186 cases of abdominal gynecologic surgery experience of intradermal suture without stitches.doc

 PAGE \* MERGEFORMAT 5 186 cases of abdominal gynecologic surgery experience of intradermal suture without stitches [Keywords:] gynecologic surgery, intradermal suture, surgical methods With the improved quality of life, modern postoperative increasing emphasis on the beauty of the skin incision, abdominal skin incision healing and appearance is very important. Our hospital from July 2006 to December 2007 using polymer absorbable suture intradermal suture line of 186 cases of abdominal wall, of which 63 cases of gynecologic surgery, 123 cases of obstetric surgery, and achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 Clinical data The group of 186 cases of gynecologic surgery, gynecologic surgery including 63 cases of 123 cases of obstetric surgery, aged 18 to 56 years old. With 108 cases of lower abdominal incision, transverse incision in 78 cases. 1.2 Procedures Conventional suture the peritoneum, rectus sheath before, with the number of subcutaneous fat silk interrupted suture needle, to complete hemostasis, close the incision on both sides of dead space and reduce the distance purposes. And then disinfected using synthetic absorbable suture, regardless of vertical or horizontal incision the skin incisions were sutured continuously. use a small triangular needle will be able to absorb the end of the line to fight a summary (2 to 3 times to play, the top side of the needle point from the beginning within the skin, subcutaneous tissue continuous suture to the opposite side to the top, stitching process to maintain the angle of needle in the skin through, stitch length of about 0.5 ~ 1 cm, assistant traction suture tension to be appropriate, such as easy to pull too tight crinkle cut, loose cut produce is easy to cause fracture, suture to the right the top side, the suture needle through the skin out, the suture tension after the incision of the joint from a pin-point appropriate to about 1.5 ~ 2 cm at the knot (2 o