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					AST. Surgical Technology, 2E.                     Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                   12E. Elsevier

CHAPTER 1                                          No Chapter on this Topic
ORIENTATION TO SURGICAL
TECHNOLOGY
HISTORY OF SURGERY                           3     HISTORY AND EVOLUTION OF                    187
                                                   SURGICAL SUTURES (Ch. 6)
SURGERY TODAY                                4
Surgical Specialties                         5
HISTORY OF SURGICAL                          6
TECHNOLOGY
FIELD OF SURGICAL TECHNOLOGY                 8
 Working Conditions                          8
 Personal Characteristics                    8
Surgical Team Members                        8
Surgical Technology Education and            10
Certification
THE SURGICAL TECHNOLOGISTAS A                11
PROFESSIONAL
Professionalism                              11
Surgical Technologist’s Lifestyle            12
Job Descriptions for the Surgical            13
Technologist
Career Opportunities                         13
HEALTH CARE FACILITIES                       14
Hospital Organization                        15
Hospital Departments and Interdepartmental   17
Communication
Financial Considerations and                 19
Reimbursement
Organizations Related to Hospitals, Health   20
Care, and Surgical Services

CHAPTER 2                                          No Chapter on this Topic
STANDARDS OF CONDUCT
LEGAL ISSUES                                 23
Definitions of General Legal Terms           23
Definitions of Traditional Principles        24
Torts                                        25
Consent for Surgery: A Basic Right           27    Protecting Patients’ Rights (Ch.2)          23
Documentation                                29    Clinical Documentation (Ch. 2)              27
Event/Incident Reports                       30    Box 2-4. Incident Reports (ch.2)            28
Advance Directives                           30
ETHICAL AND MORAL ISSUES                     30
Moral Principles                             31
Bioethics                                    31
AHA Patient’s Bill of Rights                 31    Legal and Ethical Mandates (Ch. 10)         297
Elements of Ethical Decision Making          32
Professional Codes of Conduct                34
Surgical Conscience                          34
SCOPE OF PRACTICE                            34
Job Descriptions and Competencies            35
Credentialing                                36
Accreditation                                36
Core Curricula for Surgical Technology and   36
Surgical Assisting
AST. Surgical Technology, 2E.                       Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                     12E. Elsevier

Career Development                             36
Clinical Ladder Program                        37
RISK MANAGEMENT AND LIABILITY                  38
Medical Errors                                 38
Safe Medical Device Act                        39
Malpractice Insurance                          39

CHAPTER 3                                            No Chapter on this Topic
THE SURGICAL PATIENT.
THE STSR AND THE SURGICAL                      43
PATIENT
PHYSICAL, PSYCHOLOGICAL,                       43
SOCIAL, AND SPIRITUAL NEEDS OF
THE SURGICAL PATIENT
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           46
Concepts
Cultural and Religious Influences              49

CHAPTER 4                                            CAPTER 29 PEDIATRIC SURGERY
SPECIAL POPULATIONS                                  CHAPTER 30 GERIATRIC SURGERY
                                                     CHAPTER 31 TRAUMA SURGERY
INTRODUCTION                                   57
PEDIATRIC PATIENTS                             57    PERIOPERAIVE NURSING                        1211
                                                     CONSIDERATIONS (Ch. 29)
Monitoring the Pediatric Patient               59
Shock                                          60
Fluids and Electrolytes                        60
Infection                                      61
Metabolic and Nutritional Responses            61
Trauma                                         61    Child Abuse (Ch. 29)                        1212
                                                     TRAUMA (Ch. 29)                             1263
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        67
Patients
Anesthesia                                     67
Intraoperative Considerations for the          67
Surgical Technologist
IMMUNOCOMPROMISED PATIENTS                     68
Acquired Immunodeficiency Syndrome             68
Considerations for the Surgical Team           68
Members
PATIENTS WITH DISABILITIES                     69
GERIATRIC PATIENTS                             69    CHAPTER 30 GERIATRIC SURGERY                1295
TRAUMA PATIENTS                                71    CHAPTER 31 TRAUMA SURGERY                   1317
AST. Surgical Technology, 2E.                     Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                   12E. Elsevier

THE “GOLDEN HOUR” AND TRAUMA                 71    CHAPTER 31 TRAUMA SURGERY                   1317
PATIENTS
KINEMATICS                                   71    Preliminary Evaluation: Mechanism of        1319
                                                   Injury (Ch. 31)
Blunt Trauma                                 71    Preliminary Evaluation: Mechanism of        1321
                                                   Injury (Ch. 31)
Penetrating Trauma                           72    Preliminary Evaluation: Mechanism of        1322
                                                   Injury (Ch. 31)
TRAUMA SCORING                               72    Preliminary Evaluation: Mechanism of        1323
                                                   Injury (Ch. 31)
CONSIDERATIONS FOR THE                       72    Multiple Operative Procedures (Ch. 31)      1334
SURGICAL TECHNOLOGIST
Preservation of Evidence                     72    Evidence Preservation (Ch. 31)              1336
Hypothermia                                  73    Hypothermia (Ch. 31)                        1338
Infection                                    73    Increased Risk for Infection (Ch. 31)       1334
PREPARATION OF THE CASE                      73    Procedure Preparation (Ch. 31)              1334

