Matching: Intestinal surgery pathology A. Stoma 1. Rebound tenderness, WBC

Matching: Intestinal surgery pathology A. Stoma 1. Rebound tenderness, WBC 13,000, RLQ pain B. Impaction 2. Dilated pouches within the colon C. Intussception 3. Cramping abdominal pain, distention, twisted bowel obstruction D. Volvulus 4. Sacrococcygeal sinus tract E. Diverticulitis 5. “ostomy” F. Appendicitis 6. Gallstones G. Crohn’s disease 7. Cramping, fecal bowel obstruction H. Diverticulosis 8. Infected dilated pouches within colon I. Pancreatic cancer 9. Venous congestion J. Cholelithiasis 10. If severe, resolved with total colectomy and subsequent ileostomy K. Pilonidal cyst 11. Head and ampulla of Vater are the most common location L. Hemorrhoids 12. Cramping, abdominal pain, bowel segment moves into itself causing obstruction 1. Once the cancerous or diseased bowel is removed (excised), describe the next steps taken to ensure that the anastomosis will not be compromised. Matching: Positions A. Cholecystectomy 1. Supine B. Esophagectomy 2. Trendelenburg C. Pilonidal cystectomy 3. Reverse Trendelenburg D. Herniorrhaphy or mastectomy 4. Kraske E. Endoscopic hernia repair 5. Lateral Identification: Wound Classification Identify the wound classification for each procedure as described with a I, II, III, or IV. ___1. Thyroidectomy ___2. Ruptured appendicitis anaerobic gram-neg rods/stat Gram stain ___3. Cholecystectomy ___4. Colon resection with spillage ___5. Herniorrhaphy ___6. Laparoscopic herniorrhaphy with break in sterile technique ___7. Modified radical mastectomy ___8. Splenectomy ___9. Liver resection with break in sterile technique ___10. Bowel resection with break in sterile technique Matching: Closing Devices A. Closure mucosal layer of intestinal anastomosis 1. Mesh B. Circular GI anastomosis end to end anastomosis 2. Chest tube secured with silk C. Used to reinforce defect (stapled or sutured in place) 3. Purse-string stich D. Vessel or duct closure using applier to place clip(s) 4. Linear stapler or cutter E. Securely closes tissue around a catheter/inverts stump 5. Intraluminal stapler F. Closure serosal or seromuscular layer of intestinal 6. Large chromic blunt needle anastomosis G. Single application for resection of diseased bowel 7. Hemoclip or ligating clip H. Clamp, clamp, cut, _______ to control bleeding 8. 3-0 absorbable continuous suture I. Used after chevron or thoracoabdominal surgery 9. Tie (2-0 or 3-0 silk) J. Liver laceration or biopsy to control bleeding 10. 3-0 silk interrupted suture GI Taper needle

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