Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
124 Cards in this Set
- Front
- Back
- 3rd side (hint)
Scar formation of the abdominal viscera |
Adhesion |
|
|
Surgical creation of an opening between two blood vessels hollow organs or ducts |
Anastomosis the amount of force or stress and suture can withstand before breaking |
Tensile strength |
|
Also called blood salvaging. A method of retrieving blood lost at the operative site replacing it and infusing it back to the patient |
Autotransfusion |
|
|
Suture material that is broken down and metabolized by the body |
Absorbable suture |
|
|
The ability of suture material to absorb fluid |
Capillary action |
|
|
Scar tissue that lacks flexibility causing constriction and pain |
Contracture |
|
|
Chemical or mechanical removal of necrotic or non-viable tissue and foreign bodies after infection or trauma |
Debridement |
|
|
Separation of the edges of a surgical wound during healing |
Dehiscence |
|
|
The protrusion of abdominal viscera through a wound or surgical incision |
Evisceration |
|
|
The complication of wound infection in which one or more hollow skin line tracks form at the wound site and continue to drane lots of fluid |
Fistula |
|
|
A blood filled space in tissue the result of bleeding vessel |
Hematoma |
|
|
Substance applied to bleeding tissue in order to enhance clotting |
Hemostatic agent |
|
|
Causing little or no reaction in tissue or with other materials |
Inert |
|
|
A technique of bringing tissue together by placing individual sutures close together |
Interrupted suture |
|
|
Good place a loop or tie around a blood vessel or duct |
Ligate |
|
|
Suture material that resists breakdown in the body |
Non-absorbent suture |
|
|
The wound healing process after a clean surgical repair |
Primary intention |
|
|
A method ot suturing that uses one continuous future strand for tissue approximation |
Running suture |
|
|
The area of an atramatic suture where the suture strand is fused to the needle |
Swage |
|
|
Accenture needle that has a round body that tapers to a sharp point |
Tapered needle |
|
|
The loop that forms a knot |
Throw |
|
|
A strand of suture material attached to the tip of an instrument |
a tie on a passer |
|
|
Tissue used to cover large defects in the skin |
Wound cover |
|
|
Any type of tissue replacement or device placed in the body |
Implant |
|
|
Tissue graft derived from human tissue |
Allograft |
|
|
Graft taken from pig tissue |
Porcine graft |
|
|
Tissue obtained from the patient's body and implanted in another site |
Autograph |
|
|
Migration of epithelial cells into the wound during healing |
Epithelialization |
|
|
A graft taken from a species different from that of the patient |
Xenograft |
|
|
When applied to using tissue this product combines with fibrogen to promote coagulation |
Thrombin |
|
|
This product is used on bleeding bone |
Bone wax |
|
|
This product may be soaked in normal saline or topical thrombin or used in dry form |
Absorbable gelatin |
|
|
The brand name of this product is surgicel |
Oxidized cellulose |
Thrombin |
|
This product is never injected into the blood vessels |
Bone wax |
|
|
When applied to tissue this product absorbs blood quickly and forms a artificial clot |
Absorbable gelatin |
|
|
This product is available in squares that are cut to size as needed |
Oxidized cellulose |
|
|
This unused pieces of this product may be kept away from the surgical wound |
Absorbable gelatin |
|
|
The brand name of this product is avitene |
Collagen absorbable hemostat |
|
|
This product is available in mesh |
Oxidized cellulose |
|
|
This powder is applied directly to an oozing surface or mixed with injectable isotonic saline for use as a spray or for soaking hemostatic sponges |
Thrombin |
|
|
This product must be warm slightly before use |
Bone wax |
|
|
Conserving the bodies total blood volume necessary for life is called |
Hemostasis |
|
|
Uncontrolled losing or insecure hemostasis can lead to a hematoma |
What is the largest type |
Number 1 ethibond |
|
The physical characteristics of a suture are |
Size |
|
|
Which suture type is absorbed rapidly in the presence of infection and is not used in contaminated wounds |
Chromic |
|
|
A wound that is not secured and must heal from the base is healing by |
Secondary intention |
|
|
The first phase of wound healing |
Inflammatory phase |
|
|
Is a type of running suture used for cosmetic closure and in patients. The technique brings the skin at this together and close approximation and no suture material is visible from the outside |
Subcuticular suture |
|
|
