By C. Max Lang D.V.M. (auth.)
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The choice of pattern should be based on three criteria: (1) Will it hold the tissues in the required position without undue tension? (2) Does it distribute tension on the suture material and tissue in such a manner as not to exceed the tensile strength of the suture material? (3) Does it require a minimal amount of suture material? A. Removal of sutures Removal of exposed sutures should be done some time between the fourth and the fourteenth postoperative day, depending on ( 1) the extent of the wound, (2) evidence of infection, and (3) the physical stress to which the wound may be subjected.
When delicate suturing is being done, it is better to thread the needle only once, in order to reduce the size of the knot. In this case, the surgeon must pull on the thread and not on the needle to make the suture taut. 27 C. Max Lang and Carole A. Mancuso A B c Fig. 15. Proper method of holding a curved needle and threading it from the inside. 28 2. Instruments and Sutures A B c Fig. 16. Double-threading a needle. III. Suturing (Figs. 17-19) Good apposition of tissues is dependent on choosing the right suture material, needle, and pattern and then using them properly.
It should be remembered, however, that a few hundred milliliters of commercially prepared carbohydrate, or protein solution do not come close to fulfilling an animal's nutritional reguirements. Such solutions should be used only to support the animal for a short time, until other forms of nutrition can be administered by stomach tube or until the animal starts eating. The carbohydrate most commonly used for parenteral feeding is glucose. Glucose provides approximately 4 Cal per gram. , glucose is oxidized by the body to yield energy, converted to glycogen for later use, or converted to body fat.
Animal Physiologic Surgery by C. Max Lang D.V.M. (auth.)