Incision

Barron L D, Hecht L, Bell A F and WIson G 1996 Raman optical activity an incisive probe of chirality and biomolecular structure and dynamics ICORS 96 XVth Int. Conf. on Raman Spectroscopy ed S A Asher and P B Stein (New York Wley) pp 1212-15... 

In tire preceding example, tire stmcture of tire catalyst combined witli reactants and products was detennined and tire data were used to infer a cycle. Stmctures of tire highly reactive intennediates in catalysis are generally elusive and infonnation about tliem based only on inference. In prospect, tire most incisive infonnation about tire workings of a catalyst can be obtained by observations of tire catalyst in action. The following example illustrates this... 

Gum Ghatti. Gum ghatti [9000-28-61] is an exudate Foxn.xinogeissus latifolia a tree that is found in India and Sri Lanka. The exudations are natural, but yields can be increased by making artificial incisions. The sun-dried gum is classified according to color and impurities and processed by grinding to a fine powder. 

Nonstandard and Military Matches. Because match manufacture is a series of high speed and highly mechanized operations, any variation that involves dimensional or incisive procedural changes is a significant undertaking which is only warranted if continual high production is to result. 

Placement of vascular access ports is similar to that of a long-term indwelling arterial catheter. A small incision is made over the selected vein and a second incision is made lower in the anterior chest to create a pocket to house the port. The catheter is tuimeled subcutaneously from its entry point into the vein with the tip inside the right atrium. The final position of the catheter is verified by fluoroscopy, secured with sutures, and the subcutaneous pocket is closed. The port septum is easily palpable transcutaneously, and the system may be used immediately. A surgeon typically inserts the vascular access port in an outpatient setting. 

Meniscus surgery can repair or remove the tom cartilage, depending on the nature of the tear. Arthroscopy, a procedure through small skin incisions to visualize and repair the affected joint, is frequentiy employed. This procedure is sometimes performed on an out-patient basis. If repair of the menisci is not possible the surgeon removes as tittle of the meniscus as possible. 

The principal complication for total joint replacement is infection, which may occur just in the area of the incision or more seriously deep around the prosthesis. Infections in the wound area, which may even occur years after the procedure has been performed, are usually treated with antibiotics (qv). 

Infrared spectroscopy can also be used incisively to identify the six main varieties of asbestos fibers. Specific absorption bands in the infrared spectmm can be associated with the asbestos fibers, first in the 3600 3700 cm range (specific hydroxyl bands) and, second, in the ranges 600—800 and 900 1200 cm (specific absorption bands for various siUcate minerals (10)). 

Gum arable comes from various species of Acacia. The gum exudes through cracks, injuries, and incisions in the bark and is collected by hand as dried tears. Gum arable is unique among gums because of its high solubiUty and the low viscosity and Newtonian flow of its solutions. While other gums form highly viscous solutions at 1—2% concentration, 20% solutions of gum arable resemble a thin sugar symp in body and flow properties. 

Mice are utilized for testing antiseptics for appHcation to cuts, wounds, and incisions (339). The test bacteria, type 1 pneumococcus and hemolytic streptococcus, ate appHed to the taHs of anaesthetized mice. The tip of the taH is then dipped into the antiseptic for 2 min, after which one-half inch of the taH is removed and inserted into the peritoneal cavity and the incision is closed. If after 10 days the animals survive, the product is considered satisfactory for use as a skin antiseptic. The blood of dead animals is sampled and streaked on blood agar for confirmation of infection from the test bacteria as the cause of death. Since lack of toxicity is another requirement of a product to be appHed to wounds, this test has been combined with a toxicity test (340). 

One other unique use of MTBE is a medical procedure for the removal of gallstones. This alternative to gallbladder surgery was developed at the Mayo Clinic, and takes advantage of MTBE s capabiUty to quickly dissolve cholesterol. A small incision is used to inject a small amount of MTBE direedy into the gallbladder, and the gallstone can then be removed in solution form (28). 

Some applications, such as incise drapes require loading of the PSA matrix with anti-bacterial agents. Proper selection of the monomers allows the PSA to be compatible with compounds like iodine, while maintaining the adhesion to the skin. 

Despite the universal use of sutures for wound closure, there is a need to utilize adhesives instead, because of their ease of use and the reduced risk of infection. Alkyl cyanoacrylate adhesives have been studied extensively for this use, and a significant amount of research has been performed to evaluate their interaction with living tissue [40,41 J. They have been approved for external use only, because of concerns with the fact that the polymers do not readily biodegrade and can cause inflammation around the area to which it was applied. However, these concerns are reduced for -butyl cyanoacrylate, as compared to the ethyl cyanoacrylate. There is even some evidence that their use as liquid sutures actually reduces the rate of infection around the healing wound or surgical incision [42J. 

Approved indications FDA-approved in May, 2000, as lung sealant. FDA-approved in 1998 for skin closure of external lacerations and simple incisions. Avoid high tension. FDA-approved in December, 2001, as an adjunct in vascular surgical anastomoses. 

At present there is only one commercially available tissue adhesive with approved on-label indications for skin closure. 2-Octyl-cyanoacrylate (Dermabond, Ethicon, Inc., Somerville, NJ) is presently indicated for skin closure in wounds which are not under extreme tension. This tissue adhesive is approved for topical skin application only. It is not indicated for internal use. The material is useful in closing traumatic skin lacerations [4,5] after wounds have been thoroughly cleaned as well as for minimally invasive surgical incisions and even larger surgical incisions in elective cases. The cyanoacrylate is applied while the skin... 

Fig. 1. Cyanoacrylate application to close a skin incision (aiTow points to adhesive).

Surgeons must be very careful When they take the knife Underneath their fine incisions Stirs the Culprit—Life ... 

Einschnitt, m. incision, cut, notch, groove, slot, excavation. 

Lache,/. cut, incision pool laugh, lacheln, t.i. smile, lachen, t.i. laugh. 

Schnitt, m. cut cutting, incision section intersection slice die edge (of a book) (surgical) operation crop, -band, n. (Micros.) serial section, ribbon, schnlttbearbeltbar, a. machinable. Schnitt-brenner, m. slit burner, batswing burner, -dicke, /, thickness of a slice or section. 

A crude process of extraction of urushiol from the tree Rhus vernicifera was used by the Chinese during the Chou dynasty of 1122-249 BC, and the process was systematised by the Japanese. The tree is tapped at about the 10th year of cultivation by a lateral sloping incision into the bark during June to September. The sap is white to grayish in color, but on exposure to air turns yellow-brown and then black. The crude sap contains approximately 70% urushiol, 4% gum, 2% albuminous materials, and 24% water. It is stirred and filtered and heated to reduce the moisture level [138] and finally stored in air-tight containers. 

There are, however, timber species of low natural durability which are impermeable and therefore cannot be effectively preserved. Such timbers can only be successfully used in dry situations. Likewise where preservative-treated timber is to be used in a situation of the highest hazard, long service life is best achieved by using easily treated species impregnated with a suitable preservative. Timber species that are difficult to treat can be incised to improve preservative penetration. 

Local infiltration anesthesia is die injection of a local anesthetic druginto tissues. This type of anesfliesia may be used for dental procedures, die suturing of small wounds, or making an incision into a small area, such as that required for removing a superficial piece of tissue for biopsy. 

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