Care and Handling Of Tissues.pptx Tissues

Care and Handling Of Tissues

1. Care A nd Handling Of Tissue

2. Care And Handling Of Tissue Surgery is intentional Traumatization OF tissues. The manner in which the surgical team and postsurgical caregivers manage the traumatized tissue contributes to the success and failure of the surgery. Never forget that tissues are alive ,functioning ,and very much subject to un intentional physiological and physical injury. The tissues within and around the surgical wound are at risk for injury during surgery.

3. The surgical technologist directly contribute directly to tissue care by doing the following: Understanding the nature of body tissues and how they can be injured during surgery. Provide correct instrumentation. Observing tissue for desiccation (local dehydration). Assesing the potential for patient injury by devices and instruments. Preventing incident that interrupt the flow of procedure.

4. Preparing suture ,medication , and irrigation solutions precisely. Offering wound management assistance and materials at appropriate time. Participating directly in a procedure (such as tissue retraction)as permitted by hospital policy and state practice codes. Preventing team members from learning onto the patient orplacing heavy instruments on the patient`s body

5. Controllable Factors that contribute to tissue injury include the following: Excessive bruising from too much handling or rough handling. Tissue dehydration from heat and exposure to the environment. Hemorrhage. Pooling of serous fluid as a result of inflammation and edema. Unintentional blunt , sharp, or burn injury.

6. Rough or excessive handling of tissues Rough handling of deep tissues such as bowel , blood vessels, and other delicate structure can cause extensive bruising, tissue swelling and ischemia. This result in increased inflammatory response and delayed healing. Gentle Handling of tissue and prevention of drying , heating, hemorrhage and trauma reduce inflammation and lead to faster recovery. Any physiological stress on body, including surgery cause increased release of epinephrine. This produces an increase in intravascular volume , swelling, and fluid accumulation at the site of surgically injured tissue.

7. Although actual tissue handling is the task of surgeon, the surgical technologist contribute to safe surgery by providing correct instrument and by being prepared for bleeding during dissection. The less tissue are manipulated, the less trauma results. Hemorrhage and tissue tearing can be caused by use of the wrong needle suture combination, wrong size suture or by accidental trauma.

8. If the surgeon is preparing to tie a bleeder and receive the wrong suture, he/she may have to stop, reposition the hand and wait for the correct suture. Single event may not be consequential. A series of such events has cumulative effects.

9. RETRACTION As tissue planes are dissected or opened, the surgical wound becomes increasingly deep. Retractors are placed at the wound edges to pull back the more superficial tissues and expose underlying anatomy. Retractors are divided in to two groups: Handheld Self-retaining (designed with a mechanism that holds them open)

10. Retractors are selected according to the: depth of the retracting blade by their tips overall size and weight All of these variables are considered according to the type of tissue being retracted and the depth of the wound. .

11. Retractors are passed with the tip angled down, toward the wound. Self retaining retractors with a ratchet mechanism are always passed in the fully closed position, ready for positioning in the wound . As the superficial tissues are incised, the scrub anticipates the need for deeper retraction and selects the correct retractor as requested or required . For Examples the Balfour, used in abdominal procedures and the hinged Beckman retractor used in back or hip surgery.

12. Balfour Retractot

13. Hinged Beckman Retractor