Excerpt from The Surgical Technique Aseptic Wounds: Read in the Section on Surgery and Anatomy at the Forty-Sixth Annual Meeting of the American Medical Association, at Baltimore, MD., May 7-10, 1895
The application of the buried suture may be effected in various ways. Where, for instance, it is desirable to coapt and hold at rest all the sundered structures, especially if they are liable to be hemorrhagic, the double continuous suture is of great importance, double, so that the tissue may be equally and evenly included and the coaptation perfect. This is best taken with a stitch similar to that of the shoemaker in his hand-sewing with a double thread. It is my habit thus to suture the peritoneum, the aponeurotic structures in laporotomy, hernia, etc. A continuous suture has a distinct advantage over the interrupted, in that we reduce to the minimum the knots which from their undue size ever act more or less as irritants. A great advantage results from the even adjustment of the parts, since in continuous suturing the compression must be the same along the whole line of stitches.
In the application of buried sutures, it is of the first importance to remember that we do not use undue constricting force, since we are dealing with vitalized structures in which the circulation must not be unduly impaired. The same force applied to a buried suture as is to often, perhaps generally used, in the application of interrupted cutaneous sutures is very likely to be followed by a process of local necrosis, although the included tissues are aseptic.
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Paperback. Condition: New. Print on Demand. This book explores the evolution of surgical techniques for aseptic wound treatment. It draws on the author's research and experience to provide insights into the principles and practices that have revolutionized wound care. The author traces the history of wound infection, from the early understanding of sepsis to the development of antiseptic and aseptic techniques. They emphasize the importance of preventing bacterial contamination and the significance of meticulous wound preparation and closure. The book delves into the role of microorganisms in wound infection, discussing the different types of bacteria and their impact on healing. It highlights the importance of eliminating bacteria from the wound site and the use of antiseptic agents and sterilization methods. The author also examines the techniques for wound closure, advocating for the use of buried animal sutures to coapt and hold tissues in place. They explain the benefits of this approach in minimizing scarring, reducing pain, and promoting healing. The book places these advancements in the context of surgical history and emphasizes their impact on patient outcomes. It concludes by highlighting the importance of aseptic wound treatment in preventing infection, promoting healing, and improving surgical outcomes. This book is a reproduction of an important historical work, digitally reconstructed using state-of-the-art technology to preserve the original format. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in the book. print-on-demand item. Seller Inventory # 9780260047076_0
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