Surgical Techniques Flashcards
Anesthesia used in Biers block
1% Prilocaine
Which suture used for mass closure of abdominal wall
Polydiaxanone (PDS)
Substance used for endoscopic instruments
Glutaraldehyde
Which ster ilization for reusable and nonfragile instruments
Autoclaving
Cyanoacrylates are Whatand when they are used
Tissue glues, the cyanoacrylates, can be used for skin closure. Their use requires perfect haemostasis and they are ideally used in children for a laceration on the forehead.
Fibrin Tissue Glue is used in what procedures
for haemostasis in the liver and spleen, for dural tears, in ear, nose and throat and ophthalmic surgery and to prevent postoperative adhesions in cardiac and general surger
when a vein patch in arteriotomies
I longitudinal incisionof artery
No need to used a patch when transverse incision
Prolene key points
Braided form of the material can cause bacterial colonisation
Integrity of polypropylene sutures in holding tissues together can last indefinitely, they are used in vascular anastomosis.
Cause minimal inflammatory reaction
SUbCuticularInguinal Hermia repair
Which suture to be used
3/0 PDS
Other name of these sutures
1 Monocryl
2 Vicryl
3 prolene
1 Poliglecaprone monofilament
2 Polyglactin bbraided
3 Polypropylene
Poliglecaprone monofilament/Monocryl usage
Lose tensile strength in 15 days thus use in skin closure
Vicryl/Polyglactin braided usage
Soft tissue approximation and ligation
Not used in skins as cause sca4 marks
most appropriate for securing a chest drain following a thoracotomy?
2/0 silk
Permanent sutur3s
Polypropylene
Ethibond