Saturday, April 13
1:00 pm - 5:00 pm
017 Complex Wound Management
Director(s): Marianne E. Langlois, MS, PA-C
Faculty: Eric Ryan Butler, PA-C; Senthilkumar Radhakrishnan; Izabela Tarasiewicz, MD, FAANS
The neurosurgical advanced practice provider (APP) and junior neurosurgical residents play an important role in the management of surgical wounds in the operating room and in the outpatient clinic. This course is for the novice APP/junior resident or Medical Student who is looking to gain/improve their skills in the OR with in-depth discussion on methods of wound closure for patients undergoing both cranial and spinal procedures. Wound closure techniques in patients undergoing first-time surgical procedures will be discussed as well as techniques for closing "difficult" wounds and "re-do" procedures. Didactic lectures will be followed by a hands-on session utilizing biologic material (pig feet) to practice basic and advanced wound closure and knot-tying management of wound complications in the outpatient clinic will also be discussed, including when to refer patients for advanced wound care therapy.
- Describe the mechanism and pathophysiology of wound healing.
- Discuss wound closure techniques in neurosurgical patients with first-time cranial/spinal surgical wounds and those patients undergoing re-do procedures or with complicated wounds.
- Describe the various materials utilized in the OR to achieve excellent wound closure that include synthetic sutures, absorbables, staples, tapes and adhesive compounds.
- Describe wound complications and management strategies in postoperative patients including wound infection, CSF leakage, pseudomeningocele and failure to heal.
- Perform simple suturing and knot tying.