Surgical Technology for the Surgical Technologist

by Price, Paul; Frey, Kevin B.; Junge, Teri L.

Edition: 2nd

ISBN13: 9781401838485

ISBN10: 1401838480

Format: Hardcover

Pub. Date: 2003-12-23

Publisher(s): Cengage Learning

Upgraded Edition: Click here!

Other versions by this Author

List Price: ~~$232.11~~

Rent Textbook

Select for Price

Add to Cart

There was a problem. Please try again later.

New Textbook

We're Sorry
Sold Out

Used Textbook

We're Sorry
Sold Out

eTextbook

We're Sorry
Not Available

Buy from our Marketplace starting at $11.00

Summary

This new edition meets the requirements of the revised Core Curriculum for Surgical Technologists, 5th edition. It is written by surgical technologists for surgical technologists. The content focuses on the concepts and skill development (cognitive and procedural) required of surgical technologists in the operative environment. The text uses the A POSitive CARE approach to surgical problem solving that concentrates on the ability of the surgical technologist to predict the patient's and surgeon's needs through the intraoperative period. The goal is for the surgical technologist to apply this model in daily practice for maximum efficiency and effectiveness during the surgical procedure. The surgical procedures included in the text were selected for their instructive value and because the skills demonstrated can be applied to many other procedures.

List of Tables

xix

Introduction to the second Edition

xxiii

Preface

xxvii

Contributors

xxxix

Reviewers

How to Use This Book

xlii

SECTION 1 Introduction to Surgical Technology

CHAPTER 1 Orientation to surgical Technology

(20)

History of Surgery

(1)

Surgery Today

(2)

Surgical specialties

(1)

History of Surgical Technology

(2)

Field of Surgical Technology

(3)

Working Conditions

(1)

Personal Characteristics

(1)

Surgical Team Members

(2)

Surgical Technology Education and Certification

(1)

The Surgical Technologist as a Professional

(3)

Professionalism

(1)

Surgical Technologist's Lifestyle

(1)

Job Descriptions for the Surgical Technologist

(1)

Career Opportunities

(1)

Health Care Facilities

(1)

Hospital Organization

(7)

Hospital Departments and Interdepartmental Communication

(2)

Financial Considerations and Reimbursement

(1)

Organizations Related to Hospitals, Health Care, and Surgical Services

(2)

CHAPTER 2 Standards of Conduct

(20)

Legal Issues

(7)

Definitions of General Legal Terms

(1)

Definitions of Traditional Principles

(1)

Torts

(2)

Consent for Surgery: A Basic Right

(2)

Documentation

(1)

Event/Incident Reports

(1)

Advance Directives

(1)

Ethical and Moral Issues

(4)

Moral Principles

(1)

Bioethics

(1)

AHA Patient's Bill of Rights

(1)

Elements of Ethical Decision Making

(2)

Professional Codes of Conduct

(1)

Surgical Conscience

(1)

Scope of Practice

(4)

Job Descriptions and Competencies

(1)

Credentialing

(1)

Accreditation

(1)

Core Curricula for Surgical Technology and Surgical Assisting

(1)

Career Development

(1)

Clinical Ladder Program

(1)

Risk Management and Liability

(4)

Medical Errors

(1)

Safe Medical Device Act

(1)

Malpractice Insurance

(3)

CHAPTER 3 The Surgical Patient

(14)

The STSR and the Surgical Patient

(1)

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

(13)

Understanding the Surgical Patient

(1)

Causes of Surgical Intervention

(1)

The Surgical Patient, a Human Being

(1)

Prioritizing Needs: Maslows Hierarchy

(1)

Life Stage Development: Select Basic Concepts

(3)

Cultural and Religious Influences

(7)

CHAPTER 4 Special Populations

(20)

Introduction

(1)

Pediatric Patients

(8)

Monitoring the Pediatric Patient

(1)

Shock

(1)

Fluids and Electrolytes

(1)

Infection

(1)

Metabolic and Nutritional Responses

(1)

Trauma

(1)

Patients with Obesity

(2)

Review of Surgical Considerations

(1)

Specific Considerations of Bariatric Surgery

(1)

Patients with Diabetes

(1)

Complications Associated with Diabetes

(1)

Care of the Patient with Diabetes in Surgery

(1)

Pregnant Patients

(2)

Considerations When Caring for Pregnant Patients

(1)

Anesthesia

(1)

Intraoperative Considerations for the Surgical Technologist

(1)

Immunocompromised Patients

(1)

Acquired Immunodeficiency Syndrome

(1)

Considerations for the Surgical Team Members

(1)

Patients with Disabilities

(1)

Geriatric Patients

(2)

Trauma Patients

(1)

The "Golden Hour" and Trauma system

(1)

Kinematics

(1)

Blunt Trauma

(1)

Penetrating Trauma

(1)

Trauma Scoring

(1)

Considerations for the Surgical Technologist

(1)

Preservation of Evidence

(1)

Hypothermia

(1)

Infection

(1)

Preparation of the Case

(3)

CHAPTER 5 Physical Environment and safety standards

(22)

Physical Design of the Surgery Department

(8)

Areas of the OR

(1)

Physical Components of the Operative Suite

(4)

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)

Biological Hazards and Safety Considerations

(4)

