The SURGICAL SUTURES — ( Teachers ) Part 1 and 2

PART 1. CLOSURE OF SKIN WOUNDS.To connect the edges of the skin wound are different types of joints:- Layering they are classified as an ordinary hub, continuous (blanket, submersible, mattress, beauty), U-shaped and Z-shaped. With respect to the surface of the skin sutures are divided into vertical and horizontal.. Dependent from case to wound the seams are nagranie (under the seam is wound cavity) and padeniye (the thread is held under the bottom of the wound).- Also used neocave the connection edges of the wound.- On functionality can be distinguished adapting, directing and hemostatic sutures.- Read more [...]
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Surgical Sutures

Learning naklydyvat seams. Perhaps some of the submissions will not be useful, but it would be useful to know.Surgical sutures - the most common way to connect biological tissue (wound edges, wall bodies, etc.), stop bleeding, bile leakage, etc. using suture. Unlike crosslinking tissues (blood method) exist nonblood compounds thereof without suture. Depending on the timing of imposing x Sh. distinguished: primary closure, which is applied to the accidental injury immediately after primary surgical treatment or surgical wound; delayed primary closure is applied to the development of granulation Read more [...]
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Hemostatic effectiveness of napkins

At acquisition of first-aid kits, we increasingly use so-called wound coverings(Napkins). Such coatings are used for applying aseptic bandage on various wound surfaces. Napkins are enclosed in a sterile container and allow to simplify first aid.Under the cut inquisitive reader will be able to learn the material, showing the effectiveness of wound dressings. Reading comprehension is possible with minimal luggage and medical knowledge.Brief conclusions:1. Local hemostatic AKTIVTEX ACF patients Light outer capillary-parenchymal hemorrhage Prehospital 14% more efficient and 16% cheaper than the Read more [...]
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Lectures on surgery in PD -3

One's not included, so here was finishing. The first part here, the second here. Lecture number 12. On the shock and shock resistance set. The need for this lecture is long overdue, for shock and shock-like states are an integral part of serious wounds, injuries, burns, poisonings and certain therapeutic diseases. But the main reason was some confusion about the lack of comrades in protivosokovmi set "exit stacking" comrade Andre "antishock sets" firm "Transmedteh" and the distribution of vials polyglucin. Therefore, I suggest beginning to understand what a shock and how to fight it, and finally Read more [...]
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A brief about burns and frostbite:

In order of elimination of illiteracy: Burns: - No ointments immediately after porazheniya.Teplovoe tissue damage continues for some time after removal of the external heat source. Any ointments create a heat insulating layer, preventing heat loss and aggravating. - No liquid спиртосодержащего.Спиртосодержащие bind moisture, and increasing injury. - No perforations bubbles. For infection. - Urine. If pleasure to piss yourself - please pissing. Therapeutic effect has not been proven. NEED: cool and dry, apply a sterile bandage. As healing - act according to circumstances. Frostbite: - Read more [...]
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How to properly handle the skins of animals

Having read quite a good article called "cycle of marmots in nature," I have seen comments where Gameday asked about the use and processing of skins of animals caught. I decided to dig around in the net and nadybat material on this topic. So, I present to your attention this article.A large number of hunters and cattle treated with questions: how to handle, manufacture or skins of wild animals? Today story goes about processing and manufacture of skins of fur-bearing animalsHow to get fur? In order not to damage the pelt of fur, professional hunters strayutsya beat squirrel, sable or hare Read more [...]
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Bleeding

always accompanies the wounds - mech. tissue damage in violation of the integrity of the skin. Depending on the location, depth and extent of injury to the amount of bleeding varies. Most bleeding wounds of the scalp, face and hands, under which you need to quickly stop the bleeding. To this end, we need to impose on the wound folded several times any clean cloth and press it on the 10 - 15 minute hand (when injured her hands give exalted position). Then the tissue is replaced with sterile cloth to-Rui pribintovyvayut pressure bandage. From widely recommended for arterial bleeding before Read more [...]
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Oredelenie and treatment of wounds in field conditions

