Term
| The operability of malignant lesions is often dependent upon which operative findings? |
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Definition
| Tissue biopsy and frozen section reports. |
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Term
| What preoperative preparations must be taken by the circulating nurse during exploration of the suspect malignant lesions, to eliminate excessive waiting time for the staff? |
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Definition
| The nurse must be ready with two drape set-ups and two instrument setups, as well as anticipated supplies and equipment. |
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Term
| List the purposes for inserting a Foley catheter? |
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Definition
To keep bladder empty, giving the surgeon more operating room in the lower abdomen.
Monitor urine output and renal function |
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Term
| Once the general surgeon enters the abdminal cavity, what actions are taken in regards to radiopaque sponges? |
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Definition
| All radiopaque sponges are removed from the feild. If used, they must be folded and secured on a sponge stick. |
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Term
| What measures can the surgeon take to prevent possible infection during operative techniques involving the alimentary canal? |
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Definition
| Preventing gastrointestinal contents from flowing in to the peritoneal cavity by using lap packs to isolate the area. |
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Term
| What fluid is routinely used for moistening laps and irrigation? |
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Definition
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Term
| Why may sterile distilled water used in cases of suspected malignancy instead of the usual irrigation fluid? |
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Definition
| Distilled water is a hypotonic solution |
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Term
| Why must you keep track of the amount of irrigation fluid given to the surgeon? |
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Definition
| The anesthetist or anesthesiologist needs the information to help determine the patient's blood loss during surgery. |
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Term
| If a general surgeon discovers a mass that is adhered to a fallopian tube and ovary, what action may he or she take? |
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Definition
| The general surgeon may elect to bring is an OB/GYN surgeon for the consultation. However, the general surgeon is not obligated to consult. |
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Term
| List three steps the surgeon takes for an incision to expose the abdominal cavity? |
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Definition
1)Skin and subcutaneous tissue are incised and blood vessls are ligated.
2)Anterior fascia is incised and eqch muscle layer is divided and /or separated with the bleeding vessles ligated .
3)The posterior fascia and peritoneum are iscised. |
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Term
| What criteria does the surgeon use in choosing and incision? |
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Definition
| The incision must provide maximum exposure, minimum tissue trauma, maximum postoperative wound strength, and the least postoperative discomfort and scarring. |
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Term
| What two major factors govern incision? |
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Definition
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Term
Which abdominal incision:
A. Beings in the epigastrium and extends laterally and obliquely?
B. Converts the peritoneal and pleural cavity into one main cavity?
C. is called a msucle splitting incision?
D. is the general surgeons simplest method of rapid pelvic exposure?
E. proviese a strong closure for abdominal hysterectomy?
F. extends from the pubic tubercle to the anterior crest of the ilium?
G. is mad about 2 to 3 inches left or right of the midline? |
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Definition
A. Subcoastal
B. Thoracoabdominal
C. McBurney
D. Midline(median)
E. Pfannenstiel
F. Inguinal
G. Paramedian |
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Term
| Define exploritory laparotomy? |
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Definition
| An opening made through the abdominal wall, into the peritoneal cavity, for diagonstic reasons. |
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Term
| Where is the electrosurgial ground pad placed in preparation of and abdominal laparotomy? |
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Definition
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Term
| Which of the following instruments are Required for abdominal laparotomy setup? |
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Definition
A, B ,D Long inst set
Hemoclips
Electrosurgical handpeice |
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Term
| At which stage of the operative procedure are the suction tubings and electrosurgical handpeice tested? |
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Definition
| After the patient is draped and the sterile field is in place. |
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