Panduan Lengkap tentang Jahitan Matras Horizontal untuk Kerajinan dan DIY
Minggu, 30 Juni 2013
Tahapan Penanganan Bibir Sumbing (Cleft Lip and Palate)
Di masyarakat, khususnya daerah pedesaan, masih banyak orang yang mengabaikan bibir sumbing. Bahkan ada yang memiliki anak atau kelarga dengan bibir sumbing yang dibiarkan begitu saja sampai dewasa tanpa pernah memeriksakannya ke dokter. Hal ini disebabkan karena masih banyak yang menganggap bibir sumbing suatu aib atau kutukan, dan juga kurangnya informasi tentang bibir sumbing yang mereka dapatkan. Cleft Lip and Palate (CLP) merupakan suatu kelainan atau cacat bawaan dari lahir yang berupa celah pada bibir, gusi dan langit-langit. Pada orang awam biasa disebut bibir sumbing, walaupun terkadang celahnya bukan hanya pada bibir saja tetapi juga didapatkan pada gusi dan langit-langit.
Kelainan ini dapat terjadi karena adanya gangguan pada kehamilan trimester pertama yang mengakibatkan terganggunya proses tumbuh kembang janin. Ada beberapa faktor yang diduga dapat mengakibatkan kelainan ini, antara lain adalah obat-obatan, infeksi virus, truma, radiasi, kekurangan nutrisi serta stres pada masa kehamilan. Selain itu faktor genetik atau keturunan juga dianggap memegang peranan penting.
Catatan Dunia Medis
Pernahkah anda atau keluarga anda mengalami luka bakar? Lalu tindakan apa yang anda lakukan? Mengoleskan odol atau kecap? Bukan hanya pada peristiwa kebakaran, luka bakar dalam kehidupan rumah tangga biasa terjadi karena tersiram air panas atau minyak panas, terkena knalpot atau peralatan masak yang panas, tersetrum listrik, dan lain-lain. Menurut data statistik, 60% luka bakar terjadi karena kecelakaan rumah tangga, dan kebanyakan terjadi kesalahan pada penanganan awal luka bakar yang justru memperparah luka bakar itu sendiri. Hal tersebut sering terjadi karena panik dan beredarnya mitos-mitos yang salah di masyarakat mengenai penanganan luka bakar.
Vertical Mattress Suture
The main indication for use of vertical mattress sutures is to evert the skin edges. 1 – 8 By incorporating a large amount of tissue within the passage of the suture loops, the technique permits greater closure strength and better distribution of wound tension. 1 , 3 The vertical mattress suture is commonly used in body sites where the wound edges tend to invert, such as the posterior neck or wounds that occur on a concave surface. Some authors believe that a properly placed vertical mattress suture everts wound edges better than any other suture technique. 5
The vertical mattress suture uses the far-far, near-near system (Figure 1). The far-far suture placement passes 4 to 8 mm from the wound edge, fairly deep in the wound below the dermis. 1 Prior undermining of the wound edges facilitates the placement of the sutures. Following the far-far passage of the needle across both sides of the wound, and before the suture is tied, the needle is placed backwards in the needle driver. The near-near placement occurs at a shallow depth (about 1 mm) and should be in the upper dermis. The near-near placement should be within 1 to 2 mm of the wound edge. Following the near-near passage of the needle, both ends of the suture thread should be tied on one side of the wound. These ends are tied so that the knot is on the side where the suture passage began.
The choice of suture material also influences scar formation, because materials with a large diameter (2-0 or 3-0 absorbable) produce greater skin injury than small-caliber (5-0 or 6-0) suture material. 1 Early removal of sutures can minimize the effect of cross-hatching, but care must be taken to prevent the wound from opening (wound dehiscence). Mattress sutures can be alternated with simple interrupted sutures, in this case, the mattress sutures can be removed first.
Jahitan matras horizontal
Am Fam Physician. 2002,66(12):2231-2236
The interrupted vertical and horizontal mattress suture techniques are two of the most commonly used skin closure methods. These mattress sutures promote wound edge eversion and less prominent scarring. Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wound edges have to be brought together over a distance. The corner stitch, a variation of the horizontal mattress suture, is commonly used for closure of angled skin flaps or wounds. Although mattress sutures can produce surface scarring or “railroad marks,” early removal of these sutures can limit this damage.
The interrupted horizontal and vertical mattress suture techniques are two of the most commonly used skin closure methods. 1 – 3 These techniques provide many advantages, including the closure of wounds under tension when wound edges must be brought together over a distance. Mattress sutures are often performed as the anchoring stitch for skin flap closure. 1 Mattress suture techniques also promote skin edge eversion. 1 – 8 Because scars tend to retract over time, eversion of the wound edges at the time of closure promotes less prominent scarring. Eversion produced by the mattress sutures is valuable when closing sites with edges that tend to roll under, such as on the posterior neck or in the groin.
The techniques, indications, and pitfalls related to the standard mattress sutures are demonstrated in this article. One variation of the horizontal mattress suture, the half-buried horizontal mattress or corner stitch, is included because of its great usefulness in office closures. All of the suture techniques discussed in this article make use of nonabsorbable suture material. 1 , 4
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