Universal Precautions

(1)

Standard Precautions

(3)

Laser and Electrosurgical Plume

(1)

Latex Allergy

(1)

Chemical Hazards and Safety Considerations

(4)

Waste Anesthetic Gases

(1)

Methyl Methacrylate

(1)

Formalin

(1)

Ethylene Oxide

(1)

Glutaraldehyde

(3)

SECTION 2 Principles and Practice of surgical Technology

CHAPTER 6 Biomedical science

(31)

Introduction

(1)

Computers

(8)

Surgical Applications

(1)

Hardware

100

(3)

Software

103

(1)

Word Processing

104

(1)

Graphics

105

(1)

Internet Basics

106

(1)

Electricity

107

(5)

Surgical Applications

107

(1)

Basic Principles of Electricity

108

(4)

Physics

112

(10)

Medical and Surgical Applications

112

(1)

Mechanics

113

(9)

Nuclear Physics

122

(1)

Gravity

122

(1)

Surgical Robots

122

(3)

Terminology

123

(1)

Design

123

(1)

Remote Manipulation

124

(1)

Geometry

124

(1)

Hearing and Vision

125

(1)

Decontamination and Sterilization of Robotic Components

125

(1)

Clinical Applications

125

(1)

The OR of the Future

125

(1)

Surgical Planning and Rehearsal

125

(1)

Surface-Based Registration

126

(1)

Role of the Surgical Technologist

126

(3)

CHAPTER 7 Asepsis and Sterile Technique

129

(42)

History of sterilization

130

(1)

Basic Terminology

131

(1)

Pathogens and Infection

131

(7)

Infection

131

(1)

Pathogens Associated with Surgical Site Infection

132

(3)

Methods of Transmission

135

(3)

Principles of Asepsis

138

(2)

Principle 1: Sterile Field

138

(1)

Principle 2: Sterile Team Member Attire

139

(1)

Principle 3: Movement in and Around Sterile Field

140

(1)

Surgical Conscience

140

(1)

Cleaning, Disinfection, and sterilization

141

(10)

Cleaning and Disinfection

142

(5)

Disinfectant and Disinfectant/Sterilant Agents

147

(4)

Instrument Preparation and Wrapping for Sterilization

151

(1)

Instruments

151

(1)

Specific Procedural Trays

151

(1)

Instrument Sets

151

(1)

Packaging for Sterilization and Storage

152

(11)

Performance Standards of Packaging Material

152

(1)

Performance Characteristics

152

(1)

Types of Packaging Materials

153

(2)

General Principles of Packaging

155

(3)

Sterilization

158

(1)

Requirements and Essential Factors

159

(1)

Basic Components of a Steam Sterilizer

160

(3)

Gas Sterilization

163

(2)

Ethylene Oxide

163

(1)

Alternative Sterilization Methods

164

(1)

Liquid Chemical Sterilization Processes

165

(1)

Ionizing Radiation

165

(1)

Methods of Monitoring the Sterilization Process

165

(2)

Mechanical Methods of Monitoring the Sterilization Process

165

(1)

Chemical Methods of Monitoring the Sterilization Process

166

(1)

Biological Methods of Monitoring the Sterilization Process

166

(1)

Bowie-Dick Test

167

(1)

Event-Related Sterility

167

(4)

Environmental Decontamination

168

(1)

Environmental Services

168

(1)

Case by Case

168

(1)

Daily

168

(3)

CHAPTER 8 General Patient Care and safety

171

(47)

Preoperative Patient Routines

172

(7)

Surgical Consent

173

(2)

Preoperative Education

175

(1)

Patient Possessions

175

(1)

Evening/Morning Before Surgery

176

(1)

Diet

177

(1)

Makeup and Dress

177

(1)

Call to the Operating Room

177

(1)

Family Visit

177

(1)

Patient Identification

177

(1)

Transportation

178

(1)

Transfer and Positioning

179

(1)

Basic Positioning for Surgery

180

(11)

Supine Position

181

(2)

Trendelenburg Position

183

(1)

Reverse Trendelenburg Position

184

(1)

Fowler's Position and Sitting Position

184

(1)

Lithotomy Position

185

(1)

Prone Position

186

(2)

Kraske (Jackknife) Position

188

(1)

Lateral Position

189

(1)

Kidney Position

190

(1)

Sims' Position

191

(1)

Thermoregulatory Devices

191

(1)

Vital Signs

192

(7)

Temperature

192

(1)

Pulse

193

(1)

Respiration

194

(2)

Blood Pressure

196

(3)

Urinary Catheterization

199

(3)

Indications

200

(1)

Considerations

200

(1)

Procedure

200

(2)

Skin Preparation

202

(4)

Skin Preparation Setup

203

(3)

Skin Marking

206

(1)

Hemostasis and Blood Replacement

206

(5)

Factors Affecting Hemostasis

207

(1)

Control of Bleeding During Surgery

207

(1)

Mechanical Methods

207

(2)

Thermal Hemostasis

209

(1)

Pharmacological Agents

209

(1)

Blood Loss

210

(1)

Blood Replacement

210

(1)

Hemolytic Transfusion Reactions

211

(1)

Cardiopulmonary Resuscitation

211

(2)

Cardiac Arrest in the Surgical Setting

212

(1)

