AST. Surgical Technology, 2E.Fuller. Surgical Technology Principles and Practice

AST. Surgical Technology, 2E.Fuller. Surgical Technology Principles and Practice,

Delmar Learning.3E. Saunders

CHAPTER 1

ORIENTATION TO SURGICAL TECHNOLOGY / CH.1 THE SURGICAL TECHNOLOGIST-PAST, PRESENT, AND FUTURE
CH. 4 ORGANIZATION OF THE OPERATING ROOM: PERSONNEL AND ENVIRONMENT

HISTORY OF SURGERY

/ 3 / Historical Development (Ch. 1) / 2
SURGERY TODAY / 4
Surgical Specialties / 5
HISTORY OF SURGICAL TECHNOLOGY / 6 / Historical Development (Ch. 1) / 2
FIELD OF SURGICAL TECHNOLOGY / 8 / World War II to the Present (Ch. 1) / 4
Working Conditions / 8
Personal Characteristics / 8
Surgical Team Members / 8 / Personnel (Ch. 4) / 21
Surgical Technology Education and Certification / 10 / World War II to the Present (Ch. 1) / 4
THE SURGICAL TECHNOLOGISTAS A PROFESSIONAL / 11
Professionalism / 11
Surgical Technologist’s Lifestyle / 12
Job Descriptions for the Surgical Technologist / 13 / Surgical Technologist (Ch. 4) / 23
Career Opportunities / 13
HEALTH CARE FACILITIES / 14
Hospital Organization / 15
Hospital Departments and Interdepartmental Communication / 17
Financial Considerations and Reimbursement / 19
Organizations Related to Hospitals, Health Care, and Surgical Services / 20

CHAPTER 2

STANDARDS OF CONDUCT / CH. 3 SURGERY AND THE LAW
CH. 2 SURGICAL CONSIENCE AND ETHICS IN THE OPERATING ROOM
LEGAL ISSUES / 23 / Why Know the Law? (Ch. 3) / 11
Definitions of General Legal Terms / 23 / Key Terms (Ch. 3) / 10
Definitions of Traditional Principles / 24
Torts / 25 / Intentional Torts (Ch. 3) / 14
Consent for Surgery: A Basic Right / 27 / Informed Consent (Ch. 3) / 14
Documentation / 29 / Documentation and Incident Reporting (Ch. 3) / 15
Event/Incident Reports / 30 / Documentation and Incident Reporting (Ch. 3) / 15
Advance Directives / 30
ETHICAL AND MORAL ISSUES / 30 / Surgical Ethics (Ch. 2) / 7
Moral Principles / 31
Bioethics / 31
AHA Patient’s Bill of Rights / 31
Elements of Ethical Decision Making / 32
Professional Codes of Conduct / 34
Surgical Conscience / 34 / Surgical Conscience (Ch. 2) / 6
SCOPE OF PRACTICE / 34 / Exceeding the Scope of Practice (Ch. 3) / 11
Job Descriptions and Competencies / 35
Credentialing / 36 / The Role of the Association of Surgical Technologists (Ch. 3) / 11
Accreditation / 36 / Accreditation (Ch. 1) / 4
Core Curricula for Surgical Technology and Surgical Assisting / 36
Career Development / 36
Clinical Ladder Program / 37
RISK MANAGEMENT AND LIABILITY / 38 / Civil Liability (Ch. 3) / 12
Medical Errors / 38 / Errors in the Operating Room (Ch. 3) / 14
Safe Medical Device Act / 39 / Mechanical Failures (Ch. 3) / 15
Malpractice Insurance / 39 / Insurance (Ch. 3) / 15

CHAPTER 3

THE SURGICAL PATIENT. / CH. 17 COMMUNICATING WITH THE SURGICAL PATIENT
THE STSR AND THE SURGICAL PATIENT / 43
PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL NEEDS OF THE SURGICAL PATIENT / 43 / Psychological Concerns of the Surgical Patient / 222
Understanding the Surgical Patient / 44
Causes of Surgical Intervention / 44
The Surgical Patient, a Human Being / 44
Prioritizing Needs-Maslow’s Hierachy / 45
Life Stage Development: Select Basic Concepts / 46
Cultural and Religious Influences / 49 / Cultural Influences / 223

