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Surgical Techniques > Surgical Techniques - Wound Closure 5-C > Flashcards

Surgical Techniques - Wound Closure 5-C Flashcards

1
Q

undesirable deformation of a strand of suture

A

kink

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2
Q

tissue that is easily torn

A

friable

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3
Q

relating to the complex substance within tissue cells which may break down and digest surgical gut

A

enzymatic

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4
Q

a tube or disk retaining continuous, wound suture that can be unwound as it is needed

A

ligature reel

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5
Q

surgically joining tissue to promote the unhindered flow of fluids from one to the other, bypassing previous blockages

A

anastomosis

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6
Q

to bring the individual surfaces of two tissues together

A

tissue approximation

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7
Q

Alteration or decomposition through water

A

hydrolosis

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8
Q

the process of manually occluding vessels by typing suture around the vessel to effect homostasis or to prevent leakage

A

tie (ligature)

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9
Q

capillary action when tissue fluid and infection are spread from one tissue to another via the suture strand

A

wicking action

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10
Q

filament material used to approximate tissue and ligate vessels

A

surgical glue

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11
Q

ised to approximate edges of ragges lacerations or for closing skin where flexibility and adherence are key issues

A

adhesive skin closure strips or tapes

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12
Q

a more rapid method of general tissue closure such as skin, organ, or vessel

A

staples

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13
Q

piercing end is pushed through tissues and eye end retains suture that follows

A

needles

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14
Q

used to occlude tubular structures, most often vessels, or can be used to mark anatomical areas for later x-rays

A

clips

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15
Q

provides the action that drives and secures the skin in the tissue

A

staplers

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16
Q

provide the mechanism to clamp the clips around the vessel

A

appliers

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17
Q

used for repeated opening and closing of a particular incision

A

wound zippers

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18
Q

sterile preparation rubbed into bleeding points on surface of bone for hemostasis

A

bone wax

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19
Q

biologic or synthetic derivatives that glue surface tissues together to eliminate the need for postoperative suture removal

A

topical adhesives

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20
Q

is an effective sealant for high porosity vascular grafts and a valuable topical hemostatic agent in heparainized patients

A

pooled-donor plasm

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21
Q

placed on the ends of subcuticular skin suturesto prevent the suture from retracting into the wound

A

lead shots

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22
Q

a tissue adhesive from patient’s own blood, which imitates the final stages of coagulation when a solution of human fibrinogen is activated by thrombin, the two components of fibrin glue

A

autologous/homologous plasma

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23
Q

used extensively in all surgical disciplines for tissues adhesion, suture support, hemostasis, wound care and the sealiing of body cavities

A

fibrin glue

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24
Q

white, woven cotton ligature initially designed for pediatric use; also used to isolate or suspend small vessels and structures, particularly in pediatric and cardovascular procedures

A

umbilical tape

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25
Q

used to prevent the suture threads from cutting through the tissue

A

buttons

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26
Q

used within the incision to adhere deeper tissues and organs

A

surgical glue

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27
Q

silicon tube-like strand used for retracting and occluding blood vessels in minimally invasive surgery (MIS)

A

vessel loops

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28
Q

used as a bone cement for gluing prosthetic devices in orthopedic surgery

A

methyl methacrylate

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29
Q

cargile membrane of fascia lata

A

biologic mesh

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30
Q

biological or synthetic tissue grafts, implants, or transplants

A

tissue replacement

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31
Q

polyester, poly-based compounds, ingrowth and stainless steel

A

synthetic mesh

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32
Q

forms a strong bond across opposed wound edges of an incision or laceration allowing normal healing to occur

A

cyanoacrylate

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33
Q

performs tissue repair as it reinforces or bridges woumd areas that are umder tension or are too weak

A

surgical mesh

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34
Q

consists of an evacuation tube embedded in a polyurethane foam dressing

A

vacuum-assisted closure device

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35
Q

the expected length of time in which absorbable sutures will be in place before being digested by tissue enzymes or through hydrolysis

A

rate of absorbtion

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36
Q

suture made of materials that are produced by or that exist in nature

A

natural suture

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37
Q

suture produced artifically from chemicals

A

sythetic suture

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38
Q

suture that is capable of being absorbed by living mammalian tissue

A

absorbable suture

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39
Q

single strand sutures

A

monofilament suture

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40
Q

a suture strand’s ability to stretched or expanded

A

elasticity

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41
Q

the expected reaction of the suture when infection is present

A

infection potential

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42
Q

a suture strand’s ability to bend freely and repeatedly without breaking

A

pliability

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43
Q

distance through the center of the suture in millimeters, expressed in USP sizes

44
Q

a measure of the ease with which suture slips through tissue

A

tissue drag

45
Q

multiple strands twisted or braided together

A

multifilament suture

46
Q

ability of the strand to return to its former condition

47
Q

a measure of the force required to cause a given type of knot to slip

A

knot security

48
Q

suture that effectively resists enzymatic digestion in living tissue

A

non-absorbable suture

49
Q

a suture strand’s ability to allow tissue fluids to move along the strand through wicking action

A

capillarity

50
Q

the unexpected reaction if a patient is equipment is allergic to the suture material

A

allergic reaction

51
Q

amount of tension or pull, expressed in pounds, that a suture strand can withstand before it breaks

