The primary surgical treatment of the wound - in the conditions of a surgical hospital , dissection and excision of the edges of the wound are carried out, if necessary, drainage of various "pockets" and cavities, excision of non-viable tissues and removal of foreign bodies is performed [1] .
Content
Purpose
Carrying out a mechanical antiseptic creates the most favorable conditions for wound healing. The earlier the primary surgical treatment of the wound, the lower the risk of complications [1] .
Classification
According to the timing distinguish [1] :
- early (first 24 hours);
- delayed (first 48 hours) and
- late (after 48 hours after injury) surgical treatment of the wound.
Surgical Technique
Equipment
- Instruments
- forceps - 2 pcs.,
- slippers for linen - 4 pcs.,
- surgical tweezers - 2 pcs.,
- anatomical tweezers - 2 pcs.,
- syringe (10 ml) - 2 pcs.,
- scalpel - 1 pc.,
- scissors - 2 pcs.,
- hemostatic clamps - 4-6 pcs.,
- Farabef hooks - 2 pcs.,
- sharp-toothed hooks - 2 pcs.,
- cutting needles - 4 pcs.,
- pricking needles - 4 pcs.,
- grooved probe - 1 pc.,
- button probe - 1 pc.,
- suture material
- Bix with dressings,
- gloves
- drainage ;
- Preparations
- antiseptics for the skin ( kutasept , iodonate ),
- antiseptics for wounds (3% hydrogen peroxide solution, 0.06% sodium hypochlorite solution),
- 70% ethyl alcohol, a tool for disinfecting instruments ( deactin , neochlor ),
- drug for local anesthesia ( lidocaine , novocaine ).
See also
- Wound
Notes
- β 1 2 3 Guide for emergency doctors / V. Mikhailovich - 2nd ed., Rev. and add. - L .: Medicine, 1990.- S. 137. - 544 p. - 120,000 copies. - ISBN 5-225-01503-4 .