Practical 4 Chronic inflammation and repair 1032016 Contents

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Practical 4 Chronic inflammation and repair 10/3/2016

Practical 4 Chronic inflammation and repair 10/3/2016

Contents • Slide Chronic non specific cholecystitis • Jar Chronic cholecystitis • Case study

Contents • Slide Chronic non specific cholecystitis • Jar Chronic cholecystitis • Case study Wound healing

Slide (4) Chronic non specific cholecystitis - Section in the wall of gall bladder

Slide (4) Chronic non specific cholecystitis - Section in the wall of gall bladder showing… - Partially ulcerated mucosa - Fibrosis of the wall - End arteritis obliterans - Diffuse chronic inflammatory cellular infiltrate (lymphocytes, plasma cells and macrophages)

Jar 4 Chronic cholecycstitis • • • Specimen is Gall bladder The wall is

Jar 4 Chronic cholecycstitis • • • Specimen is Gall bladder The wall is thickened by white fibrous tissue. It is contracted and smaller in size. Mucosa is rough. It contains no stones inside.

Chronic cholecycstitis Contracted G. B Thich fibrous wall Rough mucosa

Chronic cholecycstitis Contracted G. B Thich fibrous wall Rough mucosa

Chronic cholecyctitis with stone

Chronic cholecyctitis with stone

Case study 4 • A 31 -year-old woman has a laparotomy performed for removal

Case study 4 • A 31 -year-old woman has a laparotomy performed for removal of an ovarian cyst. She recovers with no complications. At the time of surgery, a 12 cm long midline abdominal incision was made.

Now answer • What type of wound healing will occur in this case? •

Now answer • What type of wound healing will occur in this case? • What are the factors that affect wound healing? • What are the complications of wound healing? • What is meant by - Proud flesh - Keloid - scar - Granulation tissue

Wound healing This wound is called…… it will heal by------- This wound is called….

Wound healing This wound is called…… it will heal by------- This wound is called…. it will heal by…. .