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    Principles of Surgical Asepsis

    1. Only sterile items are use within the sterile field.2. Sterile persons are gowned and gloved.3. Tables are sterile only at the tbale level4. Sterile person touv\ches only sterile items or areas,

    while unsterile person touch only unsterile items

    or areas.

    5. Unsterile persons avoid reacing over an sterile field,while sterile persons avoid leaning an unsterile

    field.

    6. The edges of anything that encloses sterile contents

    are considered unsterile

    7. The sterile filed in created as close as possible tothe item of use

    8. Sterile areas are continously kept in view9. Sterile person keep well within the sterile area10.Sterile person keep contact with sterile areas to a

    minimum

    11.Unsterile persons avoid sterile areas12.Destruction of the integrity of microbial barriers

    results in contamination

    13.Microorganism must be kept to an irreducibleminimum

    Responsibilities of a Scrub Nurse

    1. Wear proper OR attire

    2. Do the surgical scrubbing3. Get inside the OR, observing sterile technique4. Dry hand with sterile towel5. Wear a surgical gown observing aseptic technique6. Wear a sterile gloves (closed gloving)7. Drape the mayo stand and arrange the instruments

    according to its use

    8. Count the instruments, sutures, needles, andsponges simultaneously with the circulating nurse

    watching and recording

    9. Hand to the surgeon the towel and serve the gownand gloves with proper technique

    10.Assist the surgeon in draping the patient11.Prepare the sterile suction tubing and cautery tip if

    needed

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    12.Lay 2 sponges and 1 to the surgeon and 1 to theassistant surgeon

    13.As soon as the surgeon made the incision place theknife in a kidney basin or specimen basin

    14.Hand the hemostat15.Watch the field and anticipate the surgeons needs16.Keep the field neat and wipe any blood in the

    instruments with a moist sponge

    17.Sponge bleeding areas and discard soiled sponges18.Notify circulating nurse for additional instruments

    or any supplies

    19.Work as fast as possible but be calm20.Before the closure of the insicion, check or count

    the sponges, instruments, needles. Be sure that is

    correct

    21.Remove the knife and blade from the mayo stand22.Have warm saline solution ready, if needed23.Prepare dressing gauze and assist surgeon24.Remove the soiled drapes25.Place tissue specimen in a receptacle, if there is any

    Responsibilities of a Circulating Nurse

    1. Wear proper OR attire2. Prepare OR setup3. Read the supplies and equipments. Check if the

    equipment are functioning

    4. Adjust the operating room light. Focus it to the siteof the incision if possible

    5. Prepare the sterile pack and prepare materialswhich according to surgeons preference

    6. Recieve patient and check if any preoperativeprocedure had been done basing from the patients

    preoperative checklist

    7. Check the patients chart and laboratory results.Ask the ward nurse if there is a cross-matched

    blood available for the patient in some cases

    8. Assist in transferring the patient from the stretcherto the operating table. Always consider the safety

    of the patient

    9. Position patient fro the induction of anesthesia.Assist the anesthesiologist as possible

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    10.Instruct members of the team to refrain from anynoise

    11.Place the patient to the desired surgical positionand do the final preparation

    12.Tie the surgeons and nurses gown. Fix the sleeveby reacing the inside gown to the shoulder sleeve

    13.When patient is already draped, adjust the mayostand over the patient foot area, be sure not to touch

    the sterile area

    14.Readjust the light. Focus the highlight to thesurgical site

    15.Provide flat or fot stand for those who needs it

    16.Count the instruments17.Watch the ongoing procedure and observe any

    break of sterility

    18.Be observant in the needs of the sterile items19.Check IV frequently and inform anesthesiologist20.Document the entire surgical procedure21.Assist anesthesiologist or the scrub nurse in

    transferring the patient to stretcher or accompany

    patient to the ward

    22.Check the patient before transferring. Cleaningbefore leaving the unit

    A list of common terms, including the meaning and origin of prefixes and suffixes.

