Term
Shape
Point Design
Method of attachment to the suture eye
size |
|
Definition
| Suture material is categorized by what 4 traits? |
|
|
Term
Gamma sterilization
Ethylene Oxide gas |
|
Definition
| How is suture material sterilized? |
|
|
Term
|
Definition
| when does absorbable suture lose its tensile strength? |
|
|
Term
|
Definition
| Rate of tensile strength in absorbable suture can be affected by? |
|
|
Term
|
Definition
| This class of suture has increased pliability (knot strength), more tissue drag, and increased rates of bacterial colonization. |
|
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Term
|
Definition
| This class of suture has minimal tissue drag, (reduces trauma) |
|
|
Term
| synthetic absorbable monofilament |
|
Definition
| This type of suture is most commonly used in abdominal surgery. |
|
|
Term
In order of cost:
Monocryl (Polyglecaprone 25)
(absorbed at 2 months)
Biosyn (Glycomer 631)
(Absorbed at 3 months)
PDS (Polydioxanone)
(Absorbed at 6 months)
Maxon (Polyglyconate)
(Absorbed at 6 months) |
|
Definition
| Examples of synthetic absorbable monofilamnet suture. |
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Term
| Synthetic absorbable multifilamnet |
|
Definition
| This suture type is often coated with antibacterial agent to reduce growth. Also used for dental procedures, and sometimes abdominal surgeries. |
|
|
Term
Vicryl (Polyglactin)
Polysorb (lactomer) |
|
Definition
| Name some synthetic absorbable suture brands. |
|
|
Term
| surgical gut, catgut, chromic gut |
|
Definition
| Name a natural absorbable multifilament that is usually made from connective tisue derived from either sheep or bovine intestine. Often purchased on reels. Inexpensive. |
|
|
Term
Nylon (Ethilon)
Polypropylene (prolene)
Metalic
Stainless steel. |
|
Definition
| Name some brands of non-absorbable monofilament. |
|
|
Term
|
Definition
| Name a brand of non-absorbable multifilament. |
|
|
Term
| How they appose tissue or by the tissue layer in which they're placed. |
|
Definition
| Suture patterns are categorized by what? |
|
|
Term
Interrupted: simple
Continuous: Ford interlocking
Continuous: simple
Interrupted: horizontal mattress
Interrupted: cruciate
Interrupted: vertical mattress. |
|
Definition
| Name the 6 suture patterns. |
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|
Term
|
Definition
| When should sutures be removed? |
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|
Term
Inflammatory response
Debridement
Repair
Maturation phase |
|
Definition
| Healing of a wound is a complex biological event that consists of what 4 stages? |
|
|
Term
Age
Malnourishment
Health
Corticosteroids |
|
Definition
| What host factors will affect wound healing? |
|
|
Term
Drugs
-Corticosteroids
-Antiinflammatory drugs
-Prolonged aspirin therapy
-chemotherapeutic drugs
Radiation therapy |
|
Definition
| Name some external factors that affect wound healing. |
|
|
Term
Remove debris and loose particles
Reduce bacteria. |
|
Definition
| Why is wound lavage done? |
|
|
Term
-Flush with large volumes of solution (Sterile saline)
-No added antibiotics, soaps, detergents, or antiseptics
-Mechanical action of the lavage. |
|
Definition
| How is wound lavage done? |
|
|
Term
-To remove contaminated, devitalized, or necrotic tissue.
-Remove foreign material |
|
Definition
|
|
Term
|
Definition
This wound closure is used for a fresh, clean, sharply incised wound. Minimal trauma to wound
Minimal contamination to wound
Suturing or grafting soon after injury. |
|
|
Term
| 6-8 hours from wound happening. |
|
Definition
| How long does the golden period last? |
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|
Term
|
Definition
| This type of wound healing results in first intention. Appositional healing. |
|
|
Term
| Delayed primary wound closure |
|
Definition
This type of wound closure is done 1-3 days after injury. Closure is before granulation tissue appears.
-For mildly contaminated wounds
-For minimally traumatized wounds
-some cleaning and debridement performed. |
|
|
Term
|
Definition
For this wound closure, the wound is allowed to heal without surgical closure
Wound closes as a result of contraction and epithiliazation.
-Used in dirty, contaminated, traumatized wounds
-Cleaning and debridment necessary
wound closure may be difficult due to size or location of the wound. |
|
|
Term
|
Definition
| During this type of wound closure, granulation tissue forms. |
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|
Term
|
Definition
This type of wound closure is done 3-5 days after injury.
Granulation tissue is present.
