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CURSO CIRUGIA BASICA Y CURACION

DE HERIDAS

ESCUELA EN

SALUD TE DA LA

BIENVENIDA
TCNICAS DE SUTURAS

JUAN CARLOS CHAMBI CHOQUE
EL CIERRE DE HERIDAS

EPIDERMIS

DERMIS

TEJIDO SUBCUTNEO

FASCIA
LA AGUJA DEBE INGRESAR EN LA PIEL EN

NGULO DE 90.
LA PROFUNDIDAD Y

LA ANCHURA DEBEN

SER IGUALES

INCORRECTO
INCORRECTO

LOS BORDES

DEBEN QUEDAR

EVERTIDOS
BORDES INVERTIDOS

(INCORRECTO)

LOS BORDES

MAL EVERTIDOS
LO IDEAL EN UNA HERIDA LINEAL
MINIMIZAN LA TENSIN EN

LA DERMIS Y CIERRAN EL

ESPACIO MUERTO.

SUTURAS PROFUNDAS

O SUBDRMICA
ESPACIO MUERTO
SUTURA SUBDRMICA INVERTIDA
SUTURA SUBDRMICA

INVERTIDA
TIPOS DE SUTURAS
PUNTO SIMPLE
COLCHONERO VERTICAL
COLCHONERO VERTICAL

LEJOS-LEJOS CERCA-CERCA
COLCHONERO HORIZONTAL
COLCHONERO HORIZONTAL
SUTURAR DE ESQUINAS
COLCHONERO HORIZONTAL

SEMIENTERRADO
COLCHONERO HORIZONTAL

SEMIENTERRADO
SUTURA CONTNUA
SUTURA CONTNUA CRUZADO
SUTURA INTRADRMICA
SUTURA INTRADRMICA
RETIRO DE LA SUTURA

Vara con la localizacin anatmica:

Cara 5 das

Cuello - 3 o 4 das

Prpados - 3 das

cuero cabelludo - De 7 a 14 das

Tronco y miembros superiores - 7 das

miembros inferiores - De 8 a 10 das
CONSIDERACIONES
LABIO
LENGUA
CAVIDAD ORAL
CUERO CABELLUDO
OREJA
LESIN EN TENDONES
RECONOCER
PUNTO SIMPLE
COLCHONERO HORIZONTAL
COLCHONERO HORIZONTAL
COLCHONERO HORIZONTAL
COLCHONERO HORIZONTAL SEMIENTERRADO

(ALLGOWER)
COLCHONERO VERTICAL

(PACK)
COLCHONERO VERTICAL

(PACK)
SUTURA CONTNUA
SUTURA CONTNUA CRUZADO
SUTURA CONTNUA CRUZADO
SUTURA INTRADRMICA

CONTOUR MAP - CT ECO Homecteco.uconn.edu/maps/town/Contour_Map/Contour_Map_Hartford.pdf · !4!4!4!4!4!4!4!4!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n

CONTOUR MAP - CT ECO Homecteco.uconn.edu/maps/town/Contour_Map/Contour_Map_Hartford.pdf · !4!4!4!4!4!4!4!4!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n

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NATU RLD IGEB S - UConn CT ECOcteco.uconn.edu › maps › town › basinrelief › basinrelief_Naugatuck.pdf · !4!4!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n! n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n

NATU RLD IGEB S - UConn CT ECOcteco.uconn.edu › maps › town › basinrelief › basinrelief_Naugatuck.pdf · !4!4!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n! n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n

NATURAL DRAINAGE BASINS - UConn CT ECOcteco.uconn.edu/maps/town/basinrelief/basinrelief_Newtown.pdf · !n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n Ã!!o t t t t t

NATURAL DRAINAGE BASINS - UConn CT ECOcteco.uconn.edu/maps/town/basinrelief/basinrelief_Newtown.pdf · !n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n Ã!!o t t t t t

A LOCK FOR EVERY LOOK. - Kirsch Millwork€¦ · Camelot n n n n n n n n n Century n n n n n n n Collins n Greenwich n n n n n Greyson* n n n n n n Upland* n Wakefield n n n n n n

A LOCK FOR EVERY LOOK. - Kirsch Millwork€¦ · Camelot n n n n n n n n n Century n n n n n n n Collins n Greenwich n n n n n Greyson* n n n n n n Upland* n Wakefield n n n n n n

PRODUCT CATALOG · Deadbolt n n n Security Set n n n E lectronic Deadbolt n n n Keypad Lever n n n n n n n Keyed Entry n n n n n n n Bed & Bath n n n Hall & Closet* * * * n n n Decorative

PRODUCT CATALOG · Deadbolt n n n Security Set n n n E lectronic Deadbolt n n n Keypad Lever n n n n n n n Keyed Entry n n n n n n n Bed & Bath n n n Hall & Closet* * * * n n n Decorative

WATER QUALITY CLASSIFICATIONS EAS TON, Ccteco.uconn.edu/maps/town/wtrqualcl/WtrQualCl_Easton.pdf · !n!n!n H!n!n!n!n!n!n!n Ã!!n!n!o!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n Ã!!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!4!n!n!n!n!n