    PREFIXES

    A-/An- not, without, less, absent: also, in a particular place or

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    condition (Old English, from an, an alternative for on)

    Ab- Away from, off (Indo-European off, away)

    Ad- To, toward (Latin ad, toward, near)

    Aer- Air

    Amb- Both, on both sidesAmph- On both sides

    Angio- To do with arteries

    Ante- Before

    Anti- Against, opposite (Greek anti, opposite, against)

    Apo- From, opposed

    Auto- Self

    Bi- Twice, double

    Brachy- Short (Greek brakhus short)

    Brady- SlowCardio- The heart

    Cata- Down, back, apart (Greek kata)

    Cephal- The head

    Chole- To do with bile

    Chromo- Colour

    Circum- Around

    Colo- To do with the colon

    Con- Together

    Cyan-Blue (Greek kuanos, dark blue)

    Contra- Against

    Cyst- Bag, bladder

    Cyto- Cell

    Dacry- Tears

    Dactyl- Finger or toe (Greek daktulos)

    De- From, not

    Deci- Tenth

    Demi- Half

    Dent- Teeth

    Derma- Skin

    Di- Two, twice, double

    Dia- Through, across (Greek dia)

    Diplo- Double

    Dis- Apart, absence of

    Docho- Relating to a duct

    Dys- Bad or abnormal (Greek dus-)

    Ect-, Ecto- External, outside (Greek ektos out)

    Eu- Normal

    Endo- In, within, inside (Greek endo)

    Entero- Small intestine (Greek enteron. in, inside)

    Epi- On, over, above (Greek epi, upon)

    Ex, exo- Out

    Extra- Beyond or outside (Latin extra, outside, beyond)

    Fore- Before, in front of

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    Galacto- Milk

    Gastro- The stomach

    Genic- Producing or related to genes (Greek genos, offspring,

    race)

    Glosso- The tongueHaem- Blood (Greek haima)

    Hemi- Half, partial (Greek hemi-)

    Hepato- Liver

    Hetero- Other, dissimilar

    Holo- All

    Homo- Same, similar

    Hydro- Water or liquid (Greek hudor)

    Hyper- Above or excessive (Greek huper)

    Hypo- Under or low (Greek hupo)Idio- Private or individual (Greek idios, ones own, private)

    Ileo- The ileum

    Infra- Beneath

    Inter- Between, among (Latin inter, between, among)

    Intra- Within or inside (Latin intra)

    Intro- Into or inward (Latin intro)

    Iso- Equal

    Juxtra- Near

    Kerato-Horn-like tissue, cornea (Greek keras, horn)

    Kinese- Movement

    Lact- Milk

    Laparo- Abdomen, loin

    Laryngo- Larynx

    Latero- Side

    Lepto- Thin, light, frail

    Leuko- White

    Litho- Stone or callculus (Greek lithos, stone)

    Macro- Large

    Mal- Bad

    Medi- Middle

    Mega- Large

    Melano- Black

    Meno- Menopause

    Meso- Middle, intermediate (Greek mesos)

    Meta- Later, behind (Greek meta, beside, after)

    Micro- Small

    Mio- Less, smaller

    Mono- Single

    Multi- Many

    Myco- Fungus, fungi (Greek mukes. slimy)

    Myo- Muscle

    Myelo- Marrow

    Myxo- Mucus

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    Neo- New, recent (Greek neos)

    Nephro- Kidney

    Neuro- Nerves

    Non- No

    Ob- AgainstOculo- Eye

    Odont- Tooth

    Oligo- Few

    Omo- Shoulder

    Oo- Ovum, egg (Greek oion)

    Opisth- Backward

    Orchid- Testicle

    Ortho- Correct; straight (Greek orthos, straight, right)

    Os- Mouth, boneOsteo- Bone (Greek osteon)

    Oxy- Sharp

    Pachy- Thick

    Pan- All (Greek all)

    Para- Beside, faulty (Greek para)

    Path- Disease

    Per- Going through a structure

    Peri- Around (Greek peri)

    Pleo-More

    Pneu-, Pneumo-Lungs, breathing

    Pod- Foot

    Poikilo- Iregular, varied

    Poly- More than one (Greek polus, much)

    Post- After

    Pre- Before

    Pro- Before

    Procto- Anus, rectum (Greek proktos)

    Proto- First

    Pseudo- False, spurious (Greek pseud to lie)

