Minor surgery

Dr Alan Shortt

52 Minor Surgery Logistics

Minor surgery consent form

Name of patient ………………… Date ………………

The following issues have been discussed:

The nature of the procedure has been explained, including the anaesthetic technique, type of wound, stitches and aftercare.
Allergies including dressings and antibiotics?………………….
Potential risks e.g., scar, keloid scarring, bleeding, bruising and wound infection.

Follow up of any samples sent to the lab …………………………

Instructions given to care for the wound and avoid unwanted early openings which will result in unwanted cosmetic result and wound infection.

Time for the removal of the stitches (if applicable) = …………… days

Procedure…………………………………………… GP

Signature………………………

I…………………………………………………(print name) consent to the minor surgical procedure as described to me by my doctor. I have read and understood the information detailed above and understand fully the reasons for the procedure.

Signed…………………………………… Date……………………………

Minor Surgery Instruments

Local anaesthesia

Use plain lignocaine preferably 1% solution.

NEVER use Lignocaine/ Adrenaline solution in wounds of the nose, ear, finger etc. as it may result in ischaemia.

Lignocaine maximum dose 3mg/K.g = 20mls 1% for 70kg adult. Use digital nerve block for finger wounds Not direct wound infiltration

Sutures and suturing

Wound management

Wound assessment is more important than wound closure.
Record your findings accurately, paying attention to the function and integrity of underlying tendons, vessels and nerves.
Clean the wound thoroughly and inspect for underlying damage and for retained foreign bodies. Glass almost always shows providing the correct views have been obtained.

Wound closure

Monofilament nylon for most wounds.
Where deep closure is necessary Catgut or Vicryl.
Use one of these absorbable sutures also in mucous membrane
Consider staple closure for scalp wounds and Histoacryl adhesive for superficial wounds particularly in children.

After cleaning decide
• Clean ?
• Contaminated ?
• Dirty ?

Clean wounds should be closed. If you are unhappy about potentially contaminated wounds they may be left for Delayed primary Closure after 48 hours, when the risk of infection has passed or you may choose immediate primary closure if you are happy with the cleansing. Dirty wounds should not be closed since they are likely to become infected. These may be closed after 48 hours if clean at that time, or left to granulate.

Sutures
Face 6/0 Ethilon Remove @ day 5
Hand 5/0 Ethilon day 7
Arm 4/0 Ethilon day 7
Others 3/0 or 4/0 day 7
Extensor aspects joints day 10

52

Minor Surgery Logistics

Minor surgery consent form

Minor Surgery Instruments

Local anaesthesia

Sutures and suturing

Wound management

Wound closure

Langers Lines

Plastic and cosmetic surgery

Lipoma

hacking-medschool/sebacious-cyst

Pilar Cysts

Pyogenic Granuloma

Skin Tags

License

Share This Book