Book Title: Wound Care Nursing
Chapter 9: Reconstructive Techniques
Overview:
Refers to various types of reconstructive options, including:
- Discussion on skin grafts
- Review on flaps including pre-operative and post-operative care of flaps
- Topical negative pressure therapy
Description:
Reconstructive techniques are required in wound management if there is significant tissue loss as a result of injury or surgery. A stepwise approach is appropriate- beginning with the simplest option and working up to more complex procedures. Depending on the person, the injury, and available resources, these stepwise options including suturing, skin grafting, and a variety of skin flaps. This chapter is solely devoted to reconstructive techniques and their role in wound management.
Topics :
- Reconstructive ladder
- Suturing and wound closure
- Materials and methods
- Dressings
- Removal of sutures or staples
- Skin grafts
- Types of skin grafts
- Split-thickness skin grafts
- Full-thickness skin grafts
- Applying a graft
- Care of a graft
- ‘Taking’ of skin grafts
- Care of a donor site
- Care after healing
- Flaps
- Definition and types
- Indications
- Pre-operative care
- Post-operative care
- Topical negative pressure therapy
- Definition and uses
- Mechanism of action
- Indications
- Contraindications and precautions
- Application of TNPT
- Developments in TNPT
Speaker / Author:
Pam Morey
has been a clinical nurse consultant in wound management at Sir Charles Gairdner Hospital (Perth, Western Australia) for the past eight years. Her background includes 12 years working in plastic and orthopaedic surgery— including emergency, elective, and reconstructive surgery. She holds a certificate in stomal therapy and a postgraduate diploma in clinical specialisation. She has recently registered to practise as a nurse practitioner and is completing a master’s degree. Pam’s areas of interest include all wound types—particularly complex and challenging wounds, skin tears, leg ulcers, and pressure-ulcer prevention and management. She has been involved extensively in wound-care education within the hospital setting as part of her professional affiliations. Pam is the vice-president of the Western Australian Wound Care Association and state representative to the Australian Wound Management Association. She won the Western Australian Nursing Board Nursing Excellence awards for Metropolitan Acute Care Nurse and Nurse of the Year in 2003.
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