ch 11 Flashcards
Which wound classification would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy?
class 2
A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way and tight during a continuous running closure is by
following
Evisceration of an abdominal wound is:
protusion of viscera through all tissue layers
All of the following are techniques for eliminating dead space in a wound EXCEPT
electrical nerve stimulation
Which of the following types of vessel loops are NOT available for use?
green color for bile ducts
Which statement is CORRECT regarding monofilament sutures?
They may be used in infected wounds
Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular for anastomosis?
polypropylene (Prolene)
Which suturing technique would be used to close the stump of the appendix in an open appendectomy?
purse-string
Another name for a suture ligature with a needle attached is a:
stick tie
Which of the following wounds would be assigned a Class I?
inguinal hernia repair with no breaks in technique
Which of the following is an example of acceptable and safe intraoperative autotransfusion blood collection?
blood collected from sponges into a basin of sterile saline during repair of ruptured abdominal aortic aneurysm
What kind of wound is a sacral decubitus ulcer?
chronic
A wound that is not sutured and that gradually fills in by granulation heals by which intention?
second
Which type of synthetic suture is absorbable?
polyglactin 910 (vicryl)
Primary union wound healing occurs:
side to side
How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple?
event the edges outward
Which layer of the abdominal wall must be approximated securely, even if the other layers are not?
fascia
Which postoperative wound complication would require immediate ( emergent) surgical treatment?
evisceration
A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to:
immunosuppressed status
Which of the following is a natural, multifilament suture classified as nonabsorbable but loses much of its tensile strength in a year and is undetectable in tissues after 2 years?
surgical silk
What is the chemical name of Vicryl suture?
polyglactin 910
A continuous suturing technique that places sutures in the endothelial (subcuticular) layer of the skin in short, lateral throws is called a
subcuticular suture
What is the term that describes the measure of how much a suture strand can be stretched before breaking?
tensile strength
In general, a monofilament suture would require ____________ knot throws for security than a multifilament suture
more
Ethicon sutures may be available with a designation of “plus” for some sutures, which means they
are impregnated with an antibacterial coating
Which nonsuture needle is used for insufflation of carbon dioxide into the abdomen to create pneumoperitoneum for laparoscopy
veress
What is the chemical name for Dermabond™ or Indermil™?
cyanoacrylate
Which suture gauge would be MOST appropriate for ophthalmic surgery?
10-0
Which type of suture ligature ties has an attached needle?
stick tie
Which type of healing occurs in an aseptic wound with good approximation and ideal surgical conditions?`
first intention
Which suture is MOST inert in tissue?
prolene
What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis?
skin closure tapes (steri-strips)
What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals?
keloid
Which blood type is considered the universal donor?
O
Which blood type is considered the universal receiver?
AB
What is the term for removal of foreign material or contaminated debris from a wound?
debridement
What is the primary reason bolsters, or rolled umbilical tape are used with retention sutures?
to prevent sutures from cutting into the skin
Which type of suture needle is used on friable tissue such as liver or kidney?
blunt
Which needle has a single cutting edge on the outside curvature of the needle body?
reverse
Which internal stapling device fires a circular double row of staples to reanastomose the colon?
intraluminal stapler (EEA)
Which of the following is NOT a method of achieving hemostasis?
apportional
Ligatures are use to:
occlude the lumen of blood vessels
What is the term for the blood products donated by another person?
homologous
Which type of suture is often used to create a vascular anastomosis? (critical thinking)
synthetic, nonabsorbable, monofilament with double-armed taper needles
What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure?
traction
What is the term for a type of suture that has the strand of suture material inserted and crimped into the hollowed-out needle end?
swaged
Tissue trauma is minimized by using which type of suture-needle combination?
suture permanently swaged on an eyeless needle
The suturing technique would be MOST appropriate for wounds that are likely to become infected or suffer potential stress is:
interrupted
Which tissue layer of the abdominal wall provides the greatest strength and support of the wound?
fascia
Which type of needle is preferred for suturing of skin?
cutting
By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured closed after a few days to resolve the infection?
third intention