Malignant Hyperthermia

213

(1)

Prevention

213

(1)

Treatment

213

(1)

Emergency Medical Services

213

(1)

Indications of Emergency Situations

214

(1)

Objectives and Priorities in Emergency Situations

214

(4)

Syncope

214

(1)

Convulsions/Seizures

215

(1)

Anaphylactic Reactions

215

(1)

Clinical Manifestations of Impending Cardiac Arrest

216

(2)

CHAPTER 9 Surgical Pharmacology and Anesthesia

218

(40)

Pharmacology

219

(4)

Drug Sources

219

(1)

Drug Forms

220

(1)

Drug Nomenclature

220

(1)

Route of Administration

221

(1)

Drug Classifications

221

(1)

Pharmacokinetics

221

(1)

Pharmacodynamics

222

(1)

Drug-Handling Techniques

223

(6)

Medication Identification

223

(2)

Supplies for Medication Handling

225

(1)

Transfer of a Medication to the Sterile Field

225

(1)

Medications Commonly Used in the Operating Roam

226

(3)

History of Modern Anesthesia

229

(2)

Methods and Techniques of Anesthetic Administration

231

(1)

General Anesthesia

231

(13)

Depth of General Anesthesia

231

(1)

Phases of General Anesthesia

232

(1)

Advantages of General Anesthesia

232

(1)

Risks and Complication Associated with General Anesthesia

232

(3)

Anesthetic Agents

235

(5)

Adjuncts to General Anesthesia

240

(1)

Anesthesia Equipment

241

(3)

Nerve Conduction Blockade

244

(5)

Nerve Conduction Blocking Agents

244

(2)

Topical Anesthesia

246

(1)

Local Anesthesia

246

(1)

Regional Anesthesia

246

(3)

Nontraditional Anesthesia Options

249

(1)

Team Member Roles During Anesthesia Administration

249

(9)

Preoperative Visits

250

(1)

Preoperative Routine-All Types of Anesthesia

250

(3)

Postanesthesia Care

253

(5)

CHAPTER 10 Instrumentation, Equipment, and Supplies

258

(33)

Instrumentation

259

(10)

Classifications

259

(5)

Instrument Care and Handling

264

(1)

Types of Instrument Sets

265

(4)

Specialty Equipment

269

(6)

Endoscopes

269

(1)

Power Tools

270

(1)

Lasers

270

(3)

Microscopes

273

(1)

Video Monitors, Recorders, and Cameras

273

(1)

Fiber-Optic Headlamps and Light Sources

274

(1)

Irrigation/Aspiration Unit

274

(1)

Cryotherapy Units

274

(1)

Insufflators

274

(1)

Nerve Stimulators

274

(1)

Accessory Equipment

275

(5)

Suction Systems

275

(1)

Electrosurgical Unit

275

(3)

Lights

278

(1)

Pneumatic Tourniquets

279

(1)

Sequential Compression Devices

280

(1)

Supplies

280

(11)

Drapes

280

(2)

Sterile Packs

282

(1)

Sponges and Dressings

282

(3)

Catheters, Tubes, and Drains

285

(3)

Nonsuture Needles

288

(1)

Irrigators and Syringes

289

(2)

CHAPTER 11 Wound Healing, Sutures, Needles, and Stapling Devices

291

(26)

Introduction

292

(1)

Types of Wounds

292

(2)

Surgical Wound

292

(1)

Traumatic Wound

293

(1)

Chronic Wound

294

(1)

Inflammatory Process

294

(1)

Types of Wound Healing

294

(1)

First Intention (Primary Union)

294

(1)

Phases of Wound Healing by First Intention

295

(1)

Second Intention (Granulation)

295

(1)

Third Intention (Delayed Primary Closure)

295

(1)

Factors Influencing Wound Healing

295

(1)

Complications of the Healing Wound

296

(2)

Intraoperative Wound Care

297

(1)

Postoperative Wound Care

298

(1)

Suture

298

(12)

History

298

(1)

Types of Suture Material

299

(1)

Suture Sizes

300

(1)

General Factors Affecting Choice of Suture

300

(1)

Characteristics of Common Sutures

300

(3)

Packaging of Suture

303

(1)

Ligatures

303

(1)

Ligating Methods

303

(1)

Suture for the Procedure

304

(1)

Layer Closure

305

(2)

Endoscopic Suture

307

(1)

Suturing Techniques

307

(2)

Accessory Devices

309

(1)

Stapling Devices

310

(3)

Types of Staplers

312

(1)

Meshes or Fabrics

313

(1)

Needles

313

(4)

Needle Eye

314

(1)

Needle Point

315

(1)

Needle Bodies

315

(2)

CHAPTER 12 Surgical Case Management

317

(53)

Introduction

318

(5)

Applied Theory

319

(4)

Preoperative Case Management

323

(18)

Attire

323

(4)

Preparing the OR

327

(14)

Organizing the Back Table

341

(12)

Organizing the Mayo Stand

346

(1)

Assisting a Team Member

346

(1)

Draping the Surgical Patient

346

(7)

Positioning of the Sterile Team Members and the Furniture

353

(1)

Intraoperative Case Management

353

(10)

General Principles

353

(8)

Progression of the Surgical Procedure

361

(2)

