ANATOMICAL DISSECTION II Flashcards

1
Q

commonly employed incision?

A

linear
transverse
elliptical
serpentine

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2
Q

when doing retraction of skin, what should this be like?

should blood vessels be retracted?

A

gentle
dont stretch the skin

yes, if not, than clamped, cauterized or tied

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3
Q

what lumen size of any vessel should be tied?

A

2 mm

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4
Q

T/F, hysteria is not a useful quality in the control of bleeding?

A

T

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5
Q

how should nerves be treated in the trauma of surgery?

tendons?

A

retracted and protected from trauma

retracted too, you may have to free them from surrounding soft tissue

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6
Q

the solution to pollution (bleeding) is?

can you use epi, H2O2?

A

dilution

yes

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7
Q

how do you remove a dog ear?

A

cut toward the redundant skin and then pull and cut away excess

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8
Q

the most important consideration of wound closure is?

A

eliminate the dead space***

approx like tissues

avoid tension

take equal bites of skin

increase length of time for healing

leads to displeasing scars through skin tension

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9
Q

why is excessive eschar bad?

A

it inhibits wound repair

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10
Q

what is the effect of open dead spaces?

how do we fix these?

A

creates hematoma or seroma as excellent media for bacterial growth inhibiting primary wound healing (prolongs inflammatory phase)

surgical drains

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11
Q

surgical drains decreases what?

it increases?

A

infection
necrosis
fibrosis

wound healing
neovascularizatiom

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12
Q

surgical drainage is not?

A

a replacement for good surgical technique

a substitute for meticulous hemostasis

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13
Q

what are the advantages of surgical drains?

A

decreases:

pain
fibrosis
infection risk
wound dehiscence
tissue necrosis
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14
Q

what are the disadvantages of surgical drains?

A
secondary infection risk
needs monitoring and removal
needs bandage/cast mod
breakage/damage to unit
drainage equipment failure
reaction to catheter
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15
Q

what are the indications for surgical drains?

A
skin flaps
tumor resection
pain metatarsal/head resection
heel spur surgery
rear foot osteotomes
rear foot/ankle fusions
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