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Dr.Schumann,an older surgeon who was educated in Germany,explains his justification for his suture choice to the new perioperative nurse in the scrub role.He prefers to suture his intestinal anastomosis with a suture that has multiple filaments braided together because it ties well and holds the knot,which tightens when the thread absorbs the tissue fluids.He also needs a strand that is easy to see and only needs to retain its tensile strength for about 1 year,at which time the intestinal junction will be healed,even though this suture is considered nonabsorbable.He will ask the nurse for a 24-inch 4-0:
Sakel
Refers to Manfred Sakel, a psychiatrist known for introducing insulin coma therapy as a treatment for schizophrenia in the 1930s.
Induce Coma
A medically induced state of deep unconsciousness used to protect the brain during major medical procedures or in response to severe illness.
Schizophrenia
A chronic and severe mental disorder affecting how a person thinks, feels, and behaves, leading to psychotic symptoms such as hallucinations and delusions.
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