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Surgical Technology for the Surgical Technologist

by: ASSOCIATION OF SURGICAL TECHNOLOGISTS

Surgical Technology for the Surgical Technologist

by: ASSOCIATION OF SURGICAL TECHNOLOGISTS

ISBN 13:
9780766806627
ISBN 10:
0766806626
Format: Paperback
Copyright: 09/28/2000
Publisher: CENGAGE Delmar Learning
Newer Edition

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Summary

(Association of Surgical Technologists) Textbook focuses on the knowledge and cognitive skills required of the surgical technologist. Presents a systematic approach to surgical problem solving. Includes illustrative procedures, color inserts and halftone illustrations, pearls of wisdom, case studies, and questions for further study. DNLM: Surgical Procedures, Operative.

Contributors

xiii

Reviewers

xiv

Preface

Acknowledgments

xix

How To Use This Book

SECTION 1 Introduction to Surgical Technology

Orientation to Surgical Technology

(21)

History of Surgery

(1)

Surgery Today

(2)

Surgical Specialties

(2)

History of Surgical Technology

(1)

Surgical Technology and Surgical Technologists

(8)

Field of Surgical Technology

(1)

Surgical Technology Education and Certification

(2)

Surgical Technologist---Role(s) and Competencies

(1)

Daily Roles in the Operating Room

(6)

Job Descriptions for the Surgical Technologist

(1)

Health Care Facilities

(6)

Hospital Organization

(2)

Financial Considerations and Reimbursement

(1)

Organizations Related to Hospitals, Health Care, and Surgical Services

(1)

Hospital Departments and Interdepartmental Communication

(2)

Personal and Professional Relations

(4)

Surgical Technologist's Lifestyle

(1)

Surgical Technologist as a Professional

(3)

The Surgical Patient

(33)

The STSR and the Surgical Patient

(1)

Physical, Psychological, Social, and Spiritual Needs of the Surgical Patient

(16)

Understanding the Surgical Patient

(1)

Causes of Surgical Intervention

(1)

The Surgical Patient, a Human Being

(1)

Prioritizing Needs---Maslow's Hierarchy

(1)

Select Basic Concepts in Developmental and Social Psychology

(5)

Cultural and Religious Influences

(9)

Patient Bill of Rights: A Formal View of the Patient as Human

(5)

Consent for Surgery: A Basic Right

(2)

Principles of Documentation

(1)

Legal and Ethical Considerations

(5)

AST Code of Ethics

(1)

Specific Legal Considerations

(3)

Special Populations

(3)

Pediatric Patients

(1)

Geriatric Patients

(2)

Other Special Populations: Trauma, HIV Positive, and Organ Donor/Recipient

(1)

Surgical Patient Care: Putting It All Together

(3)

Using the CARE Approach

(3)

Physical Environment and Safety Standads

(23)

Physical Design of the Surgery Department

(8)

Areas of the OR

(1)

Physical Components of the Operative Suite

(5)

Substerile Area

(1)

Direct Support Services

(2)

Hazards and Regulatory Agencies

(1)

Safety Considerations

(4)

Air-Handling System

(1)

Surgical Lights

(1)

Noise in the Operating Room

(1)

Ergonomics and Safety Considerations

(1)

Fire Hazards and Safety

(1)

Electrical Hazards

(1)

Ionizing Radiation

(1)

Biologic Hazards and Safety Considerations

(4)

Universal Precautions

(1)

Standard Precautions

(3)

Laser and Electrosurgical Plume

(1)

Latex Allergy

(1)

Chemical Hazards and Safety Considerations

(5)

Waste Anesthetic Gases

(1)

Methyl Methacrylate

(1)

Formalin

(1)

Ethylene Oxide

(1)

Glutaraldehyde

(4)

SECTION 2 Principles and Practice of Surgical Technology

Asepsis

(38)

History of Sterilization

(1)

Basic Terminology

(1)

Pathogens and Infection

(6)

Infection

(1)

Pathogens Associated with Surgical Site Infection

(2)

Methods of Transmission

(3)

Principles of Asepsis and Sterile Techniques

(3)

Sterile Field

(1)

Sterile Team Member Attire

(1)

Movement in and Around Sterile Field

(1)

Surgical Conscience

(1)

Cleaning, Disinfection, and Sterilization

(9)

Cleaning and Disinfection

(4)

Disinfectant and Disinfectant/Sterilant Agents

(4)

Instrument Preparation and Wrapping for Sterilization

100

(1)

Instruments

100

(1)

Specific Procedural Trays

100

(1)

Instrument Sets

100

(1)

Packaging for Sterilization and Storage

101

(9)

Performance Standards of Packaging Material

101

(1)

Performance Characteristics

101

(1)

Types of Packaging Materials

102

(2)

