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Surgical skills

Surgical Skills

Volar V-Y advancement flap for fingertip amputations

Epomedicine May 25, 2022 No Comments OrthopedicsPlastic surgerySurgical skills

Indications Transverse or dorsally angulated traumatic amputations of the fingertip involving exposed distal phalanx Tissue loss distal to the lunula (Zone I and Zone II…

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Surgical Skills

DIY Vac Dressing for Wounds

Dr. Sulabh Kumar Shrestha , PGY3 Orthopedics Feb 22, 2022 No Comments OrthopedicsSurgerySurgical skills

Pre-requisites for Vac Dressing Thorough debridement Adequate hemostasis Components of Vac Dressing 1. Pump for Negative Pressure: A wall suction or a portable suction unit…

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Surgical Skills

Techniques of Securing Surgical Drain to Skin (Drain Fixation)

Epomedicine Jun 10, 2021 No Comments OrthopedicsSurgerySurgical skills

Choice of Suture: Non-absorbable (braided suture provides slightly superior grip on tubing than monofilament sutures) Technique 1: Create a series of knots around the drain.…

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Surgical Skills

How to make tourniquet for fingers using latex gloves?

Epomedicine May 29, 2021 No Comments Surgical skills

Method 1: Digital block Painting with antiseptic solution Application of sterile latex gloves (slightly larger than the patient’s hand) on the patient’s hand A tiny…

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Surgical Skills

Zancolli-Lasso Procedure

Epomedicine May 6, 2021 No Comments OrthopedicsSurgerySurgical skills

Based on the preoperative clinical examination, the decision on which donor superficialis (FDS) tendon to use is made (commonly FDS middle finger is used). Transverse…

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Surgical Skills

Corner Stitch

Epomedicine Oct 5, 2020 No Comments Surgical skills

Synonym: Half-buried horizontal mattress suture Indications: V, Y or X-pattern laceration repair Risk: Dermal stitch may be placed too close to the tip of the…

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Surgical Skills

Surgical Sutures – Basics

Epomedicine Sep 17, 2020 No Comments Surgical skills

Monofilament Polyfilament Absorbable Caprosyn (Polyglytone 621)Monocryl (Polyglecaprone 25)Biosyn (Polyglecaprone CV-23)Maxon (Polytrimethylate carbon)PDS (Polydiaxonone) CatgutVicryl rapide (Polyglactin 910 rapide)Vicryl (Polyglactin 910)Dexon (Polyglycolic acid) Non-absorbable NylonEthilon (Monofilament…

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USMLE, PGMEE, MBBS, MD/MS

Timing of Wound Closure (Primary, Secondary, Tertiary)

Epomedicine Aug 26, 2020 No Comments Surgical skills

Before moving to the concept of wound closure, it is necessary to understand the pathophysiology behind different types of healing. We have covered stages of…

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