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Chapter 11
Clinical
28
Medical
Undergraduate 2
12/08/2015

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Term
Adhesion
Definition
An adhesion is an abnormal attachment of two surfaces or structures that are normally seperate
Term
Anastomosis
Definition
Pathologic, traumatic, or surgical creating of an opening between two normally separate organs or spaces
Term
Approximated
Definition
Returned to proximity, as in wound closure, realigned tissue layers
Term
Chromic Gut
Definition
Collagen (from submucosa of sheep intestine or serosa of beef intestine) suture that has been treated with chromium salts to delay the rate of absorbtion
Term
Chronic Wounds
Definition
Wounds that are persist for an extended period. A chronic wound may develop because of an underlying physical condition affecting the PT, or it may be caused by infection
Term
Cicatrix
Definition
Normal (expected) scar formation
Term
Dead Space
Definition
Separation of wound edges that have not been closely approximated or from air that has been become trapped between tissue layers
Term
Debridement
Definition
Involves wound irrigation to wash out contaminants and remove devitalized tissue
Term
Dehiscence
Definition
Partial or total separation of a layer or layers of tissue after closure.
Term
Evisceration
Definition
Exposure (protrusion) of the viscera through the edges of a totally separated wound
Term
First Intention
Definition
Healing by first intention occurs with a primary union that is typical of an incision opened under ideal conditions. healing occurs from side to side in an aseptic wound in which dead space has been eliminated and the wound edges are accurately approximated
Term
French-eyed needle
Definition
Type of suture needle that has a slit (or spring) at the back rather than than a closed eye, for ease in inserting the suture.
Term
Friable
Definition
Easily torn or crumbled
Term
Herniation
Definition
Abnormal protrusion of a body structure through a defect or natural opening; can be traumatic, congenital, or the result of wound dehiscence
Term
immunosuppressed patient
Definition
Patient experiencing artificial prevention of immune responses by radiation or pharmaceutical methods, usually prevent rejection of a transplanted organ
Term
Inflammation
Definition
The bodys protective response to injury or tissue destruction is inflammation. The inflammatory process serves to destroy, dilute, or wall off the injured tissue. The classic local signs of inflammation are pain, heat, redness, swelling, and loss of function
Term
Laceration
Definition
cut or tear
Term
Ligated
Definition
Tied or constricted vessel or a constricted part, as with a suture
Term
Monofilament
Definition
Made of one strand; describes one type of suture
Term
Packing
Definition
Fine mesh gauze loosely placed in a wound (usually a contaminated one) that has been left open to heal by second intention
Term
Primary Suture Line
Definition
Sutures that approximate wound edges for first intention healing
Term
PTFE
Definition
Polytetrafluoroethylene, a synthetic material that can be used for tissue reinforcement or blood vessel replacement
Term
Second intention
Definition
Healing that occurs when a wound fails to heal by primary union or the wound is left open and allowed to heal from the inner layer to the outside surface
Term
Second suture line
Definition
Used to support the primary suture line by easing tension on the primary suture line, thus reinforcing the wound closure and obliterating any dead spaces; also known as retention suture
Term
Swagged Needle
Definition
Manufactured with suture strands inserted into one end are referred to as eyeless or swaged needles. These needles are continuous with the suture strand, and the hole created in the tissue by the needle should be completely filled by the suture strand when suturing
Term
Tensile Stength
Definition
Ability to resist rupture
Term
Third intention healing
Definition
Occurs when two granulated surfaces are approximated, also called delayed primary closure
Term
Vessel Loop
Definition
Elastic device that is ideal for retraction of delicate structures or for temporary occlusion of a vessel or duct
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