General Principles of Packaging

104

(2)

Sterilization

106

(1)

Requirements and Essential Factors

107

(1)

Basic Components of a Steam Sterilizer

108

(2)

Gas Sterilization

110

(2)

Ethylene Oxide

111

(1)

Alternative Gas Sterilization Methods

111

(1)

Liquid Chemical Sterilization Processes

112

(1)

Ionizing Radiation

112

(1)

Methods of Monitoring the Sterilization Process

113

(1)

Mechanical Methods of Monitoring the Sterilization Process

113

(1)

Chemical Methods of Monitoring the Sterilization Process

113

(1)

Biological Methods of Monitoring the Sterilization Process

113

(1)

Bowie-Dick Test

114

(1)

Event-Related Sterility

114

(4)

Environmental Decontamination

115

(1)

Environmental Services

115

(1)

Case by Case

115

(1)

Daily

115

(3)

General Patient Care and Safety

118

(32)

Preoperative Patient Routines

119

(4)

Surgical Consent

119

(1)

Preoperative Education

120

(1)

Patient Possessions

120

(1)

Evening/Morning Before Surgery

121

(1)

Diet

122

(1)

Makeup and Dress

122

(1)

Call to Operating Room

122

(1)

Family Visit

122

(1)

Patient Identification

123

(1)

Transportation

123

(1)

Transfer and Positioning

123

(1)

Basic Positioning for Surgery

124

(4)

Supine Position

125

(1)

Trendelenburg Position

125

(1)

Reverse Trendelenburg Position

125

(1)

Fowler's Position and Sitting Position

125

(1)

Lithotomy Position

126

(1)

Prone Position

126

(1)

Kraske (Jackknife) Position

127

(1)

Lateral Position

127

(1)

Lateral Kidney Position

128

(1)

Thermoregulatory Devices

128

(1)

Vital Signs

129

(4)

Temperature

129

(1)

Pulse

130

(1)

Respiration

131

(1)

Blood Pressure

131

(2)

Urinary Catheterization

133

(1)

Indications

133

(1)

Procedure

133

(1)

Skin Preparation

134

(5)

Clean Areas and Contaminated Areas

136

(1)

Skin Preparation Setup

136

(2)

Perineal and Vaginal Preparations

138

(1)

Skin Marking

138

(1)

Hemostasis and Blood Replacement

139

(5)

Factors Affecting Hemostasis

139

(1)

Control of Bleeding During Surgery

139

(1)

Mechanical Methods

140

(1)

Thermal Hemostasis

141

(1)

Pharmacological Agents

142

(1)

Blood Loss

142

(1)

Blood Replacement

143

(1)

Cardiopulmonary Resuscitation

144

(1)

Cardiac Arrest in the Surgical Setting

144

(1)

Malignant Hyperthermia

145

(1)

Prevention

145

(1)

Treatment

145

(1)

Emergency Medical Services

146

(1)

Indications of Emergency Situations

146

(1)

Objectives and Priorities in Emergency Situations

146

(4)

Syncope

147

(1)

Convulsions/Seizures

147

(1)

Management of Seizure

147

(1)

Anaphylactic Reactions

147

(1)

Clinical Manifestation of Impending Cardiac Arrest

148

(1)

Hemolytic Transfusion Reactions

148

(2)

Surgical Pharmacology and Anesthesia

150

(37)

Pharmacology

151

(3)

Drug Sources

151

(1)

Drug Forms

151

(1)

Drug Nomenclature

152

(1)

Route of Administration

152

(1)

Drug Classifications

152

(1)

Pharmacokinetics

153

(1)

Pharmacodynamics

154

(1)

Drug-Handling Techniques

154

(6)

Medication Identification

155

(1)

Supplies for Medication Handling

156

(1)

Transfer of a Medication to the Sterile Field

156

(1)

Medications Commonly Used in the Operating Room

157

(3)

History of Modern Anesthesia

160

(1)

Methods and Techniques of Anesthetic Administration

161

(1)

General Anesthesia

162

(12)

Depth of General Anesthesia

162

(1)

Phases of General Anesthesis

162

(1)

Advantages of General Anesthesia

163

(1)

Risks and Complications Associated with General Anesthesia

163

(2)

Anesthetic Agents

165

(5)

Adjuncts to General Anesthesia

170

(1)

Anesthesia Equipment

171

(3)

Nerve Conduction Blockade

174

(5)

Nerve Conduction Blocking Agents

174

(1)

Topical Anesthesia

175

(1)

Local Anesthesia

176

(1)

Regional Anesthesia

176

(2)

Epidural Anesthesia

178

(1)

Nontraditional Anesthesia Options

179

(1)

Team Member Roles during Anesthesia Administration

179

(8)

Preoperative Visits

180

(1)

