Disruption of the integrity of a tissue, normally associated with loss of structure and function of the underlying tissues, results in the formation of a wound[1]. At the time of the injury, the wound healing process starts to restore tissue integrity and strength. When the tissue has been disrupted so severely that affected its ability to heal naturally, the necrotic tissue and foreign bodies must be removed, infection must be treated and the tissue must be held in apposition until the wound has sufficient strength to withstand stress without mechanical support. A wound may be approximated with adhesive tapes, staples, or sutures.
Adhesive tapes
Adhesive tapes are applied for approximating the edges of lacerations, repair and/or support in
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In the past centuries, a wide variety of materials – silk, linen, cotton, horsehair, animal tendons and intestines, and precious metals wire – have been used in surgical procedures. Optimal suture qualities include: a high uniform tensile strength and high tensile strength retention in vivo, so the wound would be secure throughout the critical healing period; a consistent uniform diameter; sterile; flexible for easy handling and knot security; free from irritating substances or impurities; and predictable performance[3].
Sutures can be classified according to the number of strands of which they are comprised. Monofilament sutures are made of a single strand of material, and multifilament sutures contain several strands, twisted or braided together. In addition, sutures can also be nonabsorbable, slowly absorbable and rapidly absorbable according to their degradation properties. The choice of suture material should be made taking into consideration the wound and the physical properties of the suture material (strength, durability, resistance to infection, among others)[4]. Besides, the suture material should provide adequate tensile strength as well as adequate elasticity to accommodate any increase in abdominal wall pressure
Carlton suffered an acute tissue injury on his foot after stepping on a sharp edge shell, which disrupted the layers of the skin. Immediately after an injury occurs, an inflammatory response begins, which serves to control and eliminate altered tissue/cells, microorganism, and antigens. This takes place in two phases. 1) The vascular phase, in which small vessels(arterioles, venules) at the site of injury undergo changes. Beginning, with
This article is about the results of a survey conducted by three PhD’s; Janet Simon, Matthew Donahue, and Carrie Docherty, and was published by the International Journal of Athletic Therapy and Training. The purpose of the survey was to determine Athletic Trainers current utilization of ankle support, and to determine ATs current attitudes towards the use of ankle taping and bracing. It gives some history and benefits of ankle bracing and taping, and how it has become a multimillion dollar industry, considering that 66-73% of all college athletes have reported an ankle sprain. Also, a third of people with ankle sprains will either re-sprain the ankle or report feelings of instability after the initial sprain. Ankle taping has become essential part of sports medicine,
Dr. Nolen's purpose for writing "The First Appendectomy," which speaks about his first execution of an appendectomy, was to inform. Dr. Nolen writes explains the procedures in performing an appendectomy and the possible complications that can and did occur during his first operation. Dr. Nolen informs readers that, “There are five layers of tissue the abdominal wall: skin, fat, fascia (a tough membranous tissue), muscle
Frey, K. R. (2007). Surgical Technology for the Surgical Technologist. Clifton Park, NY: Delmar Cengage Learning.
The suspensory ligament is found down the back of the cannon bone that starts just below the knee or hock and splits into two parts that pass around the back of the ankle and end on the front of the long pastern bone. Acute front suspensory ligament injuries are most commonly found in eventers and jumpers due to the speed and the increasing load on the forelimbs from jumping and the chance of misstep.
This reduces recovery time and may increase the rate of success due to fewer traumas to the connective tissue. And also, it has a small scar.
Wounds is a broad term that includes many other types. It is very important to know the proper and scientific method to care for wounds as well as knowing the types of them. Moreover, nurses must familiar with each type of wound, risk factors, prevention, and treatment. However, wounds may have a different range in skin breaks such as trauma, injury, cut, incision, and laceration. Skin prevention is the first step of preventing any break to occur in the skin. The various types of wounds, method of treatment and healing are mainly depending on their conditions. This assignment will include chronic wounds, which are diabetic ulcer, venous ulcer, and pressure ulcers.
The Company publishes "Modern Methods of Antiseptic Wound Treatment," which quickly becomes one of the standard teaching texts for antiseptic surgery. It helps spread the practice of sterile surgery in the U.S. and around the world.
Whenever an injury cannot be avoided, however, it activates a series of mechanisms to repair the organism. Evidence of these systems comes from blood platelets that clot wounds to prevent bleeding out.
The normal wound healing process mainly consists of four main stages being haemostasis, inflammation, proliferation or new tissue formation, and tissue remodeling or resolution. For a wound to heal well the above mentioned stages should occur in a sequential and orderly manner. Disturbances, abnormalities and delays in any of the above stages may lead to impaired healing or even chronic wounds. In adults, this process of normal healing takes place in the following steps (1)rapid haemostasis (2)appropriate inflammation (3)mesenchymal cell differentiation, proliferation, and migration to the wound site (4)suitable angiogenesis (5)prompt re-epithelialization and (6) proper synthesis, cross-linking, and alignment of collagen to provide strength to the healing tissue.
Today I was able to watch a vac dressing being placed on a patients wound. I had little knowledge about the vac dressing before going into this situation, it was interesting to see the situation in a real life situation first before doing research on it. There were two doctors in the patients room who were setting up the vac, one of the doctors was very good at explaining what they were doing and explaining how the vacuum dressing works. When they began to remove the old dressing I was surprised at how much packing the wound had. It wasn’t until all of it was removed that I noticed how large the wound actually was. We were able to get a nice view of the wound while the doctors were examining it. As they began to repack the dressing they
The role of the nurse in the preoperative area is to determine the patient’s psychological status to help with the use of coping during the surgery process. Determine physiologic factors directly or indirectly related to the surgical procedure that may cause operative risk factors. Establish baseline data for comparison in the intraoperative and postoperative period. Participate in the identification and documentation of the surgical site and or side of body on which the procedure is to be performed. Identify prescription drugs, over the counter, and herbal supplements that are taken by the patient that may interact and affect the surgical outcome. Document the results of all preoperative laboratory and diagnostic tests in the patient’s record
using a tourniquet to stop bleeding are old, out dated procedures and have been replaced
When a wound is determined as non-healable, as described by Sibbald et al (1), it should not be treated with a moist treatment and should be kept dry in order to reduce the risk of infection that would compromise the limb. It is also important to consider the patient 's preferences and try to control his pain, his discomfort in activities of daily living and the odour that their wound may produce. In this case, special attention must be given to infection prevention and control. Some charcoal dressing would be interesting in the care of our non-healable wounds at St. Mary 's Hospital.
...ance in increasing the likelihood of a “good” scar. First, the placement of the sutures that will not leave permanent suture marks or the prompt removal of skin sutures so disfiguring “railroad track” do not transpire. In other words, eliminating the stitches may be more important tan placing them. The second important technical factor that affects the appearance of scars is wound-edge eversion. In wounds where the skin is brought accurately collected, there is a propensity for the wound to expand. In lesions where the verges are averted, or even hype reverted in an embellished manner, this tendency is reduced, possibly by reducing the tension on the cessation. In other words, the archetype lesion cessation may not be perfectly flat, but rather bulging with an apparent edge, to permit for subsequent dissemination of that wound. Wound-edge eversion always goes away.