Special Surgical Procedures I MD0927

USE OF PROPRIETARY NAMES
TABLE OF CONTENTS
SPECIAL SURGICAL PROCEDURES I
INTRODUCTION
LESSON 1
	Section I. INTRODUCTION
		1-1. PURPOSE AND SCOPE
		1-2. OPERATING ROOM TEAM
		1-3. THE ROLE OF THE OPERATING ROOM SPECIALIST
		1-4. TERMINOLOGY
		1-5. SPECIALIST-PATIENT RELATIONSHIP
		1-6. THE PATIENT
		1-7. THE OPERATING ROOM SPECIALIST
	Section II. PREPARATION OF THE PATIENT FOR SURGERY
		1-8. INTRODUCTION
		1-9. MENTAL PREPARATION
		1-10. PREOPERATIVE SKIN PREPARATION (PREP)
		1-11. PREPS IN SPECIAL SITUATIONS
		1-12. IMMEDIATE PREOPERATIVE SKIN PREPARATION
	Section III. SURGICAL POSITIONS
		1-13. INTRODUCTION
		1-14. SUPINE POSITION (DORSAL RECUMBENT)
		1-15. TRENDELENBURG POSITION
		1-16. REVERSE TRENDELENBURG POSITION
		1-17. LATERAL KIDNEY POSITION
		1-18. LATERAL CHEST POSITION
		1-19. LITHOTOMY POSITION
		1-20. PRONE POSITION
		1-21. JACKKNIFE (KRASKE) POSITION
		1-22. SITTING POSITION
		1-23. POSITIONS FOR SPINAL ANESTHESIA
	Section IV. DRAPING THE PATIENT
		1-24. INTRODUCTION
		1-25. LAPAROTOMY DRAPE
		1-26. LITHOTOMY DRAPE
		1-27. DRAPING A LIMB
	EXERCISES
	SOLUTIONS
LESSON 2
	Section I. INFORMATION ON FILE
		2-1. INTRODUCTION
		2-2. KARDEX FILE
	Section II. HANDLING AND USE OF SUTURES
		2-3. INTRODUCTION
		2-4. METHODS OF WOUND HEALING
		2-5. TYPES AND LAYERS OF TISSUE REQUIRING CLOSURE
		2-6. TECHNIQUES OF APPROXIMATING TISSUE
		2-7. SURGEON'S PREFERENCE FOR SUTURES AND STITCHES
		2-8. PREPARATION BY SPECIALISTS
		2-9. PROCEDURES FOR PREPARATION OF SUTURES
		2-10. PROCEDURES FOR HANDLING OF SUTURES
	Section III. PREPARATION OF SPECIMENS
		2-11. HANDLING OF SPECIMENS
		2-12. HANDLING OF CULTURES
		2-13. TISSUE TO BE PROCESSED FOR STORAGE
	EXERCISES
	SOLUTIONS
LESSON 3
	Section I. INTRODUCTION
		3-1. GENERAL
		3-2. TERMINOLOGY
		3-3. THE ANESTHETIST AND THE SPECIALIST
		3-4. PREANESTHETIC MEDICATION
		3-5. FACTORS IN SELECTION OF ANESTHETIC AGENT
	Section II. REGIONAL ANESTHESIA
		3-6. METHODS OF ADMINISTRATION
		3-7. ADMINISTRATION OF LOCAL INFILTRATION ANESTHESIA
		3-8. TOPICAL APPLICATION OF ANESTHESIA
		3-9. ADMINISTRATION OF REGIONAL NERVE BLOCK ANESTHESIA
		3-10. ADMINISTRATION OF SPINAL (SUBARACHNOID) BLOCK ANESTHESIA
		3-11. ADMINISTRATION OF PERIDURAL (CAUDAL) BLOCK ANESTHESIA)
		3-12. REGIONAL ANESTHETIC AGENTS
		3-13. PROCAINE HYDROCHLORIDE
		3-14. LIDOCAINE HYDROCHLORIDE
		3-15. TETRACAINE HYDROCHLORIDE
		3-16. TOXICITY OF REGIONAL ANESTHETIC AGENTS
		3-17. TOXIC REACTIONS TO REGIONAL ANESTHETIC AGENTS
		3-18. PREVENTION OF REACTIONS
		3-19. TREATMENT OF REACTIONS--SPECIALIST DUTIES
	Section III. GENERAL ANESTHESIA
		3-20. METHODS OF ADMINISTRATION
		3-21. ADMINISTRATION OF INHALATION ANESTHESIA
		3-22. ADMINISTRATION OF INTRAVENOUS ANESTHESIA
		3-23. STAGES OF GENERAL ANESTHESIA
		3-24. BASAL ANESTHESIA
		3-25. ETHER
		3-26. NITROUS OXIDE
		3-27. THIOPENTAL SODIUM
		3-28. TOXIC REACTIONS TO GENERAL ANESTHETIC AGENTS
	Section IV. EMERGENCIES IN ANESTHESIA
		3-29. SPECIALIST'S ROLE IN EMERGENCIES
		3-30. FIRES AND EXPLOSIONS
		3-31. CARDIAC ARREST
		3-32. LARYNGOSPASM
		3-33. VOMITING
