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A ___ that is not sutured and that gradually fills in by granulation Heals by second intention
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___ is the post-operative wound complications that would require immediate surgical treatment
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Ch 11
| Question | Answer |
|---|---|
| A ___ that is not sutured and that gradually fills in by granulation Heals by second intention | Wound |
| ___ is the post-operative wound complications that would require immediate surgical treatment | Evisceration |
| A ____ is used on Friable tissue as the liver or kidney | Blunt suture needle |
| ___ is the historical figure in medicine that is credited with creating principles of proper tissue handling and suturing | Halsted |
| Another name for a suture ligature is a? | Stick Tie |
| ___ is the term for removal of foreign material or contaminated debris from a wound | Debridement |
| ___ can best be described as a normal protective response to tissue injury | Inflammation |
| ___ is the top of healing that occurs in aseptic wound with good approximation and ideal surgical conditions | First intention |
| An ___ with no brakes and technique would be assigned a Class 1 wound | Inguinal hernia repair |
| A ___ is considered a chronic wound | Sacral decubitus ulcer |
| A patient undergoing chemotherapy and radiation therapy for cancer might experienced prolonged wound healing due to? | Immunosuppressed status |
| ____ has comparativly inconsistent tensile strength and Rapid absorption rate in Vivo with moderate tissue reaction | Plain surgical gut suture |
| ___ is the organization that specified diameter ranges for sutures | U.S. Pharmacopeia (USP) |
| The chemical name for Gore-Tex suture is? | Polytetrafluoroethylene |
| ____ are the most inert sutures in tissue | Chromic gut, plain gut, and surgical silk |
| ___ are used to occlude the Lumen of a blood vessel | Ligatures |
| When using a ___ to approximate wound edges, the surgeon will evert disking edges outward before the surgical technologist places in approximating skin staple | Stapler |
| The non suture needle used for the insufflation of carbon dioxide into the abdomen for laparoscopy is called a? | Verses needle |
| A needle that has The Cutting Edge on the outside curvature of the needle body is called a? | Reverse cutting needle |
| A continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws is called a? | Subcuticular suture |
| A ___ is a type of suture Ty that has an attached needle | Suture ligature |
| The suturing technique most appropriate for wounds likely to become infected or suffer potential stress is called? | Interrupted |
| Natural absorbable sutures are packaged? | Wet |
| ___ is a way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way during a continuous running closure | Following |
| ___ is an absorbable suture that provides for the most extended wound support | PDS Plus |
| Synthetic, non-absorbable, monofilament with double armed taper needles is often used to create a? | Vascular anastomosis |
| ____ is an absorbable type of synthetic mesh | Polyglactin 910 |
| A___ would be used to close the stump of the appendix in an open appendectomy | Purse string suturing |
| An ___ is an internal stapling device that fires a circular double row of Staples to reanastomose the colon | Intraluminal stapler |
| Vessel Loops available for use come in different colors | Blue colored for veins, red for arteries, and yellow for nerves |
| The chemical name for dermabond or indermill is? | Cyanoacrylate |
| The ___ is the suture technique that involves making a knot in the suture outside of the body and then pushes it inside through a cannula | Extracorporeal method |
| In genera, a ___ would require more not throws for security than a multifilament suture | Monofilament suture |
| __ is the term for tissue that is easily torn or shredded | Friable |
| A purulent wound treated by debridement and placement of medicated packaging then sutured after resolution of the infection is held by? | Third intention |
| ___ are broken down in the body by enzymatic digestion | Natural absorbable sutures |
| ___ is bringing two sides of a wound together closely with sutures, wound zippers, or special adhesive so that the wound can heal from side to side | Approximation |
| ___ of suture material should be equal to the tensile strength of the tissue in which the suture is placed | The tensile strength |
| Searchers with memory, such as ___, should be stretched tightly to remove any kinks in the Strand before handed to the surgeon | Prolene |
| ___ is small, white, mature surface scar seen in the differentiation phase of healing | Cicatrix |
| ___ is a closed traumatic wound also called a bruise | Contusion |
| ___ is a biological material for tissue repair made from procrine submucosa leaves a collagen Matrix | In growth mesh |