CHAPTER 5                                          CHAPTER 2 PATIENT AND
PHYSICAL ENVIRONMENT AND                           ENVIRONMENTAL SAFETY
SAFETY STANDARDS                                   CHAPER 4 INFECTION PREVENTION
                                                   AND CONTROL
                                                   CHAPTER 3 SURGICAL MODALITIES
PHYSICAL DESIGN OF THE SURGERY               77    Physical Plant Design Elements (Ch.2)       18
DEPARTMENT
Areas of the OR                              78    Traffic Control (Ch. 4)                     134
Physical Components of the Operative Suite   79    Physical Plant Design Elements (Ch. 2)      18
                                                   ENGINEERING PRACTICES TO                    111
                                                   CONTROL INFECTION (Ch. 4)
Substerile Area                              83    Environment of Care (Ch. 4)                 112
Direct Support Services                      83
HAZARDS AND REGULATORY                       85
AGENCIES
SAFETY CONSIDERATIONS                        86
Air-Handling System                          86    Heating, Ventilating, Air Conditioning      112
                                                   (Ch. 4)
Surgical Lights                              86
Noise in the Operating Room                  86
Ergonomics and Safety Considerations         86
Fire Hazards and Safety                      87    Electrical and Fire Hazards (Ch. 2)         19
                                                   Fire Safety (Ch. 3)                         80
Electrical Hazards                           88    Electrical and Fire Hazards (Ch. 2)         19
Ionizing Radiation                           89    Radiation Safety (Ch. 2)                    21
BIOLOGICAL HAZARDS AND SAFETY                90
CONSIDERATIONS
Universal Precautions                        90    Universal Precautions (Ch. 4)               106
Standard Precautions                         90    Standard Precautions (Ch. 4)                108
Laser and Electrosurgical Plume              93    Smoke Evacuation (Ch. 3)                    82
Latex Allergy                                94    Latex Allergy (Ch. 2)                       21
CHEMICAL HAZARDS AND SAFETY                  94
CONSIDERATIONS
Waste Anesthetic Gases                       94    OPERATING ROOM POLLUTION                    250
                                                   (Ch. 7)
Methyl Methacrylate                          95    Polymethyl Methacrylate (Ch. 22)            840
Formalin                                     95    Care and Handling of Specimens ( Ch. 4)     36
AST. Surgical Technology, 2E.                   Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                 12E. Elsevier

Ethylene Oxide                            95     Ethylene Oxide (Ch. 4)                      124
Glutaraldehyde                            95
CHAPTER 6                                        No Chapter on this Topic
BIOMEDICAL SCIENCE
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    Robotics (Ch.3)                             65
Remote Manipulation                       124
Geometry                                  124
Hearing and Vision                        125
Decontamination and Sterilization of      125
Robotic Components
Clinical Applications                     125
THE OR OF THE FUTURE                      125
Surgical Planning and Rehearsal           125
Surface-Based Registration                126
ROLE OF THE SURGICAL                      126
TECHNOLOGIST

CHAPTER 7                                        CHAPTER 4 INFECTION
ASEPSIS AND STERILE TECHNIQUE                    PREVENTION AND CONTROL
HISTORY OF STERILIZATION                  130    CHAPTER 4 INFECTION                         97
                                                 PREVENTION AND CONTROL
BASIC TERMINOLOGY                         131    Box 4-1. Definition of Terms                99
PATHOGENS AND INFECTION                   131    Microorganisms That Cause Infection         98
Infection                                 131    Box 4-1. Definition of Terms                99
Pathogens Associated with Surgical Site   132    Microorganisms that Cause Infection         98
Infection
Methods of Transmission                   135    CONTROLLING INFECTION IN THE                106
                                                 PERIOPERATIVE ARENA
PRINCIPLES OF ASEPSIS                     138    Surgical Aseptic Principles                 131
Principle 1: Sterile Field                138    Surgical Aseptic Principles                 131
Principle 2: Sterile Team Member Attire   139    Surgical Aseptic Principles                 131
Principle 3: Movement in and around       140    Surgical Aseptic Principles                 131
Sterile Field                                    Traffic Control                             134
SURGICAL CONSCIENCE                       140
CLEANING, DISINFECTION, AND               141    Operating Room Environmental Cleaning       151
STERILIZATION
AST. Surgical Technology, 2E.                   Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                 12E. Elsevier

Cleaning and Disinfection                 142    Disinfection                                127
                                                 Presterilization Procedure                  113
                                                 Operating Room Environmental Cleaning       151
Disinfectant and Disinfectant/Sterilant   147    Types of Disinfectants                      127
Agents                                           Disinfection of Endscopes                   128
INSTRUMENT PREPARATION AND                151    Presterilization Procedure                  113
WRAPPING FOR STERILIZATION
Instruments                               151    Presterilization Procedure                  113
Specific Procedural Trays                 151
Instrument Sets                           151    Packaging and Sterilizer Loading            116
PACKAGING FOR STERILIZATION               152    Packaging and Sterilizer Loading            116
AND STORAGE
Performance Standards of Packaging        152    Packaging and Sterilizer Loading            116
Material
Performance Characteristics               152    Packaging and Sterilizer Loading            116
Types of Packaging Materials              153    Packaging and Sterilizer Loading            116
General Principles of Packaging           155    Packaging and Sterilizer Loading            116
Sterilization                             158    Work Practices to Control Infection         112
Requirements and Essential Factors        159    Work Practices to Control Infection         112
Basic Components of a Steam Sterilizer    160    Work Practices to Control Infection         112
GAS STERILIZATION                         163    Chemical Sterilization                      121
Ethylene Oxide                            163    Chemical Sterilization                      123
Alternative Gas Sterilization Methods     164    Chemical Sterilization                      123
LIQUID CHEMICAL STERILIZATION             165    Chemical Sterilization                      124
PROCESSES
IONIZING RADIATION                        165
METHODS OF MONITORING THE                 165    Work Practices to Control Infection         119
STERILIZATION PROCESS
Mechanical Methods of Monitoring the      165    Work Practices to Control Infection         119
Sterilization Process
Chemical Methods of Monitoring the        166    Work Practices to Control Infection         119
Sterilization Process
Biological Methods of Monitoring the      166    Work Practices to Control Infection         119
Sterilization Process
Bowie-Dick Test                           167    Work Practices to Control Infection         120

EVENT-RELATED STERILITY                   167    Operating Room Environmental Cleaning       151
Environmental Decontamination             168    Operating Room Environmental Cleaning       151
Environmental Services                    168    Operating Room Environmental Cleaning       151
Case by Case                              168    Operating Room Environmental Cleaning       151
Daily                                     168    Operating Room Environmental Cleaning       151
CHAPTER 8                                        FOUND THROUGHOUT UNIT 1
GENERAL PATIENT CARE AND                         FOUNDATIONS FOR PRACTICE
SAFETY
PREOPERATIVE PATIENT ROUTINES             172    General Patient Safety Measures (Ch. 2)     24
                                                 Admission of the Patient to the Operating   25
                                                 Room (Ch.2)
                                                 ASSESSMENT (Ch. 10)                         299
Surgical Consent                          173    Protecting Patient Rights (Ch. 2)           23
Preoperative Education                    175    ASSESSMENT (Ch. 10)                         299
Patient Possessions                       175    Admission of the Patient to the Operating   27
                                                 Room (Ch.2)