    Psych- Mind

    Py- Pus

    Pyelo- Relating to the pelvis of the kidney

    Re- Again

    Retro- Backward

    Rhino- Nose, nasal (Greek rhis, nose)

    Sacro- Sacrum

    Salpingo- Fallopian tube

    Sarco- Flesh

    Sclero- Hard

    Scoto- Darkness

    Somato- Relating to the body

    Steato- Fat (Greek steat)

    Stetho- Chest

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    Sub- Under, below, beneath (Latin sub, under)

    Supra- Over, on top of (Latin supra, above, beyond)

    Syn- With, together

    Tachy- Accelerated, rapid (Greek takhus, swift)

    Tampon- To plug (French tampon)Thermo- Heat

    Thyro- Thyroid

    Trans- Going across a structure (Latin trans, across, over,

    through)

    Tropho- Nourishment, nutrition

    Uni- One, single (Latin unus)

    Uro- Urine

    Vaso- A vessel

    Verm- Worm-likeXanth- Yellow

    SUFFIXES

    -aceous Resembling (Latin, related to)

    -ade An action (Latin ata)

    -aemia Blood (Greek haima, blood)

    -aesthesia,

    -esthesia

    Sensation

    -agogue Substance promoting a flow of something (Greekagogos, a drawing off)

    -algia Pain (Greek algos, pain)

    -cardial Relating to the heart (Greek kardia, heart)

    -cele Tumor, cyst, hernia

    -cephalic Head (Greek kephale, head)

    -cide Causing death

    -coel(e) A cavity (Greek koilos, hollow) e.g. hydrocoele

    -cyst A fluid filled sac

    -cyte Cell e.g. phagocyte-creas Flesh (Greek kreas, flesh) e.g. pancreas

    -dynia Pain

    -ectasia Dilatation of ducts

    -ectomy Surgical excision of a part of the body (Latin -ectomia,

    cutting out) e.g. tonsillectomy excision of the tonsils

    -fuge To drive away

    -genic The capacity to produce (Greek -genus, born)

    -gogue To make flow

    -gram An imaging technique using contrast medium

    -itis Inflammation (Greek) e.g. appendicitis (inflammation of

    the appendix)

    -lasis Condition, pathological state

    -lysis Set free, disintegrate

    -megaly Anormal enlargement (Greek megal-) e.g.

    splenomegaly

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    -morphic Something that has a particular form, shape, or

    structure (Greek morphe) e.g. pleomorphic

    -nexal From nexus indicating a connection or link e.g. adnexal

    -oid Shape, resemblance

    -oma A tumour (Latin) e.g. hepatoma a tumour of the liver-osis Abnormal condition, process (Greek)

    -oscopy Inspection of a cavity

    -ostomy A connection between two hollow organs e.g.

    cholecystoduodenostomy an anastomosis between

    the gall bladder and the duodenum

    -ostosis Formation of bone (Greek osteon, bone)

    -otomy To cut into a part of the body (Latin -tomia, cutting) e.g.

    laparotomy an incision into the peritoneum

    -penia Lack-phagia Eating (Greek phagein to eat)

    -pathy Disorder or disease (Greek pathos)

    -plasia Growth or formation (Greek plassein, to form, mould)

    -plasty Surgical revision e.g. pyloroplasty (Greek plastos,

    refashion)

    -plegia Paralysis

    -pnoea Breath, respiration

    -poiesis Production

    -rhageFlow

    -rhaphy Suturing

    -rrhoea Flow, discharge (Greek rhein, to flow)

    -sclerosis Dryness, hardness

    -scopy To see

    -stomosis To create an outlet

    -systole Contraction of the heart (Greek sustole to contract)

    -tomy Cutting

    -trophic Nourishment

    -tropic Having an affinity for, turning towards

    -uretic To do with urineTERMS

    Abscess A localised collection of pus (Latin abscessus, to go

    away - referring to bodily humours going away in the

    pus)

    Adenoma A benign epithelial tumour of glandular origin

    Aneurysm Dilatation of an artery (Greek aneurusma, dilation,

    swelling)

    Antegrade Going in the direction of flow, e.g. antegrade

    pyelogram

    Arrhythmia Disturbance or irregularity of the heartbeat

    Axillary Of, relating to, or located near the axilla (armpit)

    Ballotment To toss about (French)

    Bifurcation To divide into two parts or branches

    Biliary Of or relating to bile, the bile ducts, or the gallbladder

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    Cannulation The insertion of a cannula or tube into a hollow body

    organ

    Capillary A tube of small internal diameter

    Cirrhosis Chronic degenerative disease of the liver

    Claudication Claudius I (10BC 54AD), Emperor of Rome had alimp, possibly due to polio. Hence the Latin term

    claudus for lame.

