misc. surgery info. Flashcards
incision for OPEN CHOLECYSTECTOMY (gallbladder removal) ?
right subcostal(kocher) ;along margin of rib
first incision for a laparoscopic cholecystectomy?
supraumbilical (above umbilicus)
nissen fundoplication procedure–GERD
blunt disscection used to expose esophagus along the crura and posterior vagus nerve
iridectomy
removal of portion of iris to relieve pressure for GLAUCOMA.
MMK– Marshall Marchetti Krantz
what is procedure for and what needles may be used?
–vesicourethral suspension,bladder suspension (URINARY INCONTENENCE)
-STAMEY or PEREYRA needle may be used
VATS
Video Assisted Thoracic Surgery
LAVH
Laparoscopic Assisted Vaginal Hysterectomy
TAH
Total Abdominal Hysterectomy
TURP
Transurethral Resection of the prostate
KEY TERMS:
- restectoscope
- glycene
- lithotomy position
- 3-way catheter (foley)
UPPP
Uvulopalatopharyngoplasty
–for SLEEP APNEA
ERCP
Endoscopic Retrograde Cholangiopancreatography
order of screw placement (Ortho. procedures)
*DMTS
DRILL –>MEASURE –>TAP –>SCREW
order for D&C (Dilation & Curettage)
Retract (AUVARD); Grasp cervix (TENACULUM); Measure (sound); Dilate; CURETTE
Wertheim Procedure
radical hysterectomy (everything)
vagotomy
removes part of vagus nerve (stomach ) performed with Pyloroplasty –widening the lower part of stomach
Billroth I/Billroth II
I - gastroduodenostomy (stomach connected to duedenom)
II - Gastrojejunostomy (stomach connected to jejunum)
**NG tube inserted in stomach before resection
pyloric stenosis
Pyloromyotomy
pyloric sphincter is narrowed;causing projectile vomiting in children
–surgery that performed to repair this
CABG (Coronary Artery Bypass Graft
what is graft used?
saphenous vein or internal mammary to affected coronary artery
**if saphenous used a VOLVULOTOME is used to remove valves from vein before starting anastomosis
Lefort II
maxilofacial fracture that occurs from a direct blow to maxilla
radical mastectomy
removal of breast with lymph nodes and pectoralis muscle
Cochlear implant surgery
- done to restore neural (nerve) hearing loss
* *8th cranial nerve affected
intestinal anastomosis
1) absorbable sutures placed at serosa of POSTERIOR wall
2) absorbable sutures are placed on mucosa of POSTERIOR wall
3) absorbable sutures placed on mucosa of ANTERIOR wall
4) NONABSORBABLE sutures placed on serosa of ANTERIOR wall
Stapedectomy
-done to restore conductive HEARING LOSS caused by OTOSCLEROSIS ; hardening of stapes
**graft inserted instead of stapes
VP shunt
Ventriculoperitoneal shunt
- -placed to treat HYDROCEPHALUS (over accumulation of CSF in ventricles
- shunt drains CSF from 4th ventricle to peritoneal space in abdomen
Where is CSF produced?
in choroid plexus
Colles fracture – what does this effect?
-distal radius (on thumb side/or lateral side in anatomical position)
Fasciotomy /Compartment Syndrome
-surgical procedure where the fascia is cut to relieve tension or pressure commonly to treat the resulting loss of circulation to an area of tissue or muscle.
–a limb-saving procedure when used to treat acute COMPARTMENT SYNDROME.
–excessive pressure and swelling (edema) in muscle due to injury or infection causing loss of arterial flow
ORIF
Open reduction internal fixation
–open procedure for fractures when they need to be stabilized w implant of PLATES & SCREWS
Cholangiogram
performed to visualize BILIARY TRACT for presence of STONES
–radiopaque contrast media used (HYPAQUE,RENOGRAFIN,OMNIPAQUE)
**contrasts shouldn’t be used if patient has iodine or shellfish allergy–inform surgeon as such
Thymectomy/Graves Disease
- thymus removed (thymus gland)
- chronic autoimmune neuromuscular disease that causes weakness in the skeletal muscles, which are responsible for breathing and moving parts of the body, including the arms and legs.
Keller/McBride procedure/Talipes Valgus
- Bunion removal
* *bunions
Tracheotomy/Tracheostomy
-incision into the trachea; may be performed as an EMERGENCY if patient experiences respiratory distress post-op and become difficult to reintubate
Radical neck disection
-the sternocleidomastoid muscle and hyoid muscle are cut
-ostomy
-create an opening
-otomy
-incision into
-ectomy
-surgical removal of
C-section / Placenta previa/ Placenta abruption
–when placenta is coming out first during childbirth; would require a C-section to be performed
abruption–placenta separating from uterus–> C-section or bedrest