WATER QUALITY CLASSIFICATIONS EAS TON, Ccteco.uconn.edu/maps/town/wtrqualcl/WtrQualCl_Easton.pdf · !n!n!n H!n!n!n!n!n!n!n Ã!!n!n!o!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n Ã!!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!4!n!n!n!n!n

Esri, HERE, Garmin, © OpenStreetMap contributors, and the GIS … · 2019-11-06 · n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n

Esri, HERE, Garmin, © OpenStreetMap contributors, and the GIS … · 2019-11-06 · n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n

The People’s Crusademrmyersworldhistory.weebly.com/uploads/2/2/6/1/22613738/brief_crusade_history.pdfimmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmj n n n n n n n n n n n n n n n n n n n n n n

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AA Exit 15 W ATER QU L IY C SF ON MILFORD, CTcteco.uconn.edu/maps/town/wtrqualcl/WtrQualCl_Milford.pdf · H!n!n!n!n!n H!n Ã!!n!n!n!n!n!n!n!n!n!n!n!n!4!n!n!n!n!n!n!n!n!n!n!o Ã!!n!n!n!n!n!n!n

AA Exit 15 W ATER QU L IY C SF ON MILFORD, CTcteco.uconn.edu/maps/town/wtrqualcl/WtrQualCl_Milford.pdf · H!n!n!n!n!n H!n Ã!!n!n!n!n!n!n!n!n!n!n!n!n!4!n!n!n!n!n!n!n!n!n!n!o Ã!!n!n!n!n!n!n!n

C ONET IU LADW S - UConn CT ECOcteco.uconn.edu/maps/town/SoilWet/SoilWet_Branford.pdf!4!4!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!Ã

C ONET IU LADW S - UConn CT ECOcteco.uconn.edu/maps/town/SoilWet/SoilWet_Branford.pdf!4!4!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!Ã

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06PE14 0[ 0 S0 ï0Vó 4 - Nabari · 2019. 3. 27. · n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n

06PE14 0[ 0 S0 ï0Vó 4 - Nabari · 2019. 3. 27. · n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n

N SIAMREVIEW N The AlgorithmRevisited N · N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N

N SIAMREVIEW N The AlgorithmRevisited N · N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N

Esri, HERE, Garmin, © OpenStreetMap contributors, and the GIS … · 2019-10-29 · n n n n n n n n n n n n n n n n m n n n n n n n n n n n n n n n n n n G n n n n n n n n n n n

Esri, HERE, Garmin, © OpenStreetMap contributors, and the GIS … · 2019-10-29 · n n n n n n n n n n n n n n n n m n n n n n n n n n n n n n n n n n n G n n n n n n n n n n n

D 2 1 Planivolumetrico stato attualennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnn n n n n n n n n n n n n n n n n n n n n n n n n n n n

D 2 1 Planivolumetrico stato attualennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnn n n n n n n n n n n n n n n n n n n n n n n n n n n n

AQU IF ERP OTC N S Burli ngto , CO NE TI U Vcteco.uconn.edu/maps/town/apa/apa_Burlington.pdf · !n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!o!n!n!n!n H!n!n!n!n!4!n!n!n!n!o!n!n!n

AQU IF ERP OTC N S Burli ngto , CO NE TI U Vcteco.uconn.edu/maps/town/apa/apa_Burlington.pdf · !n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!n!o!n!n!n!n H!n!n!n!n!4!n!n!n!n!o!n!n!n

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UConn CT ECOcteco.uconn.edu/maps/town/apa/apa_NewBritain.pdf · 2019. 8. 26. · !n!n!n!n!n!n!n!n!n!n!n!n!n!4!n!n!n!n!n! n!n!n!n!H!n!n!n!n!n!n!n!H!n!H!n!n !n!n!n!n!n!H!n!4!n!n!n!n!n!n!n!n!4!n!n!^!n!n!n!n!H!n!n!n!n!n!n!n!n!n

UConn CT ECOcteco.uconn.edu/maps/town/apa/apa_NewBritain.pdf · 2019. 8. 26. · !n!n!n!n!n!n!n!n!n!n!n!n!n!4!n!n!n!n!n! n!n!n!n!H!n!n!n!n!n!n!n!H!n!H!n!n !n!n!n!n!n!H!n!4!n!n!n!n!n!n!n!n!4!n!n!^!n!n!n!n!H!n!n!n!n!n!n!n!n!n

W ATER QU L IY C SF ON BE A CON F LS, Tcteco.uconn.edu/maps/town/wtrqualcl/WtrQualCl_BeaconFalls.pdf!n!n!n!n!n!n!n!n!o!n!n Ã!!n!n!n!n!n!n Ã!!n!n!n!n!n!n!Ã!n!n!n!n!n!n!n!n!n!n Ã!!n!n!n!n!n!n!n!n!n!n!n!n

W ATER QU L IY C SF ON BE A CON F LS, Tcteco.uconn.edu/maps/town/wtrqualcl/WtrQualCl_BeaconFalls.pdf!n!n!n!n!n!n!n!n!o!n!n Ã!!n!n!n!n!n!n Ã!!n!n!n!n!n!n!Ã!n!n!n!n!n!n!n!n!n!n Ã!!n!n!n!n!n!n!n!n!n!n!n!n

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