Surgical Techniques - Wound Closure 5-C Flashcards Preview

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Flashcards in Surgical Techniques - Wound Closure 5-C Deck (107):
1

undesirable deformation of a strand of suture

kink

2

tissue that is easily torn

friable

3

relating to the complex substance within tissue cells which may break down and digest surgical gut

enzymatic

4

a tube or disk retaining continuous, wound suture that can be unwound as it is needed

ligature reel

5

surgically joining tissue to promote the unhindered flow of fluids from one to the other, bypassing previous blockages

anastomosis

6

to bring the individual surfaces of two tissues together

tissue approximation

7

Alteration or decomposition through water

hydrolosis

8

the process of manually occluding vessels by typing suture around the vessel to effect homostasis or to prevent leakage

tie (ligature)

9

capillary action when tissue fluid and infection are spread from one tissue to another via the suture strand

wicking action

10

filament material used to approximate tissue and ligate vessels

surgical glue

11

ised to approximate edges of ragges lacerations or for closing skin where flexibility and adherence are key issues

adhesive skin closure strips or tapes

12

a more rapid method of general tissue closure such as skin, organ, or vessel

staples

13

piercing end is pushed through tissues and eye end retains suture that follows

needles

14

used to occlude tubular structures, most often vessels, or can be used to mark anatomical areas for later x-rays

clips

15

provides the action that drives and secures the skin in the tissue

staplers

16

provide the mechanism to clamp the clips around the vessel

appliers

17

used for repeated opening and closing of a particular incision

wound zippers

18

sterile preparation rubbed into bleeding points on surface of bone for hemostasis 

bone wax

19

biologic or synthetic derivatives that glue surface tissues together to eliminate the need for postoperative suture removal

topical adhesives

20

is an effective sealant for high porosity vascular grafts and a valuable topical hemostatic agent in heparainized patients

pooled-donor plasm

21

placed on the ends of subcuticular skin suturesto prevent the suture from retracting into the wound

lead shots

22

a tissue adhesive from patient's own blood, which imitates the final stages of coagulation when a solution of human fibrinogen is activated by thrombin, the two components of fibrin glue

autologous/homologous plasma

23

used extensively in all surgical disciplines for tissues adhesion, suture support, hemostasis, wound care and the sealiing of body cavities

fibrin glue

24

white, woven cotton ligature initially designed for pediatric use; also used to isolate or suspend small vessels and structures, particularly in pediatric and cardovascular procedures

umbilical tape

25

used to prevent the suture threads from cutting through the tissue

buttons

26

used within the incision to adhere deeper tissues and organs

surgical glue

27

silicon tube-like strand used for retracting and occluding blood vessels in minimally invasive surgery (MIS)

vessel loops

28

used as a bone cement for gluing prosthetic devices in orthopedic surgery

methyl methacrylate

29

cargile membrane of fascia lata

biologic mesh

30

biological or synthetic tissue grafts, implants, or transplants

tissue replacement

31

polyester, poly-based compounds, ingrowth and stainless steel

synthetic mesh

32

forms a strong bond across opposed wound edges of an incision or laceration allowing normal healing to occur

cyanoacrylate

33

performs tissue repair as it reinforces or bridges woumd areas that are umder tension or are too weak

surgical mesh

34

consists of an evacuation tube embedded in a polyurethane foam dressing

vacuum-assisted closure device

35

the expected length of time in which absorbable sutures will be in place before being digested by tissue enzymes or through hydrolysis

rate of absorbtion

36

suture made of materials that are produced by or that exist in nature

natural suture

37

suture produced artifically from chemicals

sythetic suture

38

suture that is capable of being absorbed by living mammalian tissue

absorbable suture

39

single strand sutures

monofilament suture

40

a suture strand's ability to stretched or expanded

elasticity

41

the expected reaction of the suture when infection is present

infection potential

42

a suture strand's ability to bend freely and repeatedly without breaking

pliability

43

distance through the center of the suture in millimeters, expressed in USP sizes

gauge

44

a measure of the ease with which suture slips through tissue

tissue drag

45

multiple strands twisted or braided together

multifilament suture

46

ability of the strand to return to its former condition

memory

47

a measure of the force required to cause a given type of knot to slip

knot security

48

suture that effectively resists enzymatic digestion in living tissue

non-absorbable suture

49

a suture strand's ability to allow tissue fluids to move along the strand through wicking action

capillarity

50

the unexpected reaction if a patient is equipment is allergic to the suture material

allergic reaction

51

amount of tension or pull, expressed in pounds, that a suture strand can withstand before it breaks

tensile strength

52

the expected reaction of the suture if tissue is inflamed

inflammation reaction

53

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

polyamide (nylon) or Surgilon

NS

54

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

surgical gut (plain)

AN

55

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polybutester or Novafil

NS

56

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polydioxanone or PDS

AS

57

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Ethilon

NS

58

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Collagen (chromic)

AN

59

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polyester (Teflon coated) or Polydek

