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General and Laparoscopic Surgery, updated

AB
Parietal peritoneumouter layer of the membrane that lines the abdominal cavity
AbsorptionTo take in or soak up.
anastomosissurgical connection of two hollow or tubular structures
Appendixa vestigial process that extends from the lower end of the cecum and that resembles a small pouch
bicarbonateacid-base balancer secreted by the pancreas
BileSecreation of the liver that emulsifies fats, preparing them for further digestion and absorption in the SI.
Chole-Combining form that means bile
Cholecystectomyremoval of the gallbladder. Usually done laprascopic, if not then a kocher incision is used for maximum exposure.
CholelithiasisGall stones~ classified as cholesterol or pigmented.
ChyleWhite liquid, consisting of products of digestion, mostly emulsified fats, passes in SI to lymphatics.
chymea semiliquid mass of partially digested food that passes from the stomach through the pyloric sphincter into the duodenum
ChymeThick, semifluid contents of the stomach formed during digestion.
common bile ductThe duct that carries bile from the gallbladder and liver to the small intestine (duodenum).
-cystoBladder
indirect Inguinal herniaOccurs when the peritoneal SAC containing intestines protrudes through the inguinal ring and passes down the inguinal canal. It's usually congenital and common in males.
Direct Inguinal herniaA protrusion through a weakness in the abdominal wall in a region known as Hesselbach's triangle, NO SAC. Usually acquired due to straining, heavy lifting, and chronic coughing. Most difficult type to repair and more common in males.
-docho-Intestines
duodenumfirst part of small intestines, most digestion takes place, chemicals released from liver, gall bladder, and pancreas
-ectomyRemoval of
ExcisionSurgical removal
Femoral herniaA defect in the transversalis fascia below the inguinal ligament, as well as the protrusion of the peritoneal sac through the femoral ring. Most common in females.
Greater omentuma saclike mesentery that extends from the greater curvature of the stomach, it covers the contents of the abdomen in an apron-like fashion. Also limits peritoneal infection.
Hiatal (Diaphragmatic) herniaEither fixed or sliding, a portion of the stomach protrudes through the hiatus of the diaphragm.
Identify the two layers of the peritoneum.Parietal and visceral.
ileumthe part of the small intestine between the jejunum and the cecum
IncisionCut made w/a sharp instrument ie scapel.
Irreducible/Incarcerated herniaInability to return hernial contents to the normal cavity w/manipulation.
islet of LangerhansThese are groups of cells in the pancreas that produce insulin, glucagon and pancreatic polypeptide, the three pancreatic endocrine secretions. These hormones are important regulators of carbohydrate metabolism.
jejunumsecond part of small intestines, absorbs nutrients from digested food
Lesser omentuma serous membrane that extends from the lesser curvature of the stomach to the liver.
localization of a tumor means the patient comes to surgery witha wire or needle locating the mass
LumpectomyA partial mastectomy that consists of removal of the entire tumor mass along w/a least 1 to 2 cm surrounding nondiseased tissue.
lysisDissolution, loosening, or destruction of something.
Modified Radical MastectomyIncludes the removal of the entire breast along w/all the axillary nodes. Some or all muscle is left in place.
Mucosainnermost layer of digestive tract. it is in contact with the food. Made of epithelial tissue. It is the most varied from one region of the GI tract to another.
Mucousdescribes the specialized mucous membranes that line the body cavities
NecrosisTissue death
-omaTumor
-ostomyCreate a new opening.
-otomyMake an incision into.
pancreaslocated partially behind the stomach in the abdomen, and it functions as both an endocrine and exocrine gland. It produces digestive enzymes as well as insulin and glucagon
Pancreatic amylaseenzyme from pancreas that breaks down starch
pancreatic ductThe main duct of the pancreas. The pancreatic duct carries the exocrine secretions of the pancreas (enzymes and bicarbonate) to the small intestine (duodenum).
Pantaloon herniaBoth a direct and indirect hernia found during inguinal hernia repair.
ParietalOuter portion of a cavity or organ.
PeristalsisRythmis contractions of smooth muscle layers that force food through the GI tract/
PeritoneumA thin serous membrane that lines the abdominal cavity.
Portal venous systemSystem that carries blood to a second capillary bed prior to returning blood to general circulation.
Radical MastectomyThe entire breast is removed along w/axillary lymp nodes, the pectoral muscles, and all adjacent tissues.
Reducible herniaUse of manipulation returns the hernial contents to their normal cavity.
Segmental MastectomyA wedge or quadrant of breast tissue is removed including the tumor mass and the lobe in which it is growing.
Serosaanother name for the visceral peritoneum, outermost covering of organs suspended in abdominopelvic cavity
Simple MastectomyThe entire breast in removed w/o lymph node dissection.
-stasisStoppage or decrease of flow of bodily fluids.
StenosisNarrowing or constriction.
Strangulated herniaAn incarcerated hernia that lacks adequate blood supply and may become obstructed. This becomes a surgical emergency to prevent necrosis and gangrene of the strangulated tissue.
Submucosalayer next to the mucosa which contains blood vessels, lymph vessels, connective tissue, and nerves
transverse colonthe part of the large intestine that extends across the abdominal cavity and joins the ascending to the descending colon
UlcerCrator-like leison that is usually circular in shape and penetrates the skin; may be deep.
Umbilical herniaA protrusion of the peritoneum through the umbilical ring. Most common congenital defect in children and sometimes aquired in females after childbirth.
Ventral (Incisional) herniaA protrusion of peritoneal contents due to weakness in the abdominal wall, usually due to impaired healing of a previous surgical incision.
villiSmall fingerlike projections on the walls of the small intestines that increase surface area
VisceraAny organ of a body cavity; usually refers to the abdominal organs.
Visceral peritoneuminner layer of the membrane that surrounds the organs of the abdominal cavity
What is the function of the sphincter of Oddi?controls the flow of bile into the duodenum.
What is the pathway of the Lower Gastointestinal Tract?Ileocecal valve-Cecum-Ascending colon-Hepatic flexure-Transverse colon-Splenic flexure-Descending colon-Sigmoid colon-Rectum-Anus.
What is the pathway of the Upper Gastrointestinal Tract?Mouth-Uvula-Pharynx-Epiglottis-Esophagus-Cardiac sphincter-Fundus of the stomach-Cardia of stomach-Body of the stomach-Pylorus of the stomach-Pyloric sphincter- Duodenum(Biliary tree connects here)-Jejunum-Ileum-Ileocecal valve.
What is the primary function of the peritoneum?Provide a slippery surface over which the viscera can freely glide.
Where is a Inguinal/Groin incisions made?An oblique incision of the R or L inguinal region. Ex~ inguinal herniorrhaphy.
Which hormone increases the CA levels in the blood?Parathyroid
sentinal node biopsyremoves first lymph node that drains to area of suspected breast cancer
excisional biopsyentire tumor mass is removed
incisional biopsypart of tumor mass is removed
pneumoperitoneumgas has been injected into the abdominal cavity to facilitate laparoscopy
iliac regioninguinal region, or groin
trocar placement in laparoscopic cholecystectomyumbilical, subxiphoid, and 2 right midabdominal area
fine needle aspirationaspiration to determine if a mass is solid or cystic
subcutaneous mastectomyremoval of all breast tissue (but not skin or nipple) as a prophylactic measure against breast cancer


Surgical Technologist Instructor
Renton Technical College

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