Finals- chapter 21, 22,23

end effector

the working tip on the tip of robotic instruments

the tips of robotic instruments allow for

90 degree rotation

Is a robotic operating room table developed to operate with the da vinci xi robotic system to allow repositioning of the patient

Trumpf

this system is robotically controlled bronchoscope with a high degree of flexibility and HD 3-division

Monarch platform

the following robotic systems is used in orthopedic surgery for partial or total joint replacement

Mako

the tips of the robotic instruments contribute to the maneuverability of the instruments in small spaces. The movement of the tops to perform right and left turns is called

YAW

in small spaces the movement of the tips similar to the movement of an airplane that dips its wings in either direction is called

Roll

the movement of the tips of the instruments in a nose up or nose down position is called

pitch

who is responsible for attaching and detaching the instruments from the arm using the clutch controls on the arm?

assistant surgeon and surgical tech

the closed system surgeon console design is sometimes referred to as

immersive

IS RESPONSIBLE FOR REGULATION OF ROBOTIC ASSISTED DEVICES

FDA

THE SENSE OF TOUCH AND PRESSURE IN WHICH CUES ARE TRANSMITTED TO THE SURGEONS HAND.

HAPTIC FEEDBACK

TRANSLATION OF THE SURGEONS NORMAL HAND MOVEMENT TO SMALLER RATIOS FROM 1:2 TO 1:5 IS

SEALED MOVEMENT

DEVICES LOCATED IN THE SURGEONS CONSOLE FOR MANIPULATING SURGICAL INSTRUMENTS

HAND CONTROLLER

a feature which allows 7 degrees of freedom allowing for opening and closing the jaws of the instruments enabling for very fine movement in all directions is called

wristed instruments

this robotic system used a single bedside cart with multiple instrument arms mounted on a boom, the surgeon console is a closed unit with a 3-D viewing

DA VINCI

POSITIONED WHERE THE SURGEON CAN SEE THE STERILE FIELD TO OBSERVE FOR UNINTENDED MOVEMENTS OR EVENTS WITH A CLEAR PATH TO THE DOOR, THE SURGEON HAS ACCESS TO GET TO THE SCRUB SINK IN CASE OF AN EMERGENCY

SURGEON CONSOLE

does not feature haptic feedback causing the surgeon to rely on visual 3d imaging alone

da vinci

most common rigid endoscopes used in robotic assisted procedures

0 and 30 degrees

holds the energy modalities, system electronics, video controller, and touch screen

vision tower

holds the instruments and receives signals from the surgeon

bedside unit

in an open method of establishing pneumoperitoneum this is used

hassan trocar

closed method of establishing pneumoperitoneum

veress needle

used to establish pneumoperitoneum for minimally invasive procedures

CO2

is sutured into place during procedure

hassan trocar

provides 3 dimensional images as well as endoscopic field of vision

optics

surgeon console system that has no cockpit or hood

open console design

orthopedic robotic assistive system used to enable accurate bone prep and tissue balancing for total or partial joint replacement

joint arthroplasty system

post op complication or a result of pelvic or back injury and peritonitis

paralytic ileus

the abdomen is divided into nine regions, the organ located in the umbilicus area is in the

umbilical region

mcburney incision is for

appendix procedures

to place one or more clamps at a right angle to a tube or vessel is

to cross clamp

an inguinal(oblique) incision is made for surgical procedures of the

spermatic cord

special equipment may be needed for GI Surgery except

Raney clips

a hernia arising from a weakness in the transverse fascia below the inguinal ligament is a

femoral hernia

the freeing up of tissue from its attachments before anastomosis or resection is

mobilization,

a midline incision is used for surgical procedures of the

liver

Procedure in which two hollow structures are joined surgically is

anastomosis

tissue protruding from the hernia may be swollen and squeezed

strangulated hernia

a rare hernia occurring between the transverse abdominis and rectus muscles

Spigelian hernia

a procedure in which a section of an organ is divided or removed is

resection

the abdomen is divided into nine regions: the organ located in the inguinal area is in the

left and right iliac regions

the spermatic cord is retracted with a small

penrose drain

protrusion of abdominal or inguinal tissue directly through the transversalis fascia is a

direct inguinal hernia

protrusion of abdominal tissue through one or more abdominal layers is a

incisional hernia

to place two clamps over a section of tissue to prevent bleeding when the tissue is severed is

to double-clamp

twisting of the bowel on itself is

volvulus,

a procedure in which one section of tissue is cut away from another

division

a hernia in which abdominal viscera slides into the inguinal canal from the deep inguinal ring is a

indirect inguinal hernia

a subcostal incision is used for surgical procedures of the

spleen,

an abdominal wall defect occurring in the linea alba at the umbilical ring is a

umbilical hernia

telescoping of the intestines, occurring mainly in children and resulting in ischemia and necrosis of the bowel is

intussusception.