Evening/Morning before Surgery            176    Admission of the Patient to the Operating   25
AST. Surgical Technology, 2E.                  Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                12E. Elsevier

                                                Room (Ch.2)

Diet                                     177    Admission of the Patient to the Operating   27
                                                Room (Ch.2)
Makeup and Dress                         177
Call to Operating Room                   177
Family Visit                             177
Patient Identification                   177    Admission of the Patient to the Operating   25
                                                Room (Ch.2)
Transportation                           178    Implementation (Ch. 5)                      172
TRANSFER AND POSITIONING                 179    Implementation (Ch. 5)                      172
BASIC POSITIONING FOR SURGERY            180
Supine Position                          181    Supine (Ch. 5)                              176
Trendelenburg Position                   183    Trendelenburg (Ch. 5)                       176
Reverse Trendelenburg Position           184    Reverse Trendelenburg (Ch. 5)               177
Fowler’s Position and Sitting Position   184    Semi-Fowler (Ch. 5)                         180
                                                Fowler (Ch. 5)                              181
Lithotomy Position                       185    Lithotomy (Ch. 5)                           178
Prone Position                           186    Prone (Ch. 5)                               181
Kraske (Jackknife Position)              188    Jackknife (Ch. 5)                           182
Lateral Position                         189    Lateral (Ch. 5)                             183
Kidney Position                          190    Lateral Kidney (Ch. 5)                      184
Sim’s Position                           191
THERMOREGULATORY DEVICES                 191    Maintainin Normotheria In The Surgical      35
                                                Patient (Ch. 2)
                                                TERMPERATURE CONTROL (Ch. 7)                247
VITAL SIGNS                              192    PERIOPERATIVE MONITORING                    225
                                                (Ch. 7)
Temperature                              192    TEMPERATURE CONTROL (Ch. 7)                 247
Pulse                                    193    Pulse Oximetry (Ch. 7)                      227
Respiration                              194    Capnography (Ch. 7)                         228
Blood Pressure                           196
URINARY CATHETERIZATION                  199    Urethral and Ureteral Catheters (Ch. 7)     530
Indications                              200    Urethral and Ureteral Catheters (Ch. 7)     530
Procedure                                200    Urethral and Ureteral Catheters (Ch. 7)     530
Considerations                           200    Urethral and Ureteral Catheters (Ch. 7)     530
SKIN PREPARATION                         202    Patient Skin Disinfection and Preparation   147
                                                Ch. 4)
Skin Preparation Setup                   203    Patient Skin Disinfection and Preparation   147
                                                Ch. 4)
Skin Marking                             206
HEMOSTASIS AND BLOOD                     206    HEMOSTASIS (Ch. 6)                          195
REPLACEMENT
Factors Affecting Hemostasis             207
Control of Bleeding during Surgery       207    HEMOSTASIS (Ch. 6)                          195
Mechanical Methods                       207    HEMOSTASIS (Ch. 6)                          195
THERMAL HEMOSTASIS                       209    HEMOSTASIS (Ch. 6)                          195
PHARMACOLOGICAL AGENTS                   209
Blood Loss                               210    Estimating Blood Loss (Ch. 2)               33
Blood Replacement                        210    Handling Blood and Blood Products           34
                                                (Ch. 2)
Hemolytic Transfusion Reactions          211
CARDIOPULMONARY                          211    Cardiopulmonary Resuscitation (Ch. 2)       39
RESUSCITATION
AST. Surgical Technology, 2E.                         Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                       12E. Elsevier

Cardiac Arrest in the Surgical Setting          212    Cardiopulmonary Resuscitation (Ch. 2)       39
MALIGNANT HYPERTHERMIA                          213    Malignant Hyperthermia (Ch. 2)              39
                                                       MALIGNANT HYPOTHERMIA                       247
                                                       (Ch. 10)
Prevention                                      213    MALIGNANT HYPOTHERMIA                       247
                                                       (Ch. 10)
Treatment                                       213    MALIGNANT HYPOTHERMIA                       247
                                                       (Ch. 10)
EMERGENCY MEDICAL SERVICES                      213
INDICATIONS OF EMERGENCY                        214
SITUATIONS
OBJECTIVES AND PRIORITIES IN                    214
ERMERGENCY SITUATIONS
Syncope                                         214
Convulsions/Seizures                            215
Hemolytic Transfusion Reactions                 211
Clinical Manifestations of Impending            216
Cardiac Arrest

CHAPTER 9                                              CHAPTER 7 ANESTHESIA
SURGICAL PHARMACOLOGY AND                              (Also Ch. 8 and 32)
ANESTHESIA                                             Pharmacology (medications) is found
                                                       under specific surgeries.
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
Medication Identification                       223
Supplies for Medication Handling                225
Transfer of a Medication to the Sterile Field   225
Medications Commonly Used in the                226
Operating Room
HISTORY OF MODERN ANESTHESIA                    229    HISTORY OF ANESTHESIA                       219
METHODS AND TECHNIQUES OF                       231    PREOPERATIVE PREPARATION                    222
ANESTHETIC ADMINISTRATION
GENERAL ANESTHESIA                              231    GENERAL ANESTHESIA                          230
Depth of General Anesthesia                     231    Levels of General Anesthesia                231
Phases of General Anesthesia                    232    Phases of General Anesthesia                231
Advantages of General Anesthesia                232
Risks and Complications Associated with         232    Typical Sequence of General Anesthesia      239
General Anesthesia
Anesthetic Agents                               235    Types of General Anesthesia                 231
Adjuncts to General Anesthesia                  240    Levels of General Anesthesia                231
Anesthesia Equipment                            241    PERIOPERATIVE MONITORING                    225
                                                       ANESTHETIC MACHINES AND                     228
                                                       ANESTHETIC GASES
                                                       TEMPERATURE CONTROL                         247
NERVE CONDUCTION BLOCKADE                       244    TYPS OF ANESTHESIA ARE                      225
Nerve Conduction Blocking Agents                244
AST. Surgical Technology, 2E.                   Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                 12E. Elsevier