NS

60

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Biosyn

AS

61

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Silk

NN

62

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polyamide (nylon coated) or Monosof

NS

63

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polypropylene or Surgipro

NS

64

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polysorb

NS

65

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polypropylene

NS

66

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Nurolon

NS

67

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Poliglecaprone 25 or Monocryl

AS

68

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polyglactin 910 (coated) or Coated Vicryl

AS

69

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polyglyconate or Maxon

AS

70

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Caprosyn

AS

71

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

stainless steel

NN

72

Classify sutures by their properties into absorbable natural (AN) or synthetic (AS) sutures and non-absorbable natural (NN) and synthetic sutures (SS) 

Polyglycolic acid (uncoated) or Dexon

AS

73

Complete the following statement concerning Halsted's principles of surgical technique regarding tissue handling.

Halsted's principles, alson known as _____ of Halsted, are the basic principles of surgical technique regarding tissue handling.

Tenets

74

Complete the following statement concerning Halsted's principles of surgical technique regarding tissue handling.

Strict aseptic technique should be followed during ____ and surgery.

preparation

75

Complete the following statement concerning Halsted's principles of surgical technique regarding tissue handling.

Gentle handling of tissue and careful _____, using fine, non-irritating suture material in minimum amounts are two of Halsted's principles.

hemostasis

76

Complete the following statement concerning Halsted's principles of surgical technique regarding tissue handling.

The importance of _____ is one of Halsted's principles.

rest

77

Complete the following statement concerning Halsted's principles of surgical technique regarding tissue handling.

Avoidance of _____ is an important principle of surgical technique regarding tissue handling.

tension

78

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

Does not lend itself to wicking action, so infection is not as likely to travel along the suture long.

I

79

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

Sutures may be rapidly placed.

C

80

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

If a suture breaks, the entire line can disrupt.

C

81

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

Individual sutures may be removed as healing progresses or if a single stitch becomes inflamed or infected.

I

82

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

Consisits of a single strand of suture material, passed back and forth between the wound edges and tied only on each end of the wound.

C

83

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

Stitches are strong, since tension on the strand is distributed evenly along its entire length.

C

84

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

Placing individual sutures is time consuming, since each myst be individually tied and cut.

I

85

Differentiate between continuous and interrupted suturing techniques by placing a "C" for continuous and an "I" for interrupted for the statement below.

Infection can run the length of the strand.

C

86

Identify the type of surgical stitch.

 

free tie ligature

87

Identify the type of surgical stitch.

stick tie ligature

88

Identify the type of surgical stitch.

deep suture

89

Identify the type of surgical stitch.

running locked suture

90

Identify the type of surgical stitch.

retention suture

91

Identify the type of surgical stitch.

purse string

92

Identify the type of surgical stitch.

 

subcutaneous

93

Identify the type of surgical stitch.

over and over

94

Identify the type of surgical stitch.

vertical mattress

95

Identify the type of surgical stitch.

horizontal mattress

96

Identify information on suture packaging. 

a. surgical use

b. size of suture

c. trade name

d. characteristics

e. generic name

f. length and # of suture

g. needle description

h. needle identification number

i.  needle illustration

j. expiration date

k. manufacturer

 

 

97

Complete the following statements concerning guidelines for handling sutures.

Place the needle holder on the flattened surface of the needle at (1/4 or 3/4) the distance from the swage or eyed portion of the needle to the point.

1/4

98

Complete the following statements concerning guidelines for handling sutures.

Open absorbable sutures packaged with an alcohol-water solution over ( a basin or the patient).

a basin

99

Complete the following statements concerning guidelines for handling sutures.

Standard lengths of sutures are (45" or 54") for absorbable ad (60" or 64") for non-absorbable.

54"

60"

100

Complete the following statements concerning guidelines for handling sutures.

(Polyethylene or Wire) suture must be handled carefully because it is prone to (damage or kink).

Wire

kink

101

Complete the following statements concerning guidelines for handling sutures.

Always protect the needle to (prevent dulling point and cutting edge or reduce exposure to blood pathogens.)

prevent dulling point and cutting edge

102

Complete the following statements concerning guidelines for handling sutures.

Pre-cut lengths of suture are available in (12-24" or 12-30") lengths and should be handeled (individually or by the package).

12-30"

individually

103

Complete the following statements concerning guidelines for handling sutures.

To straighten a suture, grasp strand (1/2" or 1") from each end and gently pull being careful not to run fingers down suture strands.

1"

104

Complete the following statements concerning guidelines for handling sutures.

Surgical gut and collagen may be (rinsed or soaked) prior to use if preferred by surgeon.

rinsed

105

Complete the following statements concerning guidelines for handling sutures.

Silk suture sould be kept (wet or dry) to retain its tensile strength.

dry

106

Complete the following statements concerning guidelines for handling sutures.

When threading needle, about (4" or 10") of the suture strand should be pulled through the eye to prevent unthreading.

4"

107