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9 Cards in this Set
- Front
- Back
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Tools order on the big table
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Middle : towel clamps,doyen,scissors
Top, middle : saline, needle +suture material Top, right : dressings + towels Left, top to bottom : Auto-retractors, retracting instruments, special instruments Bottom, middle : forceps (anatomical+surgical), needle holders, Bottom, right : haemostatic, peritoneal clamps |
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Tools order on the Sonnenburg table for VCD
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Left side, operator (top to bottom) : scalepl, forceps (anat+surg), scissors(Cooper, Mayo)
Middle : Doyens (4-6), Towel clamps (4) Middle, bottom : needle holder, needle, suture material Middle, top, 1st assistant : forceps (anat+surg), Cooper scissors Top, right : Hemostatic (Pean, Kocher, Mosquito) Bottom, right : Cooper >>> for VCD add : 2 rubber Peans, 2 dental forceps, Knee scissors, canule, infusion solution |
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Tools order on the Sonnenburg table for skin/muscle incision :
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Left side, operator (top to bottom) : scalepl, forceps (anat+surg), scissors(Cooper, Mayo)
Middle : Doyens (4-6), Towel clamps (4) Middle, bottom : needle holder, needle, suture material Middle, top, 1st assistant : forceps (anat+surg), Cooper scissors Top, right : Hemostatic (Pean, Kocher, Mosquito) Bottom, right : Cooper >>> for skin/muscle do not add anything |
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Tools order on the Sonnenburg table for Laparotomy :
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Left side, operator (top to bottom) : scalepl, forceps (anat+surg), scissors(Cooper, Mayo)
Middle : Doyens (4-6), Towel clamps (4) Middle, bottom : needle holder, needle, suture material Middle, top, 1st assistant : forceps (anat+surg), Cooper scissors Top, right : Hemostatic (Pean, Kocher, MOsquito) Bottom, right : Cooper >>> for Laparotomy add : Peritoneal scissors for the operator, Peritoneal clamp below hemostatics, and use 6 Doyens and 6 towel clamps |
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Skin sutures (needle, suture material)
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1/4, 3/8 cutting triangular needle, 1/0 or 0 nonabsorbable, mono/polyfilament (pref. poly)
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Muscle sutures
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Muscle - cutting needle 1/2,5/8
Suturing material : nonabsorbable/absorbable, polyfilament |
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Closure of abdominal cavity in 3 layers
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Definition : closing each layer seperately (peritoneuum, muscle, skin).
Needles : Peritoneum - serosal needle Muscle - cutting needle 1/2,5/8 Skin - cutting needle, 1/4, 3/8 Suturing material : Peritoneum - mono/pesudofilament, absorbable Muscle - nonabsorbable/absorbable, polyfilament Skin - nonabsorbable, mono/polyfilament (pref. poly) |
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Closure of abdominal cavity in 2 layers
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Definition : closure of peritoneum and muscle together in one layer, and skin in second suture. Regard the 2nd layer of closing as MUSCLE.
Needles : Skin - cutting needle, 1/4, 3/8 Muscle - cutting needle 1/2,5/8 Suturing material : Muscle - nonabsorbable/absorbable, polyfilament Skin - nonabsorbable, mono/polyfilament (pref. poly) |
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Steps of Venous Cut Down Technique
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-->Modified Jackson position (pillow under shoulders)
1. Catheter preparation (check air bubbles) 2. Check infusion solution(expiration date) ---> Anesthesia 3. Skin incision, stop the bleeding 4. Exposure of the vein ((parallel spreading with Cooper scissors) 5. Isolate the vein between two ligatures (use anatomical forceps under it) 6. Perform the distal ligature 7. V-shape cut in the vein (w/knee scissors) 8. Insert catheter 9. Connect the infusion 10. U stitch 11. Closure of incision |
