国外切口缝合新技术

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1、Aknot-tyingprimer©ETHICON,1Dü01.04,No.62ImpressumAknot-tyingEditorprimerETHICONProductsGermanyRobert-Koch-Straße122851NorderstedtConsultantPriv.-Doz.Dr.med.Friedrich-ChristianRiessCardiacSurgeryAlbertinen-KrankenhausHamburgConcept&DesignRIESSmedien,NorderstedtCommunicationformedicine,sc

2、ienceandtechnologyPhotographsandartdesignAndreasRiessForewordWiththisnewrevisededitionofour“Knot-tyingprimer”,Ethiconwouldliketogivethosestudyingandcommencingtheircareerinmedicineinstructionstoassisttheminlearningthemostimportantknotsandsuturingtechniquesofmodernsurgicalpractice.Wehavel

3、imitedourselvesquitedeliberatelytothosetechniqueswhicharehelpfulforthoseatthestartoftheircareertomaster.Furthertechniques,whichthesurgeonlearnsinthecourseofhisprofessionalpractice,arenotthesubjectofthispublication.Wehopethatourinformationbrochureisofusetoyouandwishyoueverysuccessinyourp

4、rofessionalpractice.Norderstedt,April20033Contents1Knots71.1Squareknots,one-handtechnique8–151.2Squareknots,two-handtechnique16–231.3Instrumentknots24–272Suturetechniques292.1Subcutaneoussutures302.1.1Subcutaneoussutureusinginterruptedsutures312.1.2Subcutaneoussutureusingacontinuoussutu

5、re312.2Sutureofasymmetricalwounds322.2.1Joiningwoundedgesofdifferentlength322.2.2Closureoflargerwoundareas332.3.Skinsutures342.3.1VerticalmattresssutureaccordingtoDonati34andMcMillen2.3.2Modifiedverticalmattresssutureaccording35toAllgöwer2.3.3IntracutaneoussutureaccordingtoChassaignac36

6、andHalstedusingnonabsorbablesuturematerial2.3.4IntracutaneoussutureaccordingtoChassaignac37andHalstedusingabsorbablesuturematerial2.3.5SkinclosurewithDERMABOND392.4Ligatureofbloodvessels40–41451.KNOTSTheknotsshownonthefollowingpagesarethosemostcommonlyusedinmodernsurgery,andthepicturess

7、howthemfromthesurgeon’sangle.Thebestwaytopractisetyinginitiallyiswithatwo-colouredstring,atfirstalwaysholdingthecolouredendintherighthand.Laterpracticeblindandthenwithsurgicalglovesandsurgicalsuturematerialsindifferentsizes.Thatwayyoucangetafeelingofhowmanythrowsinopposingdirec