Indications for this type of closure include: severe contamination, severely traumatized. |
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Term
| Bandage primary contact layer |
|
Definition
| This layer of bandage has direct contact with wound surface. Adherent or non adherent, and occlusive or semi occlusive. |
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|
Term
| Bandage secondary contact layer |
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Definition
| This bandage layer is absorbent, padded, confirming layer of cast padding or roll cotton, covers primary contact layer, and supports the wound. |
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|
Term
| Bandage tertiary contact layer. |
|
Definition
| This bandage layer is the holding and protecting layer, gauze and elastic or adhesive tape is used. Nonocclusive is proffered. Allows air transfer, allows moisture to enter or exit. |
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|
Term
|
Definition
| Partial thickness wounds of epidermis. Deep dermal is exposed. Can be painful. Road rash is an example of this wound. |
|
|
Term
|
Definition
| Have sharply incised edges with minimal tissue trauma. Can be superficial or deep/ |
|
|
Term
|
Definition
| Debridement, wound must be kept moist, no lotion or salves, bandages changed daily, if not more often. |
|
|
Term
|
Definition
| These wounds have small openings, deep tissue damage. Usually requires exploration, lavage, debridement, and primary closure or drain. |
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|
Term
|
Definition
| Result of compression of soft tissue and skin between body prominence and surface an animal is lying upon. |
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|
Term
|
Definition
| Surgical removal of the ovaries and uterus. |
|
|
Term
Sterilization
Pyometra
Neoplasia of the Reproductive Tract
Trauma or injury to the Reproductive tract.
Dystocia. |
|
Definition
| Indications for ovariohysterectomy. |
|
|
Term
| Spay pack or general Sx pack. with a snook hook. |
|
Definition
| Instruments required for a ovariohysterectomy. |
|
|
Term
-Abdominal procedure clip-shave from xyphoid process to the inguinal region.
-Follow along end of the ribcage for side margins.
-Position in dorsal recumbency. |
|
Definition
| Preparation of patient for ovariohysterectomy. |
|
|
Term
-A vertical midline incision is made through the skin, SQ tissue and linea alba.
The spay hool is used to grasp the first uterine horn.
-Hemostats are used to clamp the ovarian pedicles which are then ligated with suture.
-The body wall is closed with suture
-The skin is closed with suture and glue. |
|
Definition
| Procedure for ovariohysterectomy. |
|
|
Term
In heat or pregnant
(Increased estrogen interferes with clotting, engorged tissue is friable and can tear easily)
Hemorrhage
(Stump or pedicle ligation's may untie or slip in)
Dropped pedicle.
(ovarian tisue left behind) |
|
Definition
| Complications of ovariohysterectomy. |
|
|
Term
|
Definition
| At what age can an animal be spayed? |
|
|
Term
-Monitor for hemorrhage
-Do not allow contact with intact males
-Restrict activity levels until sutures are removed or dissolved. 10-14 days
-An E-collar is often unnecessary, sometimes needed for female cats. |
|
Definition
| Post-op care for an ovariohysterectomy patient. |
|
|
Term
| Orchiectomy or neuter, castration. |
|
Definition
| Surgical removal of both testicles. |
|
|
Term
Sterilization
Decrease aggression or fighting
Prevent reproductive behaviors
Neoplasia |
|
Definition
| Indications for orchiectomy. |
|
|
Term
Neuter pack, or general Sx pack.
Suture |
|
Definition
| Instruments needed for orchiectomy. |
|
|
Term
Minimum-area between the scrotum and the end of the prepuce is shaved.
The scrotum- Shaveing is optional.
Patient is placed in dorsal recumbency. |
|
Definition
| Preparation for orchiectomy. |
|
|
Term
-A pre-scrotal midline incision is made.
-One testicle at a time is pushed cranially through the incision.
-Hemostats are used to clamp the spermatic cord.
-Spermatic cord is ligated with suture and testicles are excised.
-The incision is closed with suture. |
|
Definition
| Procedure for orchiectomy. |
|
|
Term
Self trauma
-Infection
Hemorrhage |
|
Definition
| Complications of an orchiectomy. |
|
|
Term
Restrict activity for one week.
No licking, E-collar is absolutely necessary for sexually mature dogs. |
|
Definition
| Post-op care for an orchiectomy patient. |
|
|
Term
Scalpel blade
Halsted mosquito hemostats |
|
Definition
| Equipment needed for feline orchiectomy. |
|
|
Term
Perineal area is shaved or just the scrotum is plucked (DVM preference)
R or L lateral recumbency can be done dorsally or sternally (DVM preference)
Patient is typically left on prep table. |
|
Definition
| Preparation for feline orchiectomy. |
|
|
Term
Small incision are made into each scrotal sac
Each testicle is pushed out of the incision.
Vessels can be ligated with absorbable suture, or tied into a knot on themselves.
The scrotum is not sutured closed. |
|
Definition
| Procedure for feline orchiectomy. |
|
|
Term
Hemorrhage
self trauma
-infection |
|
Definition
| Complications of feline orchiectomy. |
|
|
Term
Change the litter to shredded newspaper to prevent contamination of incision.
+/- E-collar. |
|
Definition
| Post-op care for feline orchiectomy. |
|
|
Term
|
Definition
| Amputation of the 3rd phalanx for the purpose of removing the claw. |
|
|
Term
Strictly elective procedure
Owner lifestyle, convenience
-Furniture, hemophilia disorder. |
|
Definition
| Indications for feline onchyectomy. |
|
|
Term
Tourniquet
Scalpel blade or CO2 laser.