Topical Anesthesia                        246
Local Anesthesia                          246    Local Anesthesia                            245
Regional Anesthesia                       246    Regional Anesthesia                         239
NONTRADITIONAL ANESTHESIA                 249    Perioperative Medical Hypnotherapy          1361
OPTIONS                                          (Ch. 32)
TEAM MEMBER ROLES DURING                  249
ANESTHESIA ADMINISTRATION
Preoperative Visits                       250    PREOPERATIVE PREPARATION                    222
Preoperative Routine-All Types of         250    PREOPERATIVE PREPARATION                    222
Anesthesia
Postanesthesia Care                       253    PERIANESHTESIA                              253
                                                 CONSIDERATIONS (Ch. 8)
CHAPTER 10                                       CHAPTER 3 SURGICAL MODALITIES
INSTRUMENTATION, EQUIPMENT,                      CHAPTER 6 SUTURES, NEEDLES
AND SUPPLIES                                     AND INSTRUMENTS
                                                 and Chapters 4, 9, 15, 22, 25, 32
INSTRUMENTATION                           259    Composition of Surgical Instruments         205
                                                 (Ch. 6)
Classifications                           259    Instrument Catagories (Ch. 6)               206
Instrument Care and Handling              264    Care and Handling of Instruments (Ch. 6)    215
Types of Instrument Sets                  265
SPECIALTY EQUIPMENT                       269
Endoscopes                                269    Endoscopes (Ch. 3)                          42
                                                 Endoscopic Instrumentation (Ch. 6)          211
Power Tools                               270    Powered Surgical Instruments (Ch. 32)       840
Lasers                                    270    Laser (Ch. 3)                               69
Microscopes                               273    Operating Microscopes (Ch. 18)              676
Video Monitors, Recorders, and Cameras    273    VIDEO TECHNOLOGY (Ch. 3)                    57
Fiber-optic Headlamps and Light Sources   274
Irrigation/Aspiration Units               274    Hydrodissection and Irrigation (Ch. 3)      94
Cryotherapy Units                         274    CryoSurgery (Ch. 3)                         95
Insufflators                              274    INSUFFLATIN (Ch. 3)                         67
Nerve Stimulators                         274
ACCESSORY EQUIPMENT                       275
Suction Systems                           275
Electrosurgical Unit                      275    Electosurgery (Ch. 3)                       87
Lights                                    278
Pneumatic Tourniquets                     279    Pneumatic Tourniquets (Ch. 22)              835
Sequential Compression Devices            280    Application of Sequential Compression       404
                                                 Devices (Ch. 12)
SUPPLIES                                  280
Drapes                                    280    Creating the Sterile Field with Surgical    148
                                                 Drapes (Ch. 4)
Sterile Packs                             282
Sponges and Dressings                     282    Dressings (Ch. 9)                           292
Catheters, Tubes, and Drains              285    Drains (Ch. 9)                              295
                                                 Urethral and Ureteral Catheters (Ch. 15)    530
                                                 Chest Drainage Systems (Ch. 25)             1054
Nonsuture Needles                         288
Irrigators and Syringes                   289
AST. Surgical Technology, 2E.                      Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                    12E. Elsevier

CHAPTER 11                                          CHAPTER 6 SUTURES, NEEDLES
WOUND HEALING, SUTURES,                             AND INSTRUMENTS
NEEDLES, AND STAPLING DEVICES                       CHAPTER 9 WOUND HEALING,
                                                    DRESSINGS, AND DRAINS
INTRODUCTION                                 292    CH. 9 WOUND HEALING,                         281
                                                    DRESSINGS, AND DRAINS
TYPES OF WOUNDS                              292    ETIOLOGY OF WOUNDS (Ch. 9)                   281
Surgical Wound                               292    WOUND CLASSIFICATION (Ch. 9)                 287
Traumatic Wound                              293    WOUND CLASSIFICATION (Ch. 9)                 287
Chronic Wound                                294
INFLAMMATORY PROCESS                         294
TYPES OF WOUND HEALING                       294    ETIOLOGY OF WOUNDS (Ch. 9)                   281
                                                    TYPES OF WOUND CLOSURE
First Intention (Primary Union)              294    Primary Intention (Ch.9)                     281
Phases of Wound Healing by First Intention   295    PHASES OF HEALING (Ch. 9)                    282
Second Intention (Granulation)               295    Second Intention (Granulation) (Ch. 9)       282
Third Intention (Delayed Primary Closure)    295    Delayed Primary Closure, or Tertiary         282
                                                    Intention (Ch. 9)
FACTORS INFLUENCING WOUND                    295    FACTORS AFFECTING WOUND                      285
HEALING                                             HEALING (Ch. 9)
COMPLICATIONS OF THE HEALING                 296    FACTORS AFFECTING WOUND                      285
WOUND                                               HEALING (Ch. 9)
Intraoperative Wound Care                    297    ANTIMICROBIAL PROPHYLAXIS                    288
                                                    (Ch. 9)
Postoperative Wound Care                     298    WOUND MANAGEMENT (Ch. 9)                     291
                                                    DRESSINGS                                    292
                                                    DRAINS                                       295
SUTURE                                       298    CH. 6 SUTURES, NEEDLES AND                   187
                                                    INSTRUMENTS
History                                      298    HISTORY AND EVOLUTION OF                     187
                                                    SURGICAL SUTURES (Ch. 6)
Types of Suture Material                     299    SUTURE MATERIALS (Ch. 6)                     188
Suture Sizes                                 300
General Factors Affecting Choice of Suture   300    Selection of Suture (Ch. 6)                  195
Characteristics of Common Sutures            300    Characteristics of Suture Material (Ch. 6)   189
Packaging of Suture                          303    PACKAGING, STORAGE, AND                      194
                                                    SELECTION OF SUTURES (Ch. 6)
Ligatures                                    303    Methods of Ligating Vessels (Ch. 6)          195
Ligating Methods                             303    Methods of Ligating Vessels (Ch. 6)          195
Suture for the Procedure                     304    PERIOPERATIVE NURSING                        202
                                                    CONSIDERATIONS (Ch. 6)
Layer Closure                                305
Endoscopic Suture                            307    Endoscopic Suturing(Ch. 6)                   202
Suturing Techniques                          307    SUTURING METHODS (Ch. 6)                     199
Accessory Devices                            309    SKIN TAPES (Ch. 60                           196
STAPLING DEVICES                             310    SKIN STAPLES (Ch. 6)                         196
Types of Staplers                            312    SKIN STAPLES (Ch. 6)                         196
Meshes or Fabrics                            313
NEEDLES                                      314    SURGICAL NEEDLES (Ch. 6)                     196
Needle Eye                                   314    Eye (Ch. 6)                                  196
Needle Point                                 315    Body (Ch. 6)                                 198
Needle Bodies                                315    Body (Ch. 6)                                 198
AST. Surgical Technology, 2E.                   Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                 12E. Elsevier

