I'm feeling better
Sew long
In a class by itself
Needle-less to say...
Closed cases
100
Pain, Heat, Redness, Swelling, Loss of function.
What are the classic signs of inflammation?
100
This is used to occlude vessels for hemorrhage control or for organ or extremity removal.
What is a ligature or tie?
100
This is an incision or excision.
What is a surgical wound?
100
This is loaded by pulling the suture into a v area just above the eye.
What is a French eye needle?
100
This is a fast healing thin membrane lining the abdominal cavity lying beneath the posterior fascia.
What is the peritoneum?
200
The physical condition of the patient, inoperative tissue handling, and application of the principles of asepsis (sterile technique).
What are the three factors that influence the rate and strength of healing?
200
This are sutures that hold wound edges in approximation during healing by first intention.
What is a primary suture line?
200
Abrasion, Contusion, Laceration, Puncture , or Thermal.
What are traumatic wound classifications?
200
This is an eyeless needle and causes less damage to the tissue than an eyed needle because the suture strand is continuous with the needle.
What is a swaged needle?
200
This layer heals slowly and bears the brunt of wound stress. It is closed with interrupted, heavy gauge nonabsorbable multifiliment suture for added strength.
What is the fascia?
300
Healing occurs from side to side, with no dead space,and wound edges are accurately approximated.
What is First intention healing (Primary Union).
300
These are non-absorbable natural filaments that are braided together to form the suture strand. It loses tensile strength in 1 year. It is used on the serosa of GI tract,fascia and frequently for suture ligatures.
What is Surgical Silk?
300
Open fracture, gunshot wound through the abdomen, a perforated diverticulum.
What is a contaminated wound class?
300
This is used on tough tissue that is difficult to penetrate.
What is a cutting needle?
300
This is a layer of tough connective tissue beneath the skin and above the subcutaneous layer. It is closed with short lateral sutures placed in continuous or interrupted fashion just below the epithelial layer of the skin in a line parallel to the wound. Absorbable small gauge sutures are preferred.
What is the subcuticular layer?
400
This is seen most often in debilitated patients with friable tissue, or from abdominal distention, too much tension,inappropriate type of material and improper technique. Generally Occurs in days 5-10, is an emergency situation, and requires immediate surgical intervention.
What is evisceration?
400
Collagen from the serosa of beef intestine or submucosa of sheep intestine. Used for ligating superficial blood vessels and subcutaneous tissues.
What is Chromic Gut?
400
Uninfected, uninflamed wound in which the alimentary, respiratory, genital or urinary tracts are not entered.
What is Class I or Clean wound classification?
400
This is used on friable tissue, such as the liver or kidneys.
What is a blunt point needle?
400
This is a primary suture line that uses a single strand of suture for closure of long incisions. The surgical assistant "follows" the suture by holding the lower quarter of the suture taut and away from the area of closure.
What is a continuous or running suture?
500
This is when 2 granulation surfaces are approximated. It has intermediate tensile strength and scarring. It is generally used for dirty or contaminated wounds.
What is Third Intention (Delayed Primary Closure)?
500
This is a synthetic braided suture that is undyed, and is absorbed by hydrolysis. It's absorption time is 42 to 70 days.
What is Polyglactin 910 (Vicryl)?
500
Clinically infected operating wound or perforated viscera or old,traumatic wounds with retained necrotic tissue.
What is a Class IV or dirty wound?
500
This has a sharp point, but rounded body and is used on prosthetic grafts because it permits easy passage through the graft without damage to the vessel.
What is a ground point wire needle?
500
This ejects two ligating clips side by side and then divides the tissue between the clips with a single activation.
What is a linear dissecting stapler?
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