Minor Surgery lll

Question 1

Disinfect intact skin with ?

Answer 1

10% betadine x 3 or , 0.4 % chlorhexidine

Question 2

On an open wound don’t use _____. Irrigate with what instead

Answer 2

hydrogen peroxide

0.9% saline soln

Question 3

Don’t suture older wounds older than ______ (this is outdated)

Answer 3

8-12 hrs/ 24 on face

Question 4

Hemostasis is formation of a ____clot

Answer 4

fibrin

Question 5

Inflammation begins days ___

steps

Answer 5

1-4

1. plts
2. neutro
3. m)
4. re-epithelization
5. new kertonicytes

Question 6

inflammation

n0 come in at ____ and last for how long

Answer 6

5-6 hrs

3-4 d to destroy bacteria

Question 7

inflammation

re-epilthelization involves what type of cells that migrate within how long to repair the wound?

Answer 7

basal cell

24-48 hrs

Question 8

new keratinocytes proliferate how long after injury

Answer 8

1-2 d

Question 9

Healing Stages

Answer 9

1. hemostasis
2. inflam
3. prolifer (granulation 3-21d, new capillaries surrounded by fibroblasts form grantulation tissue - ANGIOGENESIS
4. remodeling - 3 wks to 6-18 mo

Question 10

remodeling lasts how long
% strength by 3-4 wks
% strength at 1 yr

Answer 10

3 wks to 6-18 mo
30-40% strength by 3-4 wks
80% strength at 1 yr

Question 11

Absorbable natural sutures

which has more reactivity

Answer 11

plain catgut - 7-10 d half life, some tissue reactivity

chromic catgut - chromic salt delays absorption, 2-3wk 1/2 life. LESS REACTIVE

Question 12

Absorbable Synthetic sutures
braided type?
half lives

Answer 12

polyglactic/vicryl - braided and monofilment; 2-3 half life
polyglycolic acid/Dexon - mono, 2-3 wk
Polydioxanone/PDS - mono, 4-6 week

Question 13

Absorbable levels of reactivity

Answer 13

plain catgut > chromic > synthetic

Question 14

Non-absorbable suture materials for:
Natural
Synthetic

Answer 14

superficial tissues
Natural: silk, stainless steel, polyester/polybutester
Synthetic: nylon/ethilon, polypropylene/prolene

Question 15

Absorbable suture materials are for?

digested by?

Answer 15

deep tissue layers
natural - body enzymes
synthetic - hydrolyzed, easy to tie

Question 16

Non-absorbable suture materials: reactivity

Answer 16

silk - high
stainless steel - low
polyester - high
nylon - low (slips easily) 
polypropylene - low

Question 17

simple interrupted suture may cause -_____ scarring.

And eversion may be difficult

Answer 17

railroad

Question 18

Vertical mattress __easy/hard to evert__ under tension, better for cosmesis

Answer 18

easy to evert

Question 19

Horizontal mattress: is used for

Answer 19

high tension wounds, fragile tissue

palms soles

Question 20

Deep/buried sutures are for

and requires what sutures

Answer 20

larger, deeper wounds

absorblable sutures

Question 21

subcuticular/intradermal running sutures are for _____

Answer 21

dermal layer
not visible
eliminates tracts
linear wound w little tension

Question 22

Continuous running suture for ?

Answer 22

less secure
quick to put in
higher risk of infxn
not cosmetic

Question 23

3 point half-buried suture is for

Answer 23

triangular flaps wo strangulation