Dresing Klaus, Slongo Theddy
Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Dept. of Paediatric Surgery, University Children's Hospital, 3010, Bern, Schweiz.
Oper Orthop Traumatol. 2023 Oct;35(5):298-316. doi: 10.1007/s00064-023-00812-y. Epub 2023 Aug 21.
At the end of surgical therapy, the access is closed with sutures. Surgical sutures are thus used to adapt wound edges and tissues. The task of the suture material is to hold the tissues together until healing. For patients, a cosmetically good suture is often the sign of good surgery. Different tissues and layers have different requirements regarding the suture material. The different types from monofil to polyfil, braided, from absorbable to nonabsorbable are presented. The classification of suture strengths is compared. The areas of application of different strengths and the duration until removal of the sutures for the different body regions are presented. The one-hand and two-hand techniques of surgical knots are explained in detail. The technique of suture removal is presented. In the online material, the suture materials of different composition and manufacturers can be compared.
手术治疗结束时,手术切口用缝线缝合。因此,手术缝线用于使伤口边缘和组织贴合。缝线材料的任务是将组织固定在一起直至愈合。对于患者来说,外观良好的缝线往往是手术成功的标志。不同的组织和层次对缝线材料有不同的要求。介绍了从单丝到多丝、编织、从可吸收到不可吸收的不同类型缝线。比较了缝线强度的分类。介绍了不同强度缝线的应用领域以及不同身体部位缝线拆除前的持续时间。详细解释了单手和双手打结技术。介绍了拆线技术。在在线材料中,可以比较不同成分和制造商的缝线材料。