1 MonoMax® Knotting Workshop Nowy Tomysl 5/X/2009 Borislava Marinova Operational MKT Product...
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Transcript of 1 MonoMax® Knotting Workshop Nowy Tomysl 5/X/2009 Borislava Marinova Operational MKT Product...
![Page 1: 1 MonoMax® Knotting Workshop Nowy Tomysl 5/X/2009 Borislava Marinova Operational MKT Product Manager Emili Tost CT Training Manager.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5665b4b51a28abb57c936947/html5/thumbnails/1.jpg)
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MonoMax®
Knotting Workshop
Nowy Tomysl
5/X/2009
Borislava Marinova Operational MKT Product Manager
Emili Tost CT Training Manager
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MonoMax® Square knot vs. Granny knot
Knotting Workshop
![Page 3: 1 MonoMax® Knotting Workshop Nowy Tomysl 5/X/2009 Borislava Marinova Operational MKT Product Manager Emili Tost CT Training Manager.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5665b4b51a28abb57c936947/html5/thumbnails/3.jpg)
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MonoMax® Knotting WorkshopMonoMax® Knotting
Durante el anudado del MonoMax® es necesario evitar:
•Fricción bentre las hebras al descender las lazadas, con esto evitamos:
•Ruptura del hilo debido al aumento de la temperatura.•Curling de la lazada
La primera lazada será plana, y el descenso de las siguientes también.
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MonoMax® Capas de la pared abdominal
Knotting Workshop
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MonoMax® Uso de la sutura Loop en la pared abdominal porcina.
Metacrylate platform
Skin fixation with Dafilon
Skin
Cellular Subcutaneous
Fascia
Muscle
Pork abdominal wall: Width: 15-17 cm Length: 25-27 cm
Incision length: 18-20 cm
Incision depth: 3 cm
Knotting Workshop
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MonoMax® Paso 1- Realizar la incisión con un bisturí
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MonoMax® Paso 2-Separar la piel, la capa subcutanea de la capa muscular
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MonoMax® Step 3- Fijación de la piel
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MonoMax® 4- Dejar bordes de 1-2 cm en el extremo de la incisión
1-2 cm
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MonoMax® Step 5- Iniciar fuera de la incisión en el ángulo de incidencia de alrededor de 45 º
1.5 cm
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MonoMax® Step 5- Ubique la parte con la aguja a través de la otra parte del loop
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MonoMax® Step 6- Empiece a suturar.
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MonoMax® Suturando
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Lenght suture used=4 x wound lenght
1.5-2 cm.
1.5-2 cm.
MonoMax® Distancias requeridas desde la línea de incisión
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1 2 3
MonoMax® Tecnica Usada – Corrido de Sutura
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MonoMax® El ultimo paso
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MonoMax® Remover la aguja
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MonoMax® Cortar la sutura.
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MonoMax® El primer lazo
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MonoMax® Siguientes lazos
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MonoMax® Knotting Workshop
Las suturas al servicio de la curación de la
herida humana y el confort
postoperatorio
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MonoMax® Knotting WorkshopProduct Description Material: Poly 4-hydroxybutyrate
Diametro: comparable a PDS II
Resistencia a la tracción del nudo inicial: superior a PDS II (+10%)
50% Resistencia a la tracción inicial 12 semanas ( 90 dias)
25% Resistencia a la tracción inicial 20 semanas (140 dias)
Mass absorption Mas de un año (13 meses)
Flexibilidad 3 veces mas flexible que PDS II
Elongacion 90 % elongación posible con Monomax
Tamaño de Diametro: Primeros disponibles USP 1, 0 & 2/0
Color: Violeta
Metodo de Esterilización: EO
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MonoMax® Knotting WorkshopAbdominal wall anatomy
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Fase de cicatrización de herida
Dias despues de la lesión
Celulas implicadas en la fase
Analogy to house building Cicatrizacion de la pared abdominal
Dias
% de fuerza inicial
MonoMax®
Absorción
Dias
% de fuerza inicial
Hemostasis Inmediate
Platelets Capping off conduits
Inflammation
Day 1-4 Neutrophils Unskilled laborers to clean up the site
•Proliferation
•Granulation
•Contracture
Day 4-21
MacrophagesLymphocytesAngiocytesNeurocytesFibroblastsKeratinocytes
Supervisor CellSpecific laborers at the sitePlumberElectricianFramersRoofers and Siders
Remodeling
Day 21-2 yrs
Fibrocytes Remodelers 60 days 40%
90 days 50 %
84 days 60%
140 days 25 %
270 days 75%
180 days 0 %
Mass absortion
MonoMax® Knotting WorkshopPhases of wound healing