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SUR 110 - Intro to Surgical Technology > Minimally Invasive Surgery > Flashcards

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
Q

When the telescope is introduced into the body, the temperature differences creates __________________ on the telescope lens.

A

Fogging

26
Q

During an endoscopic procedure, the room lights are usually _______ for most of the case.

A

Dimmed or turned off

27
Q

Introduction of CO2

A

Insufflation

28
Q

a specimen pouch is used to capture the tissue so it can be withdrawn from the body through a large-bore cannula.

A

Specimen Retrieval

29
Q

When to inspect MIS Instruments

A
  1. Before use
  2. During use
  3. After use
  4. After decontamination
  5. Before disinfection and sterilization
30
Q

is used to conjunction with some types of minimally invasive and endoscopic surgery. Introduced through the cannula or flexible telescope.

A

Laser

31
Q

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.

A

Scratch pads

32
Q

viewing instrument used for diagnosis, biopsy, visualization, repair, retrieval, and blood control

A

Endoscope

33
Q

The distal end of a rigid endoscope may be straight or angled. A straight-ahead, forward viewing scope is

A

0 degree

34
Q

Intra-abdominal Pneumoperitoneal pressure for an adult should be kept at

A

12-18 mm Hg

35
Q

Identify
Allows the surgeon/assistant to be able to view inside body cavity where they are working.

A

Video Tower

36
Q

Identify
Shows the gas pressure and rate of gas flow into the abdominal cavity.

A

Insufflator

37
Q

Identify
Connected to the lens, allows the surgical team to visualize the operative field.

A

Camera

38
Q

Identify

A

Assembled camera and lens

39
Q

Identify
Used in MIS to cut/shave tissue.

A

Shaver

40
Q

Identify
Used to instill gas into the abdomen, to create the pneumoperitoneum

A

Veress Needle

41
Q

Identify
Attaches to the Veress Needle and/or trocar.

A

Insufflation Tubing

42
Q

Identify
Once the abdomen is inflated, these are insertion of the lens and instruments.

A

Trocars

43
Q

Identify
This is utilized to defog camera and scope lens.

A

FRED - Defogger Kit

44
Q

Identify
Use to capture the tissue so that it can be removed

A

Specimen Retrieval Bag

45
Q

Identify
Often referred to as dolphin nose dissector

A

Maryland Dissecting Forceps

46
Q

Identify

A

Laparoscopic Shears (scissors)

47
Q

Identify

A

L Hook
Can be attached to cautery

48
Q

Identify

A

Locking Laparoscopic Handle
Can be attached to cautery

49
Q

Identify

A

Non-Locking Laparoscopic Handle
Can be attached to cautery

50
Q

Identify

A

Endo Stitch

51
Q

Identify
Often used to view inside body passages and hollow organs, such as the GI system

A

Flexible Endoscopy

52
Q

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

A

Resectoscope

53
Q

What is the degree of this lens

A

0 degree

SUR 110 - Intro to Surgical Technology (17 decks)

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