SUR-100 Chapter 11 needles, staples, and layer closure

73 terms by sgswann 

Ready to study?
Start with Flashcards

Create a new folder

Advertisement Upgrade to remove ads

characteristics of needles

eye, point, body, shape

cutting needle is used on

tough tissue (skin or joint capsule)

conventional cutting, reverse cutting, and side cutting

types of cutting needles

cutting needles typically used for what types of surgery?

orthopedics and general

needle that is used on delicate tissue (bowel and artery) and GYN procedures

tapered needle

needle that dilates as it goes through the tissue

tapered needle

also known as a liver needle

blunt needle

typically the needle is large, skinny, and long

blunt

CP

cutting point

circle taper

CT

circle taper extra large

CTX

CV

cardiovascular

for skin

FS

FSL

for skin large

Keith Straight

KS

orthopaedic surgery

OS

PS

plastic surgery

renal artery bypass

RB

SH

small half (circle)

tetralogy of fallot

TF

urology

UR

have a round shaft that ends in a blunt tip

blunt points

consists of three cutting edges that are directed along the inner curve of the needle

conventional cutting needle

consist of opposing cutting edges in a triangular configuration that extend into the full length of the shaft

reverse cutting needle

used primarily for ophthalmic procedures because they will not penetrate into deeper tissues

side cutting needles

have a round shaft without a cutting edge so they penetrate tissue without cutting it

tapered point needles

have round or square holes and are loaded by inserting the end of the suture material through the hole

closed-eyed needles

portion of the needle where the suture strand is attached

eye

suture gauges are what percent smaller with each size down

35%

7-0

strain of hair

10-0

eyelash

11-0

microscopic surgery

short suture is approx. how long

18"

long suture is approx. how long

60"

long tie suture is approx. how long

30"

closure for abdominal wounds

peritoneum~fascia~muscle~subcutaneous~subcuticular~skin

fast healing thin membrane

peritoneum

may not require suturing, but if it does continuous 3-0 absorbable suture is typically used (SH needle, Vacryl/chronic)

peritoneum

lines the abdominal cavity, lying beneath the posterior fascia

peritoneum

heals slowly and brunt of wound stress

fascia

though connective tissue covering the body's muscles, and supports soft tissue

fascia

heavy-gauge, non-absorbable suture with monofilament , running

fascia

mesh may be needed along with slow absorbing suture

fascia

if incised should be loosely approximated with interrupted PDS or Vacryl sutures

muscle

doesn't tolerate suture material well

muscle

typically not closed, and is retracted or separated most of the time

muscle

close muscle for gallbladder surgery

subcostal

adipose layer of dermis

subcutaneous

doesn't tolerate suture well, but when they are used 3-0 Vicryl or plain gut are preferred

subcutaneous

few interrupted sutures are placed in this layer in order to prevent dead space

subcutaneous

subcuticular

tough connective tissue just below the skin and above the subcutaneous

closure of this layer minimizes scarring

subcuticular

short lateral stitches are placed in a continuous fashion just under the epithelium (nice for plastic surgery closure)

subcuticular

skin closure tapes are used in conjunction with the preferred sutures (Vicryl, Monocryl, or Prolene)

subcuticular

may be closed with interrupted or continuous monofilament, non-absorbable sutures, or staples

skin

prolene or nylon preferred, but the sutures can eventually be removed

skin

wound scars more than subcuticular closure

skin

standard skin stapler

35 regular and 35 wide

when working with skin staplers what instruments are used?

2 Adson with teeth

when an endoscopic procedure is being done what is an additional step taken?

add an extra row of staples

staples but no cut

linear staples

linear staples open

two rows of staples, no cut

linear staples laparoscopic

three rows of staples, no cut

commonly used to staple across the stomach or to close an area where no cut is needed

linear staples

most common in vascular surgery and is generally the doctor's preference

disposable hemaclip applier

linear cutter

varies by length and staples come in different sizes

consist of two rows and a knife

linear cutter

allows for end to end anastamosis of the bowel or end to side on a gastroduodenal

EEA

allows end of staple to bend and rotate and is commonly used to resect on lower anterior bowel

roticulating

six rows of staples with cut in the middle

laparoscopic

four rows of staples with cut in the middle

open

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set