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Week 4 Terms Flashcards

1
Q

Absorbable suture

A

Suture material that is broken down and metabolize by the body

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2
Q

Adhesion

A

Scar formation of abdominal viscera

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3
Q

Anastomosis

A

Surgical creation of an opening between two blood vessels, hollow organs, or ducts

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4
Q

Approximate

A

To bring tissues together by sutures or other means

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5
Q

Autotransfusion

A

Blood salvaging; method of retrieving blood lost at the operative site, reprocessing it, and infusing it back into pt

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6
Q

Capillary action

A

Ability of suture material to absorb fluid

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7
Q

Contracture

A

Scar tissue that lacks flexibility, causing constriction and pain

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8
Q

Debridement

A

Chemical or mechanical removal of necrotic or nonviable tissue and foreign bodies after infection or trauma

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9
Q

Dehiscence

A

Separation of the edges of a surgical wound during healing

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10
Q

Evisceration

A

Protrusion of abdominal viscera through a wound or surgical incision

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11
Q

Fistula

A

Complication of wound infection in which one or more hollow, skin-lined tracts form at the wound site and continue to drain pus and fluid

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12
Q

Hematoma

A

Blood-filled space in tissue, result of bleeding vessel

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13
Q

Hemostatic agent

A

Substance applied to bleeding tissue in order to enhance clotting

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14
Q

Inert

A

Causing little or no reaction in tissue or with other materials

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15
Q

Interrupted sutures

A

Technique of bringing tissue together by placing individual sutures close together

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16
Q

Ligate

A

To place a loop or tie around a blood vessel or duct

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17
Q

Non absorbable suture

A

Suture material that resists breakdown in the body

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18
Q

Primary intention

A

Wound-healing process after a clean surgical repair

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19
Q

Running suture

A

Method of suturing that uses on continuous suture strand for tissue approximation

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20
Q

Serosanguineous fluid

A

Exudate or discharge containing serum and blood

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21
Q

Swage

A

Area of an atraumatic suture when the suture strand is fused to the needle

22
Q

Tapered needle

A

Suture needle that has a round body that tapers to a sharp point

23
Q

Tensile strength

A

Amount of force or stress a suture can withstand before breaking

24
Q

Throw

A

Loop that forms a knot

25
Tie on a passer
Strand of suture material attached to the tip of an instrument
26
Thrombin
Active hemostasis for topical use in bleeding tissues; bovine or human origin
27
Gel foam
Mechanical hemostatic on tissue surface or vascular anastomosis; Dry sponge or film material derived from porcine tissue
28
Surgicel
Mechanical hemostasis; oxidized cellulose hemostat; swells on contact with fluid; absorbs in 1 - 6 weeks
29
Tisseel
Gel; fibrin combination sealant; low bonding strength; requires 20 minutes prep time; used to seal lung, liver, plastic sx, skin grafting; prevents air leaks; capillary hemostasis
30
Floseal
Fibrin combination sealant; gel; flowable topical hemostat; bovine-derived gelatin matrix, human thrombin in calcium chloride soln; resorbed in 6 - 8 weeks
31
Dermabond
Fibrin combination sealant; liquid; used to close the skin (incisions and lacerations); synthetic cyanoacrylate; fast setting with high strength; nonabsorbable
32
Silver nitrate
Fluid or applicator; creates thick eschar (scab); stains tissue; caustic chemical; seldom used; used only for superficial bleeding
33
4X4 Raytec sponge
Large square of loosely woven gauze folded into 4 inch square pad
34
Laparotomy sponge
Lap or tape; use in major sx; used to absorb blood and fluids for padding beneath the blades of large retractors
35
Sponge dissector
Peanut, pusher; Small round or oval sponge covered with gauze; Always mounted on a clamp and used to separate or for blunt dissection
36
Round sponge
Tonsil sponge; covered with gauze and has a string attached for retrieval
37
Flat neurosurgical sponge
Cottoned or patty; compressed square of synthetic or cotton material with a string attached; used to maintain hemostasis or as filter over delicate tissue requiring suction
38
Flat dressings
Most common and simplest type of surgical wound dressings; thin, nonstick pad covered by 1 or 2 layers of flat gauze secured with tape
39
Rolled dressings
Used for wrapping a limb; may be plain gauze or an elasticized material; Kling, elastoplast, tube stockinet
40
Gauze packing
Used in a cavity (nose, open wound); long, thin strip and packaged in bottle or similar container; usually removed early in recover period (source of infection)
41
Steri-strips
Used to approximate small incisions and protect the wound; Used in minor sx and for minor wounds
42
Secondary intention
Wound not sutures; heals from base; healing process involves filling tissue gap with granulation tissue; slower than primary intention, results with scar; required for infected or grossly contaminated wounds
43
Third intention (delayed closure)
Process in which and infected or a contaminated wound is treated and wound space is packed to prevent serum accumulation and protect against environmental exposure; when sufficient granulation tissue has filled in wound, it is sutured
44
Clean wound
Uninfected; closed primarily (all tissue layer sutured closed); no inflammation; may contain closed drainage system; rest, go, genital, and uninfected urinary tracts not entered; 1%-5% risk of post op infection
45
Clean contaminated wound
No evidence of infection or major break in aseptic tech; resp, go, genital, or urinary tracts were entered w/o unusual contamination; 3% - 7% risk of post op infection
46
Contaminated wound
Open, fresh, accidental wound; gross spillage from go tract occurred; presence of acute, non purulent inflammation; major break in aseptic tech; 10%-17% risk of post op infection
47
Dirty or infected wound
Old traumatic wounds with devitalized tissue; existing clinical infection; perforated viscera; >27% risk of post op infection
48
Inflammatory phase
Begins as soon as tissue is injured; phagocytes migrate to wound site and digest excess fibrin, bacteria, and cell fragments; usually takes 3- 4 days
49
Proliferative phase
Begins about day 4 or 5 and continues for approx. 2 weeks; granulation tissue forms
50
Remodeling
Last stage of wound repair; begins after approx. 3 weeks, lasts 22 days - 1 year

ST1 (15 decks)

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