Types of wounds Incised wounds - Is wound inflicted by a sharp object. Surrounding tissue with such a wound damaged slightly, expressed moderate pain. Typically, these injuries are accompanied by significant bleeding. Incised wounds are dangerous damage to blood vessels, nerves, hollow organs. However, with proper treatment, these wounds heal better than the rest - usually without complications. Puncture wounds applied narrow and sharp objects (a narrow knife, awl, needle). These wounds are different great depth, with little damage to the area. Pain syndrome in these wounds is negligible, Read more [...]
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Shoulder disarticulation

Skin incision with subcutaneous fat performed from a point 1 cm below and medially from the coracoid process - down and somewhat laterally to the bottom of a large chest muscle. Cut through the soft tissue to the chest muscles. After isolation and crossing large chest muscle bare shoulder-beaked and short head of the biceps. Selecting and pulling the muscles outward, exposing the neurovascular bundle. Tie axillary vessels (arteries first above a discharge around the shoulder of the arteries, and then the veins) and nerves cross. Axillary nerve is carefully preserved from damage. Somewhat Read more [...]
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Experimental study of tumors

Translated for the first time successfully tumor adult dogs, puppies MA Novinsky (1876). Since then, for the experimental study of tumors was used a number of different methods and research proceeded in a variety of ways. Currently, you can cause a wide variety of animal species O. and locations with different agents. Transplantation of tumors. Distinguish auto-, iso-, homo-and geterotransplantatsiyu O. Autotransplantation - transplantation O. same animal, which it originated, but in another place of his body - usually fails and can ensure the success of further transplantation to other animals. Read more [...]
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Cirrhosis-1

Morbid anatomy. The evolution of ideas about cirrhosis of the liver allowed to establish now the following morphological criteria for liver cirrhosis: 1) degenerative changes of liver cells until their necrosis, 2) nodular regeneration of hepatocytes, and 3) a diffuse proliferation of connective tissue, and 4) restructuring diffuse lobular and vascular architectonics liver. The concept of cirrhosis include, among certain morphological characteristics, clinical: a progressive disease with periodic exacerbations and involvement in a number of organs and body systems. Clinical and anatomical concept Read more [...]
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Scurvy-1

Morbid anatomy typically a combination of symptoms of hemorrhagic diathesis, a kind of gingivitis, pigment metabolism disorders, regenerative processes (mainly bone formation), and hematopoiesis. Skin is dark, slightly flaky and resembles the mean color in Addison's disease. Hemorrhages in the skin are located in the area of hair follicles and have the character of petechiae. Merging with each other, they form a band or broad and fairly deep infiltrates. Detachment of the epidermis accompanied by the appearance of dark red bubbles. Hemorrhages usually appear on the surface of the flexion Read more [...]
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Cytotoxin

Cytotoxins - antibodies resulting in immunization cellular elements. When administered to the same species of animal cells of an organ taken from an animal of another species, induces the production of antibodies (see) directly to the cells of the body (organ specificity). On organ specificity cytotoxins based cytotoxic sera that are produced by immunizing animals and used in medicine to destroy harmful cells (eg, tumor). The doctrine of the cytotoxin was developed Mechnikov and the staff who have also demonstrated a fundamental difference in the action of large (destructive effect) and small Read more [...]
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Cysticercosis

Fig. 1. Cysticerci (Finnish) pork tapeworm in meat pigs. Fig. 2. Cysticercosis the human brain. Cysticercosis - helminthiasis caused by tapeworm larvae swine - cysticerci, or Finns (Cysticercus cellulosae). Cysticercus - transparent blisters the size of 6-20x5-10 mm to their inner wall attached screwed into the head with four suckers and double crown of hooks. In muscle cysticerci are elongated (Fig. 1), connective tissue - the round. Infection of Human cysticercosis occurs when ingested embryos (oncospheres) swine tapeworm food-contaminated feces infested pig off a chain of man. Cysticercosis Read more [...]
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Cirrhosis