Preoperative Routine---All Types of Anesthesia

180

(4)

Postanesthesia Care

184

(3)

Instrumentation, Equipment, and Supplies

187

(27)

Instrumentation

188

(8)

Classifications

188

(5)

Care and Handling

193

(1)

Types of Instrument Sets

193

(3)

Specialty Equipment

196

(6)

Endoscopes

196

(1)

Power Tools

197

(1)

Lasers

197

(3)

Microscopes

200

(1)

Video Monitors, Recorders, and Cameras

200

(1)

Fiberoptic Headlights and Light Sources

201

(1)

Irrigation/Aspiration (IA) Units

201

(1)

Cryotherapy Units

201

(1)

Insufflators

201

(1)

Nerve Stimulators

201

(1)

Accessory Equipment

202

(4)

Suction Systems

202

(1)

Electrosurgical Unit

202

(2)

Lights

204

(1)

Pneumatic Tourniquets

205

(1)

Supplies

206

(8)

Drapes

206

(1)

Sterile Packs

207

(1)

Sponges and Dressings

207

(2)

Catheters, Tubes, and Drains

209

(2)

Nonsuture Needles

211

(1)

Irrigators and Syringes

212

(2)

Wound Healing, Sutures, Needles, and Stapling Devices

214

(24)

Introduction

215

(1)

Types of Wounds

215

(1)

Surgical Wound

215

(1)

Traumatic Wound

215

(1)

Chronic Wound

216

(1)

Inflammatory Process

216

(1)

Types of Wound Healing

216

(2)

First Intention (Primary Union)

216

(1)

Phases of Wound Healing by First Intention

216

(1)

Second Intention (Granulation)

217

(1)

Third Intention (Delayed Primary Closure)

217

(1)

Factors Influencing Wound Healing

218

(1)

Complications of the Healing Wound

218

(3)

Intraoperative Wound Care

219

(1)

Postoperative Wound Care

220

(1)

Suture

221

(11)

History

221

(1)

Types of Suture Material

222

(1)

Suture Sizes

222

(1)

General Factors Affecting Choice of Suture

222

(1)

Characteristics of Common Sutures

223

(2)

Packaging of Suture

225

(1)

Ligating Methods

226

(1)

Suture for the Procedure

227

(1)

Layer Closure

228

(1)

Endoscopic Suture

229

(1)

Suturing Techniques

229

(2)

Accessory Devices

231

(1)

Stapling Devices

232

(2)

Types of Staplers

233

(1)

Meshes or Fabrics

234

(1)

Needles

234

(4)

Needle Eye

235

(1)

Needle Point

235

(1)

Needle Bodies

236

(2)

The Surgical Technologist in the Scrub Role (Case Management)

238

(39)

Operating Room Attire

239

(3)

Clothing

239

(1)

Head Coverings

240

(1)

Masks

240

(1)

Shoe Covers

240

(1)

Gloves

241

(1)

Surgical Gown

241

(1)

Protective Eyewear

242

(1)

Other Protective Attire

242

(1)

Daily Routines

242

(1)

Furniture Setup

242

(1)

Establishing the Sterile Field

243

(12)

Opening Sterile Supplies

243

(3)

The Surgical Scrub

246

(2)

Hand Drying and Donning the Surgical Gown

248

(3)

Closed Gloving Technique for Gowning and Gloving

251

(1)

Open Glove Technique When Not Gowned

251

(3)

Gowning and Gloving Another Team Member

254

(1)

Turning Gown

254

(1)

Gown Removal

255

(1)

Glove Removal

255

(1)

Back Table Setup

255

(3)

Some Basic Principles of Back Table Setup

256

(2)

The Mayo Stand

258

(2)

Draping the Surgical Patient

260

(5)

General Principles of Draping

260

(5)

Intraoperative Activities of the STSR

265

(12)

Using the APOS Approach During the Intraoperative Phase

265

(2)

Case Management: Principles, Techniques, Considerations

267

(1)

Principles of Practice

267

(1)

Techniques of Practice: Passing Instruments

268

(2)

Counts

270

(1)

Medications and Solutions in the Sterile Field

270

(1)

Dressing Application

271

(1)

Communication

271

(1)

Postoperative Routines

272

(5)

SECTION 3 Surgical Procedures

Diagnostic Procedures

277

(14)

Sources of Patient Data

278

(11)

History and Physical Examination

278

(1)

Diagnostic Imaging

278

(7)

Laboratory Reports

285

(3)

Electrodiagnostic Studies

288

(1)

Pulmonary Diagnosis

289

(1)

Endoscopy

289

(1)

Plethysmography and Phleborheography

289

(1)

Indications for Surgery

289

(2)

General Surgery

291

(84)

Anatomy

292

(11)

Abdominal Cavity: General Dimensions

292

(1)

