Final Practice Q's Flashcards
Can sutures dehis from too much tension?
Yes!!
Approximation without strangulation (Take off their blood supply)
Tensile strength in term of percent of the wound after closure
5% of original strength within 10 days
When does Granulation start to fill a wound?
5 days to 3 wks
Corner stitches (half-buried horizontal mattress suturing) are used to:
Reduce the chance to compromise the circulation at the triangulated ends of wounds
Wounds stitching in chest (How many days?)
6-12 days
For Reducing Tension, which stitch would you use?
Both Mattresses (Horizontal & Vertical)
Do Langer’s Lines allow for shorter incision lines in terms of days? Also in elbows?
Yes, 10-14 days
Closures, how soon you want to do them if you want to reduce the risk of infections?
Delayed Closure w/in 96 hrs
If you were going to use a tourniquet to do a digital block, is tighter the better?
No?
If you wait 24 hours to close a wound, would there be an increase risk of infection?
Yes, (a clean contaminated wound)
If you wait 24 hours to close a wound, Would there be an increase risk of scarring?
Yes
If you wait 24 hours to close a wound, Would the overall result be better if you let it close by 2nd intention?
No, most cases late closure (3rd intention) gives a better overall result than not closing the wound (2nd intention)
1st intention - suturing right away
2nd intention - letting wound close naturally
3rd intention - wound is left open for a number of days, then closed if it’s found to be clean
Would you remove excess granulation tissue
Yes
If we use cyanoacrylate (superglue) to close a wound, what type of anchor would that be?
Primary
Ginseng, Ginger, Feverfew, Vit E, and Saw palmetto, do they increase operative and post operative bleed?
Yes
