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Definition
| to surgically remove part of or an entire structure/organ |
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| surgical incision into an organ |
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Definition
| surgically created opening between two organs or organ and skin |
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| surgical shaping or formation |
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| surgical repair of a hernia |
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| surgical removal of the stomach |
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| surgical creation of an opening between the colon and the skin |
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| surgical formation of a "new" pylorus |
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| surgical opening of the stomach |
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| surgical creation of an opening (anastomosis) between the common bile duct and jejunum |
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Definition
| surgical creation of an opening (anastomosis) between the stomach and jejunum |
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| when can a pt eat prior to major surgery? |
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Definition
| should be NPO after midnight or for at least 8 hrs before surgery |
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| what risks should be discussed with ALL pts and domcumented on the consent form? |
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Definition
| bleeding, infection, anesthesia, scar and risks specific to the procedure at hand |
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| should a pt take their anti-htn meds the day of surgery? |
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Definition
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| if pt is on an oral hypoglycemic agent should pt take the day of surgery? |
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Definition
| if the pt is to be NPO then no |
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| should pt take their insulin on the day of surgery? |
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Definition
| half of their normal dose and start D5NS IV immediately, check glucose levels often preop, operatively, and postop |
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| should a pt stop smoking prior to a surgical procedure? |
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Definition
| YES! improvement is seen in as little as 2-4 weeks |
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| what lab must be done on all women of childbearing age prior to entering the OR? |
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Definition
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| what is the preop colon surgery "bowel prep"? |
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Definition
| bowel prep with colon cathartic, oral antibiotics (neomycin and erythromycin base), and IV antibiotics before incision |
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| what pre-op med can decrease postop cardiac events and death? |
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Definition
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| what must you always order pre-operatively for your pt undergoing major surgery? |
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Definition
NPO/IVF
Preop antibiotics
Type and cross blood (PRBC's) |
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| what electrolyte must be checked post op if pt is on hemodialysis? |
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| antrectomy with gastroduodenostomy |
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Definition
| antrectomy with gastrojejunostomy |
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Definition
| jejunostomy forming a y-shaped figure of small bowel, the free end can then be anatomosed to a second hollow structure |
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| standard ileostomy that is foled on itself to protrude from the abdomen ~ 2 cm to allow easy appliance placement and collection of succus |
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carotid endarterectomy
removal of atherosclerotic plaque from a carotid artery |
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Definition
| repair of inguinal hernia by approximating transervsus abdominis aponeurosis and teh conjoint tendon to the reflection of Poupart's (inguinal) ligament |
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Definition
| repair of inguinal hernia approximating the transversus abdominis aponeurosis and the conjoint tendon to Cooper's ligament (which is basically the superior pubic bone periosteum) |
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Term
| Lichtenstein herniorrhaphy |
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Definition
| "tension free" inguinal hernia repair using mesh (synthetic graft material) |
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Term
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Definition
| repair of inguinal hernia by imbrication of the transversalis fascia, transversus abdominis aponeurosis, and the conjoint tendon and approximation of the transversus abdominis aponeurosis and the conjoint tendon to the inguinal ligament |
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| plug and patch hernia repair |
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Definition
| prosthetic plug pushes hernia sac in and then is covered with a prosthetic patch to repair inguinal hernias |
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Definition
AbdominoPerineal Resection
removal of the rectum and sigmoid colon through abdominal and perineal incisions (pt is left with a colostomy)
used for low rectal cancers < 8cm from the anal verge |
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Definition
Low Anterior Resection
resection of low rectal tumors through an anterior abdominal incision |
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Proximal colostomy
Distal stapled off colon or rectum that is left in the peritoneal cavity |
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Definition
| distal end of the colon is brough to the abdominal skin as a stoma (proximal end is brought up to the skin as an end colostomy) |
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Definition
| dissection of the duedenum from the right-sided peritoneal attachment to allow mobilization and visualization of the back of the duodenum/pancreas |
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Definition
| placement of a central line by first placing a wire in the vein, followed by placing the catheter over the wire |
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Definition
| emergent surgical airway though the cricoid membrane |
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Definition
| anastomosis between a jejunal roux limb and the hepatic ducts |
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Definition
| side to side anastomosis of teh pancreas and jejunum (pancreatic duct is filleted open) |
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Definition
| gastrostomy placed by open surgical incision and tacked to the abdominal wall |
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| transection of vagal fibers to the body of teh stomach without interruption of fibers to the pylorus (doesnt need pyloroplasty or other drainage procedures because the pylorus should still function) |
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Definition
| lysis of peritoneal adhesions |
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Definition
| lysis of adhesions (enterolysis) |
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| laparoscopic removal of the appendix |
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Definition
| removal of the gallbladder |
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Definition
| laparoscopic removal of the gallbladder |
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Definition
| Nissen fundoplication, 360 degree wrap of the stomach by the fundus of the stomach around the distal esophagus to prevent reflux |
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Definition
| removal of the breast and nipple without removal of nodes |
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Definition
| anastomosis of the common bile duct to the jejunum (end to side) |
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Definition
| placement of omentum with stitches over a gastric or duodenal perforation |
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Term
| Heineke-Mikulicz pyloroplasty |
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Definition
| longitudinal incision through all layers of the pylorus, sewing closed in a transverse direction to make the pylorus nonfunctional (used after truncal vagotomy) |
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Definition
| temporary occlusion of the porta hepatis (for temporary control of liver blood flow when liver parenchyma is actively bleeding) |
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| Modified Radical Mastectomy |
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Definition
| removal of the breast, nipple, and axillary lymph nodes (no muscle is removed) |
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| placement of airway tube into trachea surgically or percutaneously |
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