Instruments/ Staplers/ Arthroscopy/ Laprotomy Flashcards
(51 cards)
Gastrointestinal stapler
What Stapler is this?
Thoracoabdominal Stapler
What kind of stapler is this?
- LDS
- Ligating Dividing Stapler
What Kind of stapler is this
EEA Stapler
End to end anastomosis
What is this stapler used on?
Skin
Skin stapler
What stapler would you use for Jejunocecostomy?
GIA
Laproscopy
procedure done with laproscope, lighted tube inside the abdomen with video camera
Advantages of Laproscopy
Rapid return to function
relatively non-invasive
quick to perform
Disadvantages of Laproscopy
expense
skill of surgeon
video is 2D
Landmarks for standing Laparoscopy
tuber coxae
18th rib
internal abdominal oblique muscle
What do you need in recumbent laparoscopy that you don’t need in standing laparoscopy?
intermitent positive pressure ventilation
Complications of laproscopy
post OP discomfort
hemorrhage
local incision infection
Preparation of Instruments
clean instruments
do not soak in solution over night or over weekend
open box locks
flush lumen with 3% peroxide
Types of rust
crater rust
friction rust
tension rust
crevice rust
What temperature should you use for cleaning
93 C for 10 min
Ultrasound Cleaning
40 C, 3 min 35 KHz
no arthroscope or motorized equipment
Advantages of Arthroscopy
minimal joint trauma
joint evaluation
remove debris
chip removal
infection reduced
Disadvantages of Arthroscopy
equipment cost and set up time
What instrument is this?
Mathiew Needle Holder
What Instrument is this?
Doyen compression forceps
What is this instrument?
Foerster Straight Sponge Forceps
What instrument is this?
Langenbeck Retractor
What instrument is this?
Gelpi Self-Retaining Retractor
What instrument is this?
Weitlaner Self-Retaining Retractor
