EXAM 1: Lecture 9 - special surgical instruments and equipment LA

Question 1

what are the instruments in the LA general pack

Answer 1

needle drivers, scalpel handles, scissors, towel clamps, hemostats, thumb forceps, hand-held retractors, and suction tips

Question 2

what type of scalpel blades and handles are in the LA pack

Answer 2

3 - 10, 11, 15 blades

Question 3

what is the difference between mayo-hegar and olsen-hegar

Answer 3

olsen have cutting blades and mayo do not

Question 4

what is the benefit of lorna edna towel clamps and non-penetrating towel clamps

Answer 4

they do not rip holes in the drapes so it helps to keep sterility

Question 5

what are these

Answer 5

rochester carmalt forceps

Question 6

what are these

Answer 6

mosquito forceps

Question 7

what are these

Answer 7

kelly forceps

Question 8

what are these and what is the ONLY type of tissue you should use them on

Answer 8

rochester oschner and only for tissue that is going to be removed

Question 9

what type of suction is this

Answer 9

Yankauer suction tip

Question 10

what is the difference between LA general pack and an LA laceration pack

Answer 10

less instruments in lac, often have olson hegars, and include sterile towels for drapes

Question 11

What are metzenbaum scissors used to cut

Answer 11

fine tissue

Question 12

what are these

Answer 12

doyen intestinal forceps

Question 13

what are doyen intestinal forceps used for

Answer 13

occlude the lumen of the SI with minimal trauma

Question 14

T/F: GI stapler staples are reactive in the body

Answer 14

FALSE they are non reactive in the body

Question 15

what are the advantages of GI staplers

Answer 15

faster if you know how to use them, inert compared to suture, reduce contamination, preserve blood supply, able to use in areas of limited accessibility

Question 16

what are the disadvantages of GI staplers

Answer 16

expensive, leakage is possible, may be limited if tissue has edema, must be trained to use

Question 17

what is TA-90

Answer 17

thoracoabdominal stapler

Question 18

do TA-90 cut?

Answer 18

no, only gives a double row of staples so you must still cut the ends

Question 19

what type of GI stapler is this

Answer 19

TA-90

Question 20

what is an ILA and GIA

Answer 20

ILA - intestinal linear stapler

GIA - gastrointestinal anastomosis

Question 21

what do ILA/GIA do

Answer 21

it is a linear staple that cuts and divides at the same time

Question 22

what type of stapler is this

Answer 22

ILA/GIA

Question 23

what is LDS

Answer 23

ligating diving stapler

Question 24

when is an LDS stapler useful

Answer 24

on mesenteric vessels

Question 25

what type of GI stapler

Answer 25

LDS

Question 26

what are benefits and disadvantages of ligating clips

Answer 26

quick ligation of vessels but can slip off easily

Question 27

when are skin staplers used

Answer 27

for rapid closure of surgical incision

Question 28

what are the equine emasculators

Answer 28

serra, modified white, reimer, sands, henderson

Question 29

what type of emasculator is this and how does it work

Answer 29

serra, cuts and crushes at same time

Question 30

what type of emasculator is this and how does it work

Answer 30

modified white and crush/cut at same time

Question 31

what type of emasculator is this and how does it work

Answer 31

reimer, crush and separate cutting handle

Question 32

what type of emasculators is this and how does it work

Answer 32

sands, crush only

Question 33

what type of emasculators is this and how does it work

Answer 33

henderson and attach to a drill and twist the cord

Question 34

what are the tools used to castrate ruminants

Answer 34

burdizzo, newberry knife, elastrator bands, emasculator, henderson

Question 35

what are these, what do they do, and what age animal are they used on

Answer 35

burdizzo, crush only, young animals

Question 36

what are these, what do they do, and what age animal are they used on

Answer 36

newberry knife, cut scrotum, any age

Question 37

what are these, what do they do, and what age animal are they used on

Answer 37

elastrator bands, a band that cuts off circulation of testicles, young animals

Question 38

what is this and what does it do

Answer 38

chain ecraseur

can be used for ovariectomies or to remove other masses with blood supply

Question 39

what are the components of the arthroscopy equipment

Answer 39

tower, arthroscope, light cable, fluid line, conical obturator, ferris smith rongeurs, currettes, and probe

Question 40

what is this

Answer 40

arthroscope

Question 41

what is this

Answer 41

obturator

Question 42

what is this

Answer 42

cannula

Question 43

what is this

Answer 43

ferris smith rongeur

Question 44

what are these

Answer 44

currettes

Question 45

what is this

Answer 45

probe

Question 46

what is a DCP

Answer 46

dynamic compression plates

Question 47

what is a LC-DCP and why is it neat

Answer 47

limited contact dynamic compression plate. has complete strength throughout the entire plate, no weak points

Question 48

what is this

Answer 48

guarded epiglottic hook knife

Question 49

what does laser stand for

Answer 49

light amplification by stimulated emission of radiation

Question 50

when are lasers commonly used in LA/equine

Answer 50

upper respiratory tract surgery

Question 51

what are the advantages of a laser

Answer 51

decreased bleeding, decreased swelling, decreased pain, kills bacteria as it cuts, use through the endoscope, precise cutting

Question 52

what are the disadvantages of laser

Answer 52

requires specialized training, equipment is expensive, can result in excessive thermal damage to surrounding tissues

Question 53

what are all of the surgeries lasers are used for in LA

Answer 53

upper airway sx, uterine cysts, skin tumors, neurectomy, fusing hock joints, hemostasis during laparoscopic surgery