LESSON 2 Wound Closure and Suturing.

2-1. INTRODUCTION

2-2. REVIEW OF THE ANATOMY AND PHYSIOLOGY OF THE INTEGUMENTARYSYSTEM

2-3. LACERATIONS

2-4. WOUND HEALING

2-5. MATERIALS NEEDED FOR WOUND CLOSURE

2-6. BASIC LACERATION REPAIR: A. Categories of Wound Closure.

2-6. BASIC LACERATION REPAIR: B. Wound Debridement and Excision.

2-6. BASIC LACERATION REPAIR: C. Technique for the Simple Skin Suture.

2-6. BASIC LACERATION REPAIR: D. Single Layer Closure

2-7. ADVANCED SUTURING TECHNIQUES

2-8. SUTURE REMOVAL

2-9. CLOSING

Lesson 2: Self-Test

LESSON OBJECTIVES After completing this lesson, you should be able to:

2-1. Identify specific types of lacerations.

2-2. Identify the phases of normal wound healing.

2-3. Identify the advantages and disadvantages of the following suture materials:

  • Nonabsorbable sutures.
  • Metal sutures.
  • Absorbable sutures.
  • Skin tapes.

2-4. Identify the characteristics of the three types of wound closure:

  • Closure by primary intent.
  • Closure by secondary intent.
  • Closure by tertiary intent.

2-5. Identify the steps in the procedure of wound debridement.

2-6. Identify the steps in the procedure of simple skin suturing.

2-7. Identify the following advanced suturing techniques with the advantages and disadvantages of each:

  • Running suture.
  • Vertical mattress suture.
  • Horizontal mattress suture.
  • Subcuticular suture.

2-8. Identify the general considerations and steps in the procedure of suture removal.

SUGGESTION After completing the assignment, complete the exercises of this lesson. These exercises will help you to achieve the lesson objectives.

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