Things to Memorize Flashcards
List Halsted’s surgical principles (6)
- handle tissue gently
- control hemorrhage meticulously
- observe strict aseptic technique
- preserve blood supply to tissues
- eliminate dead space
- appose tissues accurately with minimal tension
Drill bit for 1.5mm screw
1.0mm drill bit
1.0mm drill bit is for what screw size
1.5mm screw
Drill bit for 2.0mm screw
1.5mm drill bit
1.5mm drill bit is for what screw size
2.0mm screw
Drill bit for 2.4mm screw
1.8mm drill bit
1.8mm drill bit is for what screw size
2.4mm screw
Drill bit for 2.7mm screw
2.0mm drill bit
2.0mm drill bit is for what screw size
2.7mm screw
Drill bit for 3.5mm screw
2.5mm drill bit
2.5mm drill bit is for what screw size
3.5mm screw
Drill bit for 4.5mm screw
3.2mm drill bit
3.2mm drill bit is for what screw size
4.5mm screw
Drill bit for 5.5mm screw
4.0mm drill bit
4.0mm drill bit is for what screw size
5.5mm screw
List the basic principles of surgical arthrodesis (6)
- careful planning
- removal of all cartilage at all sites to be fused
- close apposition of the joint surfaces
- ridged internal fixation using compression
- use of cancellous bone graft
- careful preservation of soft tissue
Boundaries of the femoral triangle
Cranially - caudal part of the sartorius
Caudally - pectineus
Laterally - iliopsoas muscle proximally for a short distance, pectineus and vastus medialis
List the layers of abdominal musculature from external to internal of the cranial abdomen
- external abdominal oblique
- internal abdominal oblique with fascia extending around the rectus abdominus
- transversus abdominis
List the layers of abdominal musculature from external to internal of the mid abdomen
- external abdominal oblique
- internal abdominal oblique
- rectus abdominis
- transversus abdominis
List the layers of abdominal musculature from external to internal of the caudal abdomen
- external abdominal oblique
- internal abdominal oblique
- transversus abdominis
- rectus abdominis
Surgical gut (plain) composition
Small Intestinal submucosa (sheep)/intestinal serosa (cattle)
Surgical gut (plain) tensile strength over time
0% at 2-3 weeks
Surgical gut (plain) configuration
twisted
Surgical gut (chromic) composition
Small Intestinal submucosa (sheep)/intestinal serosa (cattle)
Surgical gut (chromic) configuration
twisted
Surgical gut (chromic) tensile strength over time
0% at 2-3 weeks
Vicryl composition
polyglactin 910
Vicryl configuraton
braided
Vicryl tensile strength over time
50% at 2-3 weeks
Vicryl approximate time to absorption
Predictable, 56-70 days
Surgical gut (plain) approximate absorption over time
Unpredictable, 70 days
Surgical gut (chromic) approximate absorption over time
Unpredictable, 14-80 days
Surgical gut (plain) degradation method
Proteolytic
Surgical gut (chromic) degradation method
Proteolytic
Vicryl degradation method
Hydrolytic
Vicryl rapide composition
Polyglactin 910
Vicryl rapide configuration
Braided
Vicryl rapide tensile strength over time
0% at 2-3 weeks
Vicryl rapide approximate time to absorption
Predictable, 42 days
Polysorb composition
Lactomer (glycolide/lactide co-polymer)
Polysorb configuration
Braided
Polysorb tensile strength over time
80% at 2 weeks, 30% at 3 weeks
Polysorb approximate time to absorption
Predictable, 56-70 days
Vicryl rapide degradation mode
Hydrolytic
Polysorb degradation mode
Hydrolytic
Dexon “S” composition
Polyglycolic acid
Dexon “S” configuration
Braided
Dexon “S” tensile strength over time
50% at 2-3 weeks
Dexon “S” approximate time to absorption
Predictable, 90 days
Dexon “S” degradation method
Hydrolytic
Dexon plus composition
Polyglycolic acid
Dexon plus configuration
Braided
Dexon plus tensile strength over time
50% at 2-3 weeks
Dexon plus approximate time to absorption
Predictable, 90 days
Caprosyn composition
Polyglytone (glycolide, caprolactone, trimethylene carbonate, and lactide)
Caprosyn configuration
Monofilament
Caprosyn tensile strength over time
0% at 2-3 weeks
Caprosyn approximate time to absorption
Predictable, 56 days
Caprosyn degradation method