CHAPTER 12                                       No chapter on this subject, but some
SURGICAL CASE MANAGEMENT                         topics are covered in various chapters.
INTRODUCTION                              318
Applied Theory                            319    CONTROLLING INFECTION IN THE                106
                                                 PERIOPERATIVE ARENA (Ch. 4)
PREOPERATIVE CASE MANAGEMENT              323
Attire                                    323    Surgical Attire (Ch. 4)                     134
Preparing the OR                          327    ASEPTIC PRACTICES TO CONTROL                131
                                                 INFECTION (Ch. 4)
ORGANIZING THE BACK TABLE                 341    Basic Table Set-Ups (Ch. 6)                 214
Organizing the Mayo Stand                 346    Basic Table Set-Ups (Ch. 6)                 215
Assisting a Team Member                   346    Assisted-Gowning Procedure (Ch. 4)          143
Draping the Surgical Patient              346    Creating the Sterile Field with Surgical    148
                                                 Drapes (Ch. 4)
Positioning of the Sterile Team Members   353
and the Furniture
INTRAOPERATIVE CASE                       353
MANAGEMENT
General Principles                        353    Sponge, Sharp, and Instrument Counts        36
                                                 (Ch. 2)
Progression of the Surgical Procedure     361
POSTOPERATIVE CASE                        363
MANAGEMENT
Preservation of the Sterile Field         363
Drape Removal                             363
Gown and Glove Removal                    364    Removing Soiled, Gown, Gloves, and          146
                                                 Mask (Ch. 4)
Immediate Postoperative Care              364
Patient Transfer and Transportation       364
Breakdown of the Setup                    365
The Operating Room Cycle                  365
The Instrument Cycle                      366

CHAPTER 13                                       No specific chapter on this topic.
DIAGNOSTIC PROCEDURES                            Diagnostic procedures can be found in the
                                                 Perioperative Nursing Considerations
                                                 section under specific surgeries.
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
AST. Surgical Technology, 2E.                   Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                 12E. Elsevier

CHAPTER 14                                       CHAPTER 11 GASTROINTESTINAL
GENERAL SURGERY                                  SURGERY
                                                 CHAPTER 12 SURGERY OF THE
                                                 LIVER, BILIARY TRACT, AND
                                                 SPLEEN
                                                 CHAPTER 13 REPAIR OF HERNIAS
                                                 CHAPTER 17 BREAST SURGERY
                                                 CHAPTER 26 VASCULAR SURGERY
                                                 CHAPTER 16 THYROID AND
                                                 PARATHYROID SURGERY
ANATOMY                                   386    SURGICAL ANATOMY (Ch. 11)                   329
                                                 SURGICAL ANATOMY (Ch. 12)                   395
Abdominal Cavity: General Dimensions      386
Surface Features                          386
Abdominal Musculature                     387
Peritoneum                                387
Retroperitoneum                           388
Alimentary Canal                          388    SURGICAL ANATOMY (Ch. 11)                   329
Esophagus                                 388    SURGICAL ANATOMY (Ch. 11)                   329
Stomach                                   389    SURGICAL ANATOMY (Ch. 11)                   329
Small Intestine                           390    SURGICAL ANATOMY (Ch. 11)                   330
Mesentery                                 391    SURGICAL ANATOMY (Ch. 11)                   333
Colon                                     391    SURGICAL ANATOMY (Ch. 11)                   334
Rectum                                    393    SURGICAL ANATOMY (Ch. 11)                   335
Anus                                      393    SURGICAL ANATOMY (Ch. 11)                   335
Omenta                                    394
Pancreas                                  394    SURGICAL ANATOMY (Ch. 12)                   399
Spleen                                    395    SURGICAL ANATOMY (Ch. 12)                   399
Liver                                     395    SURGICAL ANATOMY (Ch. 12)                   396
Biliary Tract                             396    SURGICAL ANATOMY (Ch. 12)                   399
GENERAL SURGERY                           397
INSTRUMENTATION
Major Set                                 397    IMPLEMENTATION (Ch. 11)                     344
Minor Set                                 397    IMPLEMENTATION (Ch. 11)                     344
Local Excision Instruments                399
Biliary Instruments                       399    Instrumentation (Ch. 12)                    405
Intestinal Instruments                    400    IMPLEMENTATION (Ch. 11)                     344
Other General Instruments                 400    IMPLEMENTATION (Ch. 11)                     344
ROOM SETUP                                400
POSITIONING                               400    IMPLEMENTATION (Ch. 11)                     344
                                                 Positioning the Patient (Ch. 12)            404
DRAPING                                   400    IMPLEMENTATION (Ch. 11)                     344
                                                 Draping the Patient (Ch. 12)                405
INCISIONS                                 402    ABDOMINAL INCISIONS (Ch. 11)                350
SURGERY OF THE ABDOMINAL                  404    CH. 13 REPAIR OF HERNIAS                    433
WALL: HERNIAS
Specific Anatomic Features of the Groin   404    SURGICAL ANATOMY (Ch. 13)                   433
Area
Hernias                                   405
Hernia Repair                             405    SURGICAL INTERVENTIONS (Ch. 13)             442
SURGERY OF THE ALIMENTARY                 407
CANAL
Surgery of the Esophagus                  408    SURGERY OF THE ESOPHAGUS                    359
                                                 (Ch. 11)
AST. Surgical Technology, 2E.                      Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                    12E. Elsevier

