Points cutanéo-dermiques séparés simples

Appelés points séparés simples, ils chargent le derme et l'épiderme de façon symétrique sur chaque berge. Il faut toujours penser à la rétraction cicatricielle qui entraine une invagination de la cicatrice, donc les points doivent être absolument éversants. C'est la technique de réalisation de chaque point qui reste déterminante:

- si l'aiguille est insérée parallèlement aux berges de la plaie, la suture est parfaite initialement mais l'évolution entrainera une invagination.

- lorsque l'aiguille charge plus large en superficie qu'en profondeur, la suture est invaginée dès le départ et le sera encore plus ultérieurement .

- lorsque l'aiguille charge plus large en profondeur qu'en superficie, le point est éversant. C'est l'idéal et la cicatrice finale sera à niveau.

Les noeuds ne doivent pas être placés sur la tranche de section mais sur le côté.

Ce sont les points les plus simples et ils sont réalisables pratiquement dans toutes les situations. Leur inconvénient est la séquelle esthétique qu'ils laissent, à type d'"échelle de perroquet". Pour limiter cette conséquence, il faut penser à ne pas trop serrer les noeuds et ne pas laisser les fils en place trop lontemps.

- si l'aiguille est insérée parallèlement aux berges de la plaie, la suture est parfaite initialement mais l'évolution entrainera une invagination.

 

 

 

 

2 votes. Moyenne 2.50 sur 5.

Commentaires (32)

1. hgh (site web) 01/08/2013

Human Growth Hormone and Health; buy hgh online HGH Research Clinical Studies and Research have identified Human Growth Hormone,a hormone secreted by the pituitary gland plays in crucial in gaining muscle mass and height.

This hormone referred to as the master hormone has been in news for its unique abilities to treat chronic fatigue, fighting aging,increasing vitality,reducing fat and increasing muscle mass,increasing height,improve memory,treat depression and normalize blood pressure HGH for sale.

However, the use of synthetic HGH is regulated by the Food and Drug Administration in lieu of the potential side effects associated however there are certain dietary and food prescriptions that can enhance the natural production of HGH in the body Hygetropin .

2. darrendemers12 (site web) 16/04/2013

Express gratitude you for this blog. That's all I can say. You most decisively have made this blog into certain thing that's eye unfastening and important. You apparently understand so much about the subject, you've enclosed so many bases. large stuff from this part of the internet. afresh, express gratitude you for this blog.Thanks.
Just Visit = "');return false;" rel="nofollow" title="Link">click here , click here , click here , click here , click here

3. dresses cocktail (site web) 14/03/2013

in the Gothic style dress is Formal Evening Dresses. These online stores are run by manufacturers who sequin long dress tony tony b 2351304 dress their products directly neckline fitted evening gown cameron blake cameron blake 212683 dress the web

4. Jordan Shoes (site web) 04/03/2013

Hi,Jordan Shoes I do believe this is a great Air Jordan web site. I stumbledupon it . I will come back once again Cheap Jordan Shoes since i have book marked it.

5. coachfactory (site web) 03/12/2012

Madame Victurnien sometimes saw her passing, from her window, noticed the distress of "that creature" who, "thanks to her," had been "put back in her proper place," and congratulated herself.

6. mulberrysale (site web) 03/11/2012

Several outfits mulberry outlet appear and vanish whenever, some receive prominence and fade out while other people remain in permanence. Mulberry Alexa Bags is one such trend that has become rather permanent.

7. Broncos Jerseys Shop (site web) 16/10/2012

qwecfgdgf1016 1 When the purchaser is Authentic Broncos Jerseys when you are about the ramp Elvis Dumervil Jersey as you perform aerial.

8. New Browns Jerseys for sale 21/09/2012

ZBY020120921 Fashion's personalized Cleveland Browns Jerseys Night Out brought the retail world face to face with the most stylish fashionistas. We participated in the night's festivities in our home city of New Browns Jerseys for sale San Francisco, CA to see what

9. Dolphins Jerseys 13/09/2012

LXcon0913Use the differenceDolphins Jerseys in rate----you canAuthentic Dolphins Jerseys listen

10. retro jordan shoes[ (site web) 15/06/2012

Now Nike air jordan boots get continuously been recently the perfect promotion softball boots. Your Jordan name brand might be a relatives establish and those of all age ranges and even community strata generate thirstily for your personal establish together with the freshest supplement. Primarily these types of good results may perhaps be the result of the truth your boots, through the retro jordan shoes youngster should be the best up-to-date supplement, get frequently started using namesake, Jordan. Your web developers receive her recommendations, pastimes, and even lifestyle under consideration and even integrate these kind of opinions on the boots. Quite a few Jordans seem to be made once Jordan's cars and trucks and even much of the more recent layouts, like the en route, quite a few really think in case the Much needed oxygen Jordan set will most likely be out of date however hypothesize whereby, honoring the person, the last Much needed oxygen Jordan might be the out of date however hypothesize whereby. Regardless of arises for any exceptional Much needed oxygen Jordan set, it's rather a great reckon a name brand as well as tradition pertaining to top of the line, high-fashion softball and even boots and shoes can continue to keep for long once Much needed oxygen Jordans get out of date.
To Get More From: Christian Louboutin Outlet.

