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46 Cards in this Set

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Favorable; noncancerous
Benign
Removal of a living tissue, cell, or fluid sample from the body and microscopic examination to determine its exact nature and to establish a diagnosis
Biopsy
An imperfection existing since birthday
Congenital Defect
Cutting a thin piece of frozen tissue specimen for examination under a microscope
Frozen Section
Protrusion of an organ or part of an organ through a defect in the supporting structures which normally contain it
Hernia
Surgical repair of a hernia
Hernioplasty or Herniorrhaphy
Area of the lower abdomen where direct inguinal hernias occur
Hesselbach's triangle
In position; localized and noninvasive
In situ
Surgical opening of the abdomen; an abdominal operation
Laparotomy
Exploration of the abdominal cavity with the use of an endoscopic instrument
Laparoscopy
Radiography of the soft tissue of the breast to allow identification of various benign and malignant processes
Mammography
Inflation of the peritoneal cavity with carbon dioxide gas to prevent injury to abdominal structures during laparoscopic surgery
Pneumoperitoneum
Purpose of hernia surgery:
To repair the defect and to strengthen the supporting structures
Direct or indirect hernias which represent attenuations or tears in the transversalis fascia
Inguinal hernia
Protrudes from the groin, below the inguinal ligament into the thigh
Femoral hernia
Protrusion of a portion of the stomach through the opening for the esophagus which is through the diaphragm
Hiatel hernia
Any hernia through the abdominal wall; can appear after previous operations or spontaneously
Ventral hernia
What are the 3 types of Ventral Hernias?
Incisional, Epigastric, and Umbilical
What are the 3 parts of Hesselbach's triangle?
Deep epigastric vessels laterally, inguinal ligament inferiorly, and rectus abdominis muscle medially
What is the purpose of thyroid surgery?
To treat various diseases of the thyroid
What are the 4 main disorders of the thyroid?
Hyperthyroidism, hypothyroidism, enlarged gland (Goiter), and cancer
Removal of the thyroid tissue to aid in establishing a diagnosis of the thyroiditis and diferentiate between nodular goiter and carcinoma
Thyroid biopsy
Removal of a lobe of the thyroid gland
Thyroid Lobectomy
Excision of enlarging goiters into the substernal and intrathoracic regions which may be causing tracheal and esophageal obstruction
Substernal or Intrathoracic Thyroidectomy
Excision of all portions of the cyst and duct, as well as a portion of the hyoid bone, to avoid recurrent cystic formation and prevent infections
Thyroglossal duct cystectomy
Removal of the entire thyroid gland to treat a malignancy
Total thyroidectomy
THYROIDECTOMY: Patient is positioned, prepped, and draped according to ___'s preference
Surgeon
THYROIDECTOMY: Surgeon defines the proposed incision line by using a ___ or by ___.
Marking pen OR by grasping a length of suture and pressing it against the patient's neck
THYROIDECTOMY: Surgeon incises the neck and subcutaneous tissue, exposing the ___ while the assistant retracts with rake retractors
Platysma Muscle
THYROIDECTOMY: Surgeon continues dissection and deeper retractors are used such as a ___ or ____ rectractor if the wound is very deep
Greene or Army-Navy
THYROIDECTOMY: When the thyroid is exposed, two small self-retaining retractors such as ___ or ___ are placed in the wound, and surgeon grasps the gland with one or two Lahey tenaculi designed for thyroid procedures
Lahey or Gelpi
THYROIDECTOMY: Surgeon mobilizes the gland by double-clamping small sections of tissue, dividing between the clamps, and ligating teh stumps. During dissection of the gland, the surgeon identifies and protects the recurrent ___ from damage since it supplies the larynx
Laryngeal nerve
THYROIDECTOMY: Suture ligatures of ___________ may be used to occlude the large thyroid arteries
2-0 or 3-0 silk
THYROIDECTOMY: Wound is irrigated. Drainage is usually unnecessary, but a small ___ may be inserted
Penrose drain
Positioning, prepping, and draping procedures are the ___ as for surgery of the thyroid
same
Multiple specimens obtained during parathyroid surgery should be ___
kept separated
What are 3 purposes of breast surgery?
Diagnotic, Treatment, and Cosmetic
Surgical opening and drainage of an infected area of the breat
I&D of an abscess
What are the 4 types of biopsies?
Needle biopsy, Incisional biopsy, Excisional biopsy, and needle localization & biopsy
What are the 5 types of mastectomies?
Partial, Subcutaneous, Simple, Modified radical, and Radical
What are 2 types of mammoplasties?
Augmentation and Reduction
BREAST BIOPSY: Patient is placed in the ___ position, prepped, and draped with the affected breast exposed
supine
BREAST BIOPSY: Technologist or assistant retracts the tissue with small rake retractors, such as ___
Senn retractors
BREAST BIOPSY: Surgeon grasps the mass with ____
Allis or Kocher clamps
BREAST BIOPSY: If the mass is benign, the subcutaneous breast tissue is approximated with ___ and the skin edges are closed with fine sutures or skin staples
absorbable sutures
BREAST BIOPSY: If the mass is malignent, the surgeon will close and may or may not proceed with a ___ at this time
mastectomy