| An example of acceptable and safe ___ is blood collected from sponges into a basin of sterile saline during repair of a ruptured abdominal aortic aneurysm | Intraoperative autotransfusion blood collection |
| Blood products donated by another person is called? | Homologous |
| Methods of achieving hemostasis include? | Chemical, mechanical, and thermal |
| The blood type considered a universal recipient is? | AB |
| Knittners, cottonoids, and laps are? | Surgical sponges |
| ___ provide temporary mechanical hemostasis and enhance visualization by creating a bloodless field | Tourniquets |
| ___ are not examples of mechanical methods of hemostasis | Avitene, gelfoam, and sutgicel |
| ___ interweaves its fibers during the maturation phase of wound healing and increases its tensile strength | Collagen |
| Careful approximation of tissues, placement of wound drain, and pressure dressings are all techniques for eliminating ___ in a wound | Dead Space |
| The ___ of healing for wounds is closed by the first intention and begins within minutes of the incision or injury | Inflammatory phase |
| A ___ is the name of a raised, hypertonic scar due to excessive collagen formation in some darker-skinned individuals | Keloid |
| ____ is the tissue layer of the abdominal wall that provides the greatest strength and support of the wound | Fascia |
| ___ is minimized by using a suture permanently swag on an eyeless needle | Tissue trauma |
| ___ is the type of needle preferred for suturing of the skin | Cutting |
| ___ of an abdominal wound is the protrusion of viscera through all tissue layers | Evisceration |
| If tissue is approximated too tightly, it can result in? | Ischemia |
| ___ occurs from side to side | Primary Union wound healing |
| A ___ would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy | Class 2 wound classification |
| ___ is the term for the type of suture that has the strand of suture material inserted into the hollowed-out needle end | Swaged |
| ___ is a natural, multifilament suture classified as non absorbable but loses much of its tensile strength in a year and is undetectable and tissues after 2 years | Surgical silk |
| Some ___ are coded to provide smooth Passage through tissue | Multifilament sutures |
| ___ may be available with a designation of Plus for some sutures, which means they are impregnated with an antibacterial coating | Ethicon sutures |
| The primary reason ___ are used with retention sutures is to prevent sutures from cutting into the skin | Bolsters |
| ___ is a term that describes the measure of how much a suture strand can be stretched before breaking | Tensile strength |
| The structure design of suture needles maybe add or Alice, straight or curved, and are classified according to the? | Eye, point, and body |
| When retention sutures are placed, the abdominal wall closure includes? | Fascia Lata, peritoneum, and subcutaneous fat |
| The Searcher Gage most appropriate for ophthalmic surgery is? | 8 - 0 |
| A ___ is a surgical needle with a solid bore not Hollow | Keith needle |
| ___ have highly capillarity, cause increased tissue drag, and they are braided, twisted, and coded | Monofilament sutures |
| ___ is synthetic, monofilament, non-absorbable, and most inert synthetic suture used frequently in cardiovascular and Ophthalmology procedures | Polypropylene |
| ___ are used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis | Skin closure tapes |
| A ___ would be placed temporarily in the tongue to hold out of the way in a maxillofacial procedure | Traction suture |
| The ___ of the abdominal wall must be approximated securely, even if the other layers are not | Fascia layer |
| To achieve the goal of leaving as little foreign material in a wound, the ideal suture should have ___ and a small diameter | High tensile strength |
| ___ can range from number 5 being me heaviest to 11 - 0 being the smallest in diameter | Suture gauge |
| A ___ to be used is based on the surgeon's training, the condition of the patient, top of wound, and the conditions surrounding the surgical intervention | Surgeons choice of suture |
| Capability of suture material to retain tissue fluids and bacteria that can communicate along the length of a continuous suture line is called? | Capillarity |
| __ is an abnormal tract between two epithelial surfaces, open at one and only | Sinus |
| ___ is an abnormal connection between two epithelial surfaces, open at both ends | Fistula |
| ___ is a traumatic cut on tearing of the skin or soft tissues | Laceration |
| ___ is a traumatic injury from friction forces causing scraping of the epidermal layer | Abrasion |
| ___ is the process of breaking down synthetic polymer Chain by water from tissues | Hydrolysis |
| ___ of the surgical team must perform the checks of identification information patients armband, blood, and Rh top unit number and expiration date prior to administration of any blood products to a patient | Two members |
| A ___ is one in which the suture detaches from the needle by pulling it straight back from the swage. These are referred to by the proprietary name such as the de tach or control release | Detachable suture |
