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http://www.PreOp.com & http://PostCare.com Patient Education Company Your doctor has recommended that you undergo surgery to repair your ruptured Achilles tendon. But what does that actually mean? Your Achilles tendon is the connection between the heel and the most powerful muscle group in the body. It is the strongest, largest and thickest tendon in the body. It begins in the mid-leg and descends to the heel. Unfortunately, the Achilles tendon is extremely susceptible to acute and chronic injury because of the demands it withstands. When it ruptures, patients feel a "pop" and may feel that they've been struck from behind. This is often followed by weakness and pain. Patient Education Company On the day of your operation, you will be asked to put on a surgical gown. You may receive a sedative by mouth and an intravenous line may be put in. You will then be transferred to the operating table, where you'll be placed in a prone position, with your leg supported. In the operating room, the anesthesiologist will begin to administer anesthesia - either general or regional. The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made place a sterile drape around the operative site. After allowing a few minutes for the anesthetic to take effect an incision will be made in the long axis of the ankle over the injured tendon. The incision is carried down through the skin, exposing the underlying tendon sheath. The sheath is then opened to reveal the tendon itself and the contained damaged Achilles tendon. The damaged portion of the tendon is then cut away, taking as little tissue as possible, but cutting back to strong, viable tendon fibers. The surgeon weaves sutures through the tendon fibers in a pattern designed to hold with good strength. Then the two tendon ends are pulled into contact and tied securely. Finally, the incisions are closed with sutures. After sterile dressings are applied, a well-padded splint will be fitted. Patient Education Company Germs are present always on your hands and they can be transferred to: other parts of your own body, to the family member for whom you are caring your patient and to any clean object that you touch. By washing your hands correctly: you remove germs from your hands. Handwashing is the single most important way you can prevent infection from occurring and prevent the spread of infection. You must carefully wash and dry your hands: Before and after each time you care for your family member or your patient. Before and after you handle your patient's and your own food and drink. Before and after you manipulate any contact lenses. Before you apply and after you remove gloves After you use the toilet. After you cough, sneeze or blow your nose. After contact with anything that could be soiled or have germs on it. After you pick up any object from the floor Handwashing takes a minimum of 10-15 seconds, longer if your hands are soiled. The longer you wash, the more germs are removed. The friction generated by rubbing your hands together removes the germs from your skin and running water can then wash them away Every time you wash your hands, take your time and don't rush. Do the handwashing carefully and thoroughly. Patient Education Company Wound Care - he first step is to remove the old dressing Loosen the edges of the tapes and peel the tapes off the skin by pulling them towards the wound, keeping the skin taut with the other hand Lift the tapes and the dressing off together. Note any odor and the color of any drainage on the dressing. Discard the dressing and tapes into the plastic bag If the dressing sticks to the wound, pour a little cleansing solution onto the dressing and let it sit for a minute. Gently pull the dressing off, keeping the skin taut above the wound Look carefully at the wound. Any of the following should be reported immediately to your doctor or nurse: redness of the wound or surrounding skin drainage from the wound, particularly if it's yellow and smells any bleeding swelling of the skin around the wound separation of the edges of a sutured wound or maceration, a waterlogged appearance of the edges of the wound.