Surface Features

293

(1)

Abdominal Musculature

293

(1)

Peritoneum

293

(1)

Retroperitoneum

293

(1)

Alimentary Canal

293

(1)

Esophagus

293

(1)

Stomach

294

(1)

Small Intestine

295

(1)

Mesentery

296

(1)

Colon

297

(2)

Rectum

299

(1)

Anus

299

(1)

Omenta

299

(1)

Pancreas

299

(1)

Spleen

300

(1)

Liver

301

(1)

Biliary Tract

301

(2)

General Surgery Instrumentation

303

(4)

General Surgery: Minor Set

303

(1)

Local Excision Instruments

303

(1)

Biliary Instruments

303

(1)

Intestinal Instruments

303

(1)

Other General Instruments

303

(4)

Room Setup

307

(1)

Positioning

307

(1)

Draping

307

(1)

Incisions

307

(3)

Surgery of the Abdominal Wall: Hernias

310

(3)

Specific Anatomic Features of the Groin Area

310

(1)

Hernias

310

(2)

Hernia Repair

312

(1)

Surgery of the Alimentary Canal

313

(17)

Surgery of the Esophagus

313

(5)

Gastric Surgery

318

(1)

Pathological Conditions of the Stomach

318

(2)

Procedures Related to Gastric Secretion, Ulcers, and Neoplasm

320

(1)

Procedures for Morbid Obesity

321

(1)

Surgery of the Small Bowel

321

(4)

Appendectomy

325

(1)

Colon Surgery

326

(4)

Stomas

330

(19)

Anorectal Surgery

330

(3)

Hemorrhoid Ligation and Excision

333

(1)

Surgery of the Liver and Biliary Tract

333

(9)

Common Bile Duct Exploration

342

(7)

Surgery of the Pancreas and Spleen

349

(7)

Select Pathology of the Pancreas

349

(1)

Draining Pancreatic Cysts

349

(1)

Whipple Pancreaticoduodenectomy

350

(3)

Surgery of the Spleen

353

(3)

Vascular and Other Procedures

356

(2)

Treating Varicose Veins

356

(1)

Vascular Access Procedures

356

(1)

Muscle and Nerve Biopsies

357

(1)

Incision and Drainage

357

(1)

Excision of Lesion

358

(1)

Endoscopy

358

(1)

Breast Surgery

358

(3)

Breast Anatomy

358

(1)

Breast and Axilla: Pathology and Diagnosis

358

(1)

Breast Surgery (Noncosmetic)

359

(2)

Surgery of the Thyroid and Parathyroid

361

(2)

Anatomy of the Thyroid and Parathyroid

362

(1)

Pathologic Conditions of the Thyroid and Parathyroid Glands

363

(1)

Thyroidectomy

363

(1)

Tracheotomy

363

(12)

Indications for Tracheotomy

366

(1)

Illustrative Procedure: Tracheotomy

367

(8)

Obstetric and Gynecologic Surgery

375

(72)

Introduction to Obstetric and Cynecologic Surgery

376

(1)

Anatomy

376

(5)

The Pelvis

376

(1)

External Genitalia

377

(1)

Vagina

377

(2)

Uterus

379

(1)

Fallopian Tubes

380

(1)

Ovaries

380

(1)

Pregnancy---A Special Condition

381

(2)

Select Key Terms in Labor and Delivery

381

(1)

Labor

381

(2)

Special Instrumentation, Supplies, Drugs, and Equipment in Obstetric and Gynecologic Surgery

383

(7)

Instrumentation

383

(1)

Equipment

384

(6)

Supplies

390

(1)

Room Setup and Basic Patient Positioning and Draping

390

(1)

Surgical Procedures: Obstetrics and Fertility Related

391

(15)

Pathology and Surgical Conditions: Obstetrics and Fertility Related

391

(1)

Vaginal Delivery

392

(2)

Cesarean Section

394

(5)

Sterilization Procedures

399

(1)

Tuboplasty

400

(3)

Laparoscopic Resection of Unruptured Tubal Pregnancy

403

(3)

Surgical Procedures: Gynecologic Procedures

406

(1)

Gynecologic Pathology

406

(1)

Surgical Intervention: Overview

406

(41)

Abdominal Incisions for Gynecologic Surgery

406

(5)

Surgical Intervention: Laparoscopy

411

(3)

Basic Colposcopy

414

(2)

Hysteroscopy

416

(1)

Marsupialization of Bartholin's Gland Cyst

417

(2)

Simple Vulvectomy

419

(4)

Anterior and Posterior Repair (Colporrhaphy)

423

(6)

Cervical Biopsy, Cryotherapy, Laser Treatment, LEEP, and Conization

429

(2)

Dilation and Curettage

431

(3)

Myomectomy

434

(2)

