5. esthetic suturing final dr
TRANSCRIPT
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ESTHETIC SUTURING
dr. Wagiono Suparan, Sp.B., Sp.BP.Ahli Bedah PlastikAhli Bedah Plastik
Klinik Bedah Plastik Jl Cipaganti no 117Jl Cipaganti no 117
Bandung
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MENJAHIT LUKA ADALAHSUATU SUATU
ILMU & SENI, ART
PERLU PENGETAHUAN TENTANGPERLU PENGETAHUAN TENTANG
WOUND MANAGEMENT• WOUND MANAGEMENT• MATERI SUTURE• TECHNICAL SUTURE• WOUND HEALING• WOUND CARE
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NILAI ESTHETIK PADA BEKAS LUKA ADALAH
LUKA DENGAN SKARLUKA DENGAN SKAR YANG
HALUS TANPA BEKAS JAHITAN
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PASIEPASIEN N SELALU MENGELUH SELALU MENGELUH PADA BEKAS LUKA KARENA :PADA BEKAS LUKA KARENA :PADA BEKAS LUKA KARENA :PADA BEKAS LUKA KARENA :
BEKAS LUKA YANG BURUK:BEKAS LUKA YANG BURUK:
•• TEBAL, KELOID, MERAH. KEHITAMAN, TEBAL, KELOID, MERAH. KEHITAMAN, MEREGANG, DLLMEREGANG, DLL
•• BEKAS JAHITAN YANG MALANG MELINTANG BEKAS JAHITAN YANG MALANG MELINTANG •• BEKAS JAHITAN MENJADI SCAR ,BEKAS JAHITAN MENJADI SCAR , KELOIDKELOID, HITAM, HITAM•• KEHITAMAN KARENA ADA TRAUMATIK TATOOKEHITAMAN KARENA ADA TRAUMATIK TATOO•• KEHITAMAN KARENA ADA TRAUMATIK TATOOKEHITAMAN KARENA ADA TRAUMATIK TATOO
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DAERAH ESTHETIK PADADAERAH ESTHETIK PADA MANUSIA
• BAGIAN TUBUH YANG MENARIK WAJAH DAN LEHER• WAJAH DAN LEHER
• DADA ,BAHU DAN PUNGGUNG • PERUT • PINGGUL• PINGGUL• EXTREMITAS ATAS DAN EXTREMITAS BAWAH
KESIMPULANNYA SEMUA BAGIAN MEMILIKI NILAI ESTETIK
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TUJUAN JAHITAN ESTETIK ADALAH
BEKAS LUKA YANG HALUS
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BEKAS LUKA DAPAT DITERIMABEKAS LUKA DAPAT DITERIMA DENGAN SYARAT :
• PASIEN MENYADARI LUKA PASTI BERBEKAS
• BEKAS LUKA YANG RATA, TIDAK MENONJOL ATAU DEKOK, DAN TIDAK KELOID
• BERWARNA PUTIH, TIDAK HITAM, MERAH TUA, MERAH MUDAMERAH MUDA
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SYARATSYARAT--SYARAT MENDAPATKAN SCAR SYARAT MENDAPATKAN SCAR YANGYANG ESTHETIESTHETIKKYANG YANG ESTHETIESTHETIKK
OK !OK !1.1. WOUND WOUND MAMANAGEMENT NAGEMENT OK !OK !OK !OK !2.2. MAMATERI SUTURE TERI SUTURE OK !OK !OK !OK !3.3. TTEKNIK OPERASIEKNIK OPERASI OK !OK !OK !OK !4.4. WOUND WOUND HEHEALINGALING OK !OK !OK !OK !5.5. WOUND WOUND CARECARE OK !OK !
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SYARAT-SYARAT MENDAPATKAN SCAR YANG ESTHETIKESTHETIK
•WOUND MANAGEMEN OK !MAWOUND MANAGEMEN
• MATERIAL
OK !
MAT
• MATERIAL • TEKNIK OPERASI OK !
HeCARE
• HEALING PROSES• WOUND CARE OK !
Mnemonic : MAMAT He CARE ESTETIC SCAR
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JAHITAN BURUK
6 JAM POST TRAUMATRAUMA
RE SUTURE SUB CUTICULAR
1 TAHUN KEMUDIAN
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TRAUMATIK TATTOTRAUMATIK TATTO DEBRIDEMENT
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JAHITAN BURUK
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JAHITAN BURUKJAHITAN BURUK
• 2 HARI PASCA TRAUMA SUBCUTICULAR + STERI STRIP
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TEHNIK PENJAHITAN DASARTEHNIK PENJAHITAN DASAR• SUDAH DIAJARKAN SEJAK PENDIDIKAN
DOKTER UMUM PADA TINDAKAN BEDAHDOKTER UMUM PADA TINDAKAN BEDAH MINOR
• DIPRAKTEKKAN SEJAK DI PUSKESMAS ATAU DI RUMAH SAKIT DAERAH
• KEINGINAN UNTUK MENDAPATKAN BEKAS LUKA ESTETIKLUKA ESTETIK.
