Lecture №1 The subject of the problem of topographic anatomy and operative surgery primary treatment of wounds



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SUBJECT of Surgery

  • Operative Surgery - is the study of surgical operations, addressed the development and study of techniques and good practice surgery.



In surgery distinguish two main points: on-line access and operational techniques.

  • 0perativnym access is the part of the operation, the surgeon ensures outcrop body. The operative technique is called the main part of the operation on the organ.



ANESTEZIYA



Surgical instruments: Divided into 5 groups

  • to disconnect the tissues - scalpels, knives, scissors, saws, chisels, osteotomes, pliers, etc.

  • to stop the bleeding - hemostat? Kocher, Billroth, Halstead, Mikulic, etc. and ligature needles Cooper and Deschamps.

  • fixation tools (enhance and support)? tweezers anatomical, surgical, web-footed, blunt and sharp hooks, probes, and large extensions (mirrors), bone fixation forceps.

  • for tissue - needle holders with sharps needles, instruments for bone joint.

  • special tools used for ophthalmology, ENT, neurosurgery, cardiology, pulmonology, gynecology and urology.



Classification of transactions

  • radical

  • palliative



By due date Emergency urgent routine healing diagnostic

  • By due date Emergency urgent routine healing diagnostic



PRIMARY TREATMENT OF WOUNDS

  • I) wide incision wounds 2) deprived of food and excision of contaminated sites 3) stop the bleeding, 4) removal of free-lying foreign bodies and bone fragments devoid of periosteum, 5) wide drainage of the wound, 6) immobilization of the affected limb.



Types of surgical sutures

  • Primary - Where the operation menee than 6-12 hours after the injury, and if it was possible to excise the wound; Initially delayed - in the case of late avivement - 24 hours after the injury - the wound is recommended to flash, but do not leave seams tied, sutures tied in 4-5 days if there are no signs of inflammation in the wound; Secondary - after days, the wound is festering like after treatment stitches.



Distinguish 5 types of plastic surgery on the skin

  • Plastic local tissues, plastic skin graft to pedicle, Free transplantation of skin grafts. the use of cultured allofibroblastov. temporary closure of a biological defect.



Виды кожной пластики местными тканями.



Способы выкраивания кожного стебля по В. П. Филатову.



Пластика мигрирующим стеблем по В. П. Филатову



Разновидности кожной пластики итальянским методом



Взятие расщепленного лоскута кожи



Некоторые виды пластики местными тканями



Этапы создания стебля по Л. Р. Балону.





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