Hydrolytic
Monocryl composition
Poliglecaprone 25
Monocryl configuration
Monofilament
Monocryl tensile strength over time
50% at 1-2 weeks
Monocryl approximate time to absorption
Predictable, 119 days
Monocryl degradation method
Hydrolytic
Biosyn composition
Glycomer 631
Biosyn tensile strength over time
50% at 2-3 weeks
Biosyn configuration
Monofilament
Biosyn approximate time to absorption
Predictable, 119 days
Biosyn degradation method
Hydrolytic
PDS II composition
Polydiaxanone
PDS II configuration
Monofilament
PDS II tensile strength over time
50% at 5-6 weeks
PDS II approximate time to absorption
Predictable, 180 days
PDS II degradation mode
Hydrolytic
Maxon composition
Polyglyconate
Maxon configuration
Monofilament
Maxon tensile strength over time
50% 4-5 weeks
Maxon approximate time to absorption
Predictable, 180 days
Maxon degradation mode
Hydrolytic
Generic/trade name for intestinal serosa/submucosa
Surgical gut, plain and chromic
Generic trade name for polyglactin 910
Vicryl and vicryl rapide
Generic trade name for Lactomer (glycolide/lactide)
Polysorb
Generic trade name for polyglycolic acid
Dexon “S” and plus
Generic trade name for polyglytone (glycolide, caprolactone, trimethylene carbonate, and lactide)
Caprosyn
Generic trade name for poliglecaprone 25
Monocryl
Generic trade name for glycomer 631
Biosyn
Generic trade name for polydioxanone
PDS II
Generic trade name for polyglyconate
Maxon
Silk trade names
Silk, Sofsilk, perma-hand
Silk absorbable/nonabsorbable?
Nonabsorbable
Surgical gut (plain) absorbable/nonabsorbable?
Absorbable
Surgical gut (chromic) absorbable/nonabsorbable?
Absorbable
Vicryl absorbable/nonabsorbable?
Absorbable
Vicryl rapide absorbable/nonabsorbable?
Absorbable
Polysorb absorbable/nonabsorbable?
Absorbable
Dexon “S” absorbable/nonabsorbable?
Absorbable
Dexon plus absorbable/nonabsorbable?
Absorbable
Caprosyn absorbable/nonabsorbable?
Absorbable
Monocryl absorbable/nonabsorbable?
Absorbable
Biosyn absorbable/nonabsorbable?
Absorbable
PDS II absorbable/nonabsorbable?
Absorbable
Maxon absorbable/nonabsorbable?
Absorbable
Nylon absorbable/nonabsorbable?
Nonabsorbable
Polypropylene absorbable/nonabsorbable?
Nonabsorbable
Polyester absorbable/nonabsorbable?
Nonabsorbable
Polyblends and composites absorbable/nonabsorbable?
Nonabsorbable
Polytetrafluroethylene absorbable/nonabsorbable?
Nonabsorbable
Stainless steel absorbable/nonabsorbable?
Nonabsorbable
Silk configuration
Braided
Silk tensile strength
370-570 MPa
Silk tissue reactivity
High
Nylon trade names
Nurolon, Surgilon, Ethilon, Monosof, Dermalon, Dafilon
Nylon configuration (Nurolon, Surgilon)
Braided
Nylon configuration (Ethilon, Monosof, Dermalon, Dafilon)
Monofilament
Nylon tensile strength
460-71 MPa
Nylon tissue reactivity (braided)
Moderate
Nylon tissue reactivity (Monofilament)
Low
Polypropylene trade names
Prolene, Surgipro
Polypropylene configuration
Monofilament
Polypropylene tensile strength
410-460 Mpa
Polypropylene tissue reactivity
Low
Polyester trade names
Ethibond, Mersilene, Surgidac, Ti-cron, Novafil, Vascufil
Polyester configuration (Ethibond, Mersilene, Surgidac, Ti-cron)
Braided
Polyester configuration (Novafil, Vascufil)
Monofilament
Polyester tensile strength (braided)
510-1060 MPa
Polyester tensile strength (monofilament)
480-550 MPa
Polyester tissue reactivity
Moderate
Polyblends and composites trade names
FiberWire, Orthocord, Herculine, Ultrabraid
Polyblends and composites configuration
Multifilament
Polyblends and composites tensile load
263 N
Polyblends and composites tissue reactivity
Moderate
Polytetrafluoroethylene trade names
Gore-Tex
Polytetrafluoroethylene configuration
Multifilament
Polytetrafluoroethylene tensile strength
1859 MPa
Polytetrafluoroethylene tissue reactivity
Low
Stainless steel trade names
Flexon, Steel
Stainless steel configuration (Flexon)
Multifilament
Stainless steel configuration (Steel)
Monofilament
Stainless steel tensile strength
540-780 MPa
Stainless steel tissue reactivity
Low
Ethilon generic name
Nylon
Prolene generic name
Polypropylene