Cirrhosis of the liver - a chronic progressive liver disease with involvement in the process of other organs and systems of the body, characterized by degeneration of liver cells, nodular regeneration of liver tissue, diffuse connective tissue development and restructuring of lobular and vascular architectonics liver. Cirrhosis - polietiologic disease. In his appearance matter transferred infectious diseases (especially infectious hepatitis), the lack of food proteins and vitamins (such as kwashiorkor), alcoholism, poisoning, heliotrope, chloroform, carbon tetrachloride, phosphorus, arsenic, as Read more [...]
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Cartilage

Cartilage fabric - A kind of connective tissue consisting of cartilage cells (chondrocytes) and a large number of dense intercellular substance. The function of the support. Chondrocytes have different shapes and lie singly or in groups within the cartilage cavities. Intercellular substance hondrinovye contains fiber, similar in composition to the collagen fibers, and the ground substance, hondromukoidom rich. Depending on the structure of the fibrous component of the intercellular substance are three types of cartilage: hyaline (glassy), elastic (screen) and fibrous (connective tissue). The Read more [...]
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Cholesteatoma

Cholesteatoma - is tumor formation, which is the epidermal cyst. Cyst wall is composed of stratified squamous epithelium, the structure closest to the epidermis and connective tissue layer; cavity contains gray-white mass with horny cholesterol crystals (see). Discern the cholesteatoma, which are malformations, and false, arising from chronic inflammation. True cholesteatoma usually localized within the skull, above and below the dura and the spinal cord. Misleading cholesteatoma observed in the middle ear (see Otitis), paranasal cavities of the nose, uterus, bladder, kidney, etc. This is Read more [...]
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Surgical Instruments-1

Surgical instruments - instruments, devices and instruments used in surgical procedures in the dressing room, and operating in operations and diagnostic examinations. Most surgical instruments are made of steel with corrosion-resistant coating (nickel plating), or, much better, in stainless steel. Some instruments are made of brass (tracheotomy tube), rubber (catheters, drainage tubes) and plastic (nylon, polyester, polyvinyl chloride, polyethylene, polyurethane, etc.). For the production of bougies (see) the use of organic materials (silk), varnished. Surgical instruments, used in most transactions Read more [...]
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By Pathomorphology juxtahilar maxillary cysts

Juxtahilar maxillary cyst - frequent disease (AN Vajsblat, 1940 AM Pimenov, 1950 A. Koval, 1955 PI Popudrenko, 1957 MF Andruson, 1959, S . Vernadsky, 1966, and others), whereas the number of questions the clinic, diagnosis and treatment of poorly understood. In this paper, we set a goal - a comparative study of clinical juxtahilar cysts with pathomorphological features of the structure of their shells. To this end, we have carried out monitoring 206 patients operated on for juxtahilar cysts in the dental department of the Lviv Regional Hospital from 1955 to 1969, and morphological studies of 119 Read more [...]
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Partial substitution of alveolar bone defect with bone mikrogomoplastiki experiment

In the combined treatment of periodontal disease in order to regenerate alveolar number of Soviet and foreign researchers (SI-Buch Chechek, 1959 VD Cross, 1964 AI Lampusova, 1966 P. Egorov, 1967 H . I. Miguschenko, 1968 VD Kiselev, 1968; Z. Hegedus, 1923; F. E. Beube, N. F. Silvers, 1936) was used to replace the replanting Gomoku resorb bone. The question of restructuring the graft in the literature highlighted insufficient and contradictory (V. Dmitriev, 1967). Experimental studies have shown that bone and cartilage grafts are gradually resorbed, being replaced by connective tissue at different Read more [...]
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