CHAPTER 4

SPECIAL POPULATIONS / CH. 17 COMMUNICATING WITH THE SURGICAL PATIENT
CH. 5 MICROBIOLOGY OVERVIEW AND ACQUIRED IMMUNODEFICIENCY SYNDROME
INTRODUCTION / 57
PEDIATRIC PATIENTS / 57 / Special Needs of the Pediatric Patient
(Ch. 17) / 222

Monitoring the Pediatric Patient

/ 59
Shock / 60
Fluids and Electrolytes / 60
Infection / 61
Metabolic and Nutritional Responses / 61
Trauma / 61
PATIENTS WITH OBESITY / 62
Review of Surgical Considerations / 64
Specific Considerations of Bariatric Surgery / 64
PATIENTS WITH DIABETES / 64
Complications Associated with Diabetes / 65
Care of the Patient with Diabetes in Surgery / 66
PREGNANT PATIENTS / 66
Considerations when Caring for Pregnant Patients / 67
Anesthesia / 67
Intraoperative Considerations for the Surgical Technologist / 67
IMMUNOCOMPROMISED PATIENTS / 68
Acquired Immunodeficiency Syndrome / 68 / Acquired Immunodeficiency Syndrome (Ch. 5) / 40
Considerations for the Surgical Team Members / 68
PATIENTS WITH DISABILITIES / 69
GERIATRIC PATIENTS / 69 / Special Needs of the Elderly Patient
(Ch. 17) / 223
TRAUMA PATIENTS / 71
THE “GOLDEN HOUR” AND TRAUMA PATIENTS / 71
KINEMATICS / 71
Blunt Trauma / 71
Penetrating Trauma / 72
TRAUMA SCORING / 72
CONSIDERATIONS FOR THE SURGICAL TECHNOLOGIST / 72
Preservation of Evidence / 72
Hypothermia / 73
Infection / 73
PREPARATION OF THE CASE / 73

CHAPTER 5

PHYSICAL ENVIRONMENT AND SAFETY STANDARDS / CH. 4 ORGANIZATION OF THE OPERATING ROOM: PERSONNEL AND ENVIRONMENT
And various other chapters throughout the book.
PHYSICAL DESIGN OF THE SURGERY DEPARTMENT / 77 / Physical Layout (Ch. 4) / 25
Areas of the OR / 78 / Physical Layout (Ch. 4) / 25
Physical Components of the Operative Suite / 79 / The Operating Suites (Ch. 4) / 27
Substerile Area / 83 / Substerile Rooms (Ch. 4) / 27
Direct Support Services / 83 / Description and Functions of Areas in the Operating Room (Ch. 4) / 26
HAZARDS AND REGULATORY AGENCIES / 85
SAFETY CONSIDERATIONS / 86 / The Operating Suites (Ch. 4) / 27
Air-Handling System / 86 / The Operating Suites (Ch. 4) / 28
Surgical Lights / 86 / The Operating Suites (Ch. 4) / 28
Noise in the Operating Room / 86
Ergonomics and Safety Considerations / 86
Fire Hazards and Safety / 87 / Fire (Ch. 16) / 219
Electrical Hazards / 88 / The Operating Suites (Ch. 4) / 28
Ionizing Radiation / 89
BIOLOGICAL HAZARDS AND SAFETY CONSIDERATIONS / 90 / Universal Precautions (Ch. 8) / 68
Universal Precautions / 90 / Universal Precautions (Ch. 8) / 68
Standard Precautions / 90
Laser and Electrosurgical Plume / 93
Latex Allergy / 94
CHEMICAL HAZARDS AND SAFETY CONSIDERATIONS / 94
Waste Anesthetic Gases / 94 / Volatile Liquids and Gas (Ch. 9) / 82
Methyl Methacrylate / 95
Formalin / 95 / Formaldehyde (Ch. 6) / 47
Ethylene Oxide / 95 / Precautions and Hazards (Ch. 7) / 59
Glutaraldehyde / 95 / Glutaraldehyde (Ch. 6) / 47