Gastric Surgery                              408
Pathological Conditions of the Stomach       408    SURGERY OF THE STOMACH                      363
                                                    (Ch. 11)
Procedures Related to Gastric Secretion,     416    SURGERY OF THE ESOPHAGUS                    363
Ulcers, and Neoplasm                                (Ch. 11)
Procedures for Morbid Obesity                416    BARIATRIC SURGERY (Ch. 11)                  374
Surgery of the Small Bowel                   416    SURGERY OF THE SMALL BOWEL                  374
                                                    (Ch. 11)
Appendectomy                                 420    Appendectomy (Ch. 11)                       375
Colon Surgery                                425    SURGERY OF THE COLON                        378
                                                    (Ch. 11)
STOMAS                                       427
Anorectal Surgery                            427    SURGERY OF THE RECTUM                       391
                                                    (Ch. 11)
Hemorrhoid Ligation and Excision             430    Hemorroidectomy (Ch. 11)                    391
Surgery of the Liver and Biliary Tract       430    SURGERY OF THE BILIARY TRACT                407
                                                    (Ch. 12)
                                                    SURGERY OF THE LIVER(Ch. 12)                423
Common Bile Duct Exploration                 439    Open Common Bile Duct Exploration           414
                                                    (Ch. 12)
SURGERY OF THE PANCREAS AND                  447    SURGERY OF THE PANCREAS                     418
SPLEEN                                              (Ch. 12)
                                                    SURGERY OF THE SPLEEN (Ch. 12)              430
Select Pathology of the Pancreas             447
Draining Pancreatic Cysts                    448    Drainage or Excision of Pancreatic Cysts-   418
                                                    Open Method (Ch. 12)
Pancreatic Resection                         448
Whipple Pancreaticoduodenectomy              448    Pancreaticoduodenectomy (Whipple            420
                                                    Procedure) (Ch. 12)
Surgery of the Spleen                        452    SURGERY OF THE SPLEEN (Ch. 12)              430
VASCULAR AND OTHER                           454    CH. 26 VASCULAR SURGERY                     1079
PROCEDURES
Varicose Veins                               454    Varicose Vein Excision and Stripping        1113
                                                    (Ch. 26)
Vascular Access Procedures                   455
Muscle and Nerve Biopsies                    456
Incision and Drainage                        456
Excision of Lesion                           456
Endoscopy                                    457    ENDOSCOPIC PROCEDURES (Ch.11)               357
BREAST SURGERY                               457    CH. 17 BREAST SURGERY                       635
Breast Anatomy                               457    SURGICAL ANATOMY (Ch. 17)                   635
Breast and Axilla: Pathology and Diagnosis   457    BREAST CANCER (Ch. 17)                      635
Breast Surgery (Noncosmetic)                 457    SURGICAL INTERVENTIONS (Ch. 1)              647
SURGERY OF THE THYROID AND                   461    CH. 16 THYROID AND                          619
PARATHYROID                                         PARATHYROID SURGERY
Anatomy of the Thyroid and Parathyroid       461    SURGICAL ANATOMY (Ch. 16)                   619
Pathological Conditions of the Thyroid and   461    PERIOPERATIVE URSING                        623
Parathyroid Glands                                  CONSIDERATIONS (Ch. 16)
Thyroidectomy                                461    SURGICAL INTERVENTIONS (Ch. 16)             629
TRACHEOTOMY                                  461    TRACHEOSTOMY (Ch. 21)                       801
Indications for a Tracheotomy                461    TRACHEOSTOMY (Ch. 21)                       801
Illustrative Procedure: Tracheotomy          467    TRACHEOSTOMY (Ch. 21)                       801
AST. Surgical Technology, 2E.                      Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                    12E. Elsevier

CHAPTER 15                                          CHAPTER 14 GYNECOLOGIC
OBSTETRIC AND GYNOCOLOGICAL                         SURGERY AND CESAREAN BIRTH
SURGERY
INTRODUCTION TO OBSTETRIC AND                478    CH. 14 GYNECOLOGIC SURGERY                  45
GYNOCOLOGICAL SURGERY                               AND CESAREAN BIRTH
ANATOMY                                      478    SURGICAL ANATOMY                            455
The Pelvis                                   478    Bony Pelvis                                 459
                                                    Pelvic Floor                                460
External Genitalia                           481    Female External Genital Organs (Vulva)      455
Vagina                                       481    Pelvic Cavity                               458
Uterus                                       482    Pelvic Cavity                               455
Fallopian Tubes                              483    Pelvic Cavity                               457
Ovaries                                      483    Pelvic Cavity                               457
PREGNANCY-A SPECIAL CONDITION                485    ABDOMINAL SURGERY DURING                    513
                                                    PREGNANCY
Select Key Terms in Labor and Delivery       486
Labor                                        486
SPECIAL INSTRUMENTATION,                     487    Implementation                              465
DRUGS, EQUIPMENT, AND SUPPLIES
IN OBSTETRIC AND
GYNOCOLOGICAL SURGERY
Instrumentation                              487    Instrumentation                             466
 Drugs                                       487
Equipment                                    494
Supplies                                     494    Dressings, Drains, and Packing              468
OR SETUP AND BASIC PATIENT                   494    Positioning                                 466
POSITIONING AND DRAPING                             Prepping                                    468
SURGICAL PROCEDURES:                         494    SURGICAL INTERVENTIONS                      471
OBSTETRICS AND FERTILITY
RELATED
Pathology and Surgical Conditions:           494
Obstetrics and Fertility Related
Vaginal Delivery                             495
Cesarean Section                             497    Cesarean Birth                              513
Tubal Occlusion (Sterilization) Procedures   503    Tubal Ligation                              508
Tuboplasty                                   504    Microscopic Reconstructive Surgery of       507
                                                    the Fallopian Tube
Laproscopic Resection of Unruptured Tubal    507    Ectopic Tubal Pregnancy                     495
Pregnancy
SURGICAL PROCEDURES:                         510    SURGICAL INTERVENTIONS                      471
GYNECOLOGICAL PROCEDURES
Gynecological Pathology                      510
SURGICAL INTERVENTION                        510
OVERVIEW
Abdominal Incisions for Gynecological        510
Surgery
Surgical Intervention: Laparoscopy           515    Laparoscopy                                 492
Basic Colposcopy                             518
Hysteroscopy                                 518    Hysteroscopy                                487
Marsupialization of Bartholin’s Gland Cyst   521    Marsupialization of Bartholin’s Duct Cyst   487
                                                    or Abscess
Simple Vulvectomy                            521    Simple Vulvectomy                           471
Anterior and Posterior Repair                524    Plastic Reconstructive Repair of the        473
(Colporrhaphy)                                      Vagina (Anterior and Posterior Repair;
AST. Surgical Technology, 2E.                   Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                 12E. Elsevier

