Patchana Tye, Savla Paras, Brazdzionis James, Wiginton James, Takayanagi Ariel, Zampella Bailey, Schiraldi Michael, King Christopher
Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.
Cureus. 2020 Apr 23;12(4):e7803. doi: 10.7759/cureus.7803.
Closure of the fascial layer can be challenging to learn for junior level residents. Wound dehiscence involving the fascial layer can lead to complicated clinical courses for patients, including readmission to the hospital, wound vacuum placement, antibiotic regimens, and re-operation. Typical suturing techniques taught in medical school focus more on basic techniques of suture placement such as interrupted or running techniques. The aim of this study is to introduce a method of practicing fascial closure using easily obtainable items. Though there is no substitute for placement of suture and closure of fascia in vivo, this method allows one to practice the motor repetition of fascial suture placement and provides one with the ability to check their work.
对于初级住院医师而言,筋膜层的闭合操作可能很难掌握。涉及筋膜层的伤口裂开可能会给患者带来复杂的临床病程,包括再次入院、伤口负压引流、抗生素治疗方案以及再次手术。医学院教授的典型缝合技术更多地侧重于缝线置入的基本技术,如间断缝合或连续缝合技术。本研究的目的是介绍一种使用容易获得的物品来练习筋膜闭合的方法。虽然在体内进行缝线置入和筋膜闭合没有替代方法,但这种方法可以让人们练习筋膜缝线置入的动作重复,并使人们有能力检查自己的操作。