Postoperative Case Management

363

(7)

Preservation of the Sterile Field

363

(1)

Drape Removal

363

(1)

Gown and Glove Removal

364

(1)

Immediate Postoperative Patient Care

364

(1)

Patient Transfer and Transportation

364

(1)

Breakdown of the Setup

365

(1)

The Operating Room Cycle

365

(1)

The Instrument Cycle

366

(4)

SECTION 3 Surgical Procedures

CHAPTER 13 Diagnostic Procedures

370

(15)

Sources of Patient Data

371

(12)

History and Physical Examination

371

(1)

Diagnostic Imaging

371

(7)

Laboratory Reports

378

(3)

Electrodiagnostic Studies

381

(1)

Pulmonary Diagnosis

382

(1)

Endoscopy

383

(1)

Plethysmography and Phleborheography

383

(1)

Indications for Surgery

383

(2)

CHAPTER 14 General surgery

385

(92)

Anatomy

386

(11)

Abdominal Cavity: General Dimensions

386

(1)

Surface Features

386

(1)

Abdominal Musculature

387

(1)

Peritoneum

387

(1)

Retroperitoneum

388

(1)

Alimentary Canal

388

(1)

Esophagus

388

(1)

Stomach

389

(1)

Small Intestine

390

(1)

Mesentery

391

(1)

Colon

391

(2)

Rectum

393

(1)

Anus

393

(1)

Omenta

394

(1)

Pancreas

394

(1)

Spleen

395

(1)

Liver

395

(1)

Biliary Tract

396

(1)

General Surgery Instrumentation

397

(3)

Major Set

397

(1)

Minor Set

397

(2)

Local Excision Instruments

399

(1)

Biliary Instruments

399

(1)

Intestinal Instruments

400

(1)

Other General Instruments

400

(1)

Room Setup

400

(1)

Positioning

400

(1)

Draping

400

(2)

Incisions

402

(2)

Surgery of the Abdominal Wall: Hernias

404

(3)

Specific Anatomical Features of the Groin Area

404

(1)

Hernias

405

(1)

Hernia Repair

405

(2)

Surgery of the Alimentary Canal

407

(20)

Surgery of the Esophagus

408

(1)

Gastric Surgery

408

(1)

Pathological Conditions of the Stomach

408

(6)

Procedures Related to Gastric Secretion, Ulcers, and Neoplasm

414

(2)

Procedures for Morbid Obesity

416

(1)

Surgery of the Small Bowel

416

(4)

Appendectomy

420

(5)

Colon Surgery

425

(2)

Stomas

427

(20)

Anorectal Surgery

427

(3)

Hemorrhoid Ligation and Excision

430

(1)

Surgery of the Liver and Biliary Tract

430

(9)

Common Bile Duct Exploration

439

(8)

Surgery of the Pancreas and Spleen

447

(7)

Select Pathology of the Pancreas

447

(1)

Draining Pancreatic Cysts

448

(1)

Pancreatic Resection

448

(1)

Whipple Pancreaticoduodenectomy

448

(4)

Surgery of the Spleen

452

(2)

Vascular and Other Procedures

454

(3)

Varicose Veins

454

(1)

Vascular Access Procedures

455

(1)

Muscle and Nerve Biopsies

456

(1)

Incision and Drainage

456

(1)

Excision of Lesion

456

(1)

Endoscopy

457

(1)

Breast Surgery

457

(4)

Breast Anatomy

457

(1)

Breast and Axilla: Pathology and Diagnosis

457

(1)

Breast Surgery (Noncosmetic)

457

(4)

Surgery of the Thyroid and Parathyroid

461

(1)

Anatomy of the Thyroid and Parathyroid

461

(1)

Pathological Conditions of the Thyroid and Parathyroid Glands

461

(1)

Thyroidectomy

461

(1)

Tracheotomy

461

(16)

Indications for Tracheotomy

461

(6)

Illustrative Procedure: Tracheotomy

467

(10)

CHAPTER 15 Obstetric and Gynecologic surgery

477

(76)

Introduction to Obstetric and Gynecologic Surgery

478

(1)

Anatomy

478

(7)

Pelvis

478

(3)

External Genitalia

481

(1)

Vagina

481

(1)

Uterus

482

(1)

Fallopian Tubes

483

(1)

Ovaries

483

(2)

Pregnancy-A Special Condition

485

(2)

Select Key Terms in Labor and Delivery

486

(1)

Labor

486

(1)

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

487

(7)

Instrumentation

467

(20)

Drugs

487

(7)

Equipment

494

(1)

Supplies

494

(1)

OR Setup and Basic Patient Positioning and Draping

494

(1)

Surgical Procedures: Obstetrics and Fertility Related

494

(59)

Pathology and Surgical Conditions: Obstetrics and Fertility Related

494

(16)

Vaginal Delivery

495

(2)

Cesarean Section

497

(6)

Tubal Occlusion (Sterilization) Procedures

503

(1)

Tuboplasty

504

(3)

Laparoscopic Resection of Unruptured Tubal Pregnancy

507

(3)

Surgical Procedures: Gynecologic Procedures

510

(1)

Gynecologic Pathology

510

(1)

Surgical Intervention: Overview

510

(44)