Is a special continuous suture technique for closing the end of a tubular structure such as the appendix is the most common application |
Purse string suture |
|
|
Provides added strength to way running suture line. As the needle is passed through each side of the wound edges it is passed underneath one loop |
Locking suture |
|
|
One suture needle combination is provided per pack |
Suture needle combination |
|
|
One suture package contains multiple pre-cut strands of suture |
Multiple suture strand |
|
|
Needle size is measured by |
The diameter of the shaft and dimension from tip to eye |
|
|
The suture is manufactured through patented recombinant DNA technology. |
Biopolymer |
|
|
Is derived from fibers produced by the silkworm. Is soft and pliable and has excellent tensile strength. |
Silk suture |
|
|
This suture type causes little or no the reaction that passes very easily through delicate issues of ir blood vessels. It is used when long-term strength is not required . |
Nylon suture |
|
|
The suture is extremely strong easy to handle and relatively inert to tissue. It is available coated or uncoated. The coded form is widely used for cardiovascular surgery that specially when graphs are needed because of its strength and size to ratio |
Polyester suture |
|
|
Is an extremely and inert monofilament suture. Its smooth surface makes it popular for plastic,ophthalmic, and vascular surgery. Because of its high tensile strength it is used for retention sutures particularly in abdominal wall closure |
Polypropylene |
|
|
Is the strongest of all suture materials. It is widely used in the approximation of bone and other connective tissue |
Stainless steel suture |
|
|
The surgical incision including all tissues from the most superficial to the deepest is called |
Surgical wound |
|
|
Halsteads principles of surgery |
Handle tissues gently, control bleeding as efficiently as possible, preserve blood supply, observe strict as septic technique, minimize tissue tension, eliminate dead space |
|
|
Excessive or rough handling of Bowel tissue can cause a sympathetic nerve response called |
Paralytic ileus |
|
|
Is used when the surgeon ask for it and whenever tissues appear to be dehydrated. Signs of dehydration in a turtle tissues are surface dullness loss of surface elasticity and tissue frame |
.9% saline |
|
|
This is used for large wound irrigation |
Acepto or bulb syringe |
|
|
When large amounts of saline or required such as during orthopedic procedures or surgery of major body cavities this is used for suction |
Yankauersuction or poole suction |
|
|
Irrigation during eye procedures it is crucial maintaining the |
Cornea |
|
|
Are used for hemeostasis and a variety of other purposes. They maintain a dry run by soaking up blood and fluids |
Surgical sponges |
|
|
Is a large square or loosely woven gauze folded into a4 inch square pad. Is always mounted on sponge forceps |
4x4 or |
|
|
Is used in major surgery including procedures in which the abdominal or thracic cavity is open during major orthopedic surgery and in procedures in which large blood vessels are encountered |
Laparotomy sponge or lap sponge |
|
|
Is a small round or oval sponge covered with gauze. Is always mounted on a clamp and is used to separate or dissect tissue |
A sponge dissector also called a peanut |
|
|
Covered with gauze and has a string attached for retrieval. This sponge is commonly used in throat surgery and often is used to control bleeding in the tonsillitis fosse after tonsillectomy |
Round sponge |
|
|
Is specially manufactured to resist shredding and is commonly used in neurosurgery procedures especially around fragile brain and spinal cord tissue |
Surgical cotton balls |
|
|
Is a compressed square of synthetic or cotton material with a string attached. Are available in many sizes and are used during neurosurgical ear and vascular procedures |
Flat sponges |
|
|
The physical structures of a suture and its size |
Physical characteristics |
|
|
The amount of tension a length of suture withstand before breaking |
Tensile strength |
|
|
The ability for a suitor to take up fluid |
Fluid absorption |
|
|
The amount of force a knot can withstand before slipping or breaking |
Knot strength |
|
|
The ability of a suture to return and maintain its original shape |
Memory |
|
|
The ability to withstand bending and crimping without breaking and maintain the new shape after it is untied or maintain the configuration of the knot |
Plasticity |
|
|
The effect of tissue on the suture its resistance to breakdown and absorption into the body |
Absorption quality |
|
|
The effect of suture on tissue |
Bioactivity |
|
|
The chemical molecular or elemental makeup and origin of the substance used to manufacture a suture |
