Wound Healing
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| INFECTION | microbial contamination overriding the resistance of the host
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| THERMAL | heat or cold
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| TENSILE STRENGTH | ability to resist rupture
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| FISTULA | a tract between two epithelium-lined surfaces that is opened at both ends
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| KELOID SCAR | a hpertropic scar formation
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| LIGATURE | ties
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| CONTUSION | bruise
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| MONOFILAMENT | suture material made of a single threadlike structure
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| INCISION | internal cut
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| ABRASION | scrape
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| HEMORRAGE | excessive or profuse bleeding
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| SINUS TRACT | a tract between two epithelium lined surfaces that is open only at one end
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| MULTIFILAMENT | suture material consisting of multiple tread like structure
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| LACERATION | cut or tear
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| CICATRIX | mature surface scar
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| WOUND | tissue that has been damaged
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| FRIABLE | easily torn tissue
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| PUNCTURE | penetrating wound
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| ADHESION | abnormal attatchment of two surfaces or structures that are normally separated
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| POLYPROPYLENE MESH | a relatively inert material that can be used in the presence of infection
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| GROUND POINT WIRE NEEDLE | has a point with sharp edges, but the round body of a tapered needle
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| STAINLESS STEEL MESH | a material that is rigid and hard to apply, resulting in discomfort for the patient
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| TAPERED POINT NEEDLE | has a round shaft without a cutting edge, penetrates tissue without cutting it
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| REVERSE CUTTING NEEDLE | consists of opposing cutting edges that extend to the full length of the shaft
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| LINEAR CUTTER | delivers double line of staples, the blades pass between to divide tissue
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| POLYTETRAFLUOROETHYLENE MESH | soft, flexible material, not absorbable, not used in the presence of infection
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| LIGATION CLIP | used to occlude a single small suture, such as a vessel or duct
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| CONTROL RELEASE NEEDLE | a needle that pops of the suture strand by tugging
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| LINEAR STAPLER | inserts two straight, staggered, evenly spaced, parallel rows fo staples
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| INTRALUMINAL STAPLE | fires double rows of staples with a knife located within the head used for trimming
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| SIDE CUTTING NEEDLE | used mainly for opthalmic procedures, as they dont penetrate deeper tissue
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| TROCAR POINTS | has three sharp cutting edges that end in a sharp cutting tip
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| LIGATING CUTTER | ejects two ligating clips dividing tissue between clips with single activation
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| POLYESTER FIBER MESH | least inert of synthetic meshes; should never be used in presence of infection
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| POLYGLACTIN 910 MESH | an absorbable material that provides temporary support during healing
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| CONVENTIONAL CURRING NEEDLE | consists of three cutting edges, directed along the inner curve of the needle
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| BLUNT POINTS | have round shaft that end in a blunt tip
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| CLOSED EYE NEEDLE | round or square hole, loaded by inserting suture material through the hole
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| FRENCH EYE NEEDLE | loaded by pulling the taut strand into a V-shaped area just above the eye
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| Which layer is typically not closed with suture? Does not tolerate suture material well? | MUSCLE
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| Best needle for suturing skin... | REVERSE CUTTING
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| Exposure of visera through the edges of a totally separated wound | EVISCERATION
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| Skin staples are _____ reactive to the human body, when compared to plain gut suture | LESS
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| _______ would be used to tie off deep bleeding vessels that have been occluded with a hemostat clamp | TIE-ON-A-PASS
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| A suture packet that is beige in color is | CHROMIC GUT
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| Which phase of wound healing begins within minutes of injury and is manifested by heat, redness, swelling, pain, and loss of function? | LAG
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| Abnormal attachment of two surfaces or structures that are normally separated | ADHESION
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| Pathological, surgical, or traumatic formation of an opening between two normally seprated organs or spaces | ANASTOMOSIS
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| Returned to proximity; brought together sides or edges | APPROXIMATED