Abdominal Incisions for Gynecologic Surgery

510

(5)

Surgical Intervention: Laparoscopy

515

(3)

Basic Colposcopy

518

(1)

Hysteroscopy

518

(3)

Marsupialization of Bartholin's Gland Cyst

521

(1)

Simple Vulvectomy

521

(3)

Anterior and Posterior Repair (Colporrhaphy)

524

(9)

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

533

(2)

Dilation and Curettage

535

(3)

Myomectomy

538

(4)

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

542

(4)

Vaginal and Laparoscopically Assisted Vaginal Hysterectomy (LAVH)

546

(1)

Radical Cancer Surgery: Total Pelvic Exenteration

547

(6)

CHAPTER 16 Ophthalmic surgery

553

(33)

Anatomy of the Eye

554

(4)

Orbit

554

(1)

Extrinsic Muscles

555

(1)

Lacrimal System

555

(1)

Globe

556

(2)

Cavities and Chambers of the Eye

558

(1)

Ophthalmic Surgical Pathology

558

(2)

Glaucoma

558

(1)

Cataract

558

(1)

Small Retinal Detachment

558

(1)

Large Retinal Detachment

558

(1)

Vitreous Hemorrhage

558

(1)

Proliferative Vitreoretinopathy (PVR)

559

(1)

Traction Retinal Detachment

559

(1)

Epiretinal Membrane

559

(1)

Corneal Pathology

559

(1)

Chalazion

559

(1)

Pterygium

559

(1)

Dacryocystitis

559

(1)

Strabismus

559

(1)

Ophthalmic Medications

560

(1)

Special Considerations in Ophthalmic Surgery

560

(2)

Special Equipment

560

(1)

Instruments

561

(1)

Surgical Intervention

562

(24)

Surgical Repair of Ptosis

562

(1)

Iridectomy

563

(1)

Trabeculoplasty

563

(1)

Strabismus Correction: Recession/Resection

563

(3)

Adjustable Suture Surgery

566

(1)

Scleral Buckle

567

(4)

Enucleation and Evisceration of the Eye (Traditional Approach)

571

(2)

Keratoplasty (Cornea I Transplant)

573

(4)

Cataract Extraction

577

(3)

Phacoemulsification

580

(1)

Vitrectomy

580

(6)

CHAPTER 17 Otorhinolaryngologic Surgery

586

(58)

Anatomy of the Ear

587

(2)

Outer Ear

587

(1)

Middle Ear

588

(1)

Inner Ear

588

(1)

Pathology of the Ear

589

(2)

Pathology Affecting the Outer Ear

589

(1)

Pathology Affecting the Middle Ear

589

(1)

Pathology Affecting the Inner Ear

590

(1)

Diagnostic Procedures/Tests for the Ear

590

(1)

Preoperative Considerations

591

(1)

Special Instruments, Supplies, and Drugs

592

(1)

Ear Procedures

592

(9)

Myringotomy

592

(4)

Myringoplasty/Tympanoplasty

596

(4)

Mastoidectomy

600

(1)

Stapedectomy

600

(1)

Stapedotomy

600

(1)

Cochlear Implants

601

(1)

Anatomy of the Nose and sinuses

601

(2)

External Nose

601

(1)

Internal Nose

601

(1)

Paranasal sinuses

602

(1)

Blood Supply to the Nose

602

(1)

Olfaction

603

(1)

Pathology of the Nose and Paranasal Sinuses

603

(2)

Rhinitis/Sinusitis

603

(1)

Nasal Polyps

604

(1)

Hypertrophied Turbinates

604

(1)

Deviated Nasal Septum

604

(1)

Septal Perforation

604

(1)

Epistaxis

604

(1)

Diagnostic Procedures/Tests

605

(1)

Direct Vision

605

(1)

Mirror Examination

605

(1)

Radiography

605

(1)

Preoperative Considerations

605

(1)

Special Instruments, Supplies, and Drugs

606

(3)

Nasal Procedures

609

(9)

Submucous Resection (SMR)

609

(3)

Polypectomy

612

(1)

Intranasal Antrostomy

612

(1)

Removal of Foreign Body

612

(1)

Internal Maxillary Artery Ligation

613

(1)

Sinus Procedures

613

(1)

Caldwell-Luc

613

(2)

Ethmoidectomy

615

(1)

Sphenoidectomy

616

(1)

Drainage of the Frontal Sinus

616

(1)

Sinus Endoscopy

616

(2)

Anatomy of the Upper Aerodigestive Tract

618

(3)

Pharnx

618

(2)

Larynx

620

(1)

Trachea

621

(1)

Bronchi and Lungs

621

(1)

Esophagus

621

(1)

Pathology Affecting the Upper Aerodigestive Tract

621

(3)

Pharyngitis

621

(1)

Epiglottitis

622

(1)

Tonsillitis

622

(1)

Sleep Apnea

623

(1)

Laryngitis

623

(1)

Polypoid Corditis or Vocal Cord Polyps

623

(1)

Vocal Cord Nodules

623

(1)

Vocal Cord Granulomas

623

(1)

Laryngeal Neoplasms

624

(1)

Tracheitis and Bronchitis

624

(1)

Laryngotracheobronchitis (Croup)

624

(1)

Foreign Bodies

624

(1)

