misc. surgery info.

Question 1

incision for OPEN CHOLECYSTECTOMY (gallbladder removal) ?

Answer 1

right subcostal(kocher) ;along margin of rib

Question 2

first incision for a laparoscopic cholecystectomy?

Answer 2

supraumbilical (above umbilicus)

Question 3

nissen fundoplication procedure–GERD

Answer 3

blunt disscection used to expose esophagus along the crura and posterior vagus nerve

Question 4

iridectomy

Answer 4

removal of portion of iris to relieve pressure for GLAUCOMA.

Question 5

MMK– Marshall Marchetti Krantz

what is procedure for and what needles may be used?

Answer 5

–vesicourethral suspension,bladder suspension (URINARY INCONTENENCE)

-STAMEY or PEREYRA needle may be used

Question 6

VATS

Answer 6

Video Assisted Thoracic Surgery

Question 7

LAVH

Answer 7

Laparoscopic Assisted Vaginal Hysterectomy

Question 8

TAH

Answer 8

Total Abdominal Hysterectomy

Question 9

TURP

Answer 9

Transurethral Resection of the prostate

KEY TERMS:

• restectoscope
• glycene
• lithotomy position
• 3-way catheter (foley)

Question 10

UPPP

Answer 10

Uvulopalatopharyngoplasty

–for SLEEP APNEA

Question 11

ERCP

Answer 11

Endoscopic Retrograde Cholangiopancreatography

Question 12

order of screw placement (Ortho. procedures)

*DMTS

Answer 12

DRILL –>MEASURE –>TAP –>SCREW

Question 13

order for D&C (Dilation & Curettage)

Answer 13

Retract (AUVARD); Grasp cervix (TENACULUM); Measure (sound); Dilate; CURETTE

Question 14

Wertheim Procedure

Answer 14

radical hysterectomy (everything)

Question 15

vagotomy

Answer 15

removes part of vagus nerve (stomach ) performed with Pyloroplasty –widening the lower part of stomach

Question 16

Billroth I/Billroth II

Answer 16

I - gastroduodenostomy (stomach connected to duedenom)

II - Gastrojejunostomy (stomach connected to jejunum)

**NG tube inserted in stomach before resection

Question 17

pyloric stenosis

Pyloromyotomy

Answer 17

pyloric sphincter is narrowed;causing projectile vomiting in children

–surgery that performed to repair this

Question 18

CABG (Coronary Artery Bypass Graft

what is graft used?

Answer 18

saphenous vein or internal mammary to affected coronary artery

**if saphenous used a VOLVULOTOME is used to remove valves from vein before starting anastomosis

Question 19

Lefort II

Answer 19

maxilofacial fracture that occurs from a direct blow to maxilla

Question 20

radical mastectomy

Answer 20

removal of breast with lymph nodes and pectoralis muscle

Question 21

Cochlear implant surgery

Answer 21

• done to restore neural (nerve) hearing loss

* *8th cranial nerve affected

Question 22

intestinal anastomosis

Answer 22

1) absorbable sutures placed at serosa of POSTERIOR wall
2) absorbable sutures are placed on mucosa of POSTERIOR wall
3) absorbable sutures placed on mucosa of ANTERIOR wall
4) NONABSORBABLE sutures placed on serosa of ANTERIOR wall

Question 23

Stapedectomy

Answer 23

-done to restore conductive HEARING LOSS caused by OTOSCLEROSIS ; hardening of stapes

**graft inserted instead of stapes

Question 24

VP shunt

Answer 24

Ventriculoperitoneal shunt

• -placed to treat HYDROCEPHALUS (over accumulation of CSF in ventricles
• shunt drains CSF from 4th ventricle to peritoneal space in abdomen

Question 25

Where is CSF produced?

Answer 25

in choroid plexus

Question 26

Colles fracture -- what does this effect?

Answer 26

-distal radius (on thumb side/or lateral side in anatomical position)

Question 27

Fasciotomy /Compartment Syndrome

Answer 27

-surgical procedure where the fascia is cut to relieve tension or pressure commonly to treat the resulting loss of circulation to an area of tissue or muscle. --a limb-saving procedure when used to treat acute COMPARTMENT SYNDROME. --excessive pressure and swelling (edema) in muscle due to injury or infection causing loss of arterial flow

Question 28

ORIF

Answer 28

Open reduction internal fixation --open procedure for fractures when they need to be stabilized w implant of PLATES & SCREWS

Question 29

Cholangiogram

Answer 29

performed to visualize BILIARY TRACT for presence of STONES --radiopaque contrast media used (HYPAQUE,RENOGRAFIN,OMNIPAQUE) **contrasts shouldn't be used if patient has iodine or shellfish allergy--inform surgeon as such

Question 30

Thymectomy/Graves Disease

Answer 30

- thymus removed (thymus gland) - chronic autoimmune neuromuscular disease that causes weakness in the skeletal muscles, which are responsible for breathing and moving parts of the body, including the arms and legs.

Question 31

Keller/McBride procedure/Talipes Valgus

Answer 31

- Bunion removal | * *bunions

Question 32

Tracheotomy/Tracheostomy

Answer 32

-incision into the trachea; may be performed as an EMERGENCY if patient experiences respiratory distress post-op and become difficult to reintubate

Question 33

Radical neck disection

Answer 33

-the sternocleidomastoid muscle and hyoid muscle are cut

Question 34

-ostomy

Answer 34

-create an opening

Question 35

-otomy

Answer 35

-incision into

Question 36

-ectomy

Answer 36

-surgical removal of

Question 37

C-section / Placenta previa/ Placenta abruption

Answer 37

--when placenta is coming out first during childbirth; would require a C-section to be performed abruption--placenta separating from uterus--> C-section or bedrest