Judul : Pola Jahitan dan Jenis Benang dalam Bedah Veteriner
link : Pola Jahitan dan Jenis Benang dalam Bedah Veteriner
Pola Jahitan dan Jenis Benang dalam Bedah Veteriner
Wounds are absent or have a damaged area of body tissue (tissue disorder). This condition can be acute or cumulative trauma, temperature extremes, chemicals, explosions, electric shocks, or animals.
When closing a wound, the choice of the type of suture is determined by three factors: the type of material, the body's ability to absorb it, and the location of the threads. Currently, fibers are widely used, which can be absorbed into body fluids through enzymatic reactions.
It may take from three days to three months for the thread to soak into the fabric, depending on the type of thread and the condition of the fabric being stitched.
Depending on the source material, the threads are inside the threads from sheep intestines and distinguish between pure without additives and chromic catguts containing a mixture of chromic acid solution.
Pure catgut is absorbed quickly, in about a week, chromium takes longer, about 2-3 weeks.
Depending on the continuity, sewing techniques are divided
Trim the seams
The technique of stitching the edges of the wound, after which the blockage is opened. This method requires more thread because each stitch must be tied and cut.
It is relatively safer because if one point breaks, the other points will not be affected. This is good for infected wounds as it is easy to open sutures if there is an infected area to block other sutures.
Displaced sutures can be simple or subcutaneous, vertical or horizontal.
The stitching starts in the middle and continues on each half of the remaining sides.
The direction of the needle is perpendicular to the skin surface and also perpendicular to the skin incision. The needle inserted and withdrawn from the cutting edge is equal to the depth of the removed tissue (x), and the distance between the points is equal to twice (2).
Income:
- easily
- high sewing performance
- Less likely to disrupt the circulatory system, which reduces inflammation
- Heal wound edges easily
loss
- High
- Seams are more visible
Pay attention to the general pattern of broken seams.
 |
| Too strong to scratch skin |
Continuous sewing / Costura continua
This is a series of stitches made with yarn without a gap between the previous stitches and the previous ones.
Threads can be found at each end of the seam. This method is performed quickly, the tension force of the entire suture is the same throughout the wound.
Excessive tension should be avoided to avoid tearing the seam, which can damage all seams. Most often it is applied to the abdomen or the fascia of the abdominal wall.
The use of this technique is not recommended for wound infections. The disadvantage is that if the seam is open, it will affect the front or front seam.
State:
- Once released, you only need to release and hold the thread, not the stitch.
- The thread should not dangle when sewing.
- Needle ready (center position)
WIN
- FAST!
- a little
loss
- Sewing is easy if the seam is not tight
- Difficult to fix in case of infection
- Removal must be done immediately, cannot be done in all areas (for example, if there is pus in certain areas)
 |
Simple continuous stitch |
Interrupted stitch / Continuous stitch lock
Block stitch pattern (continuous block stitch). "Blocking" is done by continuously passing the needle and yarn through each row of knitting before wrapping. The lock holds the net better because it is "locked".
 |
| Closing a continuous seam / overlaying a closed seam |
Lambert
Lambert all the time
Continuous Lambert suture. This is an example of reverse stitch used on internal cavities such as the intestines. Sutures are placed through rosacea and muscle and as tightly as possible through the submucosa, but not through the mucosa.  |
| Continuous Lambert suture |
Lambert said
Halstead pattern (Halstead knitting). This is a Lambert stitch pattern, cut twice using yarn and a pickaxe that do the same on the other side. This is different from a simple horizontal mattress pattern.
 |
| Tour Halstead |
Cushing
Models or crushing chambers (for point crushing). This is a special type of suture for closing the intestinal tract. The constriction pattern is superior to the traditional inversion pattern, where the sutured colonic lumen creates only a small amount of cohesion.
 |
| Rupture of seams |
Mattress / Colchoneta
Sew a rubber tube mattress
Mattress through a rubber tube (We sew the mattress through a rubber tube). Once the thread is taut and the desired suture is cut from the skin, it is best to release the remaining suture with a small piece of rubber tubing so that it remains parallel to the skin fold.  |
| Sew a rubber tube mattress |
Mattress tailoring
Cross stitch mattress model (cross stitch mattress). Here the thread is inserted diagonally into the next layer of leather so that it looks like an X.
 |
| Mattress tailoring |
Mattress vertical seam deactivated
Vertical pattern of the mattress (vertical point of the mattress). Unlike a horizontal mattress pattern, the visible side of the side seam appears to be perpendicular to the cut line when in a parallel position.
