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FULLER CH 17
SURGICAL WOUND
38
Medical
Undergraduate 1
10/12/2012

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Term
ABSORBABLE SUTURE
Definition
SUTURE MATERIAL THAT IS BROKEN DOWN AND DIGESTED BY THE TISSUES.  IT IS THEN ABSORBED BY THE BODY.
Term
ADHESION
Definition
SCAR FORMATION, PARTICULARLY OF THE ABDOMINAL VISCERA.
Term
ANASTOMOSIS
Definition
THE SURGICAL CREATION OF AN OPENING BETWEEN TWO BLOOD VESSELS, HOLLOW ORGANS, OR DUCTS.
Term
APPROXIMATE
Definition
TO BRING TISSUE TOGETHER BY SUTURES OR OTHER MEANS.
Term
BIOACTIVITY
Definition
IN DESCRIBING SUTURE USE, THE WAY THE BODY REACTS TO THE PRESENCE OF THE SUTURE MATERIAL.
Term
BLUNT NEEDLE
Definition
A CURVED, TAPERED NEEDLE WITH A BLUNT POINT THAT IS USED FOR HIGHLY VASCULAR ORGANS, SUCH AS THE LIVER
Term
BOLSTERS
Definition
TUBING THROUGH WHICH RETENTION SUTURES ARE THREADED TO PREVENT THEM FROM CUTTING INTO THE PATIENT'S SKIN.
Term
BONE WAX
Definition
A PLIABLE, WAXY DOUGH MADE FROM SYNTHETIC MATERIAL USED TO CONTROL CAPILLARY BLEEDING ON THE SURFACE OF BONE.
Term
CAPILLARY ACTION
Definition
THE ABILITY OF SUTURE MATERIAL TO ABSORB FLUID.
Term
CHROMIC SALT
Definition
A CHEMICAL USED TO TREAT SURGICAL GUT TO MAKE IT RESISTANT TO ABSORPTION BY TISSUE.
Term
CONTRACTURE
Definition
TISSUE THAT HEALS WITHOUT SCAR FORMATION, CAUSING LIMITED MOBILITY.
Term
CUTTING NEEDLE
Definition
A SUTURE NEEDLE WITH A CUTTING EDGE ALONG ONE SIDE OF THE SHAFT. 
Term
DEBRIDEMENT
Definition
CHEMICAL OR MECHANICAL REMOVAL OF NECROTIC TISSUE AFTER  INFECTION OR TRAUMA.
Term
DEHISCENCE
Definition
SEPARATION OF THE LAYERS OF A SURGICAL WOUND.
Term
EVISCERATION
Definition
THE PROTRUSION OF ABDOMINAL VISCERA THROUGH A WOUND OR SURGICAL INCISION.
Term
FISTULA
Definition
A COMPLICATION OF WOUND INFECTION IN WHICH ONE OR MORE HOLLOW, SKIN-LINED TRACTS FORM AT THE WOUND SITE AND CONTINUE TO DRAIN PUS AND FLUID.  THIS PREVENTS THE WOUND FROM HEALING.
Term
HEMATOMA
Definition
A BLOOD-FILLED SPACE IN TISSUE, THE RESULT OF A BLEEDING VESSEL.
Term
INERT
Definition
CAUSING LITTLE OR NO REACTION IN TISSUE OR WITH OTHER MATERIALS.
Term
KELOID
Definition
EXCISSIVE SCAR FORMATION, WHICH CAN RESULT IN A COSMETIC OR FUNCTIONAL DEFECT.
Term
MEMORY
Definition
IN SUTURE MATERIAL, THE TENDENCY OF SUTURE TO RECOIL TO ITS ORIGINAL SHAPE DURING PACKAGING.
Term
NONABSORBABLE SUTURES
Definition
SUTURE MATERIALS THAT RESIST BREAKDOWN IN THE BODY.
Term
OCCLUSIVE DRESSING
Definition
WOUND DRESSING WHICH PREVENTS AIR, MOISTURE, AND CONTAMINANTS FROM ENTERING THE TISSUES.
Term
PLAIN CATGUT
Definition
A SUTURE MADE FROM ANIMAL PROTEIN WHICH IS QUICKLY ABSORBABLE IN TISSUE.
Term
PLIABILITY
Definition
THE FLEXEBILITY OF A SUTURE MATERIAL.
Term
PRIMARY INTENTION (WOUND HEALING)
Definition
THE HEALING PROCESS AFTER A CLEAN SURGICAL REPAIR.
Term
PURSE-STRING
Definition
A SUTURING TECHNIQUE IN WHICH A CONTINUOUS STRAND IS PASSED IN AND OUT OF THE CIRCUMFERENCE OF A LUMEN AND THEN IS PULLED TIGHT, LIKE A DRAWSTRING.
Term
RESECTION
Definition
A SUTURING  TECHNIQUE IN WHICH A PORTION OF TISSUE OR AN ORGAN IS REMOVED AND REJOINED IN ANOTHER CONFIGURATION. 
Term
RETENTION SUTURES
Definition
HEAVY, NONABSORBABLE SUTURES THAT ARE PLACED BEHIND THE SKIN SUTURES AND THROUGH ALL TISSUE LAYERS TO GIVE ADDED STRENGTH TO THE CLOSURE.  ALSO CALLED A SECONDARY SUTURE LINE.
Term
SCAR
Definition
THE FORMATION OF PERMANENT CONNECTIVE TISSUE AT THE SITE OF THE TRAUMA.
Term
SCONDARY INTENTION (WOUND HEALING)
Definition
NATURAL HEALING OF A WOUND WITHOUT SUTURES OR OTHER MEANS OF APPROXIMATING TISSUE.
Term
SEROSANGUINOUS FLUID
Definition
EXUDATE OR DISCHARGE CONTAINING SERUM AND BLOOD.
Term
STENT DRESSING
Definition
A SPECIALTY DRESSING USED ON SKIN GRAFTS TO MAINTAIN CONTACT BETWEEN THE GRAFT AND WOUND BASE.
Term
SWAGE
Definition
THE AREA OF AN ATRAUMATIC SUTURE WHERE THE SUTURE STRAND IS FUSED TO THE NEEDLE.  ALSO CALLED AN ATRAUMATIC SUTURE.
Term
TAPERED NEEDLE
Definition
A SUTURE NEEDLE THAT HAS A ROUND BODY THAT TAPERS TO A SHARP POINT.  IT PUNCTURES TISSUE, MAKING AN OPENING FOR THE BODY OF THE NEEDLE TO FOLLOW.
Term
TENSILE STRENGTH
Definition
THE AMOUNT OF FORCE OR STRESS A SUTURE CAN WITHSTAND WITHOUT BREAKING.
Term
THIRD INTENTION (WOUND HEALING)
Definition
DELAYED PRIMARY WOUND CLOSURE.  ROUTINE WOUND CLOSURE AFTER A PERIOD OF HEALING.
Term
TISSUE DRAG
Definition
A CHARACTERISTIC OF SOME SUTURE MATERIAL THAT RESULTS IN FRICTION BETWEEN THE SUTURE AND THE TISSUE.
Term
WATER-SEALED DRAINAGE SYSTEM
Definition
A WOUND DRAINAGE SYSTEM USED TO PULL FLUID OR AIR FROM THE THORACIC CAVITY AFTER THORACIC SURGERY OR TRAUMA TO THE THORAX.
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