POINT D'ANGLE

POINT D'ANGLE

 

Ces points sont très importants car souvent un point inadapté ou mal réalisé sur un angle entraine la nécrose de celui-ci, retarde la cicatrisation et amène une rançon cicatricielle plus importante.(fig.A)

Il est une variante du point de rapprochement vertical (point en U)(fig.B et C) ou horizontal (point en cadre cutanéo-dermique)(fig.D), qui ne charge que le derme au niveau de la pointe du lambeau .

Pour éviter l'ischémie qu'entraine le serrage du noeud, les deux extrémités du fil sont parfois laissées parallèles et bloquées par deux Steri-Strips®.

Une alternative est possible : un point simple est réalisé sur la pointe, à condition que celui-ci reste parfaitement superficiel et que le noeud soit peu serré .(fig.E)

Certains auteurs ne mettent aucun point sur l'angle.

Aucune note. Soyez le premier à attribuer une note !

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