University:
Virginia Maryland College of Veterinary Medicine
Course:
VM 8164 | The Normal Animal
Academic year:

2024
Views:

445

Pages:

1
Author:

Samantha H.

Halsted's Principles Importance Minimize inflammation Speed healing Reduce infection risk Halsted's Principles (MEMORIZE) Gentle tissue handling Use aseptic technique Preserve blood supply Employ meticulous hemostasis Appose tissues accurately Obliterate dead space Avoid tension Gentle Tissue Handling Iatrogenic trauma (trauma caused by medical care) Avoid using fingertips or crushing instruments on tissue Never use dry gauze on serosa Always use moistened gauze on viscera Commit to incision - one pass through each layer Perpendicular scalpel Aseptic Technique Instrument, patient, surgeon prep Sterile field Preserve Blood Supply Blood vessels are imperative for healing Important in fracture repair Hemostasis Hemostatic forceps or crushing hemostats Ligation of blood vessels or pedicles Blood delays wound healing → infection Hematoma or seroma → painful → can lead to abscess → prevent tissue healing Appose Tissues Accurately Tissues heal best when edges are re-apposed Mild pressure, no strangulation, no crushing No overlapping, no inversion Obliterate Dead Space Good apposition Use drains if bleeding is expected Other Important Principles Pain relief Keep tissues moist Make large enough incision Beautiful sutures