CHAPTER 6

BIOMEDICAL SCIENCE / No chapter(s) on this topic.
INTRODUCTION / 99
COMPUTERS / 99
Surgical Applications / 99
Hardware / 100
Software / 103
Word Processing / 104
Graphics / 105
Internet Basics / 106
ELECTRICITY / 107
Surgical Applications / 107
Basic Principles of Electricity / 108
PHYSICS / 112
Medical and Surgical Applications / 112
Mechanics / 113
Nuclear Physics / 122
Gravity / 122
SURGICAL ROBOTS / 122
Terminology / 123
Design / 123
Remote Manipulation / 124
Geometry / 124
Hearing and Vision / 125
Decontamination and Sterilization of Robotic Components / 125
Clinical Applications / 125
THE OR OF THE FUTURE / 125
Surgical Planning and Rehearsal / 125
Surface-Based Registration / 126
ROLE OF THE SURGICAL TECHNOLOGIST / 126
CHAPTER 7
ASEPSIS AND STERILE TECHNIQUE / CH. 5 MICROBIOLOGY OVERVIEW AND ACQUIRED IMMUNODEFICIENCY SYNDROME
CH. 6 DISINFECTION AND DECONTAMINATION
CH. 7 STERILIZATION: STANDARDS AND PRACTICE
CH. 8 ASEPTIC TECHNIQUES AND UNIVERSAL PRECAUTIONS IN THE OPERATING ROOM
HISTORY OF STERILIZATION / 130
BASIC TERMINOLOGY / 131 / Key Terms (Ch. 5) / 30
PATHOGENS AND INFECTION / 131 / Pathogenic Microorganisms (Ch. 5) / 38
Infection / 131 / The Process of Infection (Ch. 5) / 35
Pathogens Associated with Surgical Site Infection / 132 / Pathogenic Microorganisms (Ch. 5) / 38
Methods of Transmission / 135 / Disease Transmission (Ch. 5) / 32
PRINCIPLES OF ASEPSIS / 138 / The Rules of Aseptic Technique (Ch. 8) / 66
Principle 1: Sterile Field / 138 / The Rules of Aseptic Technique (Ch. 8) / 66
Principle 2: Sterile Team Member Attire / 139 / The Rules of Aseptic Technique (Ch. 8) / 66
Principle 3: Movement in and around Sterile Field / 140 / The Rules of Aseptic Technique (Ch. 8) / 66
SURGICAL CONSCIENCE / 140 / Surgical Conscience (Ch. 2) / 6
CLEANING, DISINFECTION, AND STERILIZATION / 141 / Part 1 Disinfection (Ch. 6) / 44
Cleaning and Disinfection / 142 / Part 1 Disinfection (Ch. 6) / 44
Disinfectant and Disinfectant/Sterilant Agents / 147 / Disinfectant Chemicals ( Ch. 6) / 45
INSTRUMENT PREPARATION AND WRAPPING FOR STERILIZATION / 151 / Preparation of Items (Ch. 7) / 57
Instruments / 151 / Preparation of Items (Ch. 7) / 57
Specific Procedural Trays / 151
Instrument Sets / 151
PACKAGING FOR STERILIZATION AND STORAGE / 152 / Wrapping Goods for Sterilization (Ch. 7) / 60
Performance Standards of Packaging Material / 152 / Wrapping Goods for Sterilization (Ch. 7) / 60
Performance Characteristics / 152
Types of Packaging Materials / 153 / Wrapping Goods for Sterilization (Ch. 7) / 60
General Principles of Packaging / 155 / Wrapping Goods for Sterilization (Ch. 7) / 60
Sterilization / 158 / Steam Sterilization (Ch. 7) / 53
Requirements and Essential Factors / 159 / Loading and Operation (Ch. 7) / 55
Basic Components of a Steam Sterilizer / 160 / Steam Sterilization (Ch. 7) / 53
GAS STERILIZATION / 163 / Ethylene Oxide (Gas) Sterilization (Ch. 7) / 58
Ethylene Oxide / 163 / Ethylene Oxide (Gas) Sterilization (Ch. 7) / 58
Alternative Gas Sterilization Methods / 164 / The Future of Ethylene Oxide Sterilization (Ch. 7) / 59
LIQUID CHEMICAL STERILIZATION PROCESSES / 165 / Cold Chemical Sterilization (Ch. 7) / 63
IONIZING RADIATION / 165 / Sterilization by Ionizing Radiation (Ch. 7) / 60
METHODS OF MONITORING THE STERILIZATION PROCESS / 165 / Sterilization and Control Monitors (Ch. 7) / 60
Mechanical Methods of Monitoring the Sterilization Process / 165 / Sterilization and Control Monitors (Ch. 7) / 62
Chemical Methods of Monitoring the Sterilization Process / 166 / Sterilization and Control Monitors (Ch. 7) / 62
Biological Methods of Monitoring the Sterilization Process / 166 / Sterilization and Control Monitors (Ch. 7) / 62
Bowie-Dick Test / 167 / Sterilization and Control Monitors (Ch. 7) / 62
EVENT-RELATED STERILITY / 167 / Storage and Handling of Sterile Supplies (Ch. 7) / 62
Environmental Decontamination / 168
Environmental Services / 168
Case by Case / 168 / Decontamination of the Surgical Suite
(Ch. 6) / 48
Daily / 168 / Decontamination of Other Areas in the Operating Room (Ch. 6) / 50

