Surgical Techniques - Wound Closure 5-C Flashcards
(107 cards)
1
Q
undesirable deformation of a strand of suture
A
kink
2
Q
tissue that is easily torn
A
friable
3
Q
relating to the complex substance within tissue cells which may break down and digest surgical gut
A
enzymatic
4
Q
a tube or disk retaining continuous, wound suture that can be unwound as it is needed
A
ligature reel
5
Q
surgically joining tissue to promote the unhindered flow of fluids from one to the other, bypassing previous blockages
A
anastomosis
6
Q
to bring the individual surfaces of two tissues together
A
tissue approximation
7
Q
Alteration or decomposition through water
A
hydrolosis
8
Q
the process of manually occluding vessels by typing suture around the vessel to effect homostasis or to prevent leakage
A
tie (ligature)
9
Q
capillary action when tissue fluid and infection are spread from one tissue to another via the suture strand
A
wicking action
10
Q
filament material used to approximate tissue and ligate vessels
A
surgical glue
11
Q
ised to approximate edges of ragges lacerations or for closing skin where flexibility and adherence are key issues
A
adhesive skin closure strips or tapes
12
Q
a more rapid method of general tissue closure such as skin, organ, or vessel
A
staples
13
Q
piercing end is pushed through tissues and eye end retains suture that follows
A
needles
14
Q
used to occlude tubular structures, most often vessels, or can be used to mark anatomical areas for later x-rays
A
clips
15
Q
provides the action that drives and secures the skin in the tissue
A
staplers
16
Q
provide the mechanism to clamp the clips around the vessel
A
appliers
17
Q
used for repeated opening and closing of a particular incision
A
wound zippers
18
Q
sterile preparation rubbed into bleeding points on surface of bone for hemostasis
A
bone wax
19
Q
biologic or synthetic derivatives that glue surface tissues together to eliminate the need for postoperative suture removal
A
topical adhesives
20
Q
is an effective sealant for high porosity vascular grafts and a valuable topical hemostatic agent in heparainized patients
A
pooled-donor plasm
21
Q
placed on the ends of subcuticular skin suturesto prevent the suture from retracting into the wound
A
lead shots
22
Q
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
A
autologous/homologous plasma
23
Q
used extensively in all surgical disciplines for tissues adhesion, suture support, hemostasis, wound care and the sealiing of body cavities
A
fibrin glue
24
Q
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
A
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