Total Abdominal Hysterectomy and Bilateral Salpingo-oophorectomy (TAH-BSO)

436

(5)

Viginal and Laporoscopically Assisted Vaginal Hysterectomy (LAVH)

441

(1)

Radical Cancer Surgery: Total Pelvic Exenteration

442

(5)

Ophthalmic Surgery

447

(28)

Anatomy of the Eye

448

(3)

Orbit

448

(1)

Extrinsic Muscles

448

(1)

Lacrimal System

449

(1)

Globe

449

(2)

Ophthalmic Surgical Pathology

451

(2)

Cataract

451

(1)

Small Retinal Detachment

451

(1)

Large Retinal Detachment

452

(1)

Vitreous Hemorrhage

452

(1)

Proliferative Vitreoretinopathy (PVR)

452

(1)

Traction Retinal Detachment

452

(1)

Epiretinal Membrane

452

(1)

Corneal Pathology

452

(1)

Chalazion

452

(1)

Dacryocystitis

452

(1)

Strabismus

452

(1)

Special Considerations in Ophthalmic Surgery

453

(1)

Special Equipment

453

(1)

Instruments

453

(1)

Surgical Intervention

454

(21)

Strabismus Correction: Recession/Resection

454

(3)

Adjustable Suture Surgery

457

(1)

Scleral Buckle

458

(4)

Enucleation and Evisceration of the Eye (Traditional Approach)

462

(2)

Keratoplasty (Corneal Transplant)

464

(4)

Cataract Extraction

468

(2)

Phacoemulsification

470

(1)

Vitrectomy

470

(5)

Otorhinolaryngologic Surgery

475

(54)

Anatomy of the Ear

476

(1)

Outer Ear

476

(1)

Middle Ear

476

(1)

Inner Ear

476

(1)

Pathology of the Ear

477

(2)

Pathology Affecting the Outer Ear

477

(1)

Pathology Affecting the Middle Ear

478

(1)

Pathology Affecting the Inner Ear

479

(1)

Diagnostic Procedures/Tests for the Ear

479

(1)

Special Preoperative Considerations

479

(1)

Special Instruments, Supplies, Drugs

480

(1)

Intraoperative Preparation

480

(1)

Ear Procedures

480

(8)

Myringotomy

480

(4)

Myringoplasty/Tympanoplasty

484

(3)

Mastoidectomy

487

(1)

Stapedectomy

487

(1)

Stapedotomy

488

(1)

Cochlear Implants

488

(1)

Anatomy of the Nose and Sinuses

488

(2)

External Nose

488

(1)

Internal Nose

488

(1)

Paranasal Sinuses

489

(1)

Blood Supply to the Nose

490

(1)

Olfaction

490

(1)

Pathology of the Nose and Paranasal Sinuses

490

(2)

Rhinitis/Sinusitis

490

(1)

Nasal Polyps

491

(1)

Hypertrophied Turbinates

491

(1)

Deviated Nasal Septum

491

(1)

Septal Perforation

491

(1)

Epistaxis

492

(1)

Diagnostic Procedures/Tests

492

(1)

Direct Vision

492

(1)

Mirror Examination

492

(1)

Radiography

492

(1)

Special Preoperative Considerations

492

(1)

Special Instruments, Supplies, and Drugs

493

(3)

Intraoperative Preparation

496

(1)

Nasal Procedures

496

(9)

Submucous Resection (SMR)

496

(3)

Polypectomy

499

(1)

Intranasal Antrostomy

499

(1)

Removal of Foreign Body

499

(1)

Internal Maxillary Artery Ligation

500

(1)

Sinus Procedures

500

(1)

Caldwell-Luc

500

(2)

Ethmoidectomy

502

(1)

Sphenoidectomy

502

(1)

Drainage of the Frontal Sinus

503

(1)

Sinus Endoscopy

503

(2)

Anatomy of the Upper Aerodigestive Tract

505

(3)

Pharynx

505

(1)

Larynx

506

(1)

Trachea

507

(1)

Bronchi and Lungs

507

(1)

Esophagus

507

(1)

Pathology Affecting the Upper Aerodigestive Tract

508

(3)

Pharyngitis

508

(1)

Epiglottitis

508

(1)

Tonsillitis

508

(1)

Sleep Apnea

509

(1)

Laryngitis

509

(1)

Polypoid Corditis or Vocal Cord Polyps

510

(1)

Vocal Cord Nodules

510

(1)

Vocal Cord Granulomas

510

(1)

Laryngeal Neoplasms

510

(1)

Tracheitis and Bronchitis

510

(1)

Laryngotracheobronchitis (Croup)

510

(1)

Foreign Bodies

511

(1)

Pathology Affecting the Esophagus

511

(1)

Esophagitis

511

(1)