                                                 Colporrhaphy)
Cervical Biopsy, Cryotherapy, Laser       533    Conization and Biopsy of the Cervix          484
Treatment, LEEP, and Conization
Dilation and Curettage                    535    Dilation of the Cervix and Curettage         480
Myomectomy                                538    Abdominal Myomectomy                         500
Total Abdominal Hysterectomy and          542    Total Abdominal Hysterectomy                 498
Bilateral Salpingo-oophorectomy (TAH-
BSO)
Vaginal and Laparoscopically Assisted     546    Vaginal Hysterectomy                         491
Vaginal Hysterectomy (LAVH)                      Laparoscopic-Assisted Vaginal                497
                                                 Hysterectomy
Radical Cancer Surgery: Total Pelvic      547    Pelvic Exenteration                          503
Exenteration
CHAPTER 16                                       CHAPTER 18
OPHTHALMIC SURGERY                               OPHTHALMIC SURGERY
ANATOMY OF THE EYE                        554    SURGICAL ANATOMY                             657
Orbit                                     554    Bony Orbit                                   657
Extrinsic Muscles                         555    Muscles                                      659
Lacrimal System                           555    Lacrimal Apparatus                           567
Globe                                     556    Globe                                        659
Cavities and Chambers of the Eye          558
OPHTHALMIC SURGICAL                       558
PATHOLOGY
Glaucoma                                  558
Cataract                                  558
Small Retinal Detachment                  558
Large Retinal Detachment                  558
Vitreous Hemorrhage                       558
Proliferative Vitreoretinopathy (PVR)     559
Traction Retinal Detachment               559
Epiretinal Membarane                      559
Corneal Pathology                         559
Chalazion                                 559
Pterygium                                 559
Dacryocystitis                            559
Strabismus                                559
OPTHALMIC MEDICATIONS                     560    Ophthalmic Pharmacology                      669
SPECIAL CONSIDERATIONS IN                 560    Implementation                               666
OPHTHALMIC SURGERY
Special Equipment                         560    Ophthalmic Sutures                           678
Instruments                               561    Instrumentation                              675
SURGICAL INTERVENTION                     562    SURGICAL INTERVENTIONS                       680
Surgical Repair of Ptosis                 562    Surgery for Unilateral or Bilateral Ptosis   683
Iridectomy                                563    Iridectomy                                   700
Trabeculoplasty                           563    Laser Trabeculoplasty                        703
Strabismus Correction:                    563
Recession/Resection
Adjustable Suture Surgery                 566
Scleral Buckle                            567    Scleral Buckling                             705
Enucleation and Evisceration of the Eye   571    Enucleation                                  687
(Traditional Approach)                           Evisceration                                 689
Keratoplasty (Corneal Transplant)         573    (Corneal Transplant) Keratoplasty            692
Cataract Extraction                       577    Cataract Extraction                          696
Phacoemulsification                       580    Cataract Extraction                          697
AST. Surgical Technology, 2E.                   Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                 12E. Elsevier

Vitrectomy                                580    VITRECTOMY                                  707

CHAPTER 17                                       CHAPTER 19 OTOLOGIC
OTORHINOLARYNGOLOGIC                             SURGERY
SURGERY                                          CHAPTER20 RHINOLOGIC AND
                                                 SINUS SURGERY
                                                 CHAPTER 21 LARYNGLOGICAND
                                                 HEAD AND NECK SURGERY
ANATOMY OF THE EAR                        587    SURGICAL ANATOMY                            717
Outer Ear                                 587    External, Middle, and Inner Ear             717
Middle Ear                                588    External, Middle, and Inner Ear             717
Inner Ear                                 588    External, Middle, and Inner Ear             717
PATHOLOGY OF THE EAR                      589
Pathology Affecting the Outer Ear         589
Pathology Affecting the Middle Ear        589
Pathology Affecting the Inner Ear         590
Diagnostic Procedures/Tests for the Ear   590    PERIOPERATIVE NURSING                       721
                                                 CONSIDERATIONS
PREOPERATIVE CONSIDERATIONS               591    Planning and Implementation                 723
SPECIAL INSTRUMENTS, SUPPLIES,            592    Implementation                              728
DRUGS
EAR PROCEDURES                            592    SURGICAL INTERVENTIONS                      733
Myringotomy                               592    Myringotomy                                 733
Myringoplasty/Tympanoplasty               596    Tympanoplasty                               735
Mastoidectomy                             600    Mastoidectomy                               736
Stapedectomy                              600    Stapedectomy                                738
Stapedotomy                               600    Stapedotomy                                 740
Cochlear Implants                         601    Cochlear Implantation                       745
ANATOMY OF THE NOSE AND                   601    SURGICAL ANATOMY                            751
SINUSES
External Nose                             601    SURGICAL ANATOMY                            751
Internal Nose                             601    SURGICAL ANATOMY                            751
Paranasal Sinuses                         602    SURGICAL ANATOMY                            751
Blood Supply to the Nose                  602    SURGICAL ANATOMY                            751
Olfaction                                 603    SURGICAL ANATOMY                            751
PATHOLOGY OF THE NOSE AND                 603
PARANASAL SINUSES
Rhinitis/Sinusitis                        603
Nasal Polyps                              604
Hypertrophied Turbinates                  604
Deviated Nasal Septum                     604
Septal Perforation                        604
Epistaxis                                 604
DIAGNOSTIC PROCEDURES                     605
Direct Vision                             605
Mirror Examination                        605
Radiography                               605
PREOPERATIVE CONSIDERATIONS               605    Planning                                    756
SPECIAL INSTRUMENTS, SUPPLIES,            606    Implementation                              758
AND DRUGS
NASAL PROCEDURES                          609    SURGICAL INTERVENTIONS                      761
Submucous Resection (SMR)                 609    Septoplasty or Submucous Resection of       761
                                                 the Septum (SMR)
Polypectomy                               612    Nasal Polypectomy                           776
AST. Surgical Technology, 2E.                  Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                12E. Elsevier

