PERI-OPERATIVE pptx intruments

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peri operative nursing

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PERI-OPERATIVE IN NURSING:

PERI-OPERATIVE IN NURSING

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Sutures are the materials used in operation theatre for joining the two edges of the incised surgical or other wound. Suture need to be strong & non irritant to skin & body tissues. Sutures should be of such materials that can be easily sterilized .

a) Sutures : The process of joining two surfaces or edges together along a line by or as if by sewing. The material, such as thread, or wire, that is used in this procedure.. b) Ligature :In surgery, a filament or thread used to tie something, such a blood vessel to prevent it from bleeding .Ligatures may be of silk, wire, and other materials.  :

a ) Sutures : The process of joining two surfaces or edges together along a line by or as if by sewing. The material, such as thread, or wire, that is used in this procedure.. b) Ligature :In surgery, a filament or thread used to tie something, such a blood vessel to prevent it from bleeding .Ligatures may be of silk, wire, and other materials .

Absorbable sutures are also known as “catgut”. A tough thin cord made from the treated and stretched intestines of certain animals, especially sheep This type of suture are commonly used to suture the inner structure of the body such as: Walls of the organs Rectal sheath Muscles Subcutaneous tissue Peritoneum Intestinal anastomosis :

Absorbable sutures are also known as “ catgut ”. A tough thin cord made from the treated and stretched intestines of certain animals, especially sheep This type of suture are commonly used to suture the inner structure of the body such as: Walls of the organs Rectal sheath Muscles Subcutaneous tissue Peritoneum Intestinal anastomosis

1) Plain catgut These sutures are completely digested & absorbed by the tissue. Sizes of the absorbable catgut suture vary from 5/0 which is the finest to 2 which is the thickest. Catgut has an expensive. The raw product of the catgut is submucosal layer of the sheep intestine. When these are prepared each pieces is split longitudinally into 3 or 4 ribbons. All the fatty & muscle layer are scrapped off in an alkaline bath. :

1 ) Plain catgut These sutures are completely digested & absorbed by the tissue. Sizes of the absorbable catgut suture vary from 5/0 which is the finest to 2 which is the thickest. Catgut has an expensive. The raw product of the catgut is submucosal layer of the sheep intestine. When these are prepared each pieces is split longitudinally into 3 or 4 ribbons . All the fatty & muscle layer are scrapped off in an alkaline bath.

2) Chromic catgut an absorbable sterile strand derived from the intestinal submucosa of sheep and fixed in formalin, used as a surgical ligature and suture. surgical catgut that has been treated with chromium trioxide to strengthen it. It is an absorbable suture The chromic catgut is of brown color & is absorbed slowly. To chromised the catgut, it is soaked in a bath of chromic acid with frequent period of movement of 3 hours. The strands are then graded into size Then the catgut is packed & sterilized. :

2 ) Chromic catgut an absorbable sterile strand derived from the intestinal submucosa of sheep and fixed in formalin, used as a surgical ligature and suture. surgical catgut that has been treated with chromium trioxide to strengthen it. It is an absorbable suture The chromic catgut is of brown color & is absorbed slowly. To chromised the catgut, it is soaked in a bath of chromic acid with frequent period of movement of 3 hours. The strands are then graded into size Then the catgut is packed & sterilized.

3) Atraumatic catgut It is another type which is used for ligating small blood vessels. Dexon (Polyglycolic acid) is also an absorbable suture synthetically prepared. It is available in various sizes such as 3/0 to 2. This suture is used as ties for small blood vessels & also for suturing peritoneum ,rectal sheath etc. :

3) Atraumatic catgut It is another type which is used for ligating small blood vessels. Dexon (Polyglycolic acid) is also an absorbable suture synthetically prepared. It is available in various sizes such as 3/0 to 2. This suture is used as ties for small blood vessels & also for suturing peritoneum ,rectal sheath etc.

Non absorbable sutures These types of sutures are not absorbed. These sutures are used for closing or suturing outer surface of the body such as skin. These sutures are cheaper ,easy to handle ,easy to sterile ,have smooth surfaces & knot securely with the ends cut short. :

Non absorbable sutures These types of sutures are not absorbed. These sutures are used for closing or suturing outer surface of the body such as skin. These sutures are cheaper ,easy to handle ,easy to sterile ,have smooth surfaces & knot securely with the ends cut short.

Types of non absorbable sutures a) Silk suture : these suture are non absorbent. Their sizes vary from 10/0 to 2 . These are used for skin closure after abdominal operation. b) Linen suture : these sutures are also non absorbent .their sizes vary form 3/0 to 2 . These are used for skin closure in hernia operation.   :

Types of non absorbable sutures a ) Silk suture : these suture are non absorbent. Their sizes vary from 10/0 to 2 . These are used for skin closure after abdominal operation . b) Linen suture : these sutures are also non absorbent .their sizes vary form 3/0 to 2 . These are used for skin closure in hernia operation .

c) Monofilament Nylon suture ( Ethilon) : These are non absorbable suture. Their sizes vary from 10/0 to 2. these sutures are used as tension sutures in hernia repair. d) Stainless steel wire : these are non absorbent sutures used in areas of known infection. It is also used for secondary repair of disrupted wound. It is further used for surgery of ligament ,tendons. It is again used for repair of cleft lip .hair lip cleft palate ,hernia operations ,thoracic & orthopedic surgery .   :

c ) Monofilament Nylon suture ( Ethilon ) : These are non absorbable suture. Their sizes vary from 10/0 to 2. these sutures are used as tension sutures in hernia repair. d) Stainless steel wire : these are non absorbent sutures used in areas of known infection. It is also used for secondary repair of disrupted wound. It is further used for surgery of ligament ,tendons. It is again used for repair of cleft lip .hair lip cleft palate ,hernia operations ,thoracic & orthopedic surgery .

e) Prolene –Ethifex merseline : These non absorbent sutures are used for cardiovascular & plastic surgery. f) Metal Clips : these non absorbent types of suture are of various types such as : Michael clips Trazies Van petz   :

e) Prolene –Ethifex merseline : These non absorbent sutures are used for cardiovascular & plastic surgery. f) Metal Clips : these non absorbent types of suture are of various types such as : Michael clips Trazies Van petz

New introduced sutures VICRYL (polyelatine– 916) PROLENE (Polypropylene) POLYSTER (ethibond) POLYDIXONE SUTURE These material have reduced the rate of infection at the suture sites. :

New introduced sutures VICRYL (polyelatine– 916) PROLENE (Polypropylene) POLYSTER (ethibond) POLYDIXONE SUTURE These material have reduced the rate of infection at the suture sites .

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