In any surgical field, the importance of suturing is self evident. In eye surgery, due to the lack of elasticity of the tissues and the influence of sutures on the visual outcome, proper microsurgical suturing technique is paramount. Inappropriate or careless suture placement and knot tying can impact visual function. If wound construction and closure are not astigmatically neutral, the visual outcome will be altered and further surgical intervention may be required. Wound related complications are more severe in the eye than in the skin. The close proximity of tissues allows for rapid spread of infection and the limited blood supply inhibits treatment. The same limited blood supply alters wound healing.
The translation of hand tying techniques, introduced in every medical school curriculum, to microsurgical instrument tying is not obvious. Essential differences exist in all aspects of ophthalmic microsurgical suturing techniques, from the use of the microscope itself to the instrumentation, tissue tactics, suture material and knot construction. The experienced surgeon shares the challenges that face surgeons in training, as they attempt to master new skills and handle more complicated cases. The role of wound closure and suturing techniques are basic building blocks for every ophthalmic surgical procedure. Breaking down the complexity of microsurgical suturing to each of the numerous components required for tissue apposition that does not alter the function of the eye or impair the surgical outcome is the goal of this text.
Expert surgeons from different specialties have contributed their time and knowledge to the creation of this text. The uniform layout with key points identified at the beginning of each chapter allows the reader to quickly locate a particular technique. The authors have made great efforts to describe each technique in a step by step fashion, so that the reader can reproduce the technique on their own. Accompanying digital video clips of surgical footage clarify and demonstrate the different techniques. Mastery of basic and advanced ophthalmic microsurgical suturing techniques will facilitate expansion of any surgeon’s armamentarium.
As ophthalmic surgery advances, a variety of skills are needed for the surgeon to stay current. This text off ers the reader ophthalmic microsurgical suturing techniques that decrease the risk of postoperative infection and result in astigmatically neutral wound closure. Equipped with the knowledge of alternative techniques, when complications arise, the reader can decrease the need for further surgical intervention and improve their surgical outcomes.
Contents
1 The Physics of Wound Closure, Including Tissue Tactics
2 Needles, Sutures, and Instruments
3 Knot-Tying Principles and Techniques
4 Microsurgical Suturing Techniques: Closure of the Cataract Wound
5 Suturing an Intraocular Lens
6 Corneal Suturing Techniques
7 Trauma Suturing Techniques
8 Iris Reconstruction
9 Sclera and Retina Suturing Techniques
10 Glaucoma Surgery Suturing Techniques
11 Amniotic Membrane Suturing Techniques
12 Strabismus
13 Refractive Surgery Suturing Techniques
14 Pterygium, Tissue Glue, and the Future of Wound Closure
Subject Index
The translation of hand tying techniques, introduced in every medical school curriculum, to microsurgical instrument tying is not obvious. Essential differences exist in all aspects of ophthalmic microsurgical suturing techniques, from the use of the microscope itself to the instrumentation, tissue tactics, suture material and knot construction. The experienced surgeon shares the challenges that face surgeons in training, as they attempt to master new skills and handle more complicated cases. The role of wound closure and suturing techniques are basic building blocks for every ophthalmic surgical procedure. Breaking down the complexity of microsurgical suturing to each of the numerous components required for tissue apposition that does not alter the function of the eye or impair the surgical outcome is the goal of this text.
Expert surgeons from different specialties have contributed their time and knowledge to the creation of this text. The uniform layout with key points identified at the beginning of each chapter allows the reader to quickly locate a particular technique. The authors have made great efforts to describe each technique in a step by step fashion, so that the reader can reproduce the technique on their own. Accompanying digital video clips of surgical footage clarify and demonstrate the different techniques. Mastery of basic and advanced ophthalmic microsurgical suturing techniques will facilitate expansion of any surgeon’s armamentarium.
As ophthalmic surgery advances, a variety of skills are needed for the surgeon to stay current. This text off ers the reader ophthalmic microsurgical suturing techniques that decrease the risk of postoperative infection and result in astigmatically neutral wound closure. Equipped with the knowledge of alternative techniques, when complications arise, the reader can decrease the need for further surgical intervention and improve their surgical outcomes.
Contents
1 The Physics of Wound Closure, Including Tissue Tactics
2 Needles, Sutures, and Instruments
3 Knot-Tying Principles and Techniques
4 Microsurgical Suturing Techniques: Closure of the Cataract Wound
5 Suturing an Intraocular Lens
6 Corneal Suturing Techniques
7 Trauma Suturing Techniques
8 Iris Reconstruction
9 Sclera and Retina Suturing Techniques
10 Glaucoma Surgery Suturing Techniques
11 Amniotic Membrane Suturing Techniques
12 Strabismus
13 Refractive Surgery Suturing Techniques
14 Pterygium, Tissue Glue, and the Future of Wound Closure
Subject Index
Book Details
- Hardcover: 163 pages
- Publisher: Springer; 1 edition
- Language: English
- ISBN-10: 3540280693
- ISBN-13: 978-3540280699
- Product Dimensions: 10.8 x 7.7 x 0.6 inches