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
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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Techniques of Securing Surgical Drain to Skin (Drain Fixation)
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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How to make tourniquet for fingers using latex gloves?
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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Zancolli-Lasso Procedure
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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Corner Stitch
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 Sutures – Basics
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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Timing of Wound Closure (Primary, Secondary, Tertiary)
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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