Pathology Affecting the Esophagus

624

(1)

Esophagitis

624

(1)

Ulceration of the Esophagus

624

(1)

Neoplasms Affecting the Esophagus

624

(1)

Foreign Bodies

625

(1)

Zenker's Diverticulum

625

(1)

Diagnostic Procedures/Tests

625

(1)

Direct Visualization

625

(1)

Indirect Visualization

625

(1)

Laboratory Tests

625

(1)

Radiologic Examinations

625

(1)

Videostroboscopy

626

(1)

Polysomnography

626

(1)

Multiple Sleep Latency Test (MSLT)

626

(1)

Preoperative Considerations

626

(1)

Special instruments, Supplies, and Drugs

626

(2)

Aerodigestive Tract Procedures

628

(16)

Adenoidectomy

628

(1)

Tonsillectomy

628

(3)

Incision and Drainage of a Peritonsillar Abscess

631

(1)

Uvulopalatopharyngoplasty

631

(2)

Laryngoscopy

633

(3)

Bronchoscopy

636

(1)

Esophagoscopy

636

(1)

Panendoscopy

636

(1)

Radical Neck Dissection with Mandibulectomy

636

(8)

CHAPTER 18 Oral and Maxillofacial surgery

644

(40)

Anatomy of the Oral Cavity

645

(1)

Lips

645

(1)

Teeth

645

(1)

Palate

646

(1)

Cheeks

646

(1)

Tongue

646

(1)

Anatomy of the Face and Cranium

646

(2)

Orbit

647

(1)

Facial Muscles and Innervation

647

(1)

Embryologic Development of the Face

648

(1)

Pathology of the Oral Cavity

649

(2)

Mouth

649

(1)

Jaw Bones

649

(1)

Mandibular Fractures

649

(1)

Frontal Fractures

650

(1)

Orbital Fractures

650

(1)

Zygomatic Fractures

650

(1)

Midfacial Fractures

651

(1)

Craniofacial Deformities

651

(1)

Diagnostic Tests

651

(1)

Oral Procedures: General Considerations

652

(6)

Tooth Extraction/Odontectomy

653

(4)

Tooth Restoration

657

(1)

Implantation

657

(1)

Maxillofacial Procedures: General Considerations

658

(26)

Graft Materials

658

(1)

Repair of Mandibular/Maxillary Fractures

659

(1)

Application of Arch Bars

659

(3)

Wire Fixation

662

(1)

Plate and Screw Fixation of Mandibular Fracture

663

(3)

Frontal Fracture Repair

666

(1)

Orbital Floor Fracture Repair

667

(3)

Reduction of Zygomatic Fractures

670

(1)

Le Fort I Fracture Repair

671

(4)

Le Fort II and III Fracture Repair

675

(1)

Craniofacial Reconstruction

675

(4)

Correction of Retrognathism or Prognathism

679

(3)

Temporomandibular Joint Procedures

682

(2)

CHAPTER 19 Plastic and Reconstructive surgery

684

(47)

Anatomy

685

(9)

Skin and Underlying Structures

685

(2)

Palate

687

(1)

Nose

687

(1)

Hand

687

(7)

Breast

694

(1)

Surgical Pathology

694

(7)

Pathology Affecting the Skin

694

(2)

Cleft Lip and Palate

696

(1)

Pathology Affecting the Hand

697

(4)

Pathology Affecting the Breast

701

(1)

Diagnostic Procedures and Tests

701

(1)

Special Instrumentation, Supplies, Drugs, and Equipment

701

(3)

Nasal Set

701

(1)

Dermatome

702

(2)

Mesh Graft Device

704

(1)

Surgical Intervention

704

(27)

Rhytidectomy

704

(2)

Blepharoplasty

706

(1)

Suction Lipectomy

707

(1)

Abdominoplasty

708

(1)

Skin Grafts

709

(4)

Dermabrasion

713

(1)

Scar Revision

713

(1)

Cheiloplasty and Palatoplasty

713

(1)

Rhinoplasty

714

(2)

Hand Surgery

716

(7)

Mammoplasty

723

(8)

CHAPTER 20 Genitourinary Surgery

731

(60)

Anatomy

732

(7)

Suprarenal Glands

732

(1)

Kidneys

732

(3)

Ureters

735

(1)

Urinary Bladder

736

(1)

Male Reproductive System

737

(2)

Pathology Affecting the Adrenal Glands

739

(1)

Cushing's Syndrome

739

(1)

Adrenal Insufficiency (Addison's Disease)

739

(1)

Pheochromocytoma

739

(1)

Pathology Affecting the Urinary system

739

(4)

Bladder Tumors

739

(1)

Urinary Calculi

740

(1)

Kidney Disorders

740

(3)

Pathology Affecting the Male Reproductive System

743

(2)

Phimosis

743

(1)

Hypospadias/Epispadias

743

(1)

Benign Prostatic Hypertrophy

743

(1)

Cancer of the Prostate

744

(1)

Cryptorchidism

744

(1)

Testicular Torsion

744

(1)

Testicular Cancer

744

(1)

Trauma to the Genitourinary System

745

(1)

Diagnostic Procedures/Tests

745

(6)

History and Physical

745

(1)

Laboratory Findings

745

(6)

Radiologic Findings

751

(1)