Intranasal Antrostomy                    612
Removal of Foreign Body                  612
Internal Maxillary Artery Ligation       613
Sinus Procedures                         613    Sinus Surgery                               766
Caldwell-Luc                             613    Caldwell-Luc with Radical Antrosomy         777
Ethmoidectomy                            615    Ethmoidectomy                               776
Sphenoidectomy                           616    Sphenoidectomy                              776
Drainage of the Frontal Sinus            616    Frontal Sinus Trephination                  774
                                                Frontal Sinus Operation (External           776
                                                Approach)-Trephine nd Obliteration
Sinus Endoscopy                          616    Endoscopic Sinus Suargery                   767
ANATOMY OF THE UPPER                     618    SURGICAL ANATOMY                            781
AERODIGESTIVE TRACT
Pharynx                                  618    Pharynx                                     781
Larynx                                   620    Larynx and Associated Structures            782
Trachea                                  621    Trachea                                     783
Bronchi and Lungs                        621    .
Esophagus                                621    SURGICAL ANATOMY (Ch. 11)                   329
PATHOLOGY AFFECTING THE UPPER            621
AERODIGESTIVE TRACT
Pharyngitis                              621
Epiglottis                               622
Tonsillitis                              622
Sleep Apnea                              623
Laryngitis                               623
Polypoid Corditis or Vocal Cord Polyps   623
Vocal Cord Nodules                       623
Vocal Cord Granulomas                    623
Laryngeal Neoplasms                      624
Tracheitis and Bronchitis                624
Laryngotracheobronchitis (Croup)         624
Foreign Bodies                           624
PATHOLOGY AFFECTING THE                  624
ESOPHAGUS
Esophagitis                              624
Ulceration of the Esophagus              624
Neoplasms Affecting the Esophagus        624
Foreign Bodies                           625
Zenker’s Diverticulum                    625
DIAGNOSTIC PROCEDURES/TESTS              625    Assesment                                   786
Direct Visualization                     625
Indirect Visualization                   625
Laboratory Tests                         625    Assesment                                   786
Radiological Examinations                625    Assesment                                   786
Videostroboscopy                         626
Polysomnography                          626
Multiple Sleep Latency Test (MSLT)       626
PREOPERATIVE CONSIDERATIONS              626    Implementation                              787
SPECIAL INSTRUMENTS, SUPPLIES,           626    Implementation                              789
DRUGS
AERODIGESTIVE TRACT                      628    SURGICAL INTERVENTIONS                      792
PROCEDURES
Adenoidectomy                            628    Tonsillectomy and Adenoidectomy             1250
                                                (Ch. 29)
AST. Surgical Technology, 2E.                    Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                  12E. Elsevier

Tonsillectomy                              628    Tonsillectomy and Adenoidectomy             1250
                                                  (Ch. 29)
Incision and Drainage of a Peritonsellar   631
Abscess
Uvulopalatopharyngoplasty                  631    UVULOPALATOPHARYNGOPLASTY                   803
Laryngoscopy                               633    LARYNGOSCOPY                                792
Bronchoscopy                               636    BRONCHOSCOPY                                793
Esophagoscopy                              636    ESOPHAGOSCOPY                               793
Panendoscopy                               636
Radical Neck Dissection with               636    RADICAL NECK DISSECTION                     793
Mandibulectomy
CHAPTER 18                                        No chapter on this topic.
ORAL AND MAXILLOFACIAL
SURGERY
ANATOMY OF THE ORAL CAVITY                 645
Lips                                       645
Teeth                                      645
Palate                                     646
Cheeks                                     646
Tongue                                     646
ANATOMY OF THE FACE AND                    646
CRANIUM
Orbit                                      647
Facial Muscles and Innervation             647
EMBRYOLOGICAL EVELOPMENT OF                648
THE FACE
PATHOLOGY OF THE ORAL CAVITY               649
Mouth                                      649
Jaw Bones                                  649
Mandibular Fractures                       649
Frontal Fractures                          650
Orbital Fractures                          650
Zygomatic Fractures                        650
Midfacial Fractures                        651
Craniofacial Deformities                   651
DIAGNOSTIC TESTS                           651
ORAL PROCEDURES: GENERAL                   652
CONSIDERATIONS
Tooth Extraction/Odontectomy               653
Tooth Restoration                          657
Implantation                               657
MAXILLOFACIAL PROCEDURES:                  658
GENERAL CONSIDERATIONS
Graft Materials                            658    BONE GRAFTING (Ch. 22)                      851
Repair of Mandibular/Maxillary Fractures   659    Reduction of Maxillary Fractures            1028
                                                  (Ch. 24)
Application of Arch Bars                   659    Reduction of Mandibular Fracture            1028
                                                  (Ch. 24)
Wire Fixation                              662    Reduction of Mandibular Fracture            1028
                                                  (Ch. 24)
Plate and Screw Fixation of Mandibular     663
Fracture
Frontal Fracture Repair                    666
Orbital Floor Fracture Repair              667    Repair of Fracture of the orbit (Blowout)   689
AST. Surgical Technology, 2E.              Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                            12E. Elsevier

                                            (Ch. 18)
Reduction of Zygomatic Fractures     670    Reduction of Zygomatic Fractures            1029
                                            (Ch. 24)
Le Fort I Fracture Repair            671    Reduction of Maxillary Fractures            1028
                                            (Ch. 24)
Le Fort II and III Fracture Repair   675    Reduction of Maxillary Fractures            1028
                                            (Ch. 24)
Craniofacial Reconstruction          675
Correction of Retrognathism or       679
Prognathism
Temporomandibular Joint Procedures   682
CHAPTER 19                                  CHAPTER 24
PLASTIC AND RECONSTRUCTIVE                  PLASTIC AND RECONSTRUCTIVE
SURGERY                                     SURGERY
ANATOMY                              685
Skin and Underlying Structures       685
Palate                               687
Nose                                 687
Hand                                 687
Breast                               694
SURGICAL PATHOLOGY                   694
Pathology Affecting the Skin         694
Cleft Lip and Palate                 696
Pathology Affecting the Hand         697
Pathology Affecting the Breast       701
DIAGNOSTIC PROCEDURES AND            701
TESTS
SPECIAL INSTRUMENTATION,             701    Special Mechanical Devices                  1009
SUPPLIES, DRUGS, AND EQUIPMENT
Nasal Set                            701
Dermatome                            702    Dermatome                                   1008
Mesh Graft Device                    704    Skin Meshers                                1009
SURGICAL INTERVENTION                704    SURGICAL INTERVENTION                       1015
Rhytidectomy                         704    Rhytidectomy (Facelift)                     1034
Blepharoplasty                       706    Blepharoplasty                              1033
Suction Lipectomy                    707    Liposuction                                 1036
Abdominoplasty                       708    Abdominoplasty                              1036
Skin Grafts                          709    Replacement of Lost Tissue (Skin Graft)     1015
Dermