| A | B |
|---|
| anastamosis | joining tubular structures together |
| appose | to bring together |
| approximate | join tissues by suture |
| blunt dissection | separate planes without cutting |
| communicate | when 2 areas connect to each other |
| deflect | peel back |
| divide | to cut or sever |
| excise | to cut out |
| exposure | area surgeon can see |
| incise | cut or sever with sharp instrument |
| resect | to cut out / remove |
| retract | to pull back to view |
| transect | to cut across |
| midabdominal layers | skin, subq, fascia, peritoneum |
| surgeon | chooses incision site |
| reasons to choose incision | max exposure, min trauma |
| midline incision exposes | all of abdominal cavity |
| R subcostal incision exposes | biliary tree |
| L subcostal incision exposes | spleen |
| L thoraco-abdominal incision exposes | lower esophagus and upper stomach |
| McBurney incision exposes | veriform appendix |
| inguinal incision exposes | area above anterior pelvic bone |
| Pfannensteil incision exposes | uterus, bladder |
| Positions for abdominal incisions | supine, reg or reverse trendelenberg |
| exploratory lap may require | additional specialty instruments |
| a longer procedure may require | a urinary catheter |
| removed when entering peritoneum | 4x4s and 4x8s |
| moistened when entering the peritoneum | lap sponges |
| considered contaminated | skin knife |
| cavity irrigation | done before closure |
| used to irrigate | warm saline |
| used for additional strength in closure | retention sutures |
| after first closing count | open instrument and soak |
| After last stitches | wet and dry to clean area |
| Proc - skin | knife - set aside |
| Proc - subcutaneous | hemostats, freeties, scissors, Richardsons |
| Proc - fascia | knife, Kochers, Mayo sciss |
| Proc - before peritoneum | remove 4x8s, get Balfour |
| Proc - at peritoneum | hemostats, #15 blade, Metz |
| proc - after peritoneum | moist laps, Balfour, more laps |
| Proc - before closing peritoneum | warm saline irrigation, Poole suction |
| Proc - closing incision | suture on NH, Forcep, scissors |
| Specimens require | correct ID, labeling, preservation |
| Chain of evidence | requires documentation of handlers |