    Colitis Inflammation of the colon

    Concomitant Occurring or existing concurrently

    Cutaneous Relating to or existing on or affecting the skin

    Diverticulum Plural diverticula (hence, use of the term

    diverticulae is erroneous)

    Dysplasia Abnormal development or growth of tissues, organs,

    or cellsEmbolus A blood clot that becomes lodged in a blood vessel

    and obstructs it (Greek embolos, peg, stopper,

    wedge)

    Empyema A collection of pus in a body cavity

    Endarterectomy Surgical removal of the inner lining of an artery that

    is clogged with atherosclerosis

    En bloc On mass; all together

    Fistula A pipe or tube (Latin), plural fistulae. An abnormal

    communication between two hollow viscera, or one

    hollow viscera and the skin. It is conventional to

    name the diseased viscus first i.e. colovesical fistula

    due to diverticula disease; whereas, vesicocolic

    fistula from a bladder cancer.

    Fundoplication A surgical procedure involving making tucks in the

    fundus of the stomach around the lower end of the

    oesophagus

    Ganglioma A tumour of a ganglion

    Gangrene Death of tissue with putrefaction, sometimes referred

    to as wet gangrene (Greek gaggraina, death of

    tissue). C.f. necrosis, mummification

    Haematoma A swelling containing blood

    Haemorrhage Heavy bleeding from ruptured blood vessels

    Haemorrhoid Pain caused by venous swelling at or inside the anal

    sphincter

    Hepatic Of, relating to, or resembling the liver; acting on or

    occurring in the liver

    Hernia The abnormal protrusion of the contents of a cavity

    beyond the normal confines of that cavity

    Hydatid Cyst filled with liquid; forms as a result of infestation

    by tapeworm larvae

    Ileus Intestinal obstruction

    Infarction Infarct: localized necrosis resulting from obstruction

    of the blood supply

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    Inguinal Of, relating to, or located in the groin

    IntussusceptionThe enfolding of one segment of the intestine within

    another

    Ischaemia An inadequate supply of blood to a part of the body

    caused by blockage of an arteryKeloid An area of raised pink or red fibrous scar tissue at

    the edges of a wound or incision (Greek khele, crab

    claw)

    Laparoscopy Laparotomy performed with a laparoscope that

    makes a small incision to examine the abdominal

    cavity

    Lymphoma Any of various usually malignant tumours that arise

    in the lymph nodes or in other lymphoid tissue

    Maxillary Of or relating to a jaw or jawbone, especially theupper one

    Mesenteric Of or relating to or located in a mesentery

    Mesothelioma A form of carcinoma of the mesothelium lining lungs

    or abdomen or heart; usually associated with

    exposure to asbestos dust

    Metastasis The spreading of a disease (especially cancer) to

    another part of the body

    Mummification Death of tissue with desiccation rather than

    putrefaction, sometimes referred to as dry

    gangrene. (French momifier, to dry out and shrivel)

    Necrosis Death of tissue with structural evidence of such

    death

    Nephrectomy Surgical removal of a kidney

    Occlusion Closure or blockage (as of a blood vessel)

    Omental Pertaining to the omentum (a fold of peritoneum

    supporting the viscera)

    Ossification The developmental process of bone formation

    Paediatric Of or relating to the medical care of children

    Perfusion Pumping a liquid into an organ or tissue (especially

    by way of blood vessels)

    Peritoneal Of or relating to or affecting the peritoneum

    Popliteal Of or relating to the area behind the knee joint

    Psoas Either of two muscles of the abdomen and pelvis that

    flex the trunk and rotate the thigh

    Retrograde Going a reverse direction against flow e.g.

