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Chapt. 5 Key Terms
Surgery and the Integumentary System
| Term | Definition |
|---|---|
| acellular dermal replacement | trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children. |
| adjacent tissue transfer | involve the transfer or transplantation of healthy, flat sections of skin or other tissue adjacent to a wound, scar or other lesion |
| aspiration | a hope or ambition of achieving something. |
| autogenous graft | bone grafting involves utilizing bone obtained from the same individual receiving the graft. |
| benign lesion | is non-cancerous whereas a malignant lesion is cancerous. |
| biopsy | an examination of tissue removed from a living body to discover the presence, cause, or extent of a disease. |
| burn | (of a person, the skin, or a part of the body) become red and painful through exposure to the sun. |
| class findings | based from the CPT coding |
| clean-contaminated wound | is, the risk of infection, and where the wound is located on the body |
| clean wound | They show no signs of infection or inflammation. They often involve the eye, skin, or vascular system. |
| complex repair | requires more than a layered closure, viz., scar revision, debridement, extensive undermining, or stents or retention sutures. |
| contaminated wound | Other wet or dry dressings may also be used. Your healthcare provider may also drain the wound to clean out pus |
| debridement | the removal of damaged tissue or foreign objects from a wound. |
| decubitus ulcer | technical term for bedsore. |
| defect site | is a type of point defect in a crystal. Crystals inherently possess imperfections, sometimes referred to as crystalline defects |
| dermal autograft | any tissue or organ for implantation or transplantation |
| dermatome | the lateral wall of each somite in a vertebrate embryo, giving rise to the connective tissue of the skin. |
| dermis | the thick layer of living tissue below the epidermis that forms the true skin, containing blood capillaries, nerve endings, sweat glands, hair follicles, and other structures. |
| destruction | the action or process of causing so much damage to something that it no longer exists or cannot be repaired. |
| diagnostic procedures | an examination to identify an individual's specific areas of weakness and strength in order determine a condition, disease or illness. |
| dirty and infected wound | which bacteria or other microorganisms have colonized, causing either a delay in wound healing or deterioration of the wound. |
| donor site | a section of epidermis and dermis which has been completely separated from its blood supply in one part of the body |
| downcoding | designate (a medical procedure or insurance claim) with a lower value. |
| epidermal autograft | donor site is either sutured closed directly or covered by a split-thickness skin graft |
| epidermis | the outer layer of cells covering an organism, in particular. |
| escharotomy | a surgical procedure used to treat full-thickness (third-degree) circumferential burns. |
| excisional biopsy | When an entire lump or suspicious area is removed |
| fine needle aspiration | a procedure in which a thin needle is used to draw cells or fluid from a lump or mass under the skin. |
| first-degree burn | affect only the outer layer of the skin. They cause pain, redness, and swelling |
| fragmenting | break or cause to break into fragments. |
| free graft | a graft transplanted without its nourishing blood supply; must undergo revascularization from the recipient bed. |
| full thickness graft | technique in which sheets of skin containing both the epidermis and the dermis are used |
| global days | a period of time starting with a surgical procedure and ending some period of time after the procedure |
| global package | defines the surgical package as services provided by the physician for specific services that are. |
| graft | a shoot or twig inserted into a slit on the trunk or stem of a living plant, from which it receives sap. |
| hematoma | a solid swelling of clotted blood within the tissues. |
| heterodemic graft | transplantation of a tissue or organ into a position that it normally does not occupy. |
| homograft | a tissue graft from a donor of the same species as the recipient. |
| homologous graft | tissue obtained from the body of another animal of the same species but with a genotype differing from that of the recipient; a homograft or allograft. |
| hyperkeratotic | thickening of the stratum corneum (the outermost layer of the epidermis) |
| imaging guidance | devices such as fixed C-Arms, CT scanners or MRI scanners. Most image-guided surgical procedures are minimally invasive. |
| incision and drainage (I&D) | clinical lancing are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess |
| integumentary system | consists of the skin |
| intermediate repair | A complex repair requires more than a layered closure, viz., scar revision, debridement, extensive undermining, or stents or retention sutures |
| malignant lesion | can be categorized according to whether or not they are caused by cancer. |
| mammary ductogram | an imaging technique which is used to evaluate lesions causing nipple discharge |
| mastectomy | a surgical operation to remove a breast. |
| mastotomy | Incision of the breast. Also called mammotomy . |
| Mohs micrographic surgery | a precise surgical technique used to treat skin cancer |
| National Correct Codding Initiative (NCCI) | improper payment when incorrect code combinations are reported |
| ostectomy | is a procedure involving the removal of bone |
| pedicle flap | a flap which is left attached to the original site by a narrow base of tissue to provide a blood supply during grafting |
| pilonidal cyst | a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. |
| pinch graft | harvesting technique in which small bits of partial or full-thickness skin are obtained by "pinching" |
| recipient site | ,calcified connective tissue forming the major portion of the skeleton of most vertebrates. |
| repair | fix or mend (a thing suffering from damage or a fault). |
| scalpel | a knife with a small, sharp, sometimes detachable blade, as used by a surgeon. |
| second-degree burn | marked by pain, blistering, and superficial destruction of dermis with edema and hyperemia of the tissues beneath the burn. |
| shaving | the removal of the skin |
| skin tags | hey look like a small piece of soft, hanging skin. Skin tags are also known as an acrochordon |
| split-skin graft | including the epidermis and part of the dermis. Its thickness depends on the donor site and the needs of the patient. |
| split-thickness autograft | composite graft is a small graft containing skin and underlying cartilage or other tissue. |
| split-thickness graft | consists of the epidermis and the entire thickness of the dermis. |
| subcutaneous | situated or applied under the skin. |
| surgical package | concept includes the pre-operative, intra-operative and post-operative services, and are considered included in the specific CPT code. |
| therapeutic procedures | are medical treatments that can help prevent, cure, or at least improve a person's condition |
| third-degree burn | severe burn characterized by destruction of the skin through the depth of the dermis and possibly into underlying tissues, loss of fluid, and sometimes shock. |
| tissue-cultured epidermal autograft | based from tissue , |
| ulcers | an open sore on an external or internal surface of the body, caused by a break in the skin or mucous membrane that fails to heal. |
| unbundling | market or charge for (items or services) separately rather than as part of a package. |
| wedge excision | a surgical procedure to remove a triangle-shaped slice of tissue. |
| xenograft | a tissue graft or organ transplant from a donor of a different species from the recipient. |
| Abbreviation | Definition |
| Bx or bx | biopsy |
| C&S | culture ad sensitivity |
| derm | dermatology |
| FS | frozen section |
| HSV | herpes simplex virus |
| ID | intradermal |
| I&D | incision and drainage |
| KOH | potassium hydroxide |
| sc or sub-q | subcutaneous |
| UV | ultraviolet |
Created by:
K.Lindsey
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