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| A suture material manufactured from the submucosa of sheep intestine or serosa of beef intestine treated with chromium salts to delay the rate of absorption | CHROMIC GUT
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| Wound that persists for an extended period of time | CHRONIC WOUND
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| Scar | CICATRIX
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| A space that remains in the tissues as a result of failure of proper closure of a surgical wound | DEAD SPACE
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| Removal of devitalized tissue and contaminants | DEBRIDEMENT
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| Partial or total separtion of a layer or layers of tissue after closure of a wound | DEHISCENCE
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| Interuption of a closed wound or traumatic injury that exposes the viscera | EVISCERATION
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| Type of healing that occurs with primary union that is typical of an incision opened under ideal conditions; Healing occurs from side to side, dead space has been eliminalted and the wound edges are accurately approximated | FIRST INTENTION
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| A type of needle in which the suture must be threaded by pulling the strand into a V-shaped area jusst above the eye | FRENCH EYED NEEDLE
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| Easily torn or crumbled | FRIABLE
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| Abnormal protrusion of an organ or other body structure through an opening in a covering membrane or muscle | HERNIATION
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| Patient whose immune system has decreased due to disease, or intentionally decreased with immunosuppressive drugs for organ transplant patients to prevent organ rejection | IMMUNOSUPPRESSED PATIENT
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| The body's protective response to injury or tissue destruction | INFLAMMATION
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| Cut or tear | LACERATION
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| The placement of a suture tie around a vessel or other anatomical structure for the purpose of constriction | LIGATED
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| Suture material made of a single thread like structure | MONOFILAMENT
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| Sterile fine mesh guaze that is loosely placed in a chronic wound or one that has been left open to heal by second intention | PACKING
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| Main suture that approximates the wound edges for first intention healing to occur | PRIMARY SUTURE LINE
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| A synthetic coating used on certain types of nylon suture material to reduce the drag through tissue | PTFE (POLY-TETRA-FLUORO-ETHYLENE)
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| Healing that occurs when a wound fails to heal by primary union, or the wound is left open and allowed to heal from the inside to the outside by filling with granulation tissue | SECOND INTENTION
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| Sutures placed to support and ease the tension on the primary suture line, thus reinforcing the wound closure and obliterating any dead space | SECONDRY SUTURE LINE
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| Strand of suture material with an eyeless needle attached by the manufacturer; the needle is continuous with the suture strand | SWAGED
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| Amount of pull or tension that a suture strand will withstand before breaking; expressed in pounds | TENSILE STRENGTH
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| Healing that occurs when two granulated surfaces are approximated; also referred to as delayed primary closure | THIRD INTENTION
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| Thin strips made of silicone that can be placed around a vessel, nerve, or duct for the purposes or retracting or isolating; the loops are colored for easy identification of the retracted structures | VESSEL LOOP
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| CLASS I-CLEAN-INFECTION RATE 1-5% | Incision made under ideal surgical conditions; No break in sterile technique during procedure; Primary closure; No wound drain; No entry to aerodigestive or genitourinary tract
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| CLASS II-CLEAN CONTAMINATED-INFECTION RATE 8-11% | Primary closure; Wound drained; Minor break in sterile technique occurred; Controlled entry to aerodigestige (included billary tract) or genitourinary tract
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| CLASS III-CONTAMINATED-INFECTION RATE 15-20% | Open traumatic wound (less than 4 hours old); Major break in sterile technique occurred; Acute inflammation present; Entry to aerodigestive (includes billary tract) or genitourinary tract with spillage
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| CLASS IV-DIRTY/INFECTED-INFECTION RATE 27-40% | Open traumatic wound (more than 4 hours old); Microbial contamination prior to procedure; Perforated viscus
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| CLOSED WOUND | The skin remains intact, but underlying tissue suffer damage
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| OPEN WOUND | The integrity of the skin is destroyed
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| SIMPLE WOUND | The integrity of the skin is destroyed. There is no loss or desstruction of tissue nd there is no foreign body in the wound
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| COMPLICATED WOUND | Tissue is lost or destroyed, or a foreign body remains in the wound.
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| CLEAN WOUND | Wound edges can be approximated and secured. A clean wound is expected to hel by first intention.
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Created by:
E.Ochoa
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