83
CHAPTER 8: PRODUCT INFORMATION......Page 91
CHAPTER 9: INDEX......Page 117