#suturing

[intestinus]

Stitched laceration. Injury from doing dishes and breaking a glass.

[barcodepuppy]

TW: SH

First attempt at sutures! below read more are before and after photos of a laceration on my arm and then sloppy sutures. Do not try at home! infection/more damage is almost guaranteed without the proper tools!

this post is for educational purposes 🫡

Used a bent sewing needle, floss, pliers, hydrogen peroxide to clean the tools and neosporin afterward. Rinsing with warm water between each suture. there are 5 in total. I had planned to do more but without any numbing i started to get a headache from trying to focus, plus my hand started to shake too much to really be effective.

1st photo is a few days after the initial injury. 2nd is the first suture. 3rd is in progress. 4th is the final five sutures. 6th is the next day.

My hope was they'd make the scar thinner in the long run, im keeping an eye on it. I personally allow wounds to heal mostly on their own, allowing them to scab over and just keeping them clean with regular showers and neosporin/tattoo soothing gel. we'll see how well this one heals!

[thedarkesthistories]

does anyone spend time doing some other type of puzzle or task other than suturing? i need a new hobby... (and even looking up the price of a set of lap instrument would send me)

[mcatmemoranda]

3/3

[theamitsoni]

Care & Cure Clinic – Dr. Amit Soni, MD Physician, Indore

Welcome to Care & Cure Clinic – Dr. Amit Soni, MD Physician, Indore, the leading medical clinic in Indore. As the best family physician and general physician in the region, Dr. Amit Soni brings over 10 years of expertise to ensure exceptional patient care.

We specialize in managing diabetes, hypertension, and thyroid disorders, and offer a range of services including dressing, suturing, Ryle's tube insertion, Foley catheterization, vaccinations, nebulization, IV/IM injections, and comprehensive wound care. Our dedicated team is committed to providing personalized and effective treatments to meet all your healthcare needs.

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[creativeera]

Anastomosis Devices: An Overview of Annuloplasty Used in Surgery 

Anastomosis is the surgical connection of two tubular or hollow structures, especially vessels or intestines. It is a common surgical procedure performed during many types of operations including colon resections, bowel resections and coronary artery bypass grafting (CABG). Traditionally, anastomoses were performed with hand-sewn sutures which required high level of surgical skills and was time consuming. With advancements in medical technology, annuloplasty were introduced to simplify the anastomosis process and make it more consistent and standardized. Types of Anastomosis Devices There are different types of annuloplasty available based on the anatomical site and application: Intestinal Annuloplasty - Circular Staplers: Circular staplers are the most commonly used devices for intestinal anastomoses. They are primarily used for end-to-end, end-to-side and side-to-side anastomoses of bowel segments. They uniformly fires staples in a circular pattern to join the cut ends of bowels. This provides a leak-proof seal. - Linear Staplers: Anastomosis Devices Linear staplers are used to create side-to-side anastomoses between bowel segments. They rapidly join the serosa, muscle layers and mucosa with staggered rows of titanium staples. Vascular Annuloplasty - Coronary Artery Bypass Grafts (CABG): For CABG procedures, vascular clips and sutures are primarily used to connect the graft vessel to the coronary artery above the blockage. Some devices using expandable stents are also being studied. - Hemodialysis Access Grafts: For dialysis access, devices like fistula clip apply microclips to easily create arteriovenous fistula between arteries and veins in the arm. Advantages of Annuloplasty - Reduced Operative Time: Use of automatic annuloplasty significantly decreases the time required to perform an anastomosis compared to manual suturing. This leads to reduced operative/ischemic times especially critical for cardiac surgeries. - Consistent & Reliable Results: The standard closure mechanisms of devices like uniform circumferential stapling produces consistent anastomoses with perfect alignment and negligible risk of leakage. This ensures reproducible and reliable surgical outcomes. - Less Invasive: Devices minimize tissue trauma compared to repeated passes of hand stitches. This leads to reduced post-operative pain and faster recovery times for patients. - Training Advantage: Annuloplasty provide easier learning curves for trainees compared to years of training required to master intricate manual suturing skills. This promotes wider adoption of minimally invasive techniques. Effectiveness of Different Device Types Intestinal Annuloplasty - Circular staplers are considered the gold standard for intestinal anastomoses with success rates over 95% and very low leakage rates below 5%. They provide perfect mucosal opposition minimizing risk of leak. - Linear staplers are as effective but carry slightly higher leakage risk of around 5-10% compared to circular ones due to imperfect mucosal contact in side-to-side configuration. Vascular Annuloplasty - For CABG, manual suturing still remains the choice with patency rates comparable to devices. Simpler devices are under study but none have clearly proven benefits. - Fistula clip and other dialysis graft devices have excellent 30 day patency rates of over 90%, reducing graft failures and re-operations. Modern Advancements Research continues to develop innovative anastomosis solutions: - Tissue adhesive glues - being tested can provide leak proof seals without staples/sutures, avoiding foreign body reaction. - Magnetically controlled devices - utilizing biocompatible magnetic components manipulated externally through forceps can enable minimally invasive anastomoses. - Robotic systems - integrating annuloplasty with robotic arms/consoles allows precision reconstruction through small incisions with 3D visualization.

Get more insights on Anastomosis Devices

Priya Pandey is a dynamic and passionate editor with over three years of expertise in content editing and proofreading. Holding a bachelor's degree in biotechnology, Priya has a knack for making the content engaging. Her diverse portfolio includes editing documents across different industries, including food and beverages, information and technology, healthcare, chemical and materials, etc. Priya's meticulous attention to detail and commitment to excellence make her an invaluable asset in the world of content creation and refinement.

