WITH ANSWERS (100% CORRECT
ANSWERS); ALREADY GRADED A+
Abdominal wall closure of port sites can be accomplished
by... - correct answer- 1. Open techniques
2. Laparoscopic assisted techniques.
3. Entirely laparoscopic techniques.
Absolute C.I to laparoscopic surgery? - correct
answer- - Inability to tolerate laparotomy.
- Hypovolemic shock.
- Lack proper surgeon training/experience.
- Lack appropriate institutional support.
Absolute contra-indications to blind trocar insertion. -
correct answer- - Abdominal scar from previous
open abdominal surgery in the immediate vicinity.
- Previous abdominal mesh placement in immediate
vicinity for abdominal hernia repair.
,ASA 1 Classification - correct answer- Healthy
adult
ASA 2 Classification - correct answer- Mild to
moderate systemic disease
ASA 3 Classification - correct answer- Severe
systemic disease that limits patient activity. May or may
not be related to reason for surgery.
ASA 4 Classification - correct answer- Severe
systemic disease that limits patient and are life-
threatening with or without surgery.
ASA 5 Classification - correct answer- Little
chance for survival. Surgery is a last resort (resuscitative
efforts).
Benefits of "Coagulation mode" - correct answer-
- High voltage
, - Low frequency
- Intermittent waveform
- Rapid tissue heating, shallow depth of necrosis.
- Non-contact. Relies on sparking to tissue.
Benefits of "Cut mode" - correct answer- - Low
voltage
- High frequency
- Continuous waveform
- Heats tissue quickly. Cell water converts to steam and
causes the cell to lyse/explode.
Benefits of bipolar energy. - correct answer- -
Lower risk of inadvertent injury.
- Produces less thermal spread and necrosis.
- No grounding pad necessary.
- Works in a "wet" operative field.
Benefits of CO2 over other distention gases? - correct
answer- - Rapidly absorbed