By Roger William Babcock; Raymond Walton; American Society of Civil Engineers.; Environmental and Water Resources Institute (U.S.)
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Additional info for Ahupuaʻa [electronic resource] : World Environmental and Water Resources Congress 2008, May 12-16, 2008, Honolulu, Hawaiʻi
General principles of needle use are list in Table 1-7. Figure 1-2. Suture Needle Configurations. The needlepoint extends from the extreme tip of the needle to the maximum cross-section of the body. Three general types of needlepoints include: cutting, tapercut, and taper (or round point) (Figure 1-3). Cutting needles provide edges that will cut through dense connective tissue. They are most suitable for skin, tendon, and fascial closure. Like the conventional cutting needle, the reverse cutting needle has a triangular shaped cross-sectional area; however, rather than possessing a sharp edge on the inner curvature that is weaker and tends to cut tissue as the needle is passed, it has a flat inner curvature with an edge along the outer curvature of the needle point and shaft.
Bandaging and Drainage Techniques Gauze Dressings Wet-to-dry and dry-to-dry gauze dressings are older techniques used to clean a wound. 05% chlorhexidine diacetate solution is used to wet the gauze before placing it on a wound with viscous exudate or necrotic material. Exudates are diluted and absorbed into the secondary bandage layer. The fluid evaporates, the bandage dries and adheres to the wound. Bandage removal results in removal of adherent necrotic tissue and debris (Figure 2-2). Because this removal may be painful, moistening the gauze with warm 2% lidocaine may make removal more comfortable for the animal.
Use strands directly from the packet; avoid excessive handling of suture strands before use. Avoid suture kinking, or crushing suture with instruments. Suture strands with “memory” may be straightened with a gentle tug. Periodically check suture strands for evidence of fraying or defects, particularly when using a continuous suture pattern. Polyvinylidine Pronova® (Ethicon) This unique synthetic nonabsorbable monofilament suture is made of two polyvinylidine polymers, with a special extrusion process.
Ahupuaʻa [electronic resource] : World Environmental and Water Resources Congress 2008, May 12-16, 2008, Honolulu, Hawaiʻi by Roger William Babcock; Raymond Walton; American Society of Civil Engineers.; Environmental and Water Resources Institute (U.S.)