SWAB
s u r g ic a l s p irit
A l i q u i d p r e p a r a t i o n , c o n s i s t i n g m a i n l y
o f e t h y l a l c o h o l , t h a t h a s a s o o t h i n g a n d
h a r d e n i n g
e f f e c t w h e n a p p l i e d t o
t h e
s k i n . I t m a y b e u s e d b e f o r e i n j e c t i o n s a s
a n
a n tise p tic .
s u rro g a c y
T h e a g r e e m e n t b y a w o m a n t o b e c o m e
p r e g n a n t a n d g i v e b i r t h t o a c h i l d w i t h
t h e u n d e r s t a n d i n g t h a t s h e w i l l s u r r e n -
d e r t h e c h i l d a f t e r b i r t h t o t h e c o n t r a c t u a l
p a r e n t s .
P r e g n a n c y
m a y
b e
a c h i e v e d
e i t h e r b y
a rtific ia l in s e m in a t io n
o r b y
in
v itro fe rtiliz a t io n .
s u s c e p t ib ilit y
T o t a l o r p a r t i a l v u l n e r a b i l i t y t o a n i n f e c -
t i o n o r d i s o r d e r .
S u s ta c
A
b r a n d
n a m e
f o r
g ly c e ry l trin itra te ,
a
d r u g u s e d t o p r e v e n t a t t a c k s o f
a n g in a
p e c t o ris .
S u s ta n o n
A b r a n d
n a m e
f o r
t h e
m a l e
s e x
h o r -
m o n e
t e s to s te ro n e ,
g i v e n a s a t r e a t m e n t
t o m a l e s w h o s e b o d i e s p r o d u c e t o o l i t -
t l e t e s t o s t e r o n e .
s u tu re
A t y p e o f
jo in t ,
f o u n d o n l y b e t w e e n t h e
b o n e s o f t h e s k u l l , i n w h i c h t h e a d j a c e n t
b o n e s a r e m o b i l e d u r i n g b i r t h b u t t h e n
b e c o m e s o c l o s e l y a n d f i r m l y j o i n e d b y
a l a y e r o f c o n n e c t i v e t i s s u e t h a t m o v e -
m e n t b e t w e e n t h e m i s i m p o s s i b l e .
T h e
t e r m
“ s u t u r e ”
i s
a l s o
u s e d
t o
r e f e r t o a s u r g i c a l s t i t c h ( s e e
s u t u r in g ).
s u t u rin g
T h e c l o s i n g o f a s u r g i c a l i n c i s i o n o r a
w o u n d b y s u t u r e s ( s t i t c h e s ) t o p r o m o t e
h e a l i n g . S u t u r i n g m a y b e c a r r i e d o u t b y
m e a n s
o f
a
s i n g l e
c o n t i n u o u s
s t i t c h
u n d e r
t h e
s k i n
( s u b c u t i c u l a r )
o r
b y
u s i n g i n d i v i d u a l s t i t c h e s
( i n t e r r u p t e d ) .
S o m e m a t e r i a l s u s e d i n s u t u r i n g , s u c h
a s
c a t g u t ,
e v e n t u a l l y
d i s s o l v e
i n
t h e
b o d y ; s k i n s u t u r e s m a d e o f o t h e r m a t -
e r i a l s
a r e
r e m o v e d
a b o u t
o n e
t o
t w o
w e e k s a f t e r i n s e r t i o n , d e p e n d i n g o n t h e
s i t e i n t h e b o d y .
s w a b
A w a d
o f a b s o r b e n t
m a t e r i a l
u s e d
t o
a p p l y a n t i s e p t i c s o r s o a k u p b o d y f l u i d s
d u r i n g s u r g e r y o r t o o b t a i n a s a m p l e o f
b a c t e r i a f r o m a n i n f e c t e d p a t i e n t .
A s u r g i c a l s w a b i s c o m m o n l y a f o l d e d
p i e c e o f c o t t o n g a u z e h e l d i n t h e h a n d
METHODS OF SUTURING
Suturing is carried out under either a general or a local anaesthetic. The type of
stitch used depends on the nature ofthe wound or incision (two types are shown
below). In all cases the surgeon sews the wound edges together to produce
minimal distortion oftissue.
Technique
The surgeon grasps the
edge ofthe wound with
forceps held in one hand
and inserts the needle
through the skin using
the other hand. In this
illustration, the surgeon
is using a needle holder,
which gives greater
control for very fine
stitches. In other cases,
the needle may be held
in the hand. Suturing
sometimes requires
assistance.
Standard interrupted sutures
The needle is passed into one skin edge,
through the full depth ofthe wound, and
out ofthe other skin edge. Each stitch is
then knotted atthe side.
Mattress sutures
For deeper wounds, the needle is passed
through the wound twice: first shallowly,
close to the skin edges, and then more
deeply, farther from the edges.
OTHER METHODS OF CLOSURE
Alternatives to suturing include removable staples and clips (staples are also
Adhesive tape
When the wound is shallow, tape maybe
applied directly. For deeper wounds,
absorbable stitches are first inserted just
beneath the skin.
Inserting staples
The wound edges are held up with
forceps and staples, which are spaced
out at equal intervals, are inserted using
an automatic stapling device.
S
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