Ulceration of the Esophagus

511

(1)

Neoplasms Affecting the Esophagus

511

(1)

Foreign Bodies

511

(1)

Zenker's Diverticulum

511

(1)

Diagnostic Procedures/Tests

511

(1)

Direct Visualization

511

(1)

Indirect Visualization

512

(1)

Laboratory Tests

512

(1)

Radiologic Examinations

512

(1)

Videostroboscopy

512

(1)

Polysomnography

512

(1)

Multiple Sleep Latency Test (MSLT)

512

(1)

Special Preoperative Considerations

512

(1)

Special Instruments, Supplies, Drugs

513

(1)

Intraoperative Preparation

514

(1)

Aerodigestive Tract Procedures

514

(15)

Adenoidectomy

514

(1)

Tonsillectomy

514

(3)

Incision and Drainage of a Peritonsillar Abscess

517

(1)

Uvulopalatopharyngoplasty

517

(2)

Laryngoscopy

519

(2)

Bronchoscopy

521

(1)

Esophagoscopy

522

(1)

Panendoscopy

522

(1)

Radical Neck Dissection with Mandibulectomy

522

(7)

Oral and Maxillofacial Surgery

529

(37)

Anatomy of the Oral Cavity

530

(1)

Lips

530

(1)

Teeth

530

(1)

Palate

530

(1)

Cheeks

530

(1)

Tongue

530

(1)

Anatomy of the Face and Cranium

531

(2)

Orbit

532

(1)

Facial Muscles and Innervation

532

(1)

Embryologic Development of the Face

533

(1)

Pathology of the Oral Cavity

533

(3)

Mouth

533

(1)

Jaw Bones

534

(1)

Mandibular Fractures

534

(1)

Frontal Fractures

535

(1)

Orbital Fractures

535

(1)

Zygomatic Fractures

535

(1)

Midfacial Fractures

536

(1)

Craniofacial Deformities

536

(1)

Diagnostic Tests

536

(1)

Oral Procedures: General Considerations

537

(4)

Tooth Extraction

538

(3)

Tooth Restoration

541

(1)

Implantation

541

(1)

Maxillofacial Procedures: General Considerations

541

(25)

Graft Materials

542

(1)

Repair of Mandibular/Maxillary Fractures

543

(1)

Application of Arch Bars

543

(3)

Wire Fixation

546

(1)

Plate and Screw Fixation of Mandibular Fracture

546

(3)

Frontal Fracture Repair

549

(1)

Orbital Floor Fracture Repair

550

(3)

Reduction of Zygomatic Fractures

553

(1)

Le Fort I Fracture Repair

554

(3)

Le Fort II and III Fracture Repair

557

(1)

Craniofacial Reconstruction

557

(3)

Correction of Retrognathism or Prognathism

560

(1)

Temporomandibular Joint Procedures

561

(5)

Plastic and Reconstructive Surgery

566

(44)

Anatomy

567

(8)

Skin and Underlying Structures

567

(1)

Palate

568

(2)

Nose

570

(1)

Hand

570

(5)

Breast

575

(1)

Surgical Pathology

575

(7)

Pathology Affecting the Skin

575

(2)

Cleft Lip and Palate

577

(1)

Pathology Affecting the Hand

578

(3)

Pathology Affecting the Breast

581

(1)

Diagnostic Procedures and Tests

582

(1)

Special Instrumentation, Supplies, Drugs, and Equipment

582

(2)

Nasal Set

582

(1)

Dermatome

583

(1)

Mesh Graft Device

584

(1)

Surgical Intervention

584

(26)

Rhytidectomy

584

(2)

Blepharoplasty

586

(1)

Suction Lipectomy

587

(1)

Abdominoplasty

588

(1)

Skin Grafts

589

(3)

Cheiloplasty and Palatoplasty

592

(1)

Rhinoplasty

593

(2)

Hand Surgery

595

(7)

Mammoplasty

602

(8)

Genitourinary Surgery

610

(58)

Anatomy

611

(6)

Suprarenal (Adrenal) Glands

611

(1)

Kidneys

611

(3)

Ureters

614

(1)

Urinary Bladder

614

(1)

Male Reproductive System

615

(2)

Pathology Affecting the Adrenal Glands

617

(1)

Cushing's Syndrome

617

(1)

Adrenal Insufficiency (Addison's Disease)

617

(1)

Pheochromocytoma

618

(1)

Pathology Affecting the Urinary System

618

(3)

Bladder Tumors

618

(1)

Urinary Calculi

618

(1)

Kidney Disorders

619

(2)

Pathology Affecting the Male Reproductive System

621

(2)

Phimosis

621

(1)

Hypospadias/Epispadias

621

(1)

Benign Prostatic Hyperplasia

622

(1)

Cancer of the Prostate

622

(1)

