Minimally Invasive Surgery Flashcards

1
Q

A method of reducing the risk of patient burns during monopolar electrosurgery. AEM systems stop the electrical current whenever resistance is high anywhere in the circuit.

A

Active electrode monitoring (AEM)

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2
Q

In minimally invasive surgery, the unintended transmission of electricity from the active electrode to an adjacent conductive pathway, sometimes resulting in a patient burn.

A

Capacitative coupling

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3
Q

In minimally invasive surgery, the transmission of electricity directly from one conductive path to another, such as from the electrosurgical tip to a conductive instrument.

A

Direct coupling

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4
Q

The combined components of the minimally invasive surgery system, which create the image captured in the focal view of the telescope.

A

Imaging system

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5
Q

The fiber-optic cable that transmits light from the source to the endoscopic instrument; sometimes called a light guide.

A

Light cable

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6
Q

Distension of the abdomen with carbon dioxide gas during laparoscopy. This is necessary to visualize the surgical anatomy.

A

Pneumoperitoneum

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7
Q

A procedure for adjusting the light color of the video camera to other components of the system.

A

White balance:

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8
Q

During minimally invasive surgery (MIS), what is used to achieve a pneumoperitoneum

A

Carbon dioxide (CO2)

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9
Q

The system used to accommodate insertion of a laparoscope and endoscopic instruments is called?

A

trocar and cannula

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10
Q

Technique used in arthroscopic MIS, hysteroscopy, and cystoscopy to expand the body cavity is:

A

continuous irrigation

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11
Q

In MIS, large specimens and dense tissue are reduced to small pieces by a process called:

A

morcellation

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12
Q

In minimally invasive surgery, a __________ is an opening in the body created by a sharp trocar or blunt obturator and maintained with a cannula that remains in place to receive MIS instruments during surgery.

A

Port

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13
Q

Endoscopy is performed with a flexible, semi-rigid, or rigid endoscope which is inserted into the body through a

A

natural orifice such as the esophagus, colon, or urethra.

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14
Q

The equipment cart (also called a _____________)

A

tower

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15
Q

The surgeon inflates the abdomen with CO2 through a large-bore needle called a _______ or _______ fitted for CO2 insufflation

A

Veress needle or trocar fitted

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16
Q

Is when a body cavity or organ is filled with fluid during surgery, there is a risk that it will be absorbed into the vascular system, causing increasing blood pressure and electrolyte imbalance.

A

Intravisation

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17
Q

The knot is tied outside the body cavity and then pushed into place with a knot pusher using the following technique

A

Extracorporeal suture technique

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18
Q

The suture is knotted and tightened inside the body with two grasping instruments inserted into two separate cannula ports

A

Intracorporeal technique

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19
Q

Ultrasonic technology is used during MIS for __________ and _________.

A

Coagulation and cutting.

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20
Q

this device is a soft plastic balloon with a tube and port attached. The tube is inserted into the tissue plane, and the balloon is inflated with air.

A

Balloon Dissection

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21
Q

Natural Orifice Transluminal Endoscopic Surgery; Endoscopic entry of body through natural orifice & then making an incision w/in the body to gain further access

A

NOTES

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22
Q

Advantages of MIS

A

Reduced tissue trauma, less blood loss, less pain, faster recovery, outpatient, cheaper

23
Q

Commonly used in endoscopic nasal & orthopedic surgeries; Suctions soft tissue into cutting channel where a spiral burr shaves it into small pieces

A

Tissue Shaver

24
Q

Used when tissue requires ligation rather than suturing; Surgiwhip is type of loop

A

Pretied Ligation Loop

25
When the telescope is introduced into the body, the temperature differences creates __________________ on the telescope lens.
Fogging
26
During an endoscopic procedure, the room lights are usually _______ for most of the case.
Dimmed or turned off
27
Introduction of CO2
Insufflation
28
a specimen pouch is used to capture the tissue so it can be withdrawn from the body through a large-bore cannula.
Specimen Retrieval
29
When to inspect MIS Instruments
1. Before use 2. During use 3. After use 4. After decontamination 5. Before disinfection and sterilization
30
is used to conjunction with some types of minimally invasive and endoscopic surgery. Introduced through the cannula or flexible telescope.
Laser
31
Commercially available; consist of a small square with adhesive on the bottom for attachment to the drapes and a rough, sandpaper surface used for scraping the tip to remove charred debris.
Scratch pads
32
viewing instrument used for diagnosis, biopsy, visualization, repair, retrieval, and blood control
Endoscope
33
The distal end of a rigid endoscope may be straight or angled. A straight-ahead, forward viewing scope is
0 degree
34
Intra-abdominal Pneumoperitoneal pressure for an adult should be kept at
12-18 mm Hg
35
Identify Allows the surgeon/assistant to be able to view inside body cavity where they are working.
Video Tower
36
Identify Shows the gas pressure and rate of gas flow into the abdominal cavity.
Insufflator
37
Identify Connected to the lens, allows the surgical team to visualize the operative field.
Camera
38
Identify
Assembled camera and lens
39
Identify Used in MIS to cut/shave tissue.
Shaver
40
Identify Used to instill gas into the abdomen, to create the pneumoperitoneum
Veress Needle
41
Identify Attaches to the Veress Needle and/or trocar.
Insufflation Tubing
42
Identify Once the abdomen is inflated, these are insertion of the lens and instruments.
Trocars
43
Identify This is utilized to defog camera and scope lens.
FRED - Defogger Kit
44
Identify Use to capture the tissue so that it can be removed
Specimen Retrieval Bag
45
Identify Often referred to as dolphin nose dissector
Maryland Dissecting Forceps
46
Identify
Laparoscopic Shears (scissors)
47
Identify
L Hook Can be attached to cautery
48
Identify
Locking Laparoscopic Handle Can be attached to cautery
49
Identify
Non-Locking Laparoscopic Handle Can be attached to cautery
50
Identify
Endo Stitch
51
Identify Often used to view inside body passages and hollow organs, such as the GI system
Flexible Endoscopy
52
Identify Rigid system that is used in the sectional removal of tissue. It is commonly used in GU and GYN surgery to removes tumors and resect the prostate
Resectoscope
53
What is the degree of this lens
0 degree