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