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BASIC PLASTIC SUTURE YANG DIPELAJARI ADALAH
• PEMILIHAN MATERI OPERASI
• MEMAKAI INSTRUMEN YANG BENAR
• PENGHALUSAN TEHNIK PENJAHITAN
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PEMILIHAN MATERI SUTUREPEMILIHAN MATERI SUTURE
•• UNTUK SUBCUTIS MATERIAL ABSORBLE UNTUK SUBCUTIS MATERIAL ABSORBLE TAPERTAPER
•• KULIT PAKAI NON ABSORBLE MONOFILAMENKULIT PAKAI NON ABSORBLE MONOFILAMENKULIT PAKAI NON ABSORBLE MONOFILAMEN KULIT PAKAI NON ABSORBLE MONOFILAMEN CUTTINGCUTTING NONTRAUMATIKNONTRAUMATIK
•• SUTURE NO 5 DAN NO 6 DIGUNAKAN PADA MUKA, NOSUTURE NO 5 DAN NO 6 DIGUNAKAN PADA MUKA, NOSUTURE NO 5 DAN NO 6 DIGUNAKAN PADA MUKA, NO SUTURE NO 5 DAN NO 6 DIGUNAKAN PADA MUKA, NO 3 DAN NO 4 UNTUK DAERAH LAINNYA3 DAN NO 4 UNTUK DAERAH LAINNYA
•• PENYERAPAN DEXON DAN VICRYL 90PENYERAPAN DEXON DAN VICRYL 90 -- 120120 HARIHARIPENYERAPAN DEXON DAN VICRYL 90PENYERAPAN DEXON DAN VICRYL 90 120120 HARIHARICHROMIC CATGUT 10CHROMIC CATGUT 10--14 HARI, 14 HARI,
•• PLAIN CATGUT MENIMBULKAN REAKSI JARINGAN YANG PLAIN CATGUT MENIMBULKAN REAKSI JARINGAN YANG KUAT ( JARANG DIPAKAI )KUAT ( JARANG DIPAKAI )
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LENGKUNG DAN UKURANLENGKUNG DAN UKURAN JARUM
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UKURAN JARUMU U J U
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SYARAT SUTURE YANG IDEAL IDEAL
• MUDAH DITANGANI• REAKSI MINIMAL PADA KULIT• MENCEGAH PERTUMBUHAN BAKTERI• IKATAN BENANG YANG KUAT• TIDAK MENGKERUT PAD JARINGAN• NONKAPILER NONALERGI NON• NONKAPILER, NONALERGI, NON
CARCINOGENIC, NONFEROMAGNETIKIS• ABSORBSI DENGAN REAKSI MINIMAL
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JENIS SUTUREJENIS SUTURE
MULTIFILAMENT SUTURE SILICON COATED MONOFILAMENT
Black Braided Silk Suture Polyester Braided Suture Silicon CoatedBlack Braided Silk Suture Polyester Braided Suture Silicon Coated
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HUBUNGAN BENANG DENGAN NEDLE
TRAUMATIC SEMI TRAUMATIC NON TRAUMATIC
CLOSED EYE FRENCH EYE ATRAUMATIC
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BENTUK UJUNG JARUM
TAPERTAPER CONFENTIONAL CONFENTIONAL REVERSE CUTTINGREVERSE CUTTING
TAPPER CUTTING TAPPER CUTTING BLUNTBLUNT
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HUBUNGAN NEDLE HOLDER DENGAN NEDLE DAN CARAMEMEGANG
JANGAN PADA UJUNG ATAU DAERAH POINTJARUM, MERUSAK JARUM
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TEHNIK DASAR JAHITAN YANG DIPAKAI PADA BEDAH PLASTIK
UNTUK SUBCUTIS :• MATERIDANTEHNIKJAHITAN• MATERI DAN TEHNIK JAHITAN
* ABSORBEL MULTIFILAMEN TAPER* JAHITAN SIMPEL INTERUPTED, CONTINUOUS
NON LOCKING
• TUJUAN:• TUJUAN : * MENCEGAH DEATH SPACE*MENYEBABKANKUTISNO/MINIMALTENSION MENYEBABKAN KUTIS NO / MINIMAL TENSION* TEPILUKA MENJADI EVERSI
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UNTUK SUBCUTISUNTUK SUBCUTIS
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INTERUPTED SUBCUTISINTERUPTED SUBCUTIS
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CONTINUOUS SUBCUTISCONTINUOUS SUBCUTIS
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CONTINUOUS NON LOCKING SUBCITIS
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UNTUK CUTIS
MATERI JAHITAN UNTUK CUTIS• NONABSORBEL • NONTRAUMATIC• NONTRAUMATIC • MONOFILAMEN • CUTTING• NO 5 0 ATAU 6 0• NO 5-0 ATAU 6-0
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UNTUK CUTIS
TUJUAN •NO TENSION (KUTIS DAN OPERATOR)
•APROKSIMASI YANG BAIK•APROKSIMASI YANG BAIK•TEPI LUKA SEDIKIT EVERSI
