SUTURA _ CHIRURGIE
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Interventie chirurgicala elementara: sutura.
MODULUL: Chirurgie si nursing in Chirurgie
PROFESOR: As. Dan Maria AlinaCLASA: 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