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Wound closure and biosurgery
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Lobectomy Steps
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11 Closing the subcutaneous layer
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Advanced Stapling
Wedge Resection Steps
Transect the parenchyma
Error messages
Oozing
GORE difficulty loading
GORE bunching twisting
No buttress used
Check for air leaks
No buttress used
Competitor buttress used
Lobectomy Steps
Ligate/transect the PV & PA
Oozing
Ligate and transect the lobar bronchus
Oozing
Complete the fissure
Error messages
Oozing
GORE difficulty loading
GORE bunching twisting
No buttress used
Check for Air Leaks
No buttress used
Competitor buttress used
Segmentectomy Steps
Ligate/transect the PV & PA
Oozing
Ligate and transect the segmental bronchus
Oozing
Complete segmental planes
Error messages
Oozing
GORE difficulty loading
GORE bunching twisting
No buttress used
Check for Air Leaks
No buttress used
Competitor buttress used
Wound closure and biosurgery
Wedge Resection Steps
Transect the parenchyma
Surgeon packed
Question 02
Question 03
Question 04
Closing the fascia
The needle bent or broke
Suture broke
A non-barbed suture was used
Closing the subcutanious layer
The needle bent or broke
Competitor suture used
Standard non-barbed suture used
Lobectomy Steps
Closing the fascia
The needle bent or broke
Closing the subcutanious layer
The needle bent or broke
Competitor suture used
Standard non-barbed suture used
Return to Lobectomy Steps
11 Closing the subcutaneous layer
Surgeon needs
Wants a high tension strength suture to ensure there is adequate strength to close the fascia and withstand potential dehisence.
Wants a strong thick needle to get through the fascia.
Wants to lower the risk of SSIs.
What to look for