第二课 外科手术打结手册.pdfVIP

Basic Principles of Surgical Knots Lia Assumpcao Dep. Of Surgery-SOM-JHH SFE Course 07/14/08 1 Introduction 2 Introduction Knot Security Extensibility relates to the way in which the suture will stretch slightly during knot tying and then recover 3 Types of Suture Multifilament: high coefficient of friction and the knots remain as they are laid down Monofilament: low coefficient of friction, resulting in a greater tendency for the knot to loosen after it has been tied, in addition, possess the property of memory 4 Types of Knots Simple Knot: incomplete basic unit Square Knot: completed common knot Surgeon鈥檚 or Friction Knot: completed tension knot 5 Simple Knot Details about this topic Supporting information and examples How it relates to your audience 6 Square Knot Not secure as a bend. Spills easily if one of the free ends is pulled outward Does not hold well if the two lines are not the same thickness 7 Square Knot :Two Hand Technique White strand placed over extended index finger of left hand acting as bridge, and held in palm of left hand Purple strand held in right hand Purple strand held in right hand