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adhesion
Abnormal attachment of two surfaces or structures that are normally separate
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anastomosis
Pathological, surgical, or traumatic formation of an opening between two normally separate organs or spaces
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approximated
Returned to proximity; brought together sides or edges
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chromic
A suture material manufactured from the submucosa of sheep intestine or serosa of beef intestine treated with chromium salts to delay the rate of absorption
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chronic wound
Wound that persists for an extended period of time
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dead space
A space that remains in the tissues as a result of failure of proper closure of a surgical wound
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debridement
Removal of devitalized tissue and contaminants
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dehiscence
Partial or total separation of a layer or layers of tissue after closure of the wound
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evisceration
Interruption of a closed wound or traumatic injury that exposes the viscera
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first intention
Type of healing that occurs with primary union that is typical of an incision opened under ideal conditions; healing occurs from side to side, dead space has been eliminated, and the wound edges are accurately approximated
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French-eyed needle
A type of needle in which the suture must be threaded by pulling the strand into a V-shaped area just above the eye
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friable
Easily torn or crumbled
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herniation
Abnormal protrusion of an organ or other body structure through an opening in a covering membrane or muscle
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immunosuppressed patient
Patient whose immune system has decreased due to disease, or intentionally decreased with immunosuppressive drugs for organ transplant patients to prevent organ rejection
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inflammation
The body’s protective response to injury or tissue destruction
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ligated
The placement of a suture tie around a vessel or other anatomical structure for the purpose of constriction (i.e., to control hemorrhage from a blood vessel)
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monofilament suture
Suture that is manufactured from one strand of natural or synthetic material
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packing
Sterile fine-mesh gauze that is loosely placed in a chronic wound or one that has been left open to heal by second intention
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polytetrafluoroethylene (PTFE)
A synthetic coating used on certain types of nylon suture material to reduce the drag through tissue
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primary suture line
Main suture that approximates the wound edges for first intention healing to occur
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second intention
Healing that occurs when a wound fails to heal by primary union, or the wound is left open and allowed to heal from the inside to the outside by filling with granulation tissue
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secondary suture line
Sutures placed to support and ease the tension on the primary suture line, thus reinforcing the wound closure and obliterating any dead spaces
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swaged
Strand of suture material with an eyeless needle attached by the manufacturer; the needle is continuous with the suture strand
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tensile strength
Amount of pull or tension that a suture strand will withstand before breaking; expressed in pounds
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third intention
Healing that occurs when two granulated surfaces are approximated; also referred to as delayed primary closure
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vessel loop
Thin strips made of silicone that can be placed around a vessel, nerve, or duct for the purposes of retracting or isolating; the loops are colored for easy identification of the retracted structures
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