Shared Flashcard Set

Details

general procedures
230- instruments and specimens
24
Medical
Professional
02/08/2011

Additional Medical Flashcards

 


 

Cards

Term
LAPARASCOPIC CHOLESTECTOMY
Definition
Dissecting forcep-used for dissecting gall bladder (maryland dissector)
Grasping forceps-used for grasping gallbladder (ratachet with teeth)
Placed in small basin and passes off to circ
Culture tube
one aerobic and one anaerobic
Drain-t-tube placed into the common bile duct to drain bile
Term
EXPLORTORY LAPAROTOMY
Definition
Ex:Balfour retractor or Bookwalter retractor for self retaining retraction of the ABD cavity
n/a
Term
Colon Resection
Definition
(#3 knife handle #20 blade for deep incision, major set self retaining retractors for the abdomine. O’sullivan o’conner, deaver, balfour).
Verres needle (to create a pneumoperitoneum)

Spec.-Colon, mesentery
SUPPLIES-nasogastric tube to remove air and digestive juices from the stomach
Equi.- co2 insufflator to create a pneumoperitoneum
Term
Gastrostomy
Definition
Gastroscope (endoscopic)-is passed thtough the mouth, throat, & esophagus into the stomach to see where to make the incision
Ligating clip appliers and clips: to deliver and close metallic ligating clips
tumor
Supplies-gastrostomy drainage bag of choice to drain materials. Gastroscope
Drain-g-tube a eating tube
Term
Pancreatectomy
Definition
Bowel resection set –a tube to view the abdomen cavity
Harrington retractor – retract the muscles
Large self retaining instrument-balfour retractor for holding the sides of the abdominal
Large self-retaining retractor(bookwalter)
Pancreas: malignant tumors
Term
HEMORRHOIDECTOMY
Definition
???


HEMORRHOIDS
Term
Appendectomy
Definition
babcock clamp- to grasp appendix
appendicil retractor
Appendix-in specimen cup
Supplies- culture tubes(aerobic & anaerobic)
Term
Thyroidectomy
Definition
right angle clamps with fine points, Lahey clamp- very tramatic
thyroid
suture- silk ties
Term
Common bile duct exploration
Definition
cholangiogram, randall stone forceps, long kelly clamps- to grab gallbladder, Gallbladder trocar- decompress the gallbladder, dialators, #3L knife handle, scoops, potts
stones
Term
Laparoscopic Nissan Fundoplication
Definition
Grasping forceps-retract the gallbladder
Dissecting forceps- cut tissue
Laparscope- to view the monitor
Deaver retractor-retract the liver
Atraumatic Grasper forceps-gastricfundus
Deaver retractor-liver retractor
Grasping forceps-upper most trocar, stomach
Coagulation hooks-for vessels
Ultrasonic dissector-transect the pancreas at the portal vein
Pancreas
Gastric juices
Term
REPAIR OF LIVER LACERATION
Definition
Kelly or body wall retractor-retracting body wall
Deaver retractor- deep retraction
Harrington retractor- exposing deep wounds
n/a
suture- liver suture with blunt needle
Term
Incision and Drainage of a Pilonidal Cyst
Definition
VOLKMAN RETRACTOR- FOR EXPOSING SUPERFICIAL WOUND
SPRATT BRUN CURETTE- REMOVING PIECES OF BONE
Hair and pus
Term
LAPROSCOPIC
APPENDECTOMY
Definition
dolphin nose dissector
gia (ENDO)
RETRACTORS- for retracting incision
CLAMPS- for base & across appendix
BABCOCK- for grasping appendix
MAYO SCISSORS- for amputation
TROCARS- for ports
Endoscopic specimen retrieval bag
ENDOBAG for appendix
Term
TRACHEOTOMY
Definition
tracheal spreader: expose trachea rings
Tracheal dialator: retract isthmus
n/a
Term
Fistulotomy / Fistulectomy
Definition
Rectal Dilators: Dilate rectum and anus for better visualation and insertion of speculum.
Rectal Speculum: Retraction and viewing of Anus and Rectum
Specimen is not always removed. If specimen is removed, is sent as permanent specimen
Term
Mastectomy
Definition
Large towel clips-hold back tissue
Hemoclips
Rake retractors 4 or 6 prong- use to hold skin back
sUPPLIES-#10x20
Frozen, in a speciman cup (brest tissue)
Term
Total gastrectomy
Definition
Metzenbaum scissors to dissect the gastrocolic omentum from the colon messentary.
Long kocher clamps are placed across the distal stomach


Frozen in basin (stomach)
Term
Whipple
Definition
doyen clamp
Harrington retractor
Large self-retaining retractor
Bowel resection set –a tube to view the abdomen cavity
Harrington retractor – retract the muscles
Large self retaining instrument-balfour retractor for holding the sides of the
abdominal
Consist if the dital portion of the first of the duodenum all the 2 & 3rd and 4th portion of the duodenum (gallbaldder)
suture- 3-0 silk ties
Term
Open Cholecystectomy
Definition
biliary tract tray (for common duct exploration) Metz scissor to incise the peritoneum.
Culture tubes, one aerobic and one anaerobic (gallbladder)
Term
Cholecystostomy
Definition
Long Metzs,
GB trocar to decompress the organ, common bile duct set
Gallstones that may be present; Placed in small basin and sent to pathology.
Term
McVay Inguinal Herniorraphy
Definition
Metz’s, curved criles for fascia retraction, pean clamp to pass penrose
The herina sac
Term
Abdoninoperineal Resection
Definition
LONG RIGHT ANGLE-DISSECTION
BABCOCK TISSUE FORCEPS- INTESTINAL CLAMPING
Tissue, stool, sigmoid colon, rectum, and anus
Term
Billroth II
Definition
Long blunt nerve hooks
Disposable automatic -stapling devices
Large self-retaining retractor
Lower portion of stomach (Greater curvature)
Term
Splenectomy
Definition
Harrington retractor(used for wound exposure)
Ligating clip appliers and clips-(When placed on the cut end of the vessel and squeezed shut, these clips occlude the vessel and stop bleeding)
spleen
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