CHAPTER 8

GENERAL PATIENT CARE AND SAFETY / CH. 3 SURGERY AND THE LAW
CH. 10 TRANSPORTING AND POSITIONING THE SURGICAL PATIENT
CH. 11 PREPARATION OF THE SURGICAL SITE
CH. 13 HEMOSTASIS
PREOPERATIVE PATIENT ROUTINES / 172
Surgical Consent / 173 / Informed Consent (Ch. 3) / 14
Preoperative Education / 175
Patient Possessions / 175 / Patient Property (Ch. 3) / 12
Evening/Morning before Surgery / 176
Diet / 177
Makeup and Dress / 177
Call to Operating Room / 177
Family Visit / 177
Patient Identification / 177 / Patient Identification, Side, and Site of Surgery (Ch. 3) / 13
Transportation / 178 / Transportation of the Conscious Patient (Ch. 10) / 90
TRANSFER AND POSITIONING / 179 / Transfer and positioning of the Anesthetized Patient (Ch. 10) / 91
BASIC POSITIONING FOR SURGERY / 180 / Transfer and positioning of the Anesthetized Patient (Ch. 10) / 91
Supine Position / 181 / Supine (Dorsal Recumbent) (Ch. 10) / 91
Trendelenburg Position / 183 / Trendelenburg (Ch. 10) / 92
Reverse Trendelenburg Position / 184 / Reverse Trendelenburg (Ch. 10) / 93
Fowler’s Position and Sitting Position / 184 / Fowler (Sitting) (Ch. 10) / 96
Lithotomy Position / 185 / Lithotomy (Ch. 10) / 95
Prone Position / 186 / Prone with Headrest (Ch. 10) / 94
Kraske (Jackknife Position) / 188 / Kraske (Jackknife) (Ch. 10) / 93
Lateral Position / 189 / Sim’s (Lateral) (Ch. 10) / 96
Kidney Position / 190
Sim’s Position / 191 / Sim’s (Lateral) (Ch. 10) / 96
THERMOREGULATORY DEVICES / 191
VITAL SIGNS / 192
Temperature / 192
Pulse / 193
Respiration / 194
Blood Pressure / 196
URINARY CATHETERIZATION / 199 / Special Equipment (Ch. 22) / 399
Indications / 200 / Special Equipment (Ch. 22) / 399
Procedure / 200
Considerations / 200
SKIN PREPARATION / 202 / Surgical Skin Prep (Ch. 11) / 101
Skin Preparation Setup / 203 / Special Skin Prep Procedures (Ch. 11) / 103
Skin Marking / 206
HEMOSTASIS AND BLOOD REPLACEMENT / 206 / Intro. Paragraph (Ch. 13) / 138
Factors Affecting Hemostasis / 207
Control of Bleeding during Surgery / 207
Mechanical Methods / 207 / Sponges (Ch. 13)
Tourniquet
Ligation Clips and Hemostatic Clamps and Suture Ligatures / 140
142
143
THERMAL HEMOSTASIS / 209 / Electrosurgery (Ch. 13) / 138
PHARMACOLOGICAL AGENTS / 209 / Pharmaceutical Hemostatic Agents
(Ch. 13) / 142
Blood Loss / 210
Blood Replacement / 210 / Autotransfusion (Ch. 13) / 144
Hemolytic Transfusion Reactions / 211
CARDIOPULMONARY RESUSCITATION / 211
Cardiac Arrest in the Surgical Setting / 212 / Cardiopulmonary Arrest (Ch. 16) / 219
MALIGNANT HYPERTHERMIA / 213 / Malignant Hyperthermia (Ch. 16) / 218
Prevention / 213
Treatment / 213 / Malignant Hyperthermia (Ch. 16) / 218
EMERGENCY MEDICAL SERVICES / 213
INDICATIONS OF EMERGENCY SITUATIONS / 214
OBJECTIVES AND PRIORITIES IN ERMERGENCY SITUATIONS / 214
Syncope / 214
Convulsions/Seizures / 215
Anaphalactic Reactions / 211
Clinical Manifestations of Impending Cardiac Arrest / 216