Biopsy

751

(1)

Endoscopy

751

(1)

Special Equipment, Instruments, Supplies, and Drugs

751

(1)

Preoperative and Intraoperative Preparation

752

(5)

Incisional Options

754

(3)

Surgical Procedures

757

(34)

Adrenalectomy

757

(1)

Nephrectomy

757

(5)

Renal Transplant

762

(1)

Stone Removal

763

(1)

Cystostomy

764

(2)

Cystectomy/Ileal Conduit

766

(5)

Procedures for Stress Incontinence Affecting Women

771

(3)

Transurethral Endoscopy of the Genitourinary Tract

774

(2)

Circumcision

776

(2)

Orchiectomy

778

(1)

Orchiopexy

778

(3)

Hydrocelectomy

781

(1)

Varicocelectomy

781

(1)

Hypospadias Repair

782

(1)

Insertion of Inflatable Penile Prosthesis

782

(1)

Vasectomy

783

(1)

Vasovasostomy

784

(1)

Prostatectomy

784

(7)

CHAPTER 21 Orthopedic surgery

791

(72)

Bone and Bone Tissue

792

(6)

Bone Tissue

792

(2)

Types of Bones

794

(1)

Types of Joints

794

(3)

Bone Growth and Bone Cells

797

(1)

Intramembranous Bones

798

(1)

Endochondral Bone

798

(1)

Mineral storage

798

(1)

Factors That Affect Bone Growth

798

(1)

Clinical and Bone Landmark Terms

798

(1)

Pathology

798

(10)

Types of Fractures

805

(1)

Normal Bone Healing

805

(1)

Pathological Bone Healing

806

(2)

Diagnostic Terms and Procedures

808

(1)

The skeleton

808

(10)

The Skull

808

(3)

Vertebral Column

811

(1)

Bones of the Thoracic Region

812

(1)

Clavicles

812

(1)

Scapula

812

(1)

Pectoral Girdle

812

(1)

Humerus

812

(1)

Radius and Ulna

813

(1)

Hand and Wrist

814

(1)

Pelvis

814

(1)

Hip and Femur

814

(1)

Tibia and Fibula

814

(2)

Ankle and Foot

816

(2)

Equipment

818

(3)

Positioning Devices

818

(1)

Pneumatic Tourniquets

819

(1)

Traction

819

(1)

Laser

819

(1)

Radiography

819

(1)

Air Flow

820

(1)

Continuous Passive Range-of-Motion Machines

820

(1)

Transcutaneous Electric Nerve Stimulation

820

(1)

Electrical Stimulation of Bone

820

(1)

Saws, Drills, and Reamers

820

(1)

Arthroscopic Equipment

820

(1)

Supplies

821

(1)

Implants

821

(1)

Suture

821

(1)

Methyl Methacrylate

821

(1)

Pharmacology

821

(1)

Procedures

822

(41)

Bone Grafting

822

(2)

Knee Arthroscopy

824

(3)

Arthroscopic Repair of Meniscal Tear

827

(3)

Arthroscopic Anterior Cruciate Ligament Repair

830

(2)

Above-the-Knee Amputation

832

(1)

Endoscopic Carpal Tunnel Release

832

(3)

Colles' Fracture

835

(5)

Metacarpal Phalangeal Joint Arthroplasty

840

(1)

Triple Arthrodesis

840

(1)

Achilles Tendon Repair

841

(1)

Bunionectomy

842

(1)

Open Reduction-Internal Fixation of the Humerus

842

(3)

Shoulder Joint Arthroscopy

845

(1)

Acromioplasty

846

(1)

Repair of Rotator Cuff

846

(5)

Internal Fixation of Femoral Shaft Fracture

851

(1)

Repair of Hip Fracture

852

(1)

Total Hip Arthroplasty

853

(6)

Total Knee Arthroplasty

859

(4)

CHAPTER 22 Cardiothoracic surgery

863

(64)

Anatomy of the Chest

864

(4)

The Thorax

864

(2)

The Trachea

866

(1)

The Bronchial Tree

866

(1)

The Lungs

867

(1)

Anatomy and Physiology of the Heart

868

(5)

Location of the Heart

868

(1)

Coverings of the Heart

869

(1)

The Heart Wall

869

(1)

The Heart Chambers

869

(1)

The Heart Valves

869

(1)

Blood Flow Through the Heart

870

(1)

Blood Supply for the Heart

871

(1)

The Cardiac Cycle

871

(1)

Cardiac Output

872

(1)

Cardiac Conduction

872

(1)

Anatomical Development of the Heart

872

(1)

Operative Pathology

873

(14)

The Chest Wall

873

(1)

The Mediastinum

873

(1)

The Lungs

874

(1)

Thoracic Trauma

875

(2)

Thoracic Outlet Syndrome

877

(1)

Thoracic Aortic Aneurysm

877

(2)

Coronary Artery Disease

879

(2)

Valvular Disease

881

(1)

Cardiomyopathy

882

(1)

Cardiac Dysrhythmias

882

(2)

Congenital Heart Defects

884

(3)

Diagnostic Procedures: Thorax

887

(2)

Bronchoscopy

887

(1)

Mediastinoscopy

887

(1)

Thoracoscopy

887

(2)