Cryptorchidism

622

(1)

Testicular Torsion

622

(1)

Testicular Cancer

622

(1)

Trauma to the Genitourinary System

623

(1)

Diagnostic Procedures/Tests

623

(7)

History and Physical

623

(1)

Laboratory Findings

623

(6)

Radiologic Findings

629

(1)

Biopsy

630

(1)

Endoscopy

630

(1)

Special Equipment, Instruments, Supplies, Drugs

630

(2)

Preoperative and Intraoperative Preparation

632

(3)

Incisional Options

633

(2)

Surgical Procedures

635

(33)

Adrenalectomy

636

(1)

Nephrectomy

637

(4)

Renal Transplant

641

(1)

Stone Removal

642

(1)

Cystostomy

643

(2)

Cystectomy/Ileal Conduit

645

(5)

Procedures for Stress Incontinence Affecting Women

650

(3)

Transurethral Endoscopy of the Genitourinary Tract

653

(2)

Circumcision

655

(2)

Orchiectomy

657

(1)

Orchiopexy

657

(3)

Vasectomy

660

(1)

Vasovasostomy

660

(1)

Prostatectomy

660

(8)

Orthopedic Surgery

668

(60)

Bone and Bone Tissue

669

(7)

Bone Tissue

670

(1)

Types of Bones

671

(1)

Types of Joints

672

(1)

Bone Growth and Bone Cells

673

(1)

Intramembranous Bones

674

(1)

Endochondral Bone

674

(1)

Mineral Storage

674

(1)

Factors That Affect Bone Growth

675

(1)

Clinical and Bone Landmark Terms

675

(1)

Pathology

676

(9)

Types of Fractures

676

(1)

Normal Bone Healing

676

(6)

Pathologic Bone Healing

682

(2)

Diagnostic Terms and Procedures

684

(1)

The Skeleton

685

(10)

The Skull

685

(3)

Vertebral Column

688

(1)

Bones of the Thoracic Region

689

(1)

Clavicles

689

(1)

Scapula

689

(1)

Pectoral Girdle

689

(1)

Humerus

690

(1)

Radius and Ulna

690

(1)

Hand and Wrist

690

(1)

Pelvis

691

(1)

Hip and Femur

692

(1)

Tibia and Fibula

692

(2)

Ankle and Foot

694

(1)

Equipment

695

(2)

Positioning Devices

695

(1)

Pneumatic Tourniquets

696

(1)

Traction

696

(1)

Lasers

696

(1)

Radiography

696

(1)

Air Flow

696

(1)

Continuous Passive Range--of--Motion Machines (CPM)

696

(1)

Transcutaneous Electric Nerve Stimulation (TENS)

696

(1)

Electrical Stimulation of Bone

697

(1)

Saws, Drills, and Reamers

697

(1)

Arthroscopic Equipment

697

(1)

Supplies

697

(2)

Implants

697

(1)

Suture

698

(1)

Polymethyl Methacrylate (PMMA)

698

(1)

Pharmacology

698

(1)

Procedures

699

(29)

Bone Grafting

699

(1)

Knee Arthroscopy

700

(3)

Arthroscopic Repair of Meniscal Tear

703

(3)

Endoscopic Carpal Tunnel Release

706

(3)

Colles' Fracture

709

(4)

Open Reduction--Internal Fixation (ORIF) of the Humerus

713

(3)

Repair of Rotator Cuff

716

(4)

Total Hip Arthroplasty

720

(8)

Cardiothoracic Surgery

728

(61)

Anatomy of the Chest

729

(3)

The Thorax

729

(1)

The Trachea

730

(1)

The Bronchial Tree

730

(1)

The Lungs

731

(1)

Anatomy and Physiology of the Heart

732

(6)

Location of the Heart

733

(1)

Coverings of the Heart

733

(1)

The Heart Wall

733

(1)

The Heart Chambers

733

(1)

The Heart Valves

733

(2)

Blood Flow Through the Heart

735

(1)

Blood Supply for the Heart

735

(1)

The Cardiac Cycle

735

(1)

Cardiac Output

736

(1)

Cardiac Conduction

736

(1)

Anatomical Development of the Heart

736

(2)

Operative Pathology

738

(12)

The Chest Wall

738

(1)

The Mediastinum

739

(1)

The Lungs

739

(1)

Thoracic Trauma

739

(2)

Thoracic Outlet Syndrome

741

(1)

Thoracic Aortic Aneurysm

741

(1)

Coronary Artery Disease

742

(3)

Valvlar Disease

745

(1)

Cardiomyopathy

746

(1)

Cardiac Dysrhythmias

746

(2)

Congenital Heart Defects

748

(2)

Diagnostic Procedures: Thorax

750

(1)

Bronchoscopy

750

(1)

