Theme 2 - Principles of Surgery Flashcards

1
Q

Name 2 examples of ancient surgeries

A

Treapanation (boreholes in the skull) and circumcision

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2
Q

What are the 5 problems associated with ancient surgeries?

A
Lack of knowledge
Lack of instrumentation
Blood and fluid loss
Infection
Pain
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3
Q

What are the 11 surgical specialities?

A
Dental surgery
Obstetrics and gynaecology
Ophthalmology
Otorhinolaryngology (ENT)
Cardiothoracic surgery
Orthopaedic surgery
Plastic and reconstructive surgery
Paediatric
Neurosurgery
Urology
General surgery
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4
Q

What are the primary aims of surgery?

A

Remove, repair, remove and repair, to relieve the problem

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5
Q

What are the 5 duties of surgery?

A

To remove what is superfluous (unnecessary)
To restore what has been dislocated
To separate what has grown together
To re-unite what has been divided
To redress (remedy) the defects of nature

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6
Q

What does the suffix -ectomy mean?

A

Surgical removal of part of body

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7
Q

What does the suffix -otomy mean?

A

Cutting into a body part, not always removing it

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8
Q

What does the suffix -ostomy mean?

A

Artificial opening in organ (GIT) to let fluid/waste through / to join two parts for communication btwn two parts

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9
Q

What does the suffix -plasty mean?

A

Alter a part of the body

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10
Q

What does the suffix -pexy mean?

A

Bind/attach something in a fixed position

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11
Q

What are the 2 surgical choices of entry?

A

traditional and minimal

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12
Q

What is traditional surgical access?

A

open, very invasive

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13
Q

What is minimal surgical access?

A

endosurgery, minimally invasive

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14
Q

What are the 3 areas involved in surgical instrumentation?

A

equipment, suture material, prosthesis

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15
Q

Name and explain 2 examples of surgical equipment

A

Diathermy - cuts through/stops bleeding using heat

Ultrasonic dissectors - use no heat

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16
Q

What are the 3 categories of suture material?

A

Biological vs. synthetic
Monofilament vs. multifilament
Absorbable vs. non-absorbable

17
Q

What are 4 surgical decision making questions?

A

Is a procedure indicated? (will it benefit patient)
If so, what procedure?
How urgent? (can it be delayed or urgent)
Patient risk factors? (eg. pregnant)

18
Q

What is the risk benefit equation?

A

Weighing the risks and advantages