This document provides information on basic surgical skills related to incisions, wound closure techniques, sutures, and knots. It discusses the different types of scalpel blades and incisions made for various body sites. Key aspects of wound closure include closing the edges with minimal tension and eversion. The document outlines various needle shapes and sizes used for suturing, including curved and straight needles. Suture materials can be absorbable or non-absorbable, braided or non-braided, and made from natural or synthetic fibers like silk, polyester, or polypropylene. Sutures are placed using forceps and can be continuous or interrupted, including simple or mattress stitches. Proper wound closure requires
This document provides information on basic surgical skills related to incisions, wound closure techniques, sutures, and knots. It discusses the different types of scalpel blades and incisions made for various body sites. Key aspects of wound closure include closing the edges with minimal tension and eversion. The document outlines various needle shapes and sizes used for suturing, including curved and straight needles. Suture materials can be absorbable or non-absorbable, braided or non-braided, and made from natural or synthetic fibers like silk, polyester, or polypropylene. Sutures are placed using forceps and can be continuous or interrupted, including simple or mattress stitches. Proper wound closure requires
This document provides information on basic surgical skills related to incisions, wound closure techniques, sutures, and knots. It discusses the different types of scalpel blades and incisions made for various body sites. Key aspects of wound closure include closing the edges with minimal tension and eversion. The document outlines various needle shapes and sizes used for suturing, including curved and straight needles. Suture materials can be absorbable or non-absorbable, braided or non-braided, and made from natural or synthetic fibers like silk, polyester, or polypropylene. Sutures are placed using forceps and can be continuous or interrupted, including simple or mattress stitches. Proper wound closure requires
This document provides information on basic surgical skills related to incisions, wound closure techniques, sutures, and knots. It discusses the different types of scalpel blades and incisions made for various body sites. Key aspects of wound closure include closing the edges with minimal tension and eversion. The document outlines various needle shapes and sizes used for suturing, including curved and straight needles. Suture materials can be absorbable or non-absorbable, braided or non-braided, and made from natural or synthetic fibers like silk, polyester, or polypropylene. Sutures are placed using forceps and can be continuous or interrupted, including simple or mattress stitches. Proper wound closure requires
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Dr.
Shahzad Alam Shah
Assistant Prof. Laparoscopic Surgery Basic Surgical Skills
Anastomosis Basic Surgical Skills Incisions and use of appropriate instruments Materials and methods used for surgical wound closure Technique of skin closure Sutures, knots and needles INCISION OF SKIN Made by scalpels with disposable blades attached Blades Different sizes and shapes
Incision Knife should be pressed down firmly at right angle Different sites have different incisions
Closure of wound Closed with minimum of tension Edges should be everted Knots To one side Secure enough
Needles and Sutures Needles Various shape and sizes Curved Straight Commonly half circle and 3/8 circle Traumatic and atruamatic With and eye at the end or attached to the suture at swage
Needles taper (needle body is round and tapers smoothly to a point) cutting (needle body is triangular and has a sharpened cutting edge on the inside) reverse cutting (cutting edge on the outside) trocar point or tapercut (needle body is round and tapered, but ends in a small triangular cutting point) blunt points for sewing friable tissues side cutting
NEEDLES SUTURE Surgical suture is a medical device used to hold body tissues together after an injury or surgery. It generally consists of a needle with an attached length of thread. A number of different shapes, sizes, and thread materials have been developed Types of sutures Absorbable or non absorbable Inert or non inert Braided or non braided Natural or synthetic Silk Polyester Polypropylene Catgut
Placement of suture Start with placement of needle over needle holder Use of Forcep Placement SUTURE CONTINOUS INTERRUPTED Simple Mattress Secure Wound Closure Correct suture material Appropriate bites of tissues and sutures spacing Secure Knots Knot Tying Types of Knots Square Knot Surgeon`s Knot Reef Knot Other Methods of Closures
Guy Maddern, Matthias W. Wichmann (Auth.), Matthias Wichmann, David C. Borgstrom, Nadine R. Caron, Guy Maddern (Eds.) - Rural Surgery - Challenges and Solutions For The Rural Surgeon - Springer-Verla