Fundamentals of small animal surgery by F A Mann; Gheorghe M Constantinescu; Hun-Young Yoon

By F A Mann; Gheorghe M Constantinescu; Hun-Young Yoon

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4d). 5b) to minimize tissue trauma. Thumb forceps are also used for handling needles during suturing. Needle grasping should be done delicately so as to preserve the tips of the thumb forceps. Damaged/dulled tips will add to tissue trauma when the forceps are used again to manipulate tissue. Ratcheted tissue forceps allow manipulation of tissues without repeated grasping. 6b). For ideally minimizing tissue trauma, these forceps are avoided altogether. In fact, the Allis tissue forceps have been nicknamed the “Allis trauma forceps” to drive home this concept.

The most common bacterial source for surgical wound infections, especially in orthopedic and neurosurgical procedures, is from the skin. Skin bacteria are typically gram positive cocci, usually Staphylococcus aureus or S. intermedius. A second common source of infection is from fecal contamination. ). Whenever a body lumen is entered, prophylaxis should be centered on the typical flora of the lumen entered. Gastrointestinal organisms include gram-positive cocci, enteric gram-negative bacilli, and anaerobes.

The surgeon’s dominant hand assumes the position of holding a scalpel, but without the thumb touching the fingers. 6 Passing a scalpel. The assistant should hold the scalpel handle with the blade pointed toward him/herself and the sharp edge down with the hand over the top of the handle. 7 cutting. 51 Receiving a scalpel.

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