Hemostats
Bandage material
Glue, +/- suture. |
|
Definition
| Equipment for feline onchyectomy. |
|
|
Term
Pre-op analgesics & nerve block with local anesthetic.
Paws generally not shaved, just soaked with antiseptic.
R or L lateral recumbency. |
|
Definition
| Preparation for feline onchyectomy. |
|
|
Term
Depend on age and weight of cat.
Excessive bleeding
Infection
Long-term residual lameness
Abnormal claw regrowth. |
|
Definition
| Complications of feline onchyectomy. |
|
|
Term
Pain control
+/- bandages for the first 24 hours
Decreased activity for 10-14 days
Paper litter for 10-14 days. |
|
Definition
| Post-operative instructions for feline onchyectomy. |
|
|
Term
|
Definition
| Cutting into the bowel/ intestines. |
|
|
Term
Foreign body
Neoplasia
Biopsy |
|
Definition
| Indications for enterotomy. |
|
|
Term
General surgery pack
intestinal clamps/ forceps
WARM sterile saline
large, sterile syringe or sterile bowl
Sterile gauze/ lap sponges
Suture w/ tapered needle. |
|
Definition
| Equipment needed for an enterotomy procedure. |
|
|
Term
Abdominal clip
Patient is positioned in dorsal recumbency. |
|
Definition
| Preparation for enterotomy procedure. |
|
|
Term
-Ventral abdominal incision
-isolate area of interest, exteriorize and surround with moistened lap sponges
-Assitant must constantly re-mositen lap sponges and exposed tissue with warm saline.
-Saline is injected into the intestines to check leakage from incision.
-Before closing the abdominal incision, contaminated gloves and instruments must be changed. |
|
Definition
| Procedure for enterotomy. |
|
|
Term
Vomiting
Leakage of bowel contents into abdomen
-Sepsis. |
|
Definition
| Complications for enterotomy procedure. |
|
|
Term
Antibiotics
NPO until next day if no vomiting.
Bland diet 3-5 days
Restrict activity 10-14 days
+/- E-collar. |
|
Definition
| Post-operative care for enterotomy procedure. |
|
|
Term
|
Definition
| Resection and reattachment of the intestines. |
|
|
Term
Typically done when original intent was enterotomy but found:
-Devitalized intestines
-Perforation
-Lacks movement
-Doesn't bleed when cut. |
|
Definition
| Indications for Anastomosis. |
|
|
Term
Gastric tube, lube, & bucket
General surgery pack
Balfour retractor
Lap sponges |
|
Definition
| Equipment needed for GDV & Gastropexy |
|
|
Term
-Place IV catheter and administer large volume of fluids to counteract effects of shock.
-Decompress stomach with orogastric tube or trocharization (R side) to release gas.
-Right lateral radiographs to evaluate condition.
-Shave for full ventral midline laparotomy.
Patient is positioned in dorsal recumbency. |
|
Definition
| Preparation for GDV & gastropexy procedure. |
|
|
Term
-Ventral abdominal incision
-stomach is repositioned & further decompressed.
-Gastric lavage is performed with water via orogastric tube to break up ingesta.
-Incision is made through serosa of stomach and in the right abdominal wall caudal to the last rib.
-Stomach is sutured to abdominal wall.
-Correction of fluid and electrolyte imbalances, correction of arrhythmia and treatment for shock. |
|
Definition
| Procedure for GDV & Gastropexy. |
|
|
Term
Arrhythmia's
Gastric wall necrosis
Gastric perforation
Vomiting/ regurgitation |
|
Definition
| Complications of a gastropexy. |
|
|
Term
Monitor for arrhythmia
Bland diet - days
Restricted activity 10-14 days.
+/- E-Collar. |
|
Definition
| Post-operative care for a Gastropexy. |
|
|
Term
|
Definition
| Placement of a feeding tube through the esophagus extending down into the stomach for administration of enteral nutrition. |
|
|
Term
Anorexic patients
Orally or pharyngeally compromised patients. |
|
Definition
| Indications for an esophagostomy. |
|
|
Term
| Basic laceration pack, feeding tube, bandage material. |
|
Definition
| Equipment for an esophagostomy. |
|
|
Term
Shave neck region (entire circumference preferred)
Patient is placed in right lateral recumbency. |
|
Definition
| Preparation for an esophagostomy. |
|
|
Term
-Incision is made on the L side of the neck, dorsal to the jugular vein.
-Carmalts are passed per os and out through the incision to grasp the distal end of the the feeding tube.
-Distal end of E-tube is pulled out through the mouth and passed back down the throat, with tube is verified (syringe or x-ray)
-Purse string suture is applied to hold tube in placw.
-Neck is bandaged. |
|
Definition
| Procedure for an esophagostomy. |
|
|
Term
|
Definition
| Incision into the urinary bladder. |
|
|
Term
Urolithiasis
Neoplasia
Trauma
Congenital defects. |
|
Definition
| Indications for cystotomy. |
|
|
Term
General surgery pack
Restractor
Bladder spoon
urinary catheter
Sterile saline flush
Sterile syringe & needles
Sterile gauze or lap sponges. |
|
Definition
| Equipment needed for a cystostomy. |
|
|