Thoracentesis

889

(1)

Diagnostic Procedures: Cardiac

889

(1)

Radiologic Studies

889

(1)

Surgical Intervention: Thoracic

889

(11)

Special Preoperative Considerations

889

(1)

Special Instrumentation, Supplies, Drugs, and Equipment

889

(1)

Patient Preparation

890

(2)

Thoracoscopy

892

(3)

Scalene/Supraclavicular Node Biopsy

895

(1)

Thoracotomy for Upper Lobectomy

895

(4)

Thoracotomy for Right Pneumonectomy

899

(1)

Thoracotomy for Wedge Resection or Segmentectomy

899

(1)

Decortication of Lung

899

(1)

Surgical Intervention: Cardiac (Adult)

900

(21)

Preoperative Considerations

900

(1)

Patient Preparation

901

(1)

Techniques of Cardiopulmonary Bypass

901

(3)

Mechanical Circulatory Assistance

904

(1)

Coronary Artery Bypass Grafting

905

(6)

Aortic Valve Replacement

911

(5)

Mitral Valve Replacement

916

(1)

Thoracic Aortic Aneurysmectomy

917

(1)

Pericardiectomy/Pericardial Window

918

(1)

Heart Transplantation

919

(1)

Permanent Pacemaker Insertion

920

(1)

Percutaneous Transluminal Coronary Angioplasty

921

(1)

Surgical Intervention: Cardiac (Pediatric)

921

(6)

Special Preoperative Preparation

922

(1)

Atrial Septal Defect

922

(1)

Ventricular Septal Defect

922

(1)

Patent Ductus Arteriosus

923

(1)

Correction of Aortic Coarctation

924

(1)

Procedure for Correction of Tetralogy of Fallot

924

(1)

Procedure for Correction of Transposition of the Great Arteries

925

(2)

CHAPTER 23 Peripheral Vascular surgery

927

(38)

Peripheral Vascular Surgery

928

(1)

Surgical Anatomy

928

(6)

Blood Vessels

928

(2)

Blood Pressure

930

(1)

The Arterial System

931

(2)

The Venous System

933

(1)

Operative Pathology and Diagnosis

934

(3)

Arterial Embolism

935

(1)

Arteriosclerosis Obliterans

935

(1)

Aneurysms of the Abdominal Aorta

936

(1)

Surgical Interventions

937

(28)

Peripheral Vessel Angioplasty

937

(2)

Bypass Grafting and Endarterectomy

939

(1)

Features of Peripheral Vascular Procedures

940

(3)

Aortofemoral Bypass

943

(4)

Abdominal Aortic Aneurysmectomy

947

(3)

Femoropopliteal Bypass

950

(4)

Femorofemoral Bypass

954

(2)

Axillofemoral Bypass

956

(3)

Carotid Endarterectomy

959

(6)

CHAPTER 24 Neurosurgery

965

(60)

Surgical Anatomy

966

(10)

Divisions of the Nervous System

966

(1)

Cranium

966

(7)

Vertebral Column

973

(1)

Blood Supply

974

(1)

Cranial Nerves

974

(1)

Spinal Nerves

974

(2)

Neurosurgical Pathology

976

(8)

Cervical Spine

976

(1)

Thoracic Spine

977

(1)

Lumbar Spine

978

(1)

Neoplasms

979

(1)

Head Injury

980

(2)

Spinal Cord Injury

982

(1)

Cerebrovascular Disease

982

(1)

Congenital Abnormalities

983

(1)

Infection

984

(2)

Abscess

984

(1)

Spinal Tumors

985

(1)

Peripheral Nerve Disorders

985

(1)

Neurosurgical Procedures

986

(36)

Special Instrumentation, Supplies, Drugs, and Equipment

986

(4)

Patient Preparation

990

(1)

Craniotomy

991

(10)

Craniectomy

1001

(4)

Ventriculoperitoneal and Ventriculoatrial Shunt

1005

(3)

Transphenoidal Hypophysectomy

1008

(3)

Stereotactic Procedures

1011

(1)

Cranioplasty

1012

(1)

Spinal Procedures

1012

(8)

Peripheral Nerve Procedures

1020

(2)

Advances in Neurosurgery

1022

(3)

Intraoperative MRI

1022

(1)

Three-Dimensional Reconstruction

1022

(1)

Radiosurgery

1022

(1)

Minimally Invasive Techniques

1022

(1)

Stereotaxis

1022

(1)

lntraoperative Ultrasound

1023

(1)

Brain Mapping

1023

(1)

Endoscopic Neurosurgery

1023

(1)

Deep Brain Stimulation

1023

(2)

Appendix A Anatomy Plates

1025

(11)

Appendix B Common Prefixes and Suffixes

1036

(3)

Appendix C Measurements

1039

(2)

Glossary

1041

(30)

Index

1071

Men

Women

For You

For Your Car

For Your Home

Holiday

Mascot

Graduation Gifts

General Supplies

School Supplies

Surgical Technology for the Surgical Technologist

Rent Textbook

New Textbook

Used Textbook

eTextbook

Summary

Table of Contents

Surgical Technology for the Surgical Technologist

Rent Textbook

New Textbook

Used Textbook

eTextbook

How Marketplace Works:

Summary

Table of Contents

Digital License