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TEHNIK JAHITAN CUTIS•SUBCUTICULAR SUTURE•SUBCUTICULAR SUTURE•SIMPLE INTERRUPTED SUTURE•MATRAS HORISONTAL SUTURE •SKIN ADHESIVESKIN ADHESIVE •STERISTRIP
TEHNIK JAHITAN LAIN BILA• TEHNIK JAHITAN LAIN BILA TERJADI SCAR YANG BURUK SULIT UNTUK MEREVISINYASULIT UNTUK MEREVISINYA
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SUBCUTICULAR SUTURESUBCUTICULAR SUTURE
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SIMPLE INTERRUPTED SUTURESIMPLE INTERRUPTED SUTURE
Jarak titik jar m ke tepi l ka 2 mm– Jarak titik jarum ke tepi luka 2 mm– Jarak antar jahitan berikunya 2 mm
T i l k S dikit i– Tepi luka Sedikit versi
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SIMPLE ITERUPTEDSIMPLE ITERUPTED SUTURE
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SIMPLE INTERUPTEDSIMPLE INTERUPTED CUTIS
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MATRAS HORISONTAL SUTUREMATRAS HORISONTAL SUTURE
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MATRAS HORISONTALMATRAS HORISONTAL SUTURE
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MATRAS HALF BURRIES ONE POINT
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SKIN ADHESIVESKIN ADHESIVE
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STERISTRIP
TIP : SETELAH JAHITAN SUBCUTIS CUTIS DAPAT DIPAKAI TENSOPLAST
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CONTINUOUS NON LOCING &CONTINUOUS NON LOCING & CONTINUOUS LOCKING
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CONTINUOUS NON LOCKING
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C Stit h H lf b i d t i tCorner Stitch - Half buried two point
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BURRIED ONE POINT IN-OUT BURRIED ONE POINT IN OUT
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Vertical matrasVertical matras
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VERTICAL MATRAS
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DRY WORKSHOP , CLIP , FILM JAHITANDRY WORKSHOP , CLIP , FILM JAHITAN, ,, ,
•• JAHITAN SUBCUTISJAHITAN SUBCUTIS•• JAHITAN SIMPEL INTERUPTEDJAHITAN SIMPEL INTERUPTED
•• JAHITAN CUTISJAHITAN CUTIS•• SIMPLE INTERRUPTED SUTURESIMPLE INTERRUPTED SUTURE
SUBCUTICULAR SUTURESUBCUTICULAR SUTURE•• SUBCUTICULAR SUTURESUBCUTICULAR SUTURE•• MATRAS HORISONTAL SUTUREMATRAS HORISONTAL SUTURE•• CONTINUOUS NON LOCKINGCONTINUOUS NON LOCKINGCONTINUOUS NON LOCKING CONTINUOUS NON LOCKING •• CONTINUOUS LOCKING CONTINUOUS LOCKING •• CORNER STICH CORNER STICH ••
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ALAT YANG DIPERLUKAN
1. MINOR SET2 SUTURE NILON 2. SUTURE NILON 3. BUSA3. BUSA3. KAIN LINEN4 PISANG JERUK4. PISANG - JERUK
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BAHAN YANG DIJAHITBAHAN YANG DIJAHITBAHAN YANG DIJAHITBAHAN YANG DIJAHIT
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DRIED WORKSHOPDRIED WORKSHOPDRIED WORKSHOP DRIED WORKSHOP SUBCUTICULARSUBCUTICULAR
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CONTINUOUS CONTINUOUS INTERLOCKINGINTERLOCKING
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CONTINUE DEEP DERMALCONTINUE DEEP DERMAL
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ANIMASI VERTICALANIMASI VERTICALANIMASI VERTICAL ANIMASI VERTICAL MATRASMATRAS
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SIMPUL REEFSIMPUL REEF
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SIMPUL ABERDEENSIMPUL ABERDEEN
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TYING KNOTSTYING KNOTS
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SIMPUL SIMPLESIMPUL SIMPLESIMPUL SIMPLE SIMPUL SIMPLE INTRUPTED SUTURINGINTRUPTED SUTURING
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TERIMA KASIH