Mediastinoscopy

751

(1)

Thoracoscopy

751

(1)

Thoracentesis

751

(1)

Diagnostic Procedures: Cardiac

751

(2)

Radiologic Studies

753

(1)

Surgical Intervention: Thoracic

753

(10)

Special Preoperative Considerations

753

(1)

Special Instrumentation, Supplies, Drugs, and Equipment

753

(1)

Patient Preparation

754

(1)

Thoracoscopy

755

(3)

Scalene/Supraclavicular Node Biopsy

758

(1)

Thoracotomy for Upper Lobectomy

758

(4)

Thoracotomy for Right Pneumonectomy

762

(1)

Thoracotomy for Wedge Resection or Segmentectomy

762

(1)

Decortication of Lung

762

(1)

Surgical Intervention: Cardiac (Adult)

763

(21)

Preoperative Considerations

763

(1)

Patient Preparation

764

(1)

Techniques of Cardiopulmonary Bypass (CPB)

765

(2)

Mechanical Circulatory Assistance

767

(2)

Coronary Artery Bypass Grafting (CABG)

769

(5)

Aortic Valve Replacement

774

(4)

Mitral Valve Replacement

778

(1)

Thoracic Aortic Aneurysmectomy (TAA)

779

(2)

Pericardictomy/Pericardial Window

781

(1)

Heart Transplantation

781

(1)

Permanent Pacemaker Insertion

782

(1)

Percutaneous Transluminal Coronary Angioplasty (PTCA)

783

(1)

Surgical Intervention: Cardiac (Pediatric)

784

(5)

Special Preoperative Preparation

784

(1)

Atrial Septal Defect

784

(1)

Ventricular Septal Defect

785

(1)

Patent Ductus Arteriosus

785

(1)

Correction of Aortic Coarctation

785

(2)

Procedure for Correction of Tetralogy of Fallot

787

(1)

Procedure for Correction of Transposition of the Great Arteries

787

(2)

Peripheral Vascular Surgery

789

(35)

Peripheral Vascular Surgery

790

(1)

Surgical Anatomy

790

(6)

Blood Vessels

790

(1)

Blood Pressure

791

(2)

The Arterial System

793

(2)

The Venous System

795

(1)

Operative Pathology and Diagnosis

796

(3)

Arterial Embolism

796

(1)

Arteriosclerosis Obliterans

797

(1)

Aneurysms of the Abdominal Aorta

797

(2)

Surgical Interventions

799

(25)

Peripheral Vessel Angioplasty

799

(1)

Bypass Grafting and Endarterectomy

800

(2)

Features of Peripheral Vascular Procedures

802

(1)

Aortofemoral Bypass

803

(3)

Abdominal Aortic Aneurysmectomy

806

(4)

Femoropopliteal Bypass

810

(3)

Femorofemoral Bypass

813

(2)

Axillofemoral Bypass

815

(3)

Carotid Endarterectomy

818

(6)

Neurosurgery

824

(57)

Surgical Anatomy

825

(9)

Divisions of the Nervous System

825

(1)

Cranium

825

(6)

Vertebral Column

831

(2)

Blood Supply

833

(1)

Cranial Nerves

833

(1)

Spinal Nerves

833

(1)

Neurosurgical Pathology

834

(8)

Cervical Spine

835

(1)

Thoracic Spine

836

(1)

Lumbar Spine

836

(1)

Neoplasms

837

(1)

Head Injury

838

(2)

Spinal Cord Injury

840

(1)

Cerebrovascular Disease

840

(1)

Congenital Abnormalities

841

(1)

Infection

842

(2)

Abscess

842

(1)

Spinal Tumors

843

(1)

Peripheral Nerve Disorders

843

(1)

Neurosurgical Procedures

844

(37)

Special Instrumentation, Supplies, Drugs, and Equipment

844

(4)

Patient Preparation

848

(1)

Craniotomy

849

(9)

Craniectomy

858

(4)

Ventriculoperitoneal and Ventriculoatrial Shunt

862

(3)

Transphenoidal Hypophysectomy

865

(3)

Stereotactic Procedures

868

(1)

Cranioplasty

869

(1)

Spinal Procedures

869

(7)

Peripheral Nerve Procedures

876

(5)

Appendix A Common Prefixes and Suffixes

881

(3)

Appendix B Measurements

884

Amazon no longer offers textbook rentals. We do!

Surgical Technology for the Surgical Technologist

Surgical Technology for the Surgical Technologist

9780766806627

0766806626

Summary

Table of Contents

Supplemental Materials

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Amazon no longer offers textbook rentals. We do!

Surgical Technology for the Surgical Technologist

Surgical Technology for the Surgical Technologist

9780766806627

0766806626

Summary

Table of Contents

Supplemental Materials

Write a Review

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