Chapter 22 Surgical Wound

Front 1

Scar formation of the abdominal viscera

Back 1

Adhesion

Front 2

Surgical creation of an opening between two blood vessels hollow organs or ducts

Back 2

Anastomosis the amount of force or stress and suture can withstand before breaking

Hint 2

Tensile strength

Front 3

Also called blood salvaging. A method of retrieving blood lost at the operative site replacing it and infusing it back to the patient

Back 3

Autotransfusion

Front 4

Suture material that is broken down and metabolized by the body

Back 4

Absorbable suture

Front 5

The ability of suture material to absorb fluid

Back 5

Capillary action

Front 6

Scar tissue that lacks flexibility causing constriction and pain

Back 6

Contracture

Front 7

Chemical or mechanical removal of necrotic or non-viable tissue and foreign bodies after infection or trauma

Back 7

Debridement

Front 8

Separation of the edges of a surgical wound during healing

Back 8

Dehiscence

Front 9

The protrusion of abdominal viscera through a wound or surgical incision

Back 9

Evisceration

Front 10

The complication of wound infection in which one or more hollow skin line tracks form at the wound site and continue to drane lots of fluid

Back 10

Fistula

Front 11

A blood filled space in tissue the result of bleeding vessel

Back 11

Hematoma

Front 12

Substance applied to bleeding tissue in order to enhance clotting

Back 12

Hemostatic agent

Front 13

Causing little or no reaction in tissue or with other materials

Back 13

Inert

Front 14

A technique of bringing tissue together by placing individual sutures close together

Back 14

Interrupted suture

Front 15

Good place a loop or tie around a blood vessel or duct

Back 15

Ligate

Front 16

Suture material that resists breakdown in the body

Back 16

Non-absorbent suture

Front 17

The wound healing process after a clean surgical repair

Back 17

Primary intention

Front 18

A method ot suturing that uses one continuous future strand for tissue approximation

Back 18

Running suture

Front 19

The area of an atramatic suture where the suture strand is fused to the needle

Back 19

Swage

Front 20

Accenture needle that has a round body that tapers to a sharp point

Back 20

Tapered needle

Front 21

The loop that forms a knot

Back 21

Throw

Front 22

A strand of suture material attached to the tip of an instrument

Back 22

a tie on a passer

Front 23

Tissue used to cover large defects in the skin

Back 23

Wound cover

Front 24

Any type of tissue replacement or device placed in the body

Back 24

Implant

Front 25

Tissue graft derived from human tissue

Back 25

Allograft

Front 26

Graft taken from pig tissue

Back 26

Porcine graft

Front 27

Tissue obtained from the patient's body and implanted in another site

Back 27

Autograph

Front 28

Migration of epithelial cells into the wound during healing

Back 28

Epithelialization

Front 29

A graft taken from a species different from that of the patient

Back 29

Xenograft

Front 30

When applied to using tissue this product combines with fibrogen to promote coagulation

Back 30

Thrombin

Front 31

This product is used on bleeding bone

Back 31

Bone wax

Front 32

This product may be soaked in normal saline or topical thrombin or used in dry form

Back 32

Absorbable gelatin

Front 33

The brand name of this product is surgicel

Back 33

Oxidized cellulose

Hint 33

Thrombin

Front 34

This product is never injected into the blood vessels

Back 34

Bone wax

Front 35

When applied to tissue this product absorbs blood quickly and forms a artificial clot

Back 35

Absorbable gelatin

Front 36

This product is available in squares that are cut to size as needed

Back 36

Oxidized cellulose

Front 37

This unused pieces of this product may be kept away from the surgical wound

Back 37

Absorbable gelatin

Front 38

The brand name of this product is avitene

Back 38

Collagen absorbable hemostat

Front 39

This product is available in mesh

Back 39

Oxidized cellulose

Front 40

This powder is applied directly to an oozing surface or mixed with injectable isotonic saline for use as a spray or for soaking hemostatic sponges

Back 40

Thrombin

Front 41

This product must be warm slightly before use

Back 41

Bone wax

Front 42

Conserving the bodies total blood volume necessary for life is called

Back 42

Hemostasis

Front 43

Uncontrolled losing or insecure hemostasis can lead to a hematoma

Back 43

What is the largest type

Hint 43

Number 1 ethibond

Front 44

The physical characteristics of a suture are

Back 44

Size

Front 45

Which suture type is absorbed rapidly in the presence of infection and is not used in contaminated wounds

Back 45

Chromic

Front 46

A wound that is not secured and must heal from the base is healing by

Back 46

Secondary intention

Front 47

The first phase of wound healing

Back 47

Inflammatory phase

Front 48

Is a type of running suture used for cosmetic closure and in patients. The technique brings the skin at this together and close approximation and no suture material is visible from the outside

