Surgery Flashcards

(15 cards)

1
Q

what is a thoracoscopy and what can it be used for?

A

keyhole surgery
biopsy and minimal surgical trauma

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2
Q

what is video assisted thoracic surgery?

A

2-3 small cuts and a thorascope sends live images to a screen
lower risk of post operative complications - less trauma, reduced pain
all pulmonary resections can be performed under VATS (lobectomy and pneumonectomy)

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3
Q

what does -ectomy mean?

A

to cut out

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4
Q

what is a wedge resection?

A

a small triangular piece of lung tissue is removed

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5
Q

what is a sleeve resection?

A

a lung tumour and part of the bronchus are removed, and healthy ends of the bronchus are sewn back together

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6
Q

what is a pneumonectomy?

A

removal of the whole lung, usually because of cancer

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7
Q

what is bronchial stenting?

A

small tube (stent) is placed inside a bronchus to keep the airways open
usually done for blockages caused by tumours, scarring or airway collapse

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8
Q

what is lung volume reduction surgery and what is it used for?

A

used in the treatment for emphysema
remove part of overexpanded lung to create more space in the thoracic cage and improve respiratory function

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9
Q

what is a pleurectomy?

A

removal of the pleura

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10
Q

what is pleurodesis?

A

sticking the two pleura together

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11
Q

what is decortication?

A

fibrous layer covering lungs / pleura removed

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12
Q

what does an intercostal drain do?

A

removes air or fluid from the pleural cavity

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13
Q

what are the three things you need in an intercostal drain?

A

an unobstructed tube
a collecting container below chest level
a one way mechanism such as a water seal

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14
Q

what are the indications for an intercostal drain?

A

pneumothorax
chest trauma
cardio-thoracic surgery
pleural effusion
empyema

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15
Q

what indicates reunflation of lung (/removal of ICD?)

A

no bubbling of air
no swinging of fluid level
lung inflation on chest xray
no change in lung volume with ICD cramped 24 hours

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