11. Christian Louboutin Pumps (site web) 15/06/2012

Louboutin sneakers along with shoes or boots are actually suitable for girls which in turn food craving with regards to in relation to fad. In case you would like to discover happening sneakers along with shoes or boots available in relation to online dating or perhaps experience sneakers along with shoes or boots in relation to contributing exercises, Holiday, fl <a href="http://www.christianlouboutinshoes8.com/christian-louboutin-wedges-c-6.html"><strong>Christian Louboutin Wedges </strong></a> available can just please a person. Zero particular person can just disregard the life-style in relation to Holiday, fl sneakers along with shoes or boots inside fad entire world. This specific well-known red wine shaded outsole and moreover your ankle joint equally designed this specific particular primary prime popular features of Holiday, fl <a href="http://www.christianlouboutinshoes8.com/christian-louboutin-pumps-c-2.html"><strong>Christian Louboutin Pumps</strong></a>. Whenever you discover just about any red wine shaded outsole you possibly can absolutely volume through which available and moreover refer to right here is the Holiday, fl Louboutin sneakers along with shoes or boots. Red wine shaded outsole is just about the a lot of company given it appeared. On the other hand, you possibly can take into account the actual sweet taste the actual Holiday, fl Louboutin sneakers along with shoes or boots present available for you. Interior of your eu together with us, numerous stars comply with this specific conditions in relation to Holiday, fl sneakers along with shoes or boots. enormous major to can certainly make a person outstanding amid loved ones along with good friends, you'll find the best way interesting you're likely to be.
To Get More From: <a href="http://christianlouboutinshoes8com.weebly.com"><strong>Christian Louboutin Outlet</strong></a>.

12. mulberry uk (site web) 10/05/2012

mulberry uk tend to be among finest style strikes associated with these days!They earn great reputation from many people.mulberry uk outlet sells goods that are constructed to meet the highest standards of quality and functionality.MB from mulberry wins the favor for durability and exquisite workmanship in making bags in the vogue field. Though the design is relatively simple.<br/>

13. louis vuitton uk (site web) 03/05/2012

They're not chosen, so one of these ideal for you. For more flexibleness a lot more like these, there are lots of discount 'shoulder' variations outlet louis vuitton uk.Designed in elegant curved shapes with perfect styles, louis vuitton handbags of this summer will undoubtedly give you a shock.They will match all your summer dresses.here to buy louis vuitton handbags uk, perfume, bags, shoes and sunglasses online?<br/>

14. hogan outlet (site web) 27/04/2012

hogan outlet The Bank of Japan, facing mountinggovernment pressure, eased monetary policy further on Friday by boosting asset purchases by 10 trillion yen ($124 billion), hogan sito ufficiale more than markets had expected, and pledging to buy longer-term government bonds in a show of resolve to pull the economy out of deflation.

15. Hogan (site web) 27/04/2012

Scarpe Hogan George Zimmerman, the former neighborhood watch volunteer who is accused of murder in the Scarpe Hogan death of unarmed teenager Trayvon Martin, has raised at least $200,000 through a website set up to fund his defense, his lawyer said on Hogan Thursday.

16. coach factory outlet (site web) 23/04/2012

No one can deny the shopping at the coach factory outlet is satisfactory. For the low prices and good quality.coach factory online outlet have watched his beloved hometown get ravaged by infected-now it's time to deliver his own brand of Southern hospitality.

17. louis vuitton outlet (site web) 23/04/2012

LV bags in the louis vuitton outlet are a feminine update on an urban classic. With plenty of room for all of your essentials this covetable carryall will take you through the weekend in style.Every louis vuitton online shop here are perfect embodiment the fusion of design and function. Artisans consummate craft in every detail.

18. coach outlet store (site web) 23/04/2012

Performed your coach outlet store, asked to choose solutions you want, encouraged explain in words it for your close friends.Coach bags enjoy high popularity throughout the world. I would like to share the coach outlet online store with you. What are you waiting for? Just come to visit.

19. coach factory online (site web) 23/04/2012

Would you like to meet more friends, or go with the times? If yes, coach factory online is opening welcome doors to you.There is no doubt that they will consider increasing the confidence coach factory online outlet support for the world. This is called a smart design and product design, with high quality export coaching has a good reputation in each buyer.

20. Howard 23/04/2012

Now there are many types of Michael Kors, they are fashionable, beautiful appearance, reliable quality
and reasonable price; so when you are according to your purpose and living habits to select a good
and stylish Michael Kors for yourself is very important from Michael Kors outlet. That can well reflect
the use of the human personality and image.

Voir plus de commentaires
Ajouter un commentaire

Vous utilisez un logiciel de type AdBlock, qui bloque le service de captchas publicitaires utilisé sur ce site. Pour pouvoir envoyer votre message, désactivez Adblock.

Créer un site gratuit avec e-monsite - Signaler un contenu illicite sur ce site