    endoscopic retrograde cholangiopancreatogram

    (ERCP)

    Sebaceous Greasy

    Sepsis The presence of pus-forming bacteria or their toxins

    in the blood or tissues

    Sigmoid Curved in two directions (like the letter S)

    Sinus A blind tract lined with granulation tissue hollow or

    gulf (Latin, curve, fold, hollow)

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    Slough A piece of dead soft tissue or water (Old English

    sloh, a hole or low area in the ground filled with mud)

    Splenic Of or relating to the spleen

    Squamous Covered with or formed of scales; scaly

    Stent An artificial tube inserted into a tubular organ to keepit open

    Stoma Surgical opening: an artificial opening made in an

    organ, especially an opening in the colon

    (colostomy) or ileum (ileostomy) made via the

    abdomen. (Greek, mouth). Plural stomata

    Subacute Used to describe a medical condition that develops

    less rapidly and with less severity than an acute

    condition

    Suture The fine thread or other material used surgically toclose a wound or join tissues; an immovable joint

    (especially between the bones of the skull)

    Thrombus A blood clot that forms in a blood vessel and remains

    at the site of formation (Greek thrombos, clot)

    Tomography Obtaining pictures of the interior of the body

    Tonsillar Of or pertaining to the tonsils

    Ulcer A non-traumatic discontinuity of an epithelial surface

    (Latin ulcer, a sore)

    Varicose veinsDilated, lengthened, and tortuous veins

    Ventricular Of or relating to a ventricle (of the heart or brain)

    Terminologies

    1. abdominal hysterectomy - the uterus is removed through the abdomen via asurgical incision.

    2. abdominoscopy - a type of surgery using a laparoscope, which is inserted into

    one or more small incisions, to examine the abdominal cavity. (See also

    endoscopy, laparoscopy, or minimally invasive surgery.)

    3. acute appendicitis - acute inflammation of the appendix due to infection.

    4. advance directives - legal documents stating a patient's medical preferences in

    the event the patient should become incapable of voicing his/her opinion. (See

    also durable power of attorney and living will.)

    5. anesthesia - medicine administered for the relief of pain and sensation during

    surgery.

    6. antibiotics - medication used to treat infection.

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    7. anticoagulation drugs - medication used to prevent blood clots from forming.

    8. appendectomy - the surgical removal of the appendix to treat acute appendicitis.

    9. arthroscopy - with the use of an endoscope, surgeons can look at the interior of

    a joint. This technique is most often used to inspect the inside of the knee joint.

    10. artificial ventilation - the process of supporting breathing by manual or

    mechanical means when normal breathing is inefficient or has stopped.

    11. top

    B

    12. biopsy - a diagnostic test involving the removal of tissue or cells for examination

    under a microscope.

    13. blood pressure - the pressure of the blood in the main arteries.

    14. bronchoscopy - the examination of the bronchi, the main airways of the lungs,

    to diagnose certain lung disorders.

    15. top

    16. catheter- a flexible tube used to drain fluid from or inject fluid into the body. The

    most common catheter is the Foley catheter, used to drain urine from the

    bladder.

    17. cholecystectomy - surgery to remove the gallbladder.

    18. colectomy - partial or complete removal of the large bowel or colon.

    19. colonoscopy - test to look into the rectum and colon. The doctor uses a long,

    flexible, narrow tube with a light and tiny lens on the end. The tube is called a

    colonoscope.

    20. colposcopy - visual examination of the cervix and vagina using a lighted

    magnifying instrument (colposcope).

    21. computed tomography (CT or CAT scan) - using a computer and x-rays to get

    a cross-sectional picture of the tissues being examined.

    22. craniectomy - excision of a part of the skull.

    23. craniotomy - surgical opening of the skull to gain access to the intracranial

    structures.

    24. cystoscopy - inserting a viewing tube up the urethra to examine the urethra and

    bladder cavity.

    25. debridement - the surgical removal of foreign material and/or dead, damaged or

    infected tissue from a wound or burn.

    26. deep vein thrombosis - blood clotting which occurs within deep-lying veins.

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    27. diathermy machine - a piece of equipment used in the operating room to control

    bleeding.