A

tensile strength

52
Q

the expected reaction of the suture if tissue is inflamed

A

inflammation reaction

53
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

polyamide (nylon) or Surgilon

54
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

surgical gut (plain)

55
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polybutester or Novafil

56
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polydioxanone or PDS

57
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Ethilon

58
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Collagen (chromic)

59
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polyester (Teflon coated) or Polydek

60
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Biosyn

61
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Silk

62
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polyamide (nylon coated) or Monosof

63
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polypropylene or Surgipro

64
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polysorb

65
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polypropylene

66
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Nurolon

67
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Poliglecaprone 25 or Monocryl

68
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polyglactin 910 (coated) or Coated Vicryl

69
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polyglyconate or Maxon

70
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Caprosyn

71
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

stainless steel

72
Q

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS)

Polyglycolic acid (uncoated) or Dexon

73
Q

Complete the following statement concerning Halsted’s principles of surgical technique regarding tissue handling.

Halsted’s principles, alson known as _____ of Halsted, are the basic principles of surgical technique regarding tissue handling.

74
Q

Complete the following statement concerning Halsted’s principles of surgical technique regarding tissue handling.

Strict aseptic technique should be followed during ____ and surgery.

A

preparation

75
Q

Complete the following statement concerning Halsted’s principles of surgical technique regarding tissue handling.

Gentle handling of tissue and careful _____, using fine, non-irritating suture material in minimum amounts are two of Halsted’s principles.

A

hemostasis

76
Q

Complete the following statement concerning Halsted’s principles of surgical technique regarding tissue handling.

The importance of _____ is one of Halsted’s principles.

77
Q

Complete the following statement concerning Halsted’s principles of surgical technique regarding tissue handling.

Avoidance of _____ is an important principle of surgical technique regarding tissue handling.

78
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

Does not lend itself to wicking action, so infection is not as likely to travel along the suture long.

79
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

Sutures may be rapidly placed.

80
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

If a suture breaks, the entire line can disrupt.

81
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

Individual sutures may be removed as healing progresses or if a single stitch becomes inflamed or infected.

82
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

Consisits of a single strand of suture material, passed back and forth between the wound edges and tied only on each end of the wound.

83
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

Stitches are strong, since tension on the strand is distributed evenly along its entire length.

84
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

Placing individual sutures is time consuming, since each myst be individually tied and cut.

85
Q

Differentiate between continuous and interrupted suturing techniques by placing a “C” for continuous and an “I” for interrupted for the statement below.

Infection can run the length of the strand.

86
Q

Identify the type of surgical stitch.

A

free tie ligature

87
Q

Identify the type of surgical stitch.

A

stick tie ligature

88
Q

Identify the type of surgical stitch.

A

deep suture

89
Q

Identify the type of surgical stitch.

A

running locked suture

90
Q

Identify the type of surgical stitch.

A

retention suture

91
Q

Identify the type of surgical stitch.

A

purse string

92
Q

Identify the type of surgical stitch.

A

subcutaneous

93
Q

Identify the type of surgical stitch.

A

over and over

94
Q

Identify the type of surgical stitch.

A

vertical mattress

95
Q

Identify the type of surgical stitch.

A

horizontal mattress

96
Q

Identify information on suture packaging.

A

a. surgical use
b. size of suture
c. trade name
d. characteristics
e. generic name
f. length and # of suture
g. needle description
h. needle identification number
i. needle illustration
j. expiration date
k. manufacturer

97
Q

Complete the following statements concerning guidelines for handling sutures.

Place the needle holder on the flattened surface of the needle at (1/4 or 3/4) the distance from the swage or eyed portion of the needle to the point.

98
Q

Complete the following statements concerning guidelines for handling sutures.

Open absorbable sutures packaged with an alcohol-water solution over ( a basin or the patient).

99
Q

Complete the following statements concerning guidelines for handling sutures.

Standard lengths of sutures are (45” or 54”) for absorbable ad (60” or 64”) for non-absorbable.

A

54”

60”

100
Q

Complete the following statements concerning guidelines for handling sutures.

(Polyethylene or Wire) suture must be handled carefully because it is prone to (damage or kink).

101
Q

Complete the following statements concerning guidelines for handling sutures.

Always protect the needle to (prevent dulling point and cutting edge or reduce exposure to blood pathogens.)

A

prevent dulling point and cutting edge

102
Q

Complete the following statements concerning guidelines for handling sutures.

Pre-cut lengths of suture are available in (12-24” or 12-30”) lengths and should be handeled (individually or by the package).

A

12-30”

individually

103
Q

Complete the following statements concerning guidelines for handling sutures.

To straighten a suture, grasp strand (1/2” or 1”) from each end and gently pull being careful not to run fingers down suture strands.

104
Q

Complete the following statements concerning guidelines for handling sutures.

Surgical gut and collagen may be (rinsed or soaked) prior to use if preferred by surgeon.

105
Q

Complete the following statements concerning guidelines for handling sutures.

Silk suture sould be kept (wet or dry) to retain its tensile strength.

106
Q

Complete the following statements concerning guidelines for handling sutures.

When threading needle, about (4” or 10”) of the suture strand should be pulled through the eye to prevent unthreading.

Surgical Techniques (16 decks)

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