Monday 11 February 2013

Intro to Surgery

Hello there,
It has been quite busy here. A mix of a new fitness routine, with school, and some personal stuff.
I wanted to mention that we have been taking a course called Principles of Surgery. It is an intro class to get the second years ready for the real surgery class that is presented in third year.

We have started literally at the beginning with the basics. Gowning and gloving, suture material, suture patterns, instruments and sterilization. We also received fake abdomens and a basic suture kit so we can practice our suture techniques. Honestly, it is like hardcore sewing, but more difficult.

DASIE and Wine! Seems like a good combo
The DASIE is short for Dog Abdominal Surrogate for Instructional Excersise. They were redeveloped by a surgery prof at OVC (Dr. B. Brisson) and were donated to the members of my class this year by Boehringer Ingelheim. Please take a look at the website http://www.dasiesurgery.ca/DASIE/DASIE.html

So surgical instruments should be pretty easy don't you think?
HAHAHA
I am sure one day it will be second nature but this stuff is seriously complicated! Forceps are the worst actually. They differ only slightly and by the amount and direction of their striations.

(L) Kelly Hemostatic Forceps - (M) Crile Hemostatic Forceps - (R) Pean Hemostatic Forceps

Mosquito Hemostatic Forceps


Carmalt Hemostatic Forceps


Asepsis includes gowning, gloving, attire, draping, prepping, etc. All the "fun" stuff.
Of course I am being sarcastic. Scrubbing everyone down with chlorhexidine for 5 minutes is really not that fun, but knowing how to sterilize the surgical field and materials IS important. Nobody has time for bacterial infection!


Suture material and patterns can be a bit complicated, but again, I know that this stuff will be so not the drama in a couple years. Mostly we split suture material into absorbable (loses strength in less than 60 days) or non-absorbable (maintains strength for more than 60 days). I guess natural fibres are not very common anymore so most of the suture material we are dealing with is synthetic.
Absorbable synthetics:
Polydioxanone = PDS
Polyglecaprone 25 = Monocryl
Polyglactin 910 = Vicryl
Glycomer 631 = Biosyn
Non-absorbable synthetics:
Polyester
Polypropylene = Prolene or Surgipro
Polyamide Nylon
If you have ever worked/volunteered at a clinic you have FOR SURE seen this stuff, either being used in surgery or being removed from healed skin.

So other then that, I don't have much more to say! Actually I have lots I want to get off my chest but this is not the place. Maybe some tea with my housemates is more appropriate.

Shout outs to...
Life in Vet School: http://vetsintraining.blogspot.ca/
I drew a comic for them last week so go check that out

Fitocracy: https://www.fitocracy.com
Log workouts, meet new people, get fitspired!

Fitness Made Easy: https://www.youtube.com/user/MakeFitnessEasy
Fitspooration: http://web.stagram.com/n/fitspooration/
FightforFit: http://web.stagram.com/n/fightforfit/