minor surgery: procedures Flashcards
what does sterile field contain
Physician sterile
patient sterile
Tray/tools sterile
what type of procedures can ND perform
uncomplicated procedures on superficial structures.
contraindications for minor surgery
Nose, eye, arm pit, groin, posterior neck large size or to deep young childrent bleeding disorders pulsating lesion keiloid formers supressed immune system
ways to destroy tissue
Cryotherapy - histofreeze - dry ice - nitrous oxide - Niwuid nigrogen Electrosurgery - electrocautery - hyfrecation
what is most effective cryo
Liquid nitrogen in the Dewar bottle: freeze thaw cycle
may causee depigmentaiton, Not for sensitive skin, raynauds or malignancy.
heals withing 2-3 weeks, blisters in hours
what cry can cause infertility
Nitrous oxide
what is electrosurgery:
electrode, + surrent to destroy tissue and coagulate blood
difference between electrocautery and hyfrecation
Electrocautery: Indirect
Hyfrecation: Direction
Types of tissue preservation Biopsy
Excisional: complete removal: diagnostic/curative(field block)
Incisional: partial removal: diagnostic
shave: diagnositc and theraputic
punch: 1-2mm beyond border , trephine 4mm mc
scaple for puncture, abscess stabbine
stabbing number 11 bb-II
scaple for blunt disection, ,excision
excision: 15 IS - 15
thick skin
thick skin, excision: 10
type of forceps
Toothed: won’t crush skin
non toothed: foreign body removal
adson
Type of scissors
Iris: fine disection, sutures
Metzenbaum: blunt disection
Needle holder
Have cross hatching
Tungstein carbine, blunt nose, ratchet
