Chapter 11
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| 1st century | show 🗑
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| show | Sterile technique. Pasteur: Organisms outside the body caused disease. insturments should be boiled and passed through flame. Lister:Infection was a result of "Disease dust". Soaked suture in carbolized oil
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| show | Suture made of catgut, silk, kangaroo. Fist synthetic suture polyglycolic acid
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| show | Maximum amount of weight it can endure before breaking
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| show | Capable of being absorbed by the tissue. Should absorb by the time the tissue has healed. Avoid tissue reaction
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| Nonabsorbable suture | show 🗑
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| Monofilament suture | show 🗑
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| Multifilament suture | show 🗑
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| show | Capability to harbor bacteria and tissue fluids
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| show | Adson tonsil with suture at tip
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| show | Chemical: Avitene Electrical:Bovie Mechanical:Suture
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| show | cellulose, animal product, animal tissue.Natural absorbable:digested by body enzymes that attack the suture strand
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| show | polymers from petroleum based products. Synthetic absorbable is hydrolyzed by the body. Water in tissue breaks down synthetic fibers. Minimal tissue reaction
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| The united states pharmacopeia USP and Brown and Sharp B and S | show 🗑
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| Where is absorbable suture used | show 🗑
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| show | where there is need for continuous support. Closed abnormal openings in the heart, dura of the brain, dura over spinal cord, fascia and skin
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| What are common monofilament absorbable sutures | show 🗑
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| What are common monofilament nonabsorbable suture | show 🗑
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| show | Vicryl and dexon
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| show | silk, surgical cotton, braided nylon, mersilene, ethibond (strong used for ortho)
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| Ligatures | show 🗑
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| Free tie | show 🗑
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| Suture ligature | show 🗑
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| Reel tie | show 🗑
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| show | Tie on a pass: suture is loaded onto an instruement crile, schnidt, adson
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| List the from first to last the layers of closure | show 🗑
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| Primary suture line | show 🗑
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| Second suture line | show 🗑
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| show | Two parallel rows of staples
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| Ligating cutters | show 🗑
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| Cutting needle | show 🗑
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| show | round shaft without a cutting edge
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| show | round shaft that ends in a blunt tip
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| Shaft | show 🗑
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| Point | show 🗑
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| Body | show 🗑
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| CDC classifies wounds in what three categories | show 🗑
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| Inflammation | show 🗑
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| show | Primary closure. Phase 1 lag phase- inflammatory response. Phase 2 proliferation. Phase 3 maturation-cicatrix forms
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| show | granulation-proud fesh-excessive granulation of tissue may form
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| Third intention of wound healing | show 🗑
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| What are the three main factors that influence wound healing | show 🗑
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| Dehiscence | show 🗑
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| show | Easily torn
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| show | Protrusion of the viscera through the edges of a separated wound. Emergency
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| Fistula | show 🗑
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| Sinus tract | show 🗑
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| Keloid scar | show 🗑
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| Why does the surgeon try to use the smallest suture for wound closure | show 🗑
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| What is 1 and 0 suture most used on | show 🗑
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| what is 4-0 and 5-0 suture used on | show 🗑
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| What is 6-0 and 7-0 suture used on | show 🗑
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| 8-0 throught 11-0 suture used on | show 🗑
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| 4-0 suture is used on | show 🗑
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| show | subcuticular skin
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| What are factors for choosing suture | show 🗑
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| What are disease processes that affect suture closure | show 🗑
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| Pliability | show 🗑
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| show | suture size, material, size of needle
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| show | Made of steel. Needle eye is where the suture is attached
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| show | Round or square holes have to lead suture through. Causes more tissue damage
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| French eye needle | show 🗑
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| show | Suture inserted into one end of the needle. Single arm attachment or double arm. Permanently attached suture or control release
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| show | Conventional: 3 cutting edges that extend the length of the shaft Reverse: Opposing cutting edges along the shaft
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| show | side: opthalamic procedures aka spatula tapered: Round shaft without cutting edges, doesn't cut tissue, used on delicate tissue
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| Blunt point and ground point wire needles | show 🗑
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| show | 3/8 circle
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| show | Inject medications, withdraw medications into a syringe, draw fluids from tissue. Gauge 12-30. smaller the needle the larger the number
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| show | employ a needle to introduce a plastic indwelling catheter into a vessel, used to obtain arterial blood gas
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| show | Ex Potts-Cournand, introduc diagnostic or angioplasty guiding catheters into arterial system
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| show | small ccannulated tube, straight or angled, disposable and non disposable, different lengths
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| Biopsy needles | show 🗑
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| Continuous or running suture | show 🗑
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| Interrupted suture | show 🗑
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| Endoscopic suturing: Extracorpeal and Intracorporeal | show 🗑
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| Wound Zipper | show 🗑
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| show | Synthetic adhesive for skin closure. ex Dermabond and indermil. Chemical liquid glue, dries in 2 minutes. Flexible, wears off in 7-10days. Can't use if infection is present
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| show | Biologic adhesive and hemostat agent. Mix calcium chloride and thrombin. Drawn in two separate syringes and applied at the same time
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| Bridges | show 🗑
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| show | Plastic or rubber tubing on retention suture to prevent retention suture from cutting the skin
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| show | Tendon suture
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| Split lead shots | show 🗑
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| show | retraction and isolation during surgery
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| Vessel loops | show 🗑
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| show | Used in ortho for fixing tendons and ligaments to bone
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| show | Advantage: Less tissue reaction, accelerated wound healing, less operating time, efficiency. Disadvantages: Increased cost, must be preciseley placed
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| Fascia and skin stapler | show 🗑
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| show | 2 straight, staggered, evenly spaces, parallel rows of staples used for transection ex TA. Cutter: Staples and cuts tissue ex GIA
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| Ligating clips and linear dissecting stapler | show 🗑
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| show | Circular, anastomosis of tubular structures Ex EEA
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| Synthetic meshes | show 🗑
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| show | Fascia Lata, Muscle of cattle or muscle from patients thigh. Ingrowth mesh: Sugisis, porcine small intestine
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