| ___ is the ability of suture material to absorb fluid. Sutures made of multifilament strands absorb moisture and hold body fluids called wicking or capillary action | Capillary action |
| ___ are used to prevent or limit movement of the surgical wound during healing. Thick cotton covered with stretch gauze is used for soft support. Are testing materials are used when complete immobility is required | Supportive dressings |
| The ____ occurs from the fourth or fifth day and continues for approximately two weeks. During this phase, fibroblasts synthesize collagen and other cell maitresses. Base form the ground substance of the new tissue, providing support and strength | Proliferative second phase |
| The ___ is a special continuous suture technique for closing the end of a tubular structure Lumen such as the appendix, which is the most common application. In this technique, one end of the suture is anchored and the stitches are placed around the perip | Purse-string |
| The ___ has a round body that papers to a sharp point. It punctures tissue, making an opening for the body of the needle to follow. It's primary uses for suturing soft tissue such as muscle, subcutaneous fat, peritoneum, and Dura, as well as gastrointesti | Tapered needle |
| ___ are a tap of interrupted technique used to provide additional support to wound edges in abdominal surgery in this technique, heavy sutures are placed through all the tissue layers of the body wall several centimeters from the primary suture line | Retention sutures |
| The ___ use of sutures is to prepare for construct tissue. The process of suturing other means to hold two tissue edges together is called approximation. Suture is also used to talk more like a bleeding vessel | Primary |
| ___ before removing the entire needle suture combination from its package | Load the needle holder |
| As each teacher is drawn tight, it pulls the edges of the incision into approximation without cutting into the tissue. ___ or small length of tubing are threaded through the suture to prevent it from cutting into the patient's skin | Plastic or rubber bolsters |
| The first signs of ___ are excess inflammation and serous discharge from the wound. At this stage medical and nursing Personnel take immediate action to Halt the process of infection | Infection |
| ___ becomes 10% to 40% weaker when knotted | Suture material |
| ___ are packaged in alcohol solution | Gut sutures |
| An ___ is brat distal to proximal to exsanguinate the pneumatic tourniquet is inflated | Esmark bandage |
| A ___ maybe pastor and a vessel or duct using a clamp. This type of tire is passed by securing one end to the end of the clamp. The clamp is passed in the normal manner but the suit room length should be draped over the scrubs hand in the same way a mount | Suture |
| Factors that affect ___ our immune system, chronic disease, fluid electrolyte balance, nutritional status, obesity, age, and surgical technique | Wound healing |
| Most ___ are now manufactured with the suture pre-attached. This is called a swag or a traumatic suture. The suture is inserted into the eye of the needle, and the area is crimped and sealed | Commercial needles |
| One of the primary skills in surgical technology is the ____ of sutures. Surgeons are accustomed to receiving sutures from the scrub in a prescribed manner for safety and efficiency of movement | Preparation and passing |
| ___ requires special handling. It's Kinks easily, and the ends are needle-sharp. The suture ends can puncture gloves, drapes, and other soft materials | Stainless steel suture |
| ___ that cause little or no bioactivity are said to be highly inert, causing little or no inflammation | Sutures |
| The position of the needle holder in relation to the suture needle depends on whether the surgeon is right-handed or left-handed. The long end of the suture should not come in contact with the surgeons Palm. It may be draped over the? | Scrubs hands for allowed to hang downward |
| ___ are used on circular or tubular suture lines. When a double armed suture is passed, only one needle is mounted on the needle holder | Double armed sutures |
| A ___ with a single long suture length is anchored at one end of the tissue, and the needle alternated from one side of the tissue Edge to the other | Continuous or running suture |
| A___ is a single continuous fiber made of a polymeric chemical chains of the same molecules strung together that is extruded and stretched tightly | Monofilament |
| ___ surgical site infection, adhesions, seroma and hematoma, evisceration | Wound complications |
| ___ franchise, tapered, conventional cutting | Surgical needle characteristics |
| ___ subcuticular, running or continuous, interrupted, suture ligature | Suturing technique |
| ___ clean contaminated, clean wound, contaminated | Wound classification |
| ___ proliferative phase, inflammatory phase, remodeling phase | Wound healing |
| Stainless steel, vicryl, polypropylene | Suture material |
Created by:
Cole2886