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Essential Surgical Skills [With Full-Color Animations and Live-Action Video]


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Table of Contents

A. THE OPERATING ROOM B. THE WOUND 1. Tissue Injury-Wounding Inflammation .Proliferation of collagen and scar formation. Scar maturation 2. Wound Classification Clean wounds . Clean contaminated wounds Contaminated wounds . Infected wounds 3. Factors That Affect Wound Healing Age . Weight . Nutrition .Dehydration . Blood supply . Immune responses . Chronic illness . Drugs and radiation therapy . Smoking 4. Healing Primary intention . Secondary intention . Tertiary intention . Complications C. BASIC PRINCIPLES IN SURGERY 1. Hemostasis 2. Handling of the Tissues 3. Incision Planning 4. Relaxed Skin Tension Lines 5. Undennining 6. Choice of Suture Materials 7. Closing With Sufficient Tension 8. Tissue Moisture 9. Debriding Necrotic Tissue 10. Dead Spaces 11. Postoperative Wound Stress D. LOCAL ANESTHETICS 1. Anesthetics 2. Injection Technique E. SCRUBBING 1. Washing Your Hands 2. Gowning 3. Gloving F. SURGICAL INSTRUMENTS 1. Scalpel 2. Tissue Scissors 3. Forceps 4. Skin Hooks 5. Retractor 6. Needle Holder 7. Hemostat 8. Suction 9. Cautery 10. Suture Scissors 11. Towel Clip 12. Staple Gun Quiz G. SUTURES AND KNOTS 1. Introduction 2. Suture Materials 3. Needle Types 4. Knot Tying - Two-Hand Tie . Square Knot . Comparison Between Surgeon's Knot and Square Knot . Surgeon's Knot . Instrument Tie H. OBTAINING HEMOSTASIS 1. Free Vessel Ligature 2. Figure-of-8 Stick Tie 3. Electrocautery 4. Bone Wax I. WOUND CLOSURE 1. Principles of Halving 2. Subcutaneous Closure 3. Subcuticular Closure 4. Skin Closure - Simple Interrupted Suture . Vertical Mattress Suture . Horizontal Mattress Suture . Running Closure (Baseball Stitch) . Running-Lock Closure . Running Intracuticular Closure. Staples . Skin Adhesive Closure . Purse String Suture .Drains J. SKIN FLAPS 1. Introduction 2. Fusiform (Elliptical) Excision 3. Advancement Flap 4. Rotation Flap 5. Z-Plasty K. POSTOPERATIVE WOUND 1. Local Wound Care 2. Steri-Strips 3. Suture Removal 4. Staple Removal 5. Drain Removal L. QUIZ QUESTIONS M. GLOSSARY OF TERMS N. QUIZ ANSWERS 145 0. MAIN MENU FOR CD ROM 1. Scrubbing-washing hands 2. Gowning and Gloving 3. Surgical Instruments 4. Knot Tying 5. Laboratory Preparations (Pigs' Feet) 6. Laboratory Exercises (Surgical Techniques) Quiz


"An excellent addition to our surgical literature, filling a void that has been present: too long...The real value of this book is its ability to convey fundamental surgical concepts and techniques in a simple, clear, and efficient way...It does so in a multimedia style at a cost that's hard to beat."-Archives of Dermatology

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