139087401-SUTURA-CHIRURGIE
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Interventie chirurgicala elementara:
sutura.
MODULUL: Chirurgie si nursing in Chirurgie
PROFESOR: As. Dan Maria Alina
CLASA: II A – AMG
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Definitie
Sutura este refacerea continuitatii planurilor
anatomice care au fost intrerupte, fie intentionat
prin incizie, pentru a se efectua o operatie, fie
accidental.
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Sutura se realizeaza prin coaserea plan cu plan
a diferitelor straturi sectionate fapt care
permite obtinerea unei cicatrici suple.
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Cicatrici
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Materialele de sutura sunt: fire resorbabile
(catgut) si fire neresorbabile (Nylon – Relon).
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- sunt foarte rezistente, mai ieftine;
- sterilizarea se realizeaza mai usor si mai sigur;
- nodurile nu se desfac asa de usor ca la catgut;
- lipsa de resorbabilitate nu creaza, in general, nici
un dezavantaj.
Materialele de sutura neresorbabile sunt folosite
frecvent pentru avantajele pe care le prezinta:
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Instrumentarul de sutura: ace tip Hagedon sau ace
drepte, mai rar ace Reverdin, pentru peretii fini ace
atraumatice, port-acul si diferite pense.
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Tipuri de sutura:
a) sutura cu fire (puncte) separate;
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b) sutura cu fir continuu:
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c) sutura cu puncte in “U”
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De asemenea, exista mai multe tipuri de noduri,
indiferent de tipul ales, fiind important faptul ca
respectivul nod sa nu se desfaca.
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Firele se scot folosindu-se o pensa Pean si o foarfeca.
Dupa taierea buclei la o mica distanta de nod, firul se
extrage cu o miscare blanda dar ferma.
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BIBLIOGRAFIE:
Strategii didactice interactive – Lect. Univ. Dr.
Crenguta-Lacrimioara Oprea, Editura Didactica si
Pedagogica – 2009.
Chirurgie – Manual pentru cadre medii si scoli
sanitare postliceale – Dr. Silvian Daschievici, Dr.
Mihai Mihailescu, Editura Medicala - 1999.
Manual de ingrijiri speciale acordate pacientilor de
asistentii medicali – Titirca L., Editura :
Viata Medicala Romaneasca – 2000