Chapter 5 The Surgical First Assistant A+

Chapter 5 The Surgical First Assistant A+ Anastomosis creating a patent connection between two tubular structures by use of suture or specialized staples Approximation Buzzing forceps bringing the edges of an incision or wound together with closure medium method of applying the active electrode of a monopolar cautery against an instrument clamped to the patients tissues for the purpose of spot hemostasis. Cleavage lines t issue planes where the natural line of tissue growth permits dissection between areas that maintain anatomic structure Dissection separation of tissue planes by blunt or sharp means Dynamic tension Incise cut stress on skin caused by underlying musculature, joints, and body motion scalpel is used in a perpendicular position to slice tissue in a linear direction Langer's lines epidermal layers Ligation Natural lies along skin caused by tension inherent in the structure of the dermal the act of tying or occluding an anatomic structure Palmed Method of holding an instrument where the working end is nested in the palm of the hand of the assistant while the fingers remain free to grasp other items in the field. Raising a flap perpendicular counteraction is placed on superficial tissues as large areas are undermined by dissection. Splitting Separation of muscle tissue along the fascial layers. A blunt form of dissection Skin tension Static tension Langer's lines Thenar grip the turgor of the skin that is either static or dynamic The constant state of skin position over the framework of the body. Also known as Method of holding an instrument in which the ring handle is secured in the palm at the base of the thumb instead of placing the thumb through the ring. Traction-counteraction displacement of a structure by pulling the tissue in an opposite direction to facilitate sharp or blunt dissection of tissue planes Healthtrust v. Cantrell Lack of knowledge led to permanent damage to a child's sciatic nerve What can birth control pills cause during surgery pulmonary embolism What can hypoglycemic meds cause during surgery and poor healing or infections post-op What should the surgical drain be secured with? When is the bovie pad placed deep vein thrombosis which can lead to Metabolic problems during the procedure A suture It is placed after the patient is in the final resting position for the procedure and it should not be removed or reapplied for any reason. Button holes Perforations caused by tight grasping which can lead to scarring or leave tissue