LP 1-4 Flashcards
(164 cards)
1
Q
diagnostic scope
A
observation only
2
Q
pennington clamp
A
grasp hemorrhoid
3
Q
draping for hysterectomy
A
UBD
diagonal towels
litho/gyne sheet and leggings
4
Q
heaney retractor
A
hold open side walls on hysterectomy
5
Q
endocatch
A
enclose specimen
6
Q
heaney clamp
A
clamp uterine ligaments and vessels
7
Q
what should you provide to establish infra umbilical incision for lap procedure?
A
scalpel, forceps, electrocautery
8
Q
ferguson moon rectal speculum/retractor
A
retract rectal tissue
9
Q
reasons for gallbladder removal
A
cholecystitis
gallstones
cancer
10
Q
skin hooks
A
retract skin edges
11
Q
deep group
A
internal transverse abdominis muscle
12
Q
what may the surgeon use to reinforce the floor of the inguinal canal?
A
mesh
13
Q
hypaque
A
dye used during an operative cholangiogram
14
Q
what structure passing through the inguinal canal must be protected when an inguinal hernia repair is performed for a female?
A
round ligament
15
Q
pratt rectal speculum/retractor
A
retract rectal tissue
16
Q
what should be done once the laparoscope is inserted?
A
examine the peritoneal cavity
17
Q
why are legs lowered in a slow smooth movement?
A
to prevent severe hypotension
18
Q
what is a verres needle used for?
A
establishment of orifice into abdominal for endoscopic entry
19
Q
hegar dilators
A
dilate the cervix
20
Q
rectocele
A
protrusion of the anterior rectal wall into the vagina
21
Q
alligator forceps
A
grasp ear tubes
22
Q
anesthesia for abdominal laparoscopy and why?
A
general, carbon dioxide irritates diaphragm so they need to be ventalated
23
Q
reducible hernia
A
contents of sac can be returned to the normal intra abd position by manual manipulation
24
Q
what is a vaginal hysterectomy?
A
removal of the uterus through an incision into the vaginal wall and pelvic cavity
25
endoscopic ligaclip appliers
occlude vessels or tubular structures
26
foerster ring forceps
hemostasis and visualization
27
how should a fiber optic ligh cord be handled?
don't put on drapes, don't kink
28
position for hernia surgery
supine
29
endoscopic suction/irrigator system
rinse surgical area and check for bleeding
30
jacobs chuck
attachment for drill bits
31
senns retractor
retract skin edges
32
factors that contribute to a direct inguinal hernia?
poor nutrition, age, COPD
33
oscillatting blade
cut/saw bone
34
verres needle
insufflation of abdomen
35
fiberoptic light cord
transports light to scope
36
umbilical hernia
abdominal wall defect occurring in the linea alba at the umbilical ring
37
what is attached to a telescope?
camera and fiberoptic light cord
38
fred
defog lens of laparoscope
39
largest internal organ in body
liver
40
arthroscopy pump
irrigation when scoping joints
41
what rubbed on telescope to prevent fogging?
FRED
42
endoprobe
move organs as needed
43
stevens tenotomy scissors
fine dissection
44
osteotomes
shave/cut bone
45
russian tissue forceps
grasp dense tissue
46
trocar
used to create working ports
47
what type of tissue is a hernia sac?
peritoneum
48
what is a hysterectomy contraindicated for?
large uterine tumor
| pelvic malignancy
49
weitlander retractor
retracting
50
avuard vaginal speculum
posterior vaginal wall retraction
51
strangulated hernia
compromised or absent blood supply
52
plastic metz scissors
plastic procedures
53
endoscopic fan retractor
retract organs during a laparoscopic procedure
54
what happens after the cystic arty and duct are double clipped and divided?
gallbladder is removed from the hepatic bed
55
why would a vaginal hysterectomy be done?
benign disease or carcinoma of cervix, uterine prolapse
56
what gas is utilized for pneumoperitoneum?
carbon dioxide, readily available
57
disadvantages of MIS
longer operative time, more expensive
58
babcock forceps
grip
59
why is bladder drained for hysterectomy?
visualization and protect bladder from being knicked
60
operative scope
channeled for irrigating, suctioning
61
mallet
drive osteotomes
62
double action ronguer
bite off tissue
63
what is caused by weakening of the abdominal wall?
inguinal, femoral, incisional
64
why are SCD's used for vaginal hysterectomy?
hemodynamic changes can occur with the lithomy position
65
taut cholangiocath
inject dye into cystic duct
66
cystic artery is exposed and ligated with what?
3 clips (1 proximal and 2 distal to the gallbladder)
67
graves vaginal speculum
retract vaginal walls anterior and posterior
68
incision for laparoscopic procedure
infra umbilical
69
insufflator
used to expose area by insufflation with CO2 gas
70
endoscopic cautery cord
connect cautery to ESu
71
endoscopic l hook cautery
coagulation and dissection
72
electrocautery for lap chole
remove the gallbladder from the liver
73
necrosis of a portion of the intestine results in what type of hernia?
strangulated
74
what may be punctured when introducing trocar blindly?
sm intestins, bladder
75
used to retract the spermatic cord in the male
penrose drain
76
single action ronguer
bite off tissue
77
insufflator tubing
deliver co2 gas to insufflate abdomen
78
heaney needle holder
suture after ligation of uterine ligaments, hysterectomy
79
freer periosteal elevator
free soft tissue
80
specimen with surgeon
ask if its okay to hand off
81
where is light source located?
