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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

A

gauge

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

A

memory

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

A

NS

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)

A

AN

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

A

NS

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

A

AS

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

A

NS

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)

A

AN

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

A

NS

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

A

AS

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

A

NN

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

A

NS

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

A

NS

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

A

NS

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

A

NS

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

A

NS

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

A

AS

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

A

AS

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

A

AS

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

A

AS

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

A

NN

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

A

AS

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.

A

Tenets

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.

A

rest

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.

A

tension

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.

A

I

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.

A

C

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.

A

C

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.

A

I

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.

A

C

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.

A

C

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.

A

I

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.

A

C

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.

A

1/4

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).

A

a basin

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).

A

Wire

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.

A

1”

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.

A

rinsed

105
Q

Complete the following statements concerning guidelines for handling sutures.

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

A

dry

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.

A

4”

107
Q
A

surgical techniques (16 decks)

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