    28. dilation and curettage (D & C) - a common gynecological surgery which

    consists of widening the cervical canal with a dilator and scraping the uterine

    cavity with a curette.

    29. durable power of attorney - a legal document denoting a friend or family

    member as your legal guardian in case you are unable to make medical

    decisions for yourself.

    30. elective surgery - an operation the patient chooses to have done, which may

    not be essential to continuation of quality of life. (See also optional surgery.)

    31. electrocardiogram - a record of the electrical impulses that immediately precede

    the contraction of the heart muscle.

    32. electrocoagulation - electrosurgery which helps harden tissue.

    33. electrodesiccation - electrosurgery which destroys tissue.

    34. electrosurgery - surgery which uses electrical instruments.

    35. emergency surgery - an operation performed immediately as a result of aurgent medical condition. (See also urgent surgery.)

    36. endarterectomy - the surgical removal of plaque or blood clots in an artery.

    37. endoscopy - a type of surgery using a laparoscope, which is inserted into one or

    more small incisions, to examine the abdominal cavity. (See also

    abdominoscopy, laparoscopy, or minimally invasive surgery.)

    38. epidural anesthetic - an anesthetic which is injected into the "epidural space" in

    the middle and lower back, just outside the spinal space, to numb the lower

    extremities.

    39. esophagus - the muscular canal that runs from the voice box to the stomach.

    40. fallopian tubes - the tube that extends from the uterus to the ovary. The

    fallopian tube transports eggs and sperm.

    41. free skin graft - the detaching of healthy skin from one part of the body to repair

    areas of lost or damaged skin in another part of the body.

    42. gastrectomy - complete or partial removal of the stomach.

    43. gastroscopy - examining the lining of the esophagus, stomach, and the first part

    of the small intestine with a long viewing tube.

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    44. general anesthetic - an anesthetic which causes the patient to become

    unconscious during surgery.

    45. heart rate - the rate at which the heart beats. Normal heart rates range between

    60 and 100 beats per minute.

    46. hemorrhage - the medical term for bleeding.

    47. hemorrhoidectomy - the removal of hemorrhoids.

    48. hemorrhoids - distended veins in the lining of the anus.

    49. hysterectomy - the surgical removal of the uterus.

    50. hysteroscopy - a visual inspection of the cervical canal and uterine cavity with

    an endoscope.

    51. top

    52. inguinal hernias - protrusions of part of the intestine into the muscles of the

    groin.

    53. infection - the invasion of the body by microorganisms that cause disease.

    54. informed consent form - a form signed by the patient prior to surgery which

    explains everything involved in the surgery, including its risks.

    55. inpatient surgery - surgery which requires the patient to be admitted and stay in

    the hospital.

    56. intravenous line - a thin plastic tube inserted into a vein (usually in the patient's

    forearm) through which a volume of fluid is injected into the bloodstream.

    57. laminectomy - surgical procedure which includes removal of a portion of the

    lamina, to provide more room in the vertebral canal; usually for disc herniation orspinal canal stenosis.

    58. laparoscope - a type of endoscope consisting of an illuminated tube with an

    optical system.

    59. laparoscopic cholecystectomy - an operation to remove the gallbladder. The

    doctor inserts a laparoscope, and other surgical instruments, through small holes

    in the abdomen. The camera allows the doctor to see the gallbladder on a

    television screen. The doctor removes the gallbladder through the holes.

    60. laparoscopic lymphadenectomy - the removal of pelvic lymph nodes with a

    laparoscope done through four small incisions in the lower abdominal region.

    61. laparoscopy - a type of surgery using a laparoscope, which is inserted into one

    or more small incisions, to examine the abdominal cavity. (See also endoscopy,

    abdominoscopy, or minimally invasive surgery.)

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    62. laryngoscopy - inspecting the larynx (voice box) with a mirror or viewing tube.

    63. laser surgery - using a device which emits a beam of light radiation, surgeons

    can cauterize a wound, repair damaged tissue, or cut through tissue.

    64. living will - a legal document which states your medical preferences fortreatment and resuscitation in the event you can no longer speak for yourself.

    65. lobectomy - removal of a lobe of the lung, for cancer, benign tumors, or

    infections.

