What is the primary goal of surgical intervention?
To cure the disease
To offer a cure or correction of a disease, condition or illness
stop suffering
clear up all infections present
A surgical complication that is acquired during the course of the patients health care and may be due to break in sterile technique is known as?
Hemorrhage
respiratory distress
cardiac arrest
infection
Define Dissection?
to cut across
to cut out or cut off a portion or an organ
the connection of two tubular structures
separation and cutting of tissue
Define resection?
cutting across the skin longitudinally
to cut off or cut out a portion or organ
to cut diagonally
Which of the following is cause for surgical intervention?
trauma
psychological state
tumors
all of the above
The letters CCCT stand for?
OR personal conduct
imaging machine
resection concept
cut center carry tie
With the resection concept, blood vessels may be ligated with all of the following except?
tie on passer
stick tie
clips
rubber bands
Irrigation fluids are used during surgery for all of the following reasons except?
the addition of antibiotics
wash away debris
reduce the amount of irritants left behind from the gloves
kill infections bugs with hot water
What is the different between a permanent specimen and a frozen section?
permanent specimen is a tissue sample taken that can be sent off the hospital grounds for further analysis
frozen section is a tissue sample that needs to be sent off grounds
permanent specimen is a tissue sample that needs to be sent to pathology
frozen section is a tissue sample taken that needs to be sent to pathology for quick processing
When resecting an organ what are the three main types of support structures to resect?
ligaments and tendons
connective tissue
arteries and veins
lymphnodes
ducts
What are the two groups of major sources of infection?
patient skin
endogenous
staff
environmental
coughing
sneezing
List the three main factors that can increase the risk of SSI?
diabetes
obesity
blood type
general health
age
appearance
intelligence
The following are three different tissues involved in support systems, name each. 1.connects an organ to the abdominal wall 2,parietal or visceral 3.supports and connects other tissues and organs
tendonds
paritoneum
vascular tissue
abdominal wall
ligaments
A tumor that is rapidly growing and has spread to distant sites is referred to as
Define blunt dissection?
using instruments to resect tissue
moving tissue to make room for instruments
is used to separate tissue without cutting
is used to separate tissue with cutting
List two items or things that can be used for blunt dissection?
knife
fingers
scalpel
forceps
List four categories of surgery. Explain each in detail and give 1 example of each
preventative surgery is used to combat disease; hysterectomy
laparoscopic surgery is an incision to begin surgery; laparoscopic
restorative surgery is to regain a patients health and strength; hip arthroplasty
Palliative surgery relives without curing;bowel obstruction from cancer
Diagnostic surgery is their to diagnose a problem; diagnostic laparotomy
prophylactic is a preventative surgery such as mastectomy
Why is an Axillary Lymph node dissection performed during an mastectomy?
The lymph node is dissected to check internals for pathology
The lymph node is dissected to see inside better
The lymph node is dissected to see if disease has spread
The lymph node is dissected to find out if cancer has spread to that lymph node.
List three specific items/instruments the surgeon can use during sharp dissection?
sissors
instruments
cautery
List two reasons a wound drain is utilized at the end of a procedure?
add fluid to a wound
add air into wound for healing
prevents necrosis
remove bacteria from wound
to remove dead space for infection fluids to collect
Explain how V.A.C therapy works and list two benefits?
VAC therapy uses negative pressure unlike passive draining that used gravity. It can remove bacteria and promote granulation
VAC therapy uses positive pressure unlike passive draining that used gravity. It can remove infection material and promote granulation
VAC therapy uses negative pressure unlike passive draining that used gravity. It can remove infection material and promote granulation.
Pulmonary Embolism is an example of what surgical complication?
repository distress
breathing to heavily
lungs converting to much oxygen over saturating the blood
Give two examples of procedural mishap?
forgetting name of patient
burn from cautery machine
sponge left in patient
patient getting angry with staff
The surgical removal of s small portion of tumor which is studied under a microscope for malignancy is ?
A type of drain used to re-infuse blood back into the patient is ?
What is the purpose of performing a wide excision?
a small area of tissue is removed around the cancer to prevent any further spreading of cancerous tissue that may have been left in the area.
a large area of tissue is removed around the cancer to remove healthy skin for prevention
a large area of cancerous tissue is removed for biopsy
a large area of tissue is removed around the cancer to prevent any further spreading of cancerous tissue that may have been left in the area.
Explain in detail three steps of Lymph Node Protocol?
specimen is to be wrapped in gauze and moistened with sterile saline
will be given to sterile processing for further analysis
should be placed on the sterile container on sterile field by CST with lid.
lymph nodes checked for consistency
will be handed of to circulating nurse to be sent for testing
What are two different categories of drains? Give examples of each.
passive drains; penrose drain
active drains; VAC drain
contamination drains; disposable MAT drain
procedural drains; wilkonson drain
active/passive drains; hazmat drain
what is an indication for the use if Prevena Wound Management System and list two procedures used?
An indication would be hernias. Used with c-sections and sternotomy.
An indication would be labotomies. Used with c-sections and sternotomy.
An indication would be hematomas. Used with c-sections and sternotomy.
A type of procedure that would be used with a Pleur-Evac is ?
How does a Pleur-Evac work and what position should it be maintained?
Is a chest drainage system to add air and fluids in the thoracic cavity. Must be maintained below the thoracic cavity.
Is a chest drainage system to evacuate air and fluids in the thoracic cavity. Must be maintained above the thoracic cavity.
Is a chest drainage system to evacuate air and fluids in the thoracic cavity. Must be maintained below the thoracic cavity.
When an organ is removed its called an ?
When drooping tissue is returned to its normal position suspension/fixation its called ?
To fuse something together, to make it strong. Bind/fix is called ?
To rid the patient of stones is called ?
Using a lens to see inside a cavity is ?
To surgically reconstruct or redesign is ?
To make a hole or puncture is ?
To repair or fix a weakened defect using suture is ?
To make an opening or incision is ?
To create a new opening for drainage is ?