		3-34. OTHER EMERGENCIES
	Section V. PARENTERAL THERAPY
		3-35. INTRODUCTION
		3-36. PRELIMINARY PREPARATION FOR INJECTION
		3-37. PREPARATION FOR INJECTION
		3-38. CARE OF THE EQUIPMENT
		3-39. SUBCUTANEOUS (HYPODERMIC) INJECTION
		3-40. INTRAMUSCULAR INJECTION
		3-41. INTRAVENOUS ADMINISTRATION
		3-42. INTRAVENOUS INJECTION
		3-43. WITHDRAWAL OF A BLOOD SPECIMEN
		3-44. INTRAVENOUS INFUSION TECHNIQUE
		3-45. PREPARATION FOR INFUSION
		3-46. INTRAVENOUS INFUSION
		3-47. OBSERVATION OF THE PATIENT DURING INFUSION
		3-48. VENOUS CUTDOWN
		3-49. BLOOD TRANSFUSION
		3-50. TRANSFUSIONS DURING SURGERY
	EXERCISES
	SOLUTIONS
LESSON 4
	PROCEDURES IN GENERAL SURGERY
		4-1. INTRODUCTION
		4-2. SURGERY OF THE SKIN
		4-3. SKIN GRAFT
		4-4. DEBRIDEMENT OF SOFT TISSUE WOUND OF THE THIGH
		4-5. EXCISION OF PILONIDAL CYST AND SINUS
		4-6. COMMON SITES FOR ABDOMINAL INCISIONS (FIGURE 4-2)
		4-7. SPONGE COUNT
		4-8. ABDOMINAL WALL HERNIOPLASTY (HERNIORRHAPHY)
		4-9. APPENDECTOMY
		4-10. LAPAROTOMY
		4-11. GASTRECTOMY
		4-12. COLOSTOMY
		4-13. CHOLECYSTECTOMY
		4-14. SURGERY FOR VARICOSE VEINS
		4-15. THYROIDECTOMY
		4-16. HEMORRHOIDECTOMY
	EXERCISES
	SOLUTIONS
LESSON 5
	Section I. GENERAL ORTHOPEDIC SURGERY
		5-1. INTRODUCTION
		5-2. DUTIES OF THE SPECIALIST
		5-3. SPECIAL PROBLEMS IN PREPARATION OF THE PATIENT
		5-4. SPECIAL PROBLEM IN PREPARATION OF THE OPERATING ROOM
		5-5. OPERATIONS FOR DISCUSSION
		5-6. SKELETAL ANATOMY
		5-7. REDUCTION (SETTING) OF FRACTURES
		5-8. CLOSED REDUCTION WITH TRACTION OF FEMORAL SHAFT FRACTURE
		5-9. BASIC TECHNIQUE--OPEN REDUCTION OF FRACTURES
		5-10. BONE-GRAFTING OF FRACTURED BONE
	Section II. SURGERY OF THE HIP
		5-11. TREATMENT OF FRACTURED HIPS
		5-12. INTERTROCHANTERIC FRACTURE (SEE FIGURE 5-3)
		5-13. INTRAMEDULLARY FEMORAL FRACTURE
		5-14. DISLOCATION OF THE HIP
		5-15. ARTHROPLASTY OF THE HIP
		5-16. TOTAL HIP REPLACEMENT
		5-17. ARTHRODESIS OF THE HIP
	Section III. OPERATIONS ON THE TIBIA
		5-18. INTRAMEDULLARY PINNING FOR TIBIAL FRACTURE
		5-19. OPERATION FOR TIBIAL SHAFT FRACTURE
		5-20. COMPRESSION PLATING OF FRACTURES (SEE FIGURE 5-5)
	Section IV. OPERATIONS OF THE KNEE
		5-21. PATELLECTOMY
		5-22. RECONSTRUCTION OF THE PATELLA
		5-23. ARTHROPLASTY OF THE KNEE JOINT
		5-24. ARTHRODESIS OF THE KNEE
		5-25. ARTHROTOMY OF KNEE JOINT FOR EXCISION OF TORN CARTILAGE (SEE FIGURE 5-6)
	Section V. OPERATIONS ONTHE ANKLE AND FOOT
		5-26. TREATMENT OF FRACTURES
		5-27. EXCISION OF EXOSTOSIS
		5-28. BUNIONECTOMY (SEE FIGURE 5-7)
	Section VI. OPERATIONS ON THE SHOULDER, ARM, FOREARM, AND WRIST
		5-29. BANKART OPERATION (SEE FIGURE 5-8 [A through H])
		5-30. TREATMENT OF FRACTURES OF THE ARM, FOREARM, AND WRIST
		5-31. CLOSED SUCTION DRAINAGE OF THE ARM, FOREARM, AND WRIST
	Section VII. PLASTIC AND AMPUTATION PROCEDURES
		5-32. A-K AMPUTATION OF LEG
		5-33. TENOPLASTY OF FINGERS
	Section VIII. APPLICATION OF PLASTER CASTS
		5-34. INTRODUCTION
		5-35. TYPES OF CASTS
		5-36. PLACEMENT OF CASTS
		5-37. QUALIFICATIONS OF A GOOD CAST
		5-38. ROLE OF THE SPECIALIST
		5-39. PRINCIPLES OF APPLICATION
		5-40. PROCEDURES IN APPLICATION
EXERCISES
SOLUTIONS