CHAPTER 9

SURGICAL PHARMACOLOGY AND ANESTHESIA / CH. 9 ANESTHESIA
CH. 14 SURGICAL PHARMACOLOGY
PHARMACOLOGY / 219
Drug Sources / 219
Drug Forms / 220
Drug Nomenclature / 220
Route of Administration / 221
Drug Classifications / 221
Pharmacokinetics / 221
Pharmacodynamics / 222
DRUG-HANDLING TECHNIQUES / 223 / Accepting Medications in Surgery (Ch. 14) / 151
Medication Identification / 223 / Accepting Medications in Surgery (Ch. 14) / 151
Supplies for Medication Handling / 225 / Accepting Medications in Surgery (Ch. 14) / 151
Transfer of a Medication to the Sterile Field / 225 / Accepting Medications in Surgery (Ch. 14) / 151
Medications Commonly Used in the Operating Room / 226 / Medications Used in Surgery (Ch. 14) / 152
HISTORY OF MODERN ANESTHESIA / 229
METHODS AND TECHNIQUES OF ANESTHETIC ADMINISTRATION / 231 / Classification of Anesthesia (Ch. 9) / 81
GENERAL ANESTHESIA / 231 / General Anesthesia (Ch. 9) / 81
Depth of General Anesthesia / 231 / General Anesthesia (Ch. 9) / 81
Phases of General Anesthesia / 232 / General Anesthesia (Ch. 9) / 81
Advantages of General Anesthesia / 232
Risks and Complications Associated with General Anesthesia / 232 / Malignant Hyperthermia (Ch. 16)
Cardiopulmonary Arrest / 218
219
Anesthetic Agents / 235 / Volatile Liquids and Gas (Ch. 9)
Intravenous and Intramuscular Injection / 82
83
Adjuncts to General Anesthesia / 240 / Adjuncts to Anesthetic Agents (Ch. 9)
Hypothermia and Hypotension (Ch. 13) / 87
143
Anesthesia Equipment / 241 / Volatile Liquids and Gas (Ch. 9) / 83
NERVE CONDUCTION BLOCKADE / 244 / Local or Conduction Anesthesia (Ch. 9) / 85
Nerve Conduction Blocking Agents / 244
Topical Anesthesia / 246 / Topical Anesthesia (Ch. 9) / 86
Local Anesthesia / 246 / Local Infiltration (Ch. 9) / 85
Regional Anesthesia / 246 / Epidural Anesthesia and Caudal Anesthesia and Spinal Anesthesia (Ch. 9) / 86
NONTRADITIONAL ANESTHESIA OPTIONS / 249
TEAM MEMBER ROLES DURING ANESTHESIA ADMINISTRATION / 249
Preoperative Visits / 250
Preoperative Routine-All Types of Anesthesia / 250
Postanesthesia Care / 253

CHAPTER 10

INSTRUMENTATION, EQUIPMENT, AND SUPPLIES / Found in various chapters throughout the book.
INSTRUMENTATION / 259
Classifications / 259 / Types of Instruments (Ch. 15) / 158
Instrument Care and Handling / 264 / Care of Instruments (Ch. 15) / 158
Types of Instrument Sets / 265
SPECIALTY EQUIPMENT / 269
Endoscopes / 269 / Fiberoptic Procedures (Ch. 19) / 324
Power Tools / 270 / Power Equipment (Ch. 23) / 429
Lasers / 270 / CH. 18 LASER TECHNOLOGY AND USE / 228
Microscopes / 273 / The Operating Microscope (Ch. 27) / 575
Video Monitors, Recorders, and Cameras / 273 / Video Camera System (Ch. 20) / 329
Fiber-optic Headlamps and Light Sources / 274 / Fiberoptic Cable and Light Source (Ch. 20) / 327
Irrigation/Aspiration Units / 274
Cryotherapy Units / 274
Insufflators / 274 / Exposure During the Surgical Procedure (Ch. 20) / 331
Nerve Stimulators / 274
ACCESSORY EQUIPMENT / 275
Suction Systems / 275
Electrosurgical Unit / 275 / Electrosurgery (Ch. 13) / 138
Lights / 278 / The Operating Suites (Ch. 4) / 28
Pneumatic Tourniquets / 279 / Tourniquet (Ch. 13) / 142
Sequential Compression Devices / 280
SUPPLIES / 280
Drapes / 280 / Draping Materials and Their Application (Ch. 11) / 104
Sterile Packs / 282
Sponges and Dressings / 282 / Wound Dressings (Ch. 12)
Sponges (Ch. 13) / 131
140
Catheters, Tubes, and Drains / 285 / Wound Drains (Ch. 12) / 134
Nonsuture Needles / 288
Irrigators and Syringes / 289

