Surgery

Question 1

Halsted’s 8 Principles

Answer 1

-strict asepsis
-gentle tissue handling
-preservation of blood supply
-adequate haemostasis
-elimination of dead space
-minimise tissue tension
-accurate tissue closure
-debridement of dead tissue

Question 2

Aseptic technique is defined as

Answer 2

Practice which prevents cross contamination in surgery

Question 3

Preparation of patient skin involves

Answer 3

1. Chlorhexidine surgical scrub
2. Alcohol
3. Alcohol/Chlorhexidine solution

Question 4

Surgical hand scrub takes

Answer 4

5-8 minutes

Question 5

Rough handling or crushing of tissues will lead to

Answer 5

Swelling, inflammation, and post-op pain/discomfort for the animal

Question 6

Haemostasis is achieved by (4)

Answer 6

-ligation (suture)
-electrocautery
-haemostatic foreceps
-pressure

Question 7

Dead space allows for

Answer 7

The accumulation of fluids and air - disrupts healing

Question 8

How do you prevent dead space (4)

Answer 8

-good tissue apposition
-pressure bandages
-use of sutures
-active and passive drains

Question 9

Layer debridement is

Answer 9

-debriefing progressively from surface of wound to deeper tissue
-allows for consecration of healthy tissue

Question 10

En bloc debridement

Answer 10

-complete excision of wound leaving healthy tissue
-wound closure can occur