An introduction to surgical techniques and practical procedures

Published on 10/04/2015 by admin

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Last modified 10/04/2015

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CHAPTER 2 An introduction to surgical techniques and practical procedures

This chapter will describe various techniques which are part of the ‘stock-in-trade’ of the surgeon and therefore the student training in surgery. It will also describe some practical procedures with which the surgical trainee should be familiar.

Sutures

Students are usually introduced to suturing in a Clinical Skills Laboratory and during their A&E attachment. There is a wide range of suture materials, broadly divided into absorbable and non-absorbable, natural and synthetic, braided and monofilament.

Drains

Drains are used prophylactically to drain anticipated collections, e.g. haematomas, bile leaks, urine leaks, or therapeutically to remove collections of pus, blood or other body fluids. Most drains consist of latex-based material or silicone. Red rubber tube drains are still used occasionally. Red rubber and latex drains form better tracks than silicone by exciting more tissue reaction. Drainage may be open or closed, suction or non-suction.

Stomas (-ostomies)

Mucous fistula

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