Closure
Incisions
Suture
Wound Healing
Anatomy
100
This occurs when the skin, subcutaneous tissue, and peritoneum remains intact, but the fascial margina and adjacent muscles separate.
What is an incisional hernia
100
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What is pfannenstiel incision
100
These are four types of absorbably monofilament suture
What is gut, PDS, maxon, monocryl, rapide
100
These are the four phases of wound healing
What is inflammation, migration, proliferation, and maturation
100
http://www.med-ars.it/various/langer.jpg
What is Langer Lines
200
This closure is advocated in contaminated wounds
What is delayed primary closure or secondary closure
200
http://www.glowm.com/resources/glowm/graphics/figures/v1/0560/005f.gif
What is a Cherney incision
200
This is a type of braided absorbable suture
What is Polyglycolic acid (dexon), polyglactin (vicryl) or panacryl
200
These are the four classes of wounds
What is Class I (clean), Class II (clean contaminated), Class III (contaminated) and Class IV (dirty)
200
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What is arcuate line
300
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What is Smead Jones technique
300
http://www.atlasofpelvicsurgery.com/9AbdominalWall/2MaylardIncision/chap9sec2images/chap9sec2image4.jpg
What is a Maylard incision
300
These are two types of nonabsorbable braided suture
What is silk, cotton, dacron, mersilene, ti-cron, ethibond or tevdeck.
300
A wound is classified as this when there is a major break in sterile technique
What is class III contaminated
300
Injuries to these two nerves result in sensation changes over the mons and labia majora
What are the iliohypogastric and the ilioinguinal nerves
400
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What is evisceration
400
http://img.medscape.com/pi/emed/ckb/clinical_procedures/79926-143953-1582203-1719547tn.jpg
What is a McBurney or gridiron incision
400
This suture causes the most tissue reaction
What is plain gut or natural (silk or cotton)
400
These are five factors that negatively affect proper wound healing
What is diabetes, malnutrition, prior irradiation or chemo, older age, alcoholism, preop shaving, preop hospitalization, longer operation times, immunosuppression, corticosteroid use, penrose drains brought through the incision.
400
For this reason, it is not necessary to reapproximate the rectus muscles in a transverse muscle cutting incision
What is fibrous insertions of the rectus muscle are tightly adherent to the fascia and this limits retraction
500
http://www.proxiderm.com/assets/images/abdomen1-case6-fig1.jpg
What is dehiscence
500
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What is a Kustner incision
500
This is a type of nonabsorbable monofilament
What is Polypropylene (surgilene, novofil, prolene); stainless steel wire (flexon), or nylon (dermalon, ethilon, surgilon)
500
Wounds have regained one-third of their tensile strength by this postoperative day
What is day 20
500
These vessels are subject to injury when a muscle splitting incision is used
What are the epigastric vessels
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