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[removablebation]

Painting #1 inspired by evangeli- or however you spell it

[chi-scribe]

Chopstick method of applying surgical staples

[dragynkeep]

Naughty Durge gets the cone.

[kazumist]

HANDLE WITH CARE .ᐟ

✩ — in which soshiro hoshina finds himself getting treated by his favorite nurse, you.

✩ — includes: soshiro hoshina x gn!reader. fluff. cw: mentions of blood and injuries, inaccurate use of medical terms ?? sorry i just used google uhm. wc: 990. established (secret !!!) relationship. reblogs and feedback are much appreciated !!

✩ — note: i became obsessed with these two that i might just write a part two of reader treating him after the tachikawa base raid arc actually.

soshiro hoshina does not play favorites.

when it comes to his subordinates, at least.

when it comes to the medical team assigned to the tachikawa base, however, that is when he plays favorites (though you would never see the vice captain of the third division actually admit that; he prefers calling it his “preferences”). whenever he finds himself in the base’s infirmary, he will always look for you. and when he’s lucky, which on most occasions he is, then he’ll have you treat his wounds. it’s just something that hoshina has grown accustomed to whenever he finds himself there. nothing more, nothing less (a lie).

you were a special case for the vice captain. there was just something about the way you handled his wounds compared to others. call it picky, but he just prefers the gentle treatment that you give his wounds. (how come hoshina constantly prefers to be treated by you when others would treat him the same? isn't that part of your job in the first place?)

(the answer is simple—it’s simply an act of soshiro hoshina asking for some quality time, even if he’s all bruised and bloody.)

��i’m almost convinced that you do this on purpose sometimes.”

soshiro simply grins at you. you weren’t entirely wrong—but it’s not like hoshina asks himself to get hurt when he goes out on missions in the first place. he could handle himself pretty well; he has the high position of being the vice captain of the third division, for christ’s sake. but perhaps it is inevitable that even the vice captain would come out of a mission unscathed.

“i like the concern from you.”

you give him a lighthearted eyeroll, to which he only grins even wider. "i'm sure you do," yet that grin slowly dissipated as he winced slightly at the feeling of the alcohol touching the wound near his eyebrow. “sorry, did that hurt too much?” you asked him, worried that it might’ve stung too much for his liking. this type of close proximity was normal for you and him. after all, it’s not like this is the first time your face was this close to his—though those are times when hoshina feels rather affectionate with you rather than in pain due to some wound he got.

“nothing i can’t handle, love.” he says, recovering quite fast from the alcohol sting. he was then met with a gentle tap on the lips—hoshina knows it was a warning from you. “watch your words, vice captain.” you say, applying a small gauze pad to his wound and securing it with paper tape.

“can’t really help it when you look so pretty up close, sweetheart.”

you ignored his remark but soshiro could see the smile that tugged on your lips at the petname. you then moved on to his next wound, which is on his left shoulder. his expression softens as he watches you inspect his wound, a small amount of guilt bubbling up inside of him. “this is gonna need a little stitch,” you sighed, grabbing another cotton ball, pouring the right amount of alcohol on it, and preparing to gently dab it on the wound. “and this might hurt a bit again.” you give him a heads up.

“like i said, it’s nothing that i can’t handle,” he reassured. whether it’s you he’s reassuring or himself to convince himself, neither of you really know. he hissed slightly when the cotton ball came into contact with his skin; it was barely even heard that he hissed in the first place. but you noticed it; you always do. you would notice everything about the man before you and he would do the same.

after cleaning his shoulder wound, you proceeded to prepare to stitch it up. there was no one else in the infirmary at the moment; it was now only you and hoshina there. he silently watched you as you quickly arranged the surgical suture. and even when you started the stitching, the deafening silence was still comfortable. 

soshiro gently raised his right arm since it was uninjured and used his hand to smoothly tuck your other strands of hair behind your ear. you looked at him, raising an eyebrow at his gesture. he smiles at you in return. “your hair might get in the way. we don’t want my stitches to have your hair stuck in them now, don't we?”

you quickly finish up the stitch and put gauze on top as well. “i’m sorry.” soshiro’s apology is as genuine as it always is whenever he gets treated in this same room. “i’m starting to feel quite better now, though. couldn’t do it without my favorite nurse.” he continues, as he grabs ahold of your unoccupied hand.

he hears you chuckle at his words as you interlock your fingers together. “avoid arduous training or activities for a good one week and you’ll be good as new.” you said, sighing as now you’re finally done with treating your boyfriend. “eh? no fair. i have to go help the rookies train the day after tomorrow.”

“i’m sure captain ashiro would let you off the hook in the meantime, soshiro.”

“oh, we’re on a first name basis now?” he asks, and this time it was his turn to raise an eyebrow. you bring your other hand up to his cheek, caressing it as your thumb grazes his cheek bone. he leans into your palm as if it were a reflex. “we’ve always been on a first name basis, dummy.” you say.

“maybe all of my pain could go away if you just gave me a little kiss, you know, as your vice captain.”

“now that’s just abuse of authority. do you ask other nurses for a kiss too?” you pouted.

“that’s why your my favorite nurse.” he replies, clearly emphasizing the word “favorite” as he steals a kiss from you.

yeah, vice captain soshiro hoshina definitely does not play favorites.

[l3irdl3rain]

babies go to the clinic

[t00thpasteface]

"doctor we're losing him!!" wins the title of "funniest thing to say when someone fucks up while dissecting a dead animal" for the second year in a row

[mcatmemoranda]

2/3

[featheryalarmclock]

spare time

This meme is quite LITERALLY him

[zydratenote]

You’ll walk out on me if I offer my own, so let me give you hers, strings attached.