Composition |
|
|
A suture with a single continuous fiber made of polymer chemical made by extrusion and stretching the material |
Monofilament |
|
|
A suture with many filaments that together form one strand of suture |
Multifilament |
|
|
Two types of multifilament are |
Twisted and braided |
|
|
Sutures made of multifilament strands absorb moisture and hold body fluids. This is called |
Capillary action |
|
|
Are made from high quality steel alloy or titanium. |
Surgical needles |
|
|
Needle size is measured by |
The diameter of the shaft and the dimension from tip to eye |
|
|
A surgical needle that has a round shaft with a blunt tip. It does not puncture the tissue but rather slides between tissue fibers |
A blunt needle |
|
|
A surgical needle that has a round body that tapers to a sharp point. It punctured tissue making an opening for the body of the needle to follow |
Tapered needle |
|
|
Are needles used for fibrous connective tissue such as the skin joint capsule and tendon |
Cutting needle |
|
|
Curved suture needles are mounted on a |
Needle holder or needle driver |
|
|
A tissue graft derived from human tissue |
Allograft |
|
|
Tissue obtained from the patient's body and implanted in another site such as bone graft taken from hip |
Autologous autograph |
|
|
Tissue graft of beef origin |
Bovine graft |
|
|
The migration of epithelial cells into the wound during healing |
Epithelialization |
|
|
Graph taken from pig tissue |
Porcine graft |
|
|
Tissue used to cover large defects in the skin usually as result of burns trauma or infection |
Wound cover |
|
|
A graph derived from animal or synthetic source |
Xenograft |
|
|
Is from the human placenta and can be used as a biological dressing for burns skin ulcers and infected wounds |
Amniotic membrane |
|
|
Is a biosynthetic dressing made up of silicon film in which nylon fabric is partially embedded |
Biobrane |
|
|
Is temporary skin substitute derived from human fibroblasts |
Transcyte |
|
|
Are used for structural support and to stimulate new bone growth in a defect caused by trauma or congenital and anomaly |
Bone graft |
|
|
Bone graft made from the patient's body |
Autologous graft |
|
|
Graph made from nonliving cadaver bone |
Allogeneic graft |
|
|
A process material made from college in protein and growth factors |
Demoralized bone matrix |
|
|
Is a synthetic bone cement used to secure prosthetic implants into the phone and for remodeling during cranioplasty |
Methylmethacrylate |
|
|
Creates a passage from the tissue inside the wound to the outside of the body. These are used when drainage is minimal |
Passive drain |
|
|
Pulls serum and blood from the wound by a negative pressure device |
Suction drains |
|
|
Is used to pull fluid or air from the thoracic cavity after thoracic surgery or trauma to the thorax |
Water seal drainage system |
|
|
Is used to collect body fluids following stoma surgery in which an artificial orifice to the outside of the body is created surgically |
Stoma pouch |
|
|
A dressing generally made with loose gauze fabric. |
Flat dressings |
|
|
Is used in a cavity such as the nose or open wound. Is available then a long thin strip and packaged in a bottle or similar container |
Gauze packing |
|
|
Are used to approximate small incisions and protect the wound. Themes dressings are used for minor wounds and minor surgery |
Steri strips |
|
|
Is a dressing most often used over a skin graft to provide pressure |
Pressure dressing |
|
|
R dressings used to prevent or limit movement of the surgical wound during healing |
Support dressing |
|
|
A surgical wound that is sutured together heals by |
Primary intention |
|
|
A process in which an infected or contaminated wound is treated and the wound space is packed to prevent serum accumulation and protect it against environmental exposure |
Third intention healing |
|
|
A collection of serous fluid that the valves in the wound during healing |
Seroma |
|
|
This stage of healing begins as soon as tissue is injured |
Inflammatory phase |
|
|
First phase of healing begins about day four or five and continues for approximately two weeks. During this phase fibroblasts synthesize collagen and other cell matrices |
Proliferative phase |
|
|
The last stage of wound repair begins after about 3 weeks. During this phase which last 22 days to one year the collagen is continuously replaced and absorbed in stress areas |
Remodeling |
|
|
Conditions that affect healing |
Immune system, chronic disease, nutrition, obesity, age, surgical technique |
|
|
Exude or discharge containing serum and blood |
Serosanguineos |
|