during a splenectomy, what four major requirements must be met to stop bleeding?

access, visualization, good lighting, clamps

a lower transverse abdominal incision is made for surgical procedures of the

uterus

the abdomen is divided into nine regions, the organs located in the rib area is in the

left and right hypochondriac regions

what type of suture will be placed around the neck of the hernia sac?

purse-string

the reabsorption of water and electrolytes is the main function of the

large intestine,

when doing a cut-down procedure for a laparoscopic surgery, which type of trocar and cannula system is used?

Hasson

which incision requires cutting through scarpa’s fascia?

inguinal

proper method for removing gallbladder specimen after complete dissection and irrigation of the operative site in a laparoscopic cholecystectomy is to

utilize and endobag

a right subcoastal incision indicates surgery of the

gallbladder

chronic gastroesophageal reflux disease can case

Dysphasia

A choledochoduodenostomy is an anastomosis between the

duodenum and common bile duct

vaporization and coagulation of hemorrhoidal tissue can be accomplished with

a carbon dioxide laser

the ligament of treitz supports the

jejunum and duodenum

which tube may be inserted to produce a continuous post op drainage of the common bile duct?

T-TUBE

REMOVES THE ENTIRE BREAST AND AXILLARY CONTECTS BUT PRESERVES THE PECTORAL MUSCLES

MODIFIED RADICAL MASTECTOMY

a post op complication attributed to glove powdering entering the wound is

granulomata

whipple procedure

removal of distal portion of common bile duct, distal stomach, cystic duct, head of pancreas, gallbladder, duodenum, portion of jejunum

blunt dissection of the gallbladder from the sulcus of the liver requires the use of a

kitner

dark blood may indicate during surgery

hypoxic

during procedure, a gamma ray detecting probe is used to determine which lymph nodes are affected

sentinel lymph node biopsy

a strip of avascular connective tissue that lies on the abdominal midline

linea alba

the organs or tissue of the abdominal cavity

viscera

an abdominal tract or passage leading from one hollow organ to another or from an organ to the skin, usually caused by infection

fistula

herniated tissue that is trapped in an abdominal wall defect, requiring emergency measures to prevent ischemia and tissue recross.

Incarcerated hernia

a hernia that protrudes into the membranous sac of spermatic cord, usually because of congenital defect in the abdominal wall

Indirect inguinal hernia

billroth I procedure

A gastroduodenostomy or surgical anastomosis of the stomach and the duodenum.

billroth II procedure

a gastrojejunostomy or surgical anastomosis of the stomach and jejunum

twisting of the bowel on itself

volvulus

telescoping of bowel tissue, usually in child

intussusception

endoscopy of large intestine

colonoscopy

to examine tissue, obtain biopsy specimen of sigmoid colon/rectum

sigmoidoscopy

xray and endoscopy to diagnose/treat issues in the pancreatic billary ducts

ERCP,

herniated tissue that is trapped in an abdominal wall defect causing loss of blood supply

strangulated hernia

procedure that removes the breast while leaving the skin, nipple and areola intact

subcutaneous mastectomy

the second portion of the small intestine

jejunum

the first portion of the small intestine

pylorus

the first portion of the large intestine

cecum

slender worm shaped tube at the terminal end of the cecum that has no function

veriform appendix

the distal portion of the small intestine connecting to the large intestine

ileum

procedure is performed to treat cancer of the head of the pancreas

whipple

bile enters the duodenum through an opening called

the ampulla of Vater.

the release of bile and pancreatic enzymes is controlled by sphincter in the ampulla called the sphincter of

Odi.

microscopic examination of the cervix

colposcopy

herniation of the bladder into the vaginal wall

cystocele

an excessive proliferation of tissue

hyperplasia

fibrous benign tumor of the uterus, arises from myometrium

leiomyoma

the onset of menstruation

menarche

a mass arising from germ layers of the embryo that contains tissue remnants, including hair and teeth

dermoid cyst