CHAPTER 11

WOUND HEALING, SUTURES, NEEDLES, AND STAPLING DEVICES / CH. 5 MICROBIOLOGY OVERVIEW AND ACQUIRED IMMUNODEFICIENCY SYNDROME
CH. 12 WOUND CLOSURE
INTRODUCTION / 292
TYPES OF WOUNDS / 292 / Classification of Wounds (Ch. 5) / 37
Surgical Wound / 292 / Surgical Wound Infection (Ch. 5) / 37
Traumatic Wound / 293
Chronic Wound / 294
INFLAMMATORY PROCESS / 294 / Inflammatory Response (Ch. 5) / 36
TYPES OF WOUND HEALING / 294 / Wound Healing Categories (Ch. 12) / 135
First Intention (Primary Union) / 294 / Wound Healing Categories (Ch. 12) / 135
Phases of Wound Healing by First Intention / 295
Second Intention (Granulation) / 295 / Wound Healing Categories (Ch. 12) / 135
Third Intention (Delayed Primary Closure) / 295 / Wound Healing Categories (Ch. 12) / 135
FACTORS INFLUENCING WOUND HEALING / 295 / Surgical Wound Infection (Ch. 5) / 37
COMPLICATIONS OF THE HEALING WOUND / 296
Intraoperative Wound Care / 297
Postoperative Wound Care / 298 / Wound Dressings (Ch. 12)
Wound Drains / 131
134
SUTURE / 298 / Intro . Paragraphs (Ch. 12) / 112
History / 298
Types of Suture Material / 299 / Types of Suture and Their Preparation
(Ch. 12) / 113
Suture Sizes / 300 / Suture Size (Ch. 12) / 113
General Factors Affecting Choice of Suture / 300 / Types of Suture and Their Preparation
(Ch. 12) / 113
Characteristics of Common Sutures / 300 / Types of Suture and Their Preparation
(Ch. 12) / 113
Packaging of Suture / 303 / Suture Packaging (Ch. 12) / 113
Ligatures / 303 / Suture Ligatures (Ch. 13) / 143
Ligating Methods / 303
Suture for the Procedure / 304 / Preparing and Handling of Suture Materials (Ch. 12) / 115
Layer Closure / 305
Endoscopic Suture / 307
Suturing Techniques / 307 / Methods of Suturing (Ch. 12) / 307
Accessory Devices / 309 / Skin Tapes and Clips (Ch. 12) / 120
STAPLING DEVICES / 310 / Surgical Stapling Instruments (Ch. 12) / 120
Types of Staplers / 312
Meshes or Fabrics / 313
NEEDLES / 314 / Surgical Needles (Ch. 12) / 115
Needle Eye / 314 / Needle Eyes (Ch. 12) / 115
Needle Point / 315 / Needle Shafts and Points (Ch. 12) / 115
Needle Bodies / 315 / Needle Shafts and Points (Ch. 12) / 115

CHAPTER 12

SURGICAL CASE MANAGEMENT / CH. 8 ASEPTIC TECHNIQUES AND UNIVERSAL PRECAUTIONS IN THE OPERATING ROOM
CH. 16 SURGICAL ROUTINES AND EMERGENCIES
And various other chapters throughout the book.
INTRODUCTION / 318 / Surgical Technologist (Ch. 4) / 23
Applied Theory / 319 / Preparation for the Day’s Work (Ch. 16)
The Rules of Aseptic Technique (Ch. 8)
Surgical Conscience (Ch. 2)
Universal Precautions (Ch. 5) / 212
66
6
40
PREOPERATIVE CASE MANAGEMENT / 323
Attire / 323 / Surgical Attire (Ch. 8) / 67

Preparing the OR

/ 327 / Preparation for the Day’s Work (Ch. 16)
CH. 8 ASEPTIC TECHNIQUES AND UNIVERSAL PRECAUTIONS IN THE OPERATING ROOM / 212
65