The main indication for vertical mattress sutures is to raise the surface of the wound edges, that is, if the wound edges are not at the same height, if the sutures are cut, the wound edges (epithelium and epithelium) do not meet (option).
Upright mattresses are often used on areas of the body that are prone to rolling, such as the back of the neck or superficial wounds.
 |
| vertical mattress texture |
Some investigators believe that the use of vertical suture mats at the edges of a wound feels better than other suturing methods. The vertical mat serves to level the cutting surface.
Horizontal mattress seam
Mattress pattern (horizontal mattress pattern, horizontal intermittent mattress pattern, four-layer intermittent mattress pattern).
This model should also be flexible when closing the seams. If the sutures are tight, a reverse wound layer may form. Sewing begins with a simple pattern.
But the thread is sewn into the next layer, forming a U-shape, and then out. When duplicating, the visible part of the yarn is seen parallel and parallel to the sideline.
 |
| horizontal mattress |
This method is usually used on wounds that have enough distance between the two ends of the wound so that the tension is strong enough. This suture is used as the initial suture to tie the two edges of the wound together.
This method of suturing is quite effective on unprotected skin surfaces of wounds, for example, on the skin of the palms and feet. This method is effective in stopping bleeding due to subcutaneous bleeding at the edges of a wound (such as the scalp).
The horizontal mattress suture is also useful for accessing structures parallel to the incision without damaging them, such as blood vessels, nerves, etc.
Smead-Jones / Far Near
This suture is used on highly tensile fabrics such as fascial sutures.
 |
| Was Smead-Jones |
fillet weld
A variation on the horizontal mattress stitch technique and the semi-deep horizontal mattress stitch, also known as the corner stitch. Angled suturing techniques are used to bring wound edges together at an angle without cutting or reducing blood supply to the skin.
 |
| sewing corner |
Hollow knitting wire
There are continuous seams along the hem or in some narrow places, for example, on trouser belts. For example, during an appendectomy.
Subcutaneous suture
The entire seam is below the epidermal layer. This can be done with continuous or interrupted sutures and is not removed after surgery. The path goes in the direction or parallel to the wound. Sutures are placed on a short lateral wound. After knitting, both ends of the rope are finished.
the advantage is that it is cosmetically good because the skin is attached from below so that the seam does not damage the skin.
 |
| 1. subcutaneous suture |
 |
| 2. subcutaneous suture |
this is done for cosmetic purposes, so it must be done correctly;
- The first subcutaneous (absorbable) node.
- Subcutaneous tissue should be removed evenly from the surface of the skin.
- The exit of the needle should be parallel to the opposite side of the wound.
- Finish without a loop (with a Z point where the needle enters the same hole)
fix it
In addition to sutures, a stapler can also be used to close the edges of the wound. Its application with a tool, such as a paper clip. The advantage is that it is faster and the disadvantage is that sometimes the edges of the wound do not have the same height and twist.
Leather belt
Gypsum (sterile) skin can be used when the fused tissue has low tension. It is usually used after a good subcutaneous suture in order to bring the epithelium together between the two edges of the wound.
This usage is faster but prone to lag.
 |
| permanent wound closure with plaster |
Thread types
Absorbable suture material
Demikianlah Artikel Pola Jahitan dan Jenis Benang dalam Bedah Veteriner
Sekianlah artikel Pola Jahitan dan Jenis Benang dalam Bedah Veteriner kali ini, mudah-mudahan bisa memberi manfaat untuk anda semua. baiklah, sampai jumpa di postingan artikel lainnya.
Anda sekarang membaca artikel Pola Jahitan dan Jenis Benang dalam Bedah Veteriner dengan alamat link https://www.kingfish-media.com/2022/08/pola-jahitan-dan-jenis-benang-dalam.html
Demikianlah Artikel Pola Jahitan dan Jenis Benang dalam Bedah Veteriner
Sekianlah artikel Pola Jahitan dan Jenis Benang dalam Bedah Veteriner kali ini, mudah-mudahan bisa memberi manfaat untuk anda semua. baiklah, sampai jumpa di postingan artikel lainnya.
Anda sekarang membaca artikel Pola Jahitan dan Jenis Benang dalam Bedah Veteriner dengan alamat link https://www.kingfish-media.com/2022/08/pola-jahitan-dan-jenis-benang-dalam.html
0 Response to "Pola Jahitan dan Jenis Benang dalam Bedah Veteriner"
Posting Komentar