Back 48

Subcuticular suture

Front 49

Is a special continuous suture technique for closing the end of a tubular structure such as the appendix is the most common application

Back 49

Purse string suture

Front 50

Provides added strength to way running suture line. As the needle is passed through each side of the wound edges it is passed underneath one loop

Back 50

Locking suture

Front 51

One suture needle combination is provided per pack

Back 51

Suture needle combination

Front 52

One suture package contains multiple pre-cut strands of suture

Back 52

Multiple suture strand

Front 53

Needle size is measured by

Back 53

The diameter of the shaft and dimension from tip to eye

Front 54

The suture is manufactured through patented recombinant DNA technology.

Back 54

Biopolymer

Front 55

Is derived from fibers produced by the silkworm. Is soft and pliable and has excellent tensile strength.

Back 55

Silk suture

Front 56

This suture type causes little or no the reaction that passes very easily through delicate issues of ir blood vessels. It is used when long-term strength is not required .

Back 56

Nylon suture

Front 57

The suture is extremely strong easy to handle and relatively inert to tissue. It is available coated or uncoated. The coded form is widely used for cardiovascular surgery that specially when graphs are needed because of its strength and size to ratio

Back 57

Polyester suture

Front 58

Is an extremely and inert monofilament suture. Its smooth surface makes it popular for plastic,ophthalmic, and vascular surgery. Because of its high tensile strength it is used for retention sutures particularly in abdominal wall closure

Back 58

Polypropylene

Front 59

Is the strongest of all suture materials. It is widely used in the approximation of bone and other connective tissue

Back 59

Stainless steel suture

Front 60

The surgical incision including all tissues from the most superficial to the deepest is called

Back 60

Surgical wound

Front 61

Halsteads principles of surgery

Back 61

Handle tissues gently, control bleeding as efficiently as possible, preserve blood supply, observe strict as septic technique, minimize tissue tension, eliminate dead space

Front 62

Excessive or rough handling of Bowel tissue can cause a sympathetic nerve response called

Back 62

Paralytic ileus

Front 63

Is used when the surgeon ask for it and whenever tissues appear to be dehydrated. Signs of dehydration in a turtle tissues are surface dullness loss of surface elasticity and tissue frame

Back 63

.9% saline

Front 64

This is used for large wound irrigation

Back 64

Acepto or bulb syringe

Front 65

When large amounts of saline or required such as during orthopedic procedures or surgery of major body cavities this is used for suction

Back 65

Yankauersuction or poole suction

Front 66

Irrigation during eye procedures it is crucial maintaining the

Back 66

Cornea

Front 67

Are used for hemeostasis and a variety of other purposes. They maintain a dry run by soaking up blood and fluids

Back 67

Surgical sponges

Front 68

Is a large square or loosely woven gauze folded into a4 inch square pad. Is always mounted on sponge forceps

Back 68

4x4 or

Front 69

Is used in major surgery including procedures in which the abdominal or thracic cavity is open during major orthopedic surgery and in procedures in which large blood vessels are encountered

Back 69

Laparotomy sponge or lap sponge

Front 70

Is a small round or oval sponge covered with gauze. Is always mounted on a clamp and is used to separate or dissect tissue

Back 70

A sponge dissector also called a peanut

Front 71

Covered with gauze and has a string attached for retrieval. This sponge is commonly used in throat surgery and often is used to control bleeding in the tonsillitis fosse after tonsillectomy

Back 71

Round sponge

Front 72

Is specially manufactured to resist shredding and is commonly used in neurosurgery procedures especially around fragile brain and spinal cord tissue

Back 72

Surgical cotton balls

Front 73

Is a compressed square of synthetic or cotton material with a string attached. Are available in many sizes and are used during neurosurgical ear and vascular procedures

Back 73

Flat sponges

Front 74

The physical structures of a suture and its size

Back 74

Physical characteristics

Front 75

The amount of tension a length of suture withstand before breaking

Back 75

Tensile strength

Front 76

The ability for a suitor to take up fluid

Back 76

Fluid absorption

Front 77

The amount of force a knot can withstand before slipping or breaking

Back 77

Knot strength

Front 78

The ability of a suture to return and maintain its original shape

Back 78

Memory

Front 79

The ability to withstand bending and crimping without breaking and maintain the new shape after it is untied or maintain the configuration of the knot

Back 79

Plasticity

Front 80

The effect of tissue on the suture its resistance to breakdown and absorption into the body

Back 80

Absorption quality

Front 81

The effect of suture on tissue

Back 81

Bioactivity

Front 82

The chemical molecular or elemental makeup and origin of the substance used to manufacture a suture

Back 82

Composition

Front 83

A suture with a single continuous fiber made of polymer chemical made by extrusion and stretching the material

Back 83

Monofilament

Front 84

A suture with many filaments that together form one strand of suture

Back 84

Multifilament

Front 85

Two types of multifilament are

Back 85

Twisted and braided

Front 86

Sutures made of multifilament strands absorb moisture and hold body fluids. This is called

Back 86

Capillary action

Front 87

Are made from high quality steel alloy or titanium.

