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22 Cards in this Set

  • Front
  • Back
cutting instruments
Scalepl (conventional, changeable blade), Cooper/Mayo/Peritoneal/Knee scissors (sharp, blunt)
Grasping & Retracting instruments
Grasping : Forceps(surgical, anatomical, special(dental)). Clamps- towel, backhouse, doyen, peritoneal, lumniczer
Retracting : Manual retractors (2-8prongs), Langenback, Spatula. Automatic retractors (Finochioto, Gausset, mastoid)
Hemostatic instruments
Pean, Kocher, Mosquito, Dechamps
Special instruments
Intestinal clamps, bulldog, debakey, blalock, Statinsky
Suturing instruments
Needle holders : Matheau, Hegar, Zweifel
Needles : Skin-3/8 triangular, Muscle-1/2,5/8 Triangular, Seros-1/2 round sharp tip, Parenchyma-Blunt end atraumatic
Serosa,Parenchyma,Vessels - use atruamatic needles
Skin : 1/0,0,Non absorbable
Muscle : 1/0, 2/0 absorbable
Seroa : Etyhlon 0, Long term absorbable
Spleen,Liver - use monofilament or pseduo monofilament
Sonnenburg table
Right, top-to-bottom: Scalpel, Forceps, Scissors
Top middle, left-to-right :
Forceps, Scissors
Top right : Hemostatic
Top middle : Peritoneal clamps
Middle : Doyens(4-6), Towel clamps(4) (doyens more to the top)
Middle bottom : Needle holders + needles
Right bottom : Cooper scissors
Big table
Top left : Automatic retractors,
Top middle : Physical solution, needles, suture
Top right : Towels + dressings
Middle left : manual retractors
Middle : towel clamps(4), doyens(4-6), scissors
Bottom left : special instruments
Bottom middle : Forceps, needle holders
Bottom right : Peritoneal clamps, hemostatic
Absrobable suture materials
Natural (3 C's) : Catgut, Collagen, Chitin
Synthetic : Polyglactin, Polyglycolic acid, Polydiaxanone
Non absorbable suture materials
Natural : Silk, Linen, Steel (SLS)
Synthetic : Polyamide, Polyester, Polypropylene
Important features of suture material
Non toxic, non allergic, non-toxigeniic, good tensile and high-breaking strength, easy handling, low-cost
2 knotting and 3 suturing types
Knotting : Mariner, surgical
Suturing : Simple interrupted, Donati, Running stitch
Scrub solutions :
Skinman soft N, Skinman Asept, Biotensis
Steps :
1. Remove jewllery
2. Clean fingernails
3. Wash hands in soap & warm water. Rinse hands from palms downwards
4. Rub antiseptic solution onto hands and forearms. At least 5 x 1min (5ml each time). Each time rub closer to the palm
5. Hands need to be dry at the end of the process
Gowning, Gloving
Gowning : Take the gown from the collar, open it and simultaneously put your hands into the sleeves. Ask someone to assist you to tie the gown from behind.
Gloving : Take opesite hand and open the glove from inside. Do the same with other hand but open the glove from outside
Methods of sterilization
Steam autoclaving, dry heat, Etyhlene oxide, Gamma irradiation, Cold sterilization (Gluteraldehyde)
Types of bleeding
Capillary, Venous, Arterial, Mixed, Parenchymal
Temporary ways to stop the bleeding
Use bulldog, blalock, Debakey, statinsky (vascular non crashing atraumatic)
Arterial bleeding :
digital pressing proximal to the wound, bandage, torniquet. Compression of vessel only in life-saving situations. Vessels involved (common carotid, brachial,sub clavian,femoral, abdominal aorta)
Venous - only bandages (do not use torniquet (can damage nerves)
Stopping the bleeding definitivly
Closing the vessel lumen :
Mechanical - ligation of vessel, torsion of vessel
Physical - Electrocoagulation, Laser coagulation
Chemically - dicynon
Biological - bioplast

Reconstruction of the vessel lumen - Vascular surgery
Steps of venous cutdown techniques (venous preparation)
1. Catheter preparation (check air bubbles)
2. Check infusion solution(expiration date)
3. Skin incision, stop the bleeding
4. Exposure of the vein (parallel spreading with scissors)
5. Isolate the vein between two ligatures
6. Perform the distal ligature
7. V-shape cut in the vein
8. Insert catheter
9. Connect the infusion
10. U stitch
11. Closure of incision
Skin suturing (needle, thread, stitch)
3/8 cutting needle, Polyfilament non-absorbable. Use Donati or simple interrupted. Leave 1cm flag.
Muscle suturing (needle, thread, stitch)
5/8 or 1/2 Cutting needle, polyfilament non-absorbable thread (usually). Use simple interrupted stitch. Don't leave flag, cut immediately above thread.