tower and off sterile field
82
what is a hernia?
protusion of normal abd contents
83
what can cystocele cause?
urinary incontinence
84
what happens is abdominal pressure exceeds safe limits what may be the complications?
increase risk of pulmonary and circulatory complications
85
endoscope
lighted telescopic instrument
86
iris scissors
delicate dissection
87
o sullivan o conner retractor
hold open abdominal incisions
88
trocar/sheath
pass laparoscope and instrumentation into pelvic
89
femoral ring
slightly lower than inguinal ring
90
ballentine clamp
clamp uterine ligaments and vessels
91
surgical prep for hysterectomy
umbilicus to mid thigh, groin and perineal area
92
telescope
used to acquire image of abdominal cavity
93
what is the hook scissors used for?
divide the cystic duct and artery
94
instrument needed after cystic duct is exposed
clip applier
95
briesky vaginal retractor
retract vaginal side walls
96
what should you provide after the surgeon separates the spermatic cord?
dissecting scissors, penrose drain, forceps
97
what is the CO2 hooked to?
verres needle or trocar/cannula
98
what assists with trocar and cannula in cholecystectomy?
laparoscope
99
saw with reciprocating blade
saw/remove bone
100
complications associated with endoscopic procedures
gas embolism
| circulatory problems
101
key instrument used to expose cystic duct and artery
maryland dissector
102
camera and cord
transmits image to monitor
103
endoscopic maryland dissector
dissection of fine tissue
104
where is the cervix located?
lower narrow end of uterus
105
how does the pt end up for lap chole?
reverse trendelenburg
106
cholangiogram set up
used to inject radiopaque dye when doing a cholangiogram
107
hurd dissector
dissection blade
108
safe intra abdominal pressure
14-16mm
109
what instrument is used to clamp the ligaments for hysterectomy?
heaney clamp
110
where is the gallbladder located?
RUQ
111
anoscope
dilate anal canal
112
direct hernia
through area of muscle weakness in the abdomen, is acquired
113
incision for inguinal hernia
oblique
114
MIS
eliminates the need to cut through tissue/muscle
115
endoscopic procedures
hysteroscopy
cystoscopy
knee arthroscopy
116
probe/groove director
following sinus or fistula tract
117
key
used to tighten chuck attachments
118
cystocele
bulging of the anterior vaginal wall beneath the floor of the bladder
119
incisional hernia
occurs along the incision of a previous abdominal surgery
120
endoscopic mets scissors
cut/ligate structures
121
disposable instruments at end of surgery
need to be counted if the laparoscopy was successful
122
where is the uterus located?
between the rectum and bladder
123
ENT bovie/suction
remove adenoids
124
pneumoperitoneum
presence of gas/air in the peritoneal cavity
125
what should be passed after dissection of the gallbladder?
endoscopic alligator or claw forceps
126
regnell/finger retractor
retract
127
disadvantage of lap chole?
trauma to the liver when it is dissected from the gallbladder
128
camera
visualization of anatomy, takes pictures
129
anterior/posterior repair
posterior repair follows anterior
130
why do legs need to padded with stirrups?
prevent saphenous nerve and vessel damage
131
endoscopic grasping forceps
hold or stabilize organs
132
wire driver
inserting pins, wires into bones
133
bone currette
shape and scrape bone
134
why is a glove used with a weighted speculum?
contain blood
135
when should bowel instruments be variable for hernia surgery?
strangulated
136
burrs
remove uneven or unwanted bones
137
why is the verres needle injected with a syringe filled with saline?
to make sure you aren't in any organs
138
4 advantages of laparoscopic/endoscopic surgery
short hospital stay
decrease post op pain
less tissue damage
shorter recovery time
139
ferris smith tissue forceps
grasp heavy tissue
140
what structure passing through the inguinal canal must be protected when an inguinal hernia repair is performed for a male?
spermatic cord
141
who is positioned on the patients left side during lap chole?
main surgeon
142
robinson red rubber catheter
drain bladder
143
nibbler
bite off tissue
144
what can cause a direct inguinal hernia?
chronic cough, ascites, straining to void
145
cystic duct
tubular canal that carries bile from gallbladder to common bile duct
146
superficial group
external and internal oblique muscles
147
bone rasp
used to smooth rough edges
148
indirect hernia
viscera slides into inguinal canal at the deep inguinal ring
149
ear tubes
allow equalization of pressure in ear
150
Jacobs vulsellum forceps
grasp cervix
151
single tooth tenaculum
grasp and manipulate tissue
152
major supporting structure of the inguinal floor
transversalis fascia
153
reciprocating blade
cut/saw bone
154
ligaments for a vaginal hysterectomy and in order
uterosacral, cardinal, broad, round
155
incarcerated hernia
herniated tissue that is trapped outside its normal location, tissue is still viable
156
endoscopic spatula cautery
thermal coagulation of bleeders
157
laparoscope
viewing of the abdominal organs
158
endoscopic hook scissors
divide cystic artery and duct
159
why is a cystocele repaired before a rectocele?
contamination
160
irreducible hernia
contents of sac are trapped in an extra abd sac, and can't be manually reduced
161
endoscopic claw grasping forceps
penetrating hold and extraction of tissue
162
puncture sites for lap chole
subxiphoid area and 2 in the right subcostal area
163
layers of the uterus
outer peritoneal
myometrium
endometrium
164
common laparoscopic surgeries
hernia repair, bowel resection
