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57 notecards = 15 pages (4 cards per page)

Viewing:

chapter 11

front 1

adhesion

back 1

abnormal attachment of two surfaces or structures that are normally separate

front 2

anastomosis

back 2

pathological, surgical, or traumatic formation of an opening between two normally separate organs or spaces

front 3

approximated

back 3

returned to proximity; brought together sides or edges

front 4

autologous

back 4

from oneself

front 5

capillarity

back 5

capability of multifilament suture to harbor bacteria and retain tissue fluid that can travel down the length of the suture strand

front 6

chronic wounds

back 6

wound that persists for an extended period of time

front 7

cicatrix

back 7

scar

front 8

collagen

back 8

protein that consists of bundles of reticular fibers that form the white. inelastic fibers of facia, ligaments and tendons

front 9

compress

back 9

to apply pressure

front 10

dead space

back 10

a space that remains in the tissues as a result of failure of proper closure of a surgical wound

front 11

debridement

back 11

removal of devitalized tissue and contaminants

front 12

dehiscence

back 12

partial or total separation of a layer or layers of tissue after closure of the wound

front 13

edema

back 13

the abnormal accumulation of fluid in the interstitial spaces of tissues causing swelling

front 14

elasticity

back 14

the ability of tissue such as skin, lungs, or muscles to return to its normal shape after being pushed

front 15

evisceration

back 15

interruption of a closed wound or traumatic injury that exposes the viscera

front 16

exudate

back 16

fluids or other substances that are discharged from cells or blood vessels; examples are perspiration and pus

front 17

first intention

back 17

type of healing that occurs with primary union that is typical of an incision opened under ideal conditions; healing occurs from side to side, dead space has been eliminated, and the wound edges are accurately approximated

front 18

french-eyed needle

back 18

a type of needle in which the suture must be threaded by pulling the strand through a V-shaped area into the eye

front 19

friable

back 19

easily torn or crumbled

front 20

gangrene

back 20

necrosis of tissue usually due to ischemia and subsequent bacterial infection

front 21

granulation

back 21

second intention wound healing in which the wound is left open to heal and the space is filled in from the bottom upward with granulation tissue

front 22

granuloma

back 22

small inflamed area in tissue usually the result of an infection and often occur in the lungs

front 23

hematoma

back 23

localized collection of extravasated blood that is often clotted

front 24

hemolysis

back 24

the destruction of erythrocytes

front 25

hemostasis

back 25

the arrest of the escape of blood through natural or artificial means

front 26

hemostat

back 26

an instrument used to grasp tissue on vessels or clamp onto a vessel

front 27

herniation

back 27

abnormal protrusion of an organ or other body structure through an opening in a covering membrane or muscle

front 28

homologous

back 28

from the same species

front 29

immunosuppressed patient

back 29

patient whose immune system has decreased due to disease, or intentionally decreased with immunosuppressive drugs from organ transplant patients to prevent organ rejection

front 30

inert

back 30

a substance, such as the aiming beam of a laser, that is inactive and has no effect on tissue

front 31

inflammation

back 31

the body's protective response to injury or tissue destruction

front 32

ischemia

back 32

lack of oxygenated blood supply to an area or organ of the body

front 33

keloid

back 33

complication of wound healing resulting in hypertrophic scar formation

front 34

laceration

back 34

cut or tear

front 35

ligated

back 35

the placement of a suture tie around a vessel or other anatomical structure for the purpose of constriction (i.e., to control hemorrhage from a blood vessel)

front 36

memory

back 36

the ability of a material to return to its former shape after being moved or manipulated

front 37

monofilament suture

back 37

suture that is manufactured from one strand of natural or synthetic material

front 38

packing

back 38

sterile fine-mesh gauze that is loosely placed in a chronic wound or one that has been left open to heal by second intention

front 39

pliability

back 39

the flexibility and/or how easily a material can be bent

front 40

primary suture line

back 40

main suture that approximates the wound edges for first intention healing to occur

front 41

PTFE

back 41

a synthetic coating used on certain types of nylon suture material to reduce the drag through tissue

front 42

Rh(Rhesus) factor

back 42

genetically determined blood group antigen that is present on the surface of erythrocytes of some individuals; if the antigen is present the individual is Rh+ (positive) and if absent Rh- (negative)

front 43

second intention

back 43

healing that occurs when a wound fails to heal by primary union, or the wound is left open and allowed to heal from the inside to the outside by filling with granulation tissue

front 44

secondary suture line

back 44

sutures placed to support and ease the tension on the primary suture line, thus reinforcing the wound closure and obliterating any dead space

front 45

seroma

back 45

swelling within a tissue or organ caused by the localized accumulation of serum

front 46

serosanguinous

back 46

fluid that contains both blood and serum

front 47

swaged

back 47

strand of suture material with an eyeless needle attached by the manufacturer; the needle is continuous with the suture strand

front 48

synthetic

back 48

material that is man-made such as synthetic sutures

front 49

tensile strength

back 49

amount of pull or tension that a suture strand will withstand before breaking; expressed in pounds

front 50

third intention

back 50

healing that occurs when two granulated surfaces are approximated; also referred to as delayed primary closure

front 51

tissue reaction

back 51

abnormal response of tissue to foreign substances such as suture material

front 52

vessel loops

back 52

thin strips made of silicone that can be placed around a vessel, nerve, or duct for the purposes of retracting or isolating; the loops are colored for easy identification of retracted structures

front 53

wound disruption

back 53

general term for the various types of abnormal separation of a surgical wound such as dehiscence and evisceration

front 54

incision

back 54

a surgical cut made in skin or flesh

front 55

contusion

back 55

a region of injured tissue or skin in which blood capillaries have been ruptured, a bruise

front 56

abrasion

back 56

the process of scraping or wearing something away

front 57

hydrolysis

back 57

the chemical breakdown of a compound due to reaction with water