    66. local anesthesia - anesthetic medicine injected into the site of the operation to

    temporarily numb that area.

    67. lumpectomy - a surgical procedure to remove a tumor and surrounding tissue.

    68. mastectomy - the removal of all or part of the breast.

    69. minimally invasive surgery - any technique involved in surgery that does not

    require a large incision. (See also endoscopy, abdominoscopy, or laparoscopy.)

    70. modified radical mastectomy - surgical removal of the entire breast and the

    ancillary lymph nodes.

    71. MRI (magnetic resonance imaging) - with the use of a high-powered magnetic

    field, cross-sectional images can be made of organs and structures without usingx-rays.

    72. nephrectomy - surgical removal of the kidney.

    73. needle aspiration (of the breast) - uses a thin needle and syringe to collect

    tissue or drain a lump after using a local anesthetic.

    74. needle biopsy (of the breast) - a procedure to remove a small piece of breast

    tissue using a needle with a special cutting edge, after using a local anesthetic.

    75. open surgery - cutting the skin and tissues during surgery to expose a full viewof the structures and organs involved in the procedure.

    76. optional surgery - an operation the patient chooses to have done, which may

    not be essential to continuation or quality of life. (See also elective surgery.)

    77. outpatient surgery - surgery which allows the patient to go home the same day.

    78. ovary - one of a pair of almond-shaped glands situated on either side of the

    uterus. Egg cells develop in the ovaries.

    79. partial colectomy - the removal of part of the large intestine.

    80. peritoneal adhesions - the peritoneum is a two-layered membrane that lines the

    wall of the abdominal cavity and covers abdominal organs. Sometimes organs

    begin to adhere to the peritoneum, requiring surgery to free the organs again.

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    81. plasma - the watery, straw-colored fluid which carries the cellular elements of the

    blood through circulation.

    82. pneumonectomy - removal of an entire lung, for cancer, or lung abscesses,

    bronchiectasis, or extensive tuberculosis.

    83. post-anesthesia care unit - the area a patient is brought to after surgery to

    recover. Also called recovery room.

    84. prostatectomy - surgical procedure for the partial or complete removal of the

    prostate.

    85. radical mastectomy - surgical removal of the entire breast, the pectoral

    muscles, and the ancillary lymph nodes.

    86. regional anesthetic - an anesthetic used to numb a portion of the body.

    87. required surgery - an operation which is necessary to continue quality of life.

    Required surgery may not have to be done immediately, like emergency surgery.

    88. saline solution - a solution containing sodium chloride.

    89. salpingectomy - surgical removal of a fallopian tube.

    90. shock - a dangerous reduction of blood flow throughout the body.

    91. sigmoidoscopy - examining the rectum and sigmoid colon.

    92. simple mastectomy - surgical removal of the breast and possibly a few of the

    axillary lymph nodes close to the breast.

    93. spinal anesthetic - an anesthetic which is injected into the spinal canal fluid for

    surgery in the lower abdomen, pelvis, rectum, or other lower extremities.

    94. splenectomy - surgical removal of the spleen.

    95. subtotal or partial gastrectomy - surgical removal of a portion of the stomach.

    96. Thoracotomy - surgery to view the lung and may be used to confirm cancer, or

    for chest trauma to detect source of bleeding.

    97. Thrombolytic drugs - medication used to dissolve blood clots.

    98. Total gastrectomy - complete removal of the stomach.

    99. Total hysterectomy with bilateral salpingo-oophorectomy - the entire uterus,

    fallopian tubes, and the ovaries are surgically removed.

    100. Total hysterectomy - the entire uterus is surgically removed, includingthe cervix; the fallopian tubes and the ovaries remain.

    101. urgent surgery - an operation performed immediately as a result of an

    urgent medical condition. (See also emergency surgery.)

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    102. urinary retention - the inability to empty the bladder.

    103. Uterus - the hollow, muscular organ of the female reproductive system.

    104. Wedge resection of the lung - a small, localized section of the lung is

    removed -- often for a lung biopsy.

    105. X-rays - electromagnetic energy used to produce images of bones,

    organs, and internal organs onto film.

    OPERATING ROOM CONCEPTS

    Melba Grace T. Donio BSN-3