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Hernia, Breast, Thyroid and Mediport
Terms in this set (42)
A protrusion of organ/viscera through a defect
A hernia can be...
Congenital, acquired, or from trauma
An acquired hernia is due to
Age, strain, ascities, pregnancy
A hernial sac can contain
Round ligament, intestines, fat, ovaries, small bowel
A scrotal hernia...
Travels down the inguinal canal because there is a patent process, and it goes into the scrotum
There are ___ types of inguinal hernias
The types of inguinal hernias are
Direct and indirect
A direct hernia
A hernia that protrudes into the inguinal canal but does not travel down the canal
An indirect hernia
A sac in the inguinal canal that goes through the rings
A defect of both direct and indirect hernia
A strangulated hernia....
.....kills off the organ inside, need an intestinal tray and a stapler for bowel resection
A Penrose drain retracts...?
The spermatic cord or round ligament
A mesh for fascia is sew in in with?
0 or 2-0 prolene on a CT or SH, non cutting needle
An inguinal hernia needs a _____ _____
Do children/babies get mesh implants after hernia surgery?
No, because they are still growing
A _____ _____ is for an umbilical hernia
Anatomy of the groin:
When performing breast surgery, you may need?
2 different set ups for a double procedure with removal of masses and reconstruction
Instruments must be kept ______ during surgery because of.......
Separate because of seeding
Taking just a mass out
Removing a larger region, a bigger segment
Patient went for mammography, cannot feel lump, needle inserted and points to suspicious area, and specimen is brought to radiology
When taking a specimen out of a patient, what do you do?
Mark it with a suture, in a fashion similar to a clock.
Ex. 12 o'clock long, 3 o'clock short
Sentinel node biopsy
This is the first lymph node taken to detect cancer
~if positive, more nodes taken out
A ____ dye or ______ _____ will be injected into patient to detect breast cancer
Blue dye or radioactive tracer like technechium 99
A Geiger counter
When performing a mastectomy,
Consider using a mastectomy tray, do not scrub (or scrub lightly) to prevent seeding of cancer cells, drape the patients arm with a stockinette;
2 set ups needed: reconstruction and bilateral breast
Indications for mastectomy
A simple mastecomty
The tissue inside breast is removed, skin outside still intact
Usually for mastitis
Removal of whole breast due to cancer :(
Modified radical mastectomy
Breast and lymph nodes removed
Due to cancer, usually stage 2 and 3
Breast, auxiliary nodes, and pectoralis muscle removed
The chest becomes sunken in, flap surgery is needed
For any breast surgery, the incision is
Anatomy of the neck muscles
Platisma (in front)
Considerations for thyroidectomy
Laryngospasm, stay sterile until patient is out of the room, protect the laryngeal nerve, use supine position with neck hyperextended, have thyroid tray and lighting clips, silk ties, 3-0, 4-0 sutures; peanut on a tonsil
Indications for thyroidectomy
Hypothyroidism (not as common as hyper)
The incision for a thyroidectomy
Suprasternal or collar
Steps to a thyroidectomy
1. Dissect muscles
2. Peel thyroid off trachea
3. Lígate and divide vessels as removing
4. Retract thyroid with green loop
5. Use lahey to grasp thyroid
6. Mark specimen
7. Use Jackson Pratt drain
When closing a thyroidectomy incision, use what suture?
3-0 vicryl on T or SH (for subq)
4-0 nylon or prolene on KS or ST
Implantable venous access device
What are examples of IVADs?
Why are IVADs used?
For long term venous access, daily, medicine application
-feeding (TPN intravenous feeding)
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