ORGANIZING THE BACK TABLE

/ 341 / Table Set-Up (Ch. 16) / 213
Organizing the Mayo Stand / 346

Assisting a Team Member

/ 346 / Gowning and Gloving the Surgeons and Draping the Patient (Ch. 16) / 214
Draping the Surgical Patient / 346 / Draping (Ch. 11)
Gowning and Gloving the Surgeons and Draping the Patient (Ch. 16) / 104
214

Positioning of the Sterile Team Members and the Furniture

/ 353 / Gowning and Gloving the Surgeons and Draping the Patient (Ch. 16) / 214
INTRAOPERATIVE CASE MANAGEMENT / 353
General Principles / 353 / Intraoperative Procedures (Ch. 16)
Instrumentation
Specimens
Communication
Completion of the Procedure-Final Count / 215
215
216
217
217

Progression of the Surgical Procedure

/ 361
POSTOPERATIVE CASE MANAGEMENT / 363
Preservation of the Sterile Field / 363
Drape Removal / 363
Gown and Glove Removal / 364
Immediate Postoperative Care / 364
Patient Transfer and Transportation / 364 / Completion of the Procedure-Final Count
(Ch. 16) / 217
Breakdown of the Setup / 365 / Completion of the Procedure-Final Count
(Ch. 16) / 217
The Operating Room Cycle / 365
The Instrument Cycle / 366 / During Surgery and After Surgery (Ch. 15) / 209

CHAPTER 13

DIAGNOSTIC PROCEDURES / No chapter(s) on this topic.
SOURCES OF PATIENT DATA / 371
History and Physical Examination / 371
Diagnostic Imaging / 371
Laboratory Reports / 378
Electrodiagnostic Studies / 381
Pulmonary Diagnosis / 382
Endoscopy / 383
Plethysmography and Phleborheography / 383
INDICATIONS FOR SURGERY / 383

CHAPTER 14

GENERAL SURGERY / CH. 19 GENERAL SURGERY
ANATOMY / 386 / Intro. Paragraphs / 238
Abdominal Cavity: General Dimensions / 386 / Structures of the Abdominal Cavity / 240
Surface Features / 386
Abdominal Musculature / 387
Peritoneum / 387
Retroperitoneum / 388
Alimentary Canal / 388
Esophagus / 388 / Esophagus / 240
Stomach / 389 / Stomach / 240
Small Intestine / 390 / Small Intestine / 240
Mesentery / 391 / Small Intestine / 240
Colon / 391 / Large Intestine / 241
Rectum / 393 / Rectum / 242
Anus / 393
Omenta / 394
Pancreas / 394 / Pancreas / 242
Spleen / 395 / Spleen / 246
Liver / 395 / Liver / 242
Biliary Tract / 396 / Gallbladder / 242
GENERAL SURGERY INSTRUMENTATION / 397
Major Set / 397
Minor Set / 397
Local Excision Instruments / 399
Biliary Instruments / 399
Intestinal Instruments / 400
Other General Instruments / 400
ROOM SETUP / 400
POSITIONING / 400 / Laparotomy / 246
DRAPING / 400 / Laparotomy / 246
INCISIONS / 402 / Abdominal Incisions / 238
SURGERY OF THE ABDOMINAL WALL: HERNIAS / 404
Specific Anatomic Features of the Groin Area / 404
Hernias / 405
Hernia Repair / 405 / Hernia Repair / 308
SURGERY OF THE ALIMENTARY CANAL / 407
Surgery of the Esophagus / 408
Gastric Surgery / 408
Pathological Conditions of the Stomach / 408 / Gastrostomy / 249
Procedures Related to Gastric Secretion, Ulcers, and Neoplasm / 416
Procedures for Morbid Obesity / 416 / Gastric Bypass / 275
Surgery of the Small Bowel / 416 / Anastomosis of the Small Intestine / 252
Appendectomy / 420 / Appendectomy / 263
Colon Surgery / 425 / Colon Resection and Anastomosis / 256
STOMAS / 427
Anorectal Surgery / 427 / Excision of Anal Fistula / 321
Hemorrhoid Ligation and Excision / 430 / Hemorrhoidectomy / 319
Surgery of the Liver and Biliary Tract / 430 / Wedge Resection of the Liver / 271
Common Bile Duct Exploration / 439 / Operative Cholangiography: Exploration of the Common Bile Duct
Cholecystectomy / 266
265
SURGERY OF THE PANCREAS AND SPLEEN / 447
Select Pathology of the Pancreas / 447
Draining Pancreatic Cysts / 448
Pancreatic Resection / 448
Whipple Pancreaticoduodenectomy / 448 / Pancreaticojejunostomy (Whipple’s Procedure) / 271
Surgery of the Spleen / 452 / Splenectomy / 269
VASCULAR AND OTHER PROCEDURES / 454
Varicose Veins / 454 / Internal Vein Stripping (Ch. 25) / 541
Vascular Access Procedures / 455
Muscle and Nerve Biopsies / 456
Incision and Drainage / 456
Excision of Lesion / 456
Endoscopy / 457 / Fiberoptic Procedures / 324
BREAST SURGERY / 457
Breast Anatomy / 457
Breast and Axilla: Pathology and Diagnosis / 457
Breast Surgery (Noncosmetic) / 457 / Breast Surgery / 321
SURGERY OF THE THYROID AND PARATHYROID / 461 / Thyroid Surgery / 322
Anatomy of the Thyroid and Parathyroid / 461
Pathological Conditions of the Thyroid and Parathyroid Glands / 461
Thyroidectomy / 461 / Thyroidectomy / 322
TRACHEOTOMY / 461 / Tracheotomy (Ch. 24) / 479
Indications for a Tracheotomy / 461
Illustrative Procedure: Tracheotomy / 467

