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Mnemonics, Simplified Concepts & Thoughts

Tag: Surgical skills

Surgical Skills

Hip Spica Cast

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Aug 7, 2022Aug 13, 2022

Acceptable angulation in Femoral Shaft Fractures Age Varus/Valgus (degrees) Anterior/Posterior (degrees) Shortening (mm) <2 yr 30 30 15 2-5 yr 15 20 20 6-10 yr 10 15 15 >10 yr 5 10 10 Reference: Rockwood and Wilkin’s Fractures in Children – Leg position for Hip Spica Application in Femur Shaft…

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Surgical Skills

Volar V-Y advancement flap for fingertip amputations

Epomedicine, May 25, 2022Feb 12, 2023

Indications Contraindications Advantages Disadvantage Tension (maximum tension occurs in mid portion of the defect) especially with large defects Blood supply of flap Oblique terminal branches of the digital arteries arising from the trifurcation of distal interphalangeal joint (a subcutaneous pedicle flap) Technique References:

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Surgical Skills

DIY Vac Dressing for Wounds

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Feb 22, 2022May 23, 2023

Pre-requisites for Vac Dressing Components of Vac Dressing 1. Pump for Negative Pressure: In a study, 3 closed suction drainage systems were studied – Davol Reliavac 400 Evacuator, Jackson-Pratt Closed Wound Suction Drainage System, and Snyder Hemovac 400. In all three systems, maximal negative pressures (-71 to -175 mm Hg)…

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Surgical Skills

Techniques of Securing Surgical Drain to Skin (Drain Fixation)

Epomedicine, Jun 10, 2021Jun 10, 2021

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. The long end of the thread (attached to the needle) is passed through the skin directly next to the drain exit site, to create a…

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Surgical Skills

How to make tourniquet for fingers using latex gloves?

Epomedicine, May 29, 2021May 29, 2021

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 piece of glove fingertip is snipped off to create a 1- to 2-mm hole With very gentle pulling—by either the forceps or the surgeon’s fingers—the…

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Surgical Skills

Zancolli-Lasso Procedure

Epomedicine, May 6, 2021May 6, 2021

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 incision is made at the level of the distal palmer crease. Care should be taken to avoid the neurovascular bundles and the flexor tendons must…

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Surgical Skills

Corner Stitch

Epomedicine, Oct 5, 2020Oct 5, 2020

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 flap and compromise the tenuous blood supply Suture: Non-absorbable Principle: When repairing, this stitch must be placed first Landmark sites (2 on each site of…

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Surgical Skills

Surgical Sutures – Basics

Epomedicine, Sep 17, 2020Mar 5, 2024

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 polyamide)Prolene (Polypropylene) SilkDacronEthibond (Polyester)Braided nylon (Surgilon, Nurolon)Supramid Monofilament sutures: Polyfilament/Multifilament sutures: Natural sutures: Synthetic sutures: Absorbability: There are 2 principal methods, by which the sutures…

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