Close Surgical Wounds Essay

Choosing of this dissertation among ED staff especially AMO so that they will be able to perform the procedure correctly, safely and practice according to current research based recommendations, to ensure effectiveness and patient safely. Cases of wound infection from T&S procedure can be reduced and increase patients trust in the provided services. Staff will be able to implement the procedures properly and safe in accordance with the recommendation, based on studies of wound infection from the patients.

The following assignment will take the form of a case study. The subject is a 79-year-old sikh gentleman, who will be known as patient X. Patient X only speaks English as his second language. Patient X has developed a wound on his right hip after being admitted a few days previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now

In the UK, there are 200,000 patients, who have slow healing wounds, which costs National Health Services £2.3-£3.1 billions per year and it reduces patients’ quality of life and mobility (Posnett & Franks, 2008). In addition, patients may have sleeping difficulties due to painful wound (Posnett & Franks, 2008). Patients may become depressed, isolated and have impaired body image due pain and embarrassment of unpleasant wound odour (Santy, 2008).

• With these kinds of wounds in particular, early intervention can significantly increase the rate of healing and the likelihood

This research critique is an article called Comparison of suture types in the closure of scalp wounds written by Joseph Bonham and published in Emergency Nurse. In the emergency room two different types of sutures permanent and non permanent sutures are used as well as glue for lacerations. Scalp wounds are difficult as pressure to wound as well as the hair of the scalp. The research discusses the end result of the research the amount of scaring left after the wound has healed.

The surgeon follows the same procedure as for the laparoscopic surgery, but there is only one large incision made in the lower stomach

The first couple of paragraphs include an explanation of what is considered a complex wound and the current available treatments. It is beneficial that the authors include an explanation of what the problem is so that the reader can have a better understanding of why this issue is of concern. The paragraphs then transition towards the types of treatments available for the problem and a description of why the current treatments are not sufficient for restorative care.

Perform sterile dressing changes as ordered, less than or excessive changes can affect the healing process and increase the risk for infection. There are also implications for infection control and delayed healing due to repeated wound exposure, and an increased risk of epidermal damage and irritant contact dermatitis by repeatedly removing adhesive products (Hollinworth, 2005). The wound should be packed with enough gauze to cover the open wound but it should not be packed in too tightly because that obstructs air getting to the tissues. Once the wound has been packed, a few dry pieces of gauze should be placed over the open wound followed by the abdominal pad. The area around the skin should be dry because moist skin can lead to breakdown and further skin complications. The last step of the process is to clearly label the dressing so that when other nurses and healthcare professional come to assess the client, they will know when and by whom the dressing was last changed by. The nurse should be explaining what he/she is doing as the application goes on, and teach the patient why sterile technique is necessary. By teaching, the nurse is informing the patient how he/she can be more involved in their own care and the importance of keeping their wound clean because it can lead to further and more

Table 3: Wound healing in treatment groups. Wound healing Sucralfate group N= 50 Lidocaine group N=48 Placebo group N=45 P value 21st day 31(62%) 19 (39.5%) 17 (37.7%) 0.028

The Vacuum Assisted Closure (V.A.C) Therapy of controlled levels of negative pressure has been shown to promote wound healing by applying negative pressure to remove fluid and infectious materials from the wound area or operation site and accelerate debridement from a wound. The V.A.C has been used for acute and long-term care facilities and even at home if those are a candidate. The use of or placement of this vacuum is very simple. This vacuum comes with a piece of foam and transparent adhesive membrane which also called a drape. First of all, we want to make assure to clean the surface of the skin very well before applying the transparent adhesive membrane. Once this skin cleaned; firmly secured the drape to the healthy skin around the wound margin and remember

This wonderful new invention is called MeTro which has many great attributes. It's essentially a squirtable, elastic surgical glue that is able to set within 60 seconds of placing it. Additionally, this glue will not run off, because it solidifies right away. After placing the glue in place, all one has to do is run over it with a UV light to secure it into place which allows for "tight-seal bond and interlock with the tissue's surface" ('Squirtable', 2017, University of Sydney). Another one of its benefits would be it conforms to the space it is put in which further promotes healing. Finally, one of the most interesting functions is that it can degrade from in hours to months of applying it. Therefore, surgeons can use it for however long it takes the wound to heal. As one can see this invention can promote the health care industries in so many ways.

A laceration is a cut that goes through all layers of the skin and into the tissue just beneath the skin. Some lacerations heal on their own. Others need to be closed with stitches (sutures), staples, skin adhesive strips, or wound glue. Proper laceration care minimizes the risk of infection and helps the laceration heal better.

Suture is the most common method used to close the abdominal wall. However, the choice of closure method depends on the injury, on the patient and on the preference of the surgeon. Although the literature suggests ideal techniques and materials, they have not been uniformly accepted. It is, however, accepted that the best abdominal closure method should be fast, easy and cost-effective, while preventing early and late complications. The common techniques all present a closed loop approach for fascial approximation, that creates tension on the surrounding tissues and can potentially lead to tissue entrapment and, consequently, cause herniation and/or other complications. In this project, the use of anchors intends to reduce the tension created

Laparotomy, which is an operation performed on organs within the abdominal cavity, is a common surgical procedure performed all over the world. Sutures or other materials such as fibrin sealants or staples provide mechanical support for the closed wound healing process. They approximate the wound edges and help to maintain wound closure until the healing process provides sufficient strength for the wound to withstand stress and strain without additional support. However, among the choices surgeons have for closing abdominal fascia, there is currently scant consensus as to the best material or method. For the majority of surgeons, the choice of a suture method in a given instance has mostly been directed by popular practice and opinion, with

Turning to the efficiency of negative pressure therapy in comparison to the usual care of wound, it is absolutely more helpful for the patient in terms of fast healing for a chronic wound. This point is also sustained by the study that was conducted by Suissa, Danimo & Nikolis (2011) where with the assistance of a negative pressure therapy promotes wound healing in the quickest possible time. This also not only allow the patient to return from its daily activities but also at the same time it is a cost effective for the facilities that have used the negative pressure therapy to their patient. Unlike the normal wound management, it will require the usage of various dressing and will perform the hit and miss strategy until certain dressing work to the patient’s wound.