MIS Chapter 22 Study Guide
_________ and_________ modalities have replaced traditional sutures in many endoscopic procedures.
Electrosurgical; ultrasound
Must be leak tested after precleaning
Flexible endoscopy
Primary use is in diagnostic procedures
Flexible endoscopy
_________ frequency bipolar electrosurgery is used to coagulate and cut through tissue.
High-
Fiberoptic Light Cord
Imaging
High-resolution monitor
Imaging
camera control unit
Imaging
Probe
Instrument
Procedures would include laparoscopy, pelviscopy, and arthroscopy
Minimally invasive surgery
_________ surgery combines the techniques of minimally invasive surgery with computer-guided instruments that are controlled remotely through a nonsterile interface system.
Robotic
Primary benefits include reduction of hand tremors and enhanced dexterity
Robotics
Trocar placement
Technique
_________ systems can be disposable, reusable, or reposable.
Trocar-cannula
A ______________ is needed to create a pneumoperitoneum.
Veress needle
To prevent damage to a telescope, you should never carry or hold it ________________.
by the shaft
Surgical _________ are used in place of suture ligatures to occlude blood vessels or other types of hollow structures, such as the bile ducts.
clips
The proximal section of a flexible endoscope where the controls are located is called the ___________________.
control head
During an endoscopic procedure, the room lights are usually ________ for most of the case.
dimmed or turned off
When endoscopic instruments are passed to the surgeon and the assistant, the working end of the instrument should be pointed __________ toward the opening of the cannula or endoscope.
downward
When a fiberoptic cable is in use, it must not be activated until it is attached to the system. The intense light rays can ________.
easily ignite the patient's drapes
The __________________ connects the camera to the telescope and is specific to the type of camera and scope in use.
endocoupler
After the leak test, the _________ is cleaned manually.
endoscope
A _______________________ is used to assess the regional anatomy, to obtain tissue biopsies, and to perform minor surgical procedures.
flexible endoscope
When the telescope is introduced into the body, the temperature difference creates _______ on the telescope lens.
fogging
A ________ is commonly performed with the patient in the lithotomy position.
gynecological procedure
Among the new skills that surgeons must learn when using robotic surgery is the loss of _________ feedback.
hepatic
The clarity of an image that the camera provides depends on ________.
how many pixels or silicon units the camera chip contains
Suction/Irrigator
instrument
Accomplished through a Veress needle
insufflation
During laparoscopy, the abdominal cavity is filled with carbon dioxide, which balloons the body wall outward. This process is called _________.
insufflation
Introduction to co2
insufflation
Tissue expansion
insufflation
While cleaning, look for defects in the surface of the instrument. Look for any signs of instrument housing and ____________ damage that may cause accidental burns to the patient.
insulation
After precleaning, a flexible endoscope must be _______________.
leak tested
A traditional surgical procedure that includes incision and wide access to the targeted tissue is a(n) ________ procedure.
open
Each silicon element in the chip represents one _________.
pixel
Allows computer-aided manipulation of instruments
robotics
The flexible tip of the endoscope is operated at the control head to obtain ________.
rotational views
The ____________ viewer provides three-dimensional images of the surgical site when using the da Vinci system.
stereoscopic
MIS requires ________ instruments and an ________ system.
telescopic; imaging
A(n) ________ is used to create ports into the abdomen or other body cavities for the insertion of endoscopic instruments.
trocar-cannula system