Back 87

Surgical needles

Front 88

Needle size is measured by

Back 88

The diameter of the shaft and the dimension from tip to eye

Front 89

A surgical needle that has a round shaft with a blunt tip. It does not puncture the tissue but rather slides between tissue fibers

Back 89

A blunt needle

Front 90

A surgical needle that has a round body that tapers to a sharp point. It punctured tissue making an opening for the body of the needle to follow

Back 90

Tapered needle

Front 91

Are needles used for fibrous connective tissue such as the skin joint capsule and tendon

Back 91

Cutting needle

Front 92

Curved suture needles are mounted on a

Back 92

Needle holder or needle driver

Front 93

A tissue graft derived from human tissue

Back 93

Allograft

Front 94

Tissue obtained from the patient's body and implanted in another site such as bone graft taken from hip

Back 94

Autologous autograph

Front 95

Tissue graft of beef origin

Back 95

Bovine graft

Front 96

The migration of epithelial cells into the wound during healing

Back 96

Epithelialization

Front 97

Graph taken from pig tissue

Back 97

Porcine graft

Front 98

Tissue used to cover large defects in the skin usually as result of burns trauma or infection

Back 98

Wound cover

Front 99

A graph derived from animal or synthetic source

Back 99

Xenograft

Front 100

Is from the human placenta and can be used as a biological dressing for burns skin ulcers and infected wounds

Back 100

Amniotic membrane

Front 101

Is a biosynthetic dressing made up of silicon film in which nylon fabric is partially embedded

Back 101

Biobrane

Front 102

Is temporary skin substitute derived from human fibroblasts

Back 102

Transcyte

Front 103

Are used for structural support and to stimulate new bone growth in a defect caused by trauma or congenital and anomaly

Back 103

Bone graft

Front 104

Bone graft made from the patient's body

Back 104

Autologous graft

Front 105

Graph made from nonliving cadaver bone

Back 105

Allogeneic graft

Front 106

A process material made from college in protein and growth factors

Back 106

Demoralized bone matrix

Front 107

Is a synthetic bone cement used to secure prosthetic implants into the phone and for remodeling during cranioplasty

Back 107

Methylmethacrylate

Front 108

Creates a passage from the tissue inside the wound to the outside of the body. These are used when drainage is minimal

Back 108

Passive drain

Front 109

Pulls serum and blood from the wound by a negative pressure device

Back 109

Suction drains

Front 110

Is used to pull fluid or air from the thoracic cavity after thoracic surgery or trauma to the thorax

Back 110

Water seal drainage system

Front 111

Is used to collect body fluids following stoma surgery in which an artificial orifice to the outside of the body is created surgically

Back 111

Stoma pouch

Front 112

A dressing generally made with loose gauze fabric.

Back 112

Flat dressings

Front 113

Is used in a cavity such as the nose or open wound. Is available then a long thin strip and packaged in a bottle or similar container

Back 113

Gauze packing

Front 114

Are used to approximate small incisions and protect the wound. Themes dressings are used for minor wounds and minor surgery

Back 114

Steri strips

Front 115

Is a dressing most often used over a skin graft to provide pressure

Back 115

Pressure dressing

Front 116

R dressings used to prevent or limit movement of the surgical wound during healing

Back 116

Support dressing

Front 117

A surgical wound that is sutured together heals by

Back 117

Primary intention

Front 118

A process in which an infected or contaminated wound is treated and the wound space is packed to prevent serum accumulation and protect it against environmental exposure

Back 118

Third intention healing

Front 119

A collection of serous fluid that the valves in the wound during healing

Back 119

Seroma

Front 120

This stage of healing begins as soon as tissue is injured

Back 120

Inflammatory phase

Front 121

First phase of healing begins about day four or five and continues for approximately two weeks. During this phase fibroblasts synthesize collagen and other cell matrices

Back 121

Proliferative phase

Front 122

The last stage of wound repair begins after about 3 weeks. During this phase which last 22 days to one year the collagen is continuously replaced and absorbed in stress areas

Back 122

Remodeling

Front 123

Conditions that affect healing

Back 123

Immune system, chronic disease, nutrition, obesity, age, surgical technique

Front 124

Exude or discharge containing serum and blood

Back 124

Serosanguineos