CHAPTER 15

OBSTETRIC AND GYNOCOLOGIC SURGERY / CH. 21 OBSTETRIC AND GYNOCOLOGIC SURGERY
INTRODUCTION TO OBSTETRIC AND GYNOCOLOGICAL SURGERY / 478 /

Intro. Paragraph

/ 350
ANATOMY / 478 / Surgical Anatomy / 350
The Pelvis / 478
External Genitalia / 481 / External Genitalia and Associated Structures
Vagina / 481
Uterus / 482 / Uterus / 350
Fallopian Tubes / 483 / Fallopian Tubes / 350
Ovaries / 483 / Ovaries / 350
PREGNANCY-A SPECIAL CONDITION / 485
Select Key Terms in Labor and Delivery / 486
Labor / 486
SPECIAL INSTRUMENTATION, DRUGS, EQUIPMENT, AND SUPPLIES IN OBSTETRIC AND GYNOCOLOGICAL SURGERY / 487
Instrumentation / 487
Drugs / 487
Equipment / 494
Supplies / 494
OR SETUP AND BASIC PATIENT POSITIONING AND DRAPING / 494
SURGICAL PROCEDURES: OBSTETRICS AND FERTILITY RELATED / 494
Pathology and Surgical Conditions: Obstetrics and Fertility Related / 494
Vaginal Delivery / 495
Cesarean Section / 497 / Cesarean Section / 362
Tubal Occlusion (Sterilization) Procedures / 503 / Tubal Ligation: Pomeroy and Irving Techniques / 358
Tuboplasty / 504
Laproscopic Resection of Unruptured Tubal Pregnancy / 507
SURGICAL PROCEDURES: GYNECOLOGICAL PROCEDURES / 510
Gynecological Pathology / 510
SURGICAL INTERVENTION OVERVIEW / 510
Abdominal Incisions for Gynecological Surgery / 510 / Abdominal Procedures / 355
Surgical Intervention: Laparoscopy / 515
Basic Colposcopy / 518
Hysteroscopy / 518
Marsupialization of Bartholin’s Gland Cyst / 521 / Excision of Cystic Bartholin’s Gland / 366
Simple Vulvectomy / 521 / Simple Vulvectomy / 370
Anterior and Posterior Repair (Colporrhaphy) / 524 / Repair of Cystocele and Rectocele (Anterior and Posterior Repair) / 369
Cervical Biopsy, Cryotherapy, Laser Treatment, LEEP, and Conization / 533 / Conization of the Cervix / 364
Dilation and Curettage / 535 / Dilation and Curettage / 364
Myomectomy / 538
Total Abdominal Hysterectomy and Bilateral Salpingo-oophorectomy (TAH-BSO) / 542 / Abdominal Hysterectomy
Salpingo-oophorectomy / 354
356
Vaginal and Laparoscopically Assisted Vaginal Hysterectomy (LAVH) / 546 / Vaginal Hysterectomy / 374
Radical Cancer Surgery: Total Pelvic Exenteration / 547

CHAPTER 16