Chapter 11 wound healing, sutures, needles and stapling devices

according to the text which suture size is most commonly used of closure of orthopedic wounds and abdominal fascia

#1

which suture thread has the largest diameter

#5

according to the text which suture size is typically used for aortic anastomosis

4-0

according to the text which suture size is used for smaller blood vessels

7-0

which suture thread has the smallest diameter

7-0

which needle type is cutting needle

CP

which needle type is a taper needle

MO

an abnormal attachment of two surfaces or structure that are normally separate is called an

adhesion

needle packages with multiple needles should be opened and counted for which purpose

avoid interoperative count

pieces of plastic or rubber tubing threaded over the retention suture ends prior to tying are called

bolsters

which suture absorbs the fastest

chromic gut

which class of surgical wounds has the highest rate of infection

class IV

a wound expected to heal by first intention is a

clean wound

in the proliferation phase which of the following forms into fibers that give the wound approximately 25% to 30% of its original tensile strenght

collagen

a primary suture line consisting of a single strand of suture placed as a series of stitches is called

continuous

another name given to rapid release needles is

control release

the needles used for tough tissue that is difficult to penetrate is called

cutting

which of the following involves irrigation to wash out contaminants and removal of devitalized tissue

debridement

the partial or total separation of a layer or layers of tissue after closure is called

dehiscece

which of the following sutures is absorvable

dexon

the suture is attached to the needle at the

eye

a tract between two epithelium lined surfaces that is open at both ends is called

fistula

Pre-cut ties that are removed as single strands from the package and placed into the open hand of the surgeon for use as ligatures are

free

the suture diameter is referred to as the

gauge

a physical factor influencing wound healing is

gender

an intentional cut through intact tissue for the purpose of exposing or excising underlying structures is called an

incision

pain, heat,redness,swelling and loss of function are classic local signs of

inflammation

which dressing layer is considered the absorbent layer

intermediate

a stapler commonly used during resection and reanastomosis of the distal colon or rectum is an

intraluminal circular

raised, thickened scar due to excessive collagen formation is called

keloid

endoscopic sutures are tied using which of the following

knot pusher

Which phase of wound healing begins within minutes of injury

lag

a stapler used to insert two straight evenly spaced side by side rows of staples into tissue is a

linear

in which phase of healing does a wound undergo a slow sustained increase in tissue tensile strength

maturation

which suture is a mono-filament

maxon

which of the following is commonly used for tendon repair and bone repair

monocryl

maxon suture thread is

monofilament

which type of suture should be used to close an infected wound

monofilament

plain gut,chromic gut,PDSII and monocryl are examples of

monofilament absorbable sutures

surgical silk is a

multifilament non-absorb able suture

eye, point ,body and shape are characteristic of

needles

pronova suture thread is

non-absorbable

which contact layer of a dressing draws fluids from the wound surface and allows for the passage of air

nonocclusive

occlusive adherent polyurethane liquid collodion and aerosol adhesive sprays are example

one layer dressing

which of the following is used on a wound that has been primarily closed and from which little or no drainage is expected

one layer dressing

pronova suture is commonly used in which type of surgery

ophthalmic

elastic bandages Montgomery straps and tape are examples of

outer layers

A fast healing thin membrane lining the abdominal cavity is called

peritoneum

which of the following determines the shape of the needle body

point

an absorbable mesh that provides temporary support during healing is

polyglactin 910

large gauged interrupted non-absorbable sutures placed lateral to a primary suture line for wound reinforcement are called

retention

vessel loops are used to

retract nerves

healing where the wound is left open and allowed to heal from the inner layer to the outside surface is

second intention

which mesh application may result in discomfort for the patient

stainless steel

the area of tough connective tissue just beneath the skin and just above the subcutaneous layer is called

subcuticular

one of the most important pieces of information the STSR should learn to look for on a box of sutures is the

suture size and material

needles manufactured with suture strands inserted into one end are

swaged needles

a needle that can penetrate tissue without cutting it is a

tapered point needle

ethibond is commonly used on which type of tissue

tendon

the final wound classification is assigned when

the procedure is finish

ties loaded onto a curved clamp to facilitate placement of the tie around a vessel deep in the surgical wound is referred to as a

tie on a passer

sutures placed into an anatomical structure to retract to the side are called

traction

needles used to penetrate tissue for the delivery of endoscope into body cavities or joint spaces are

trocar point needles

chromic gut is used primarily in which of the following body structures

urinary tracts

for the most part which of the following have replaced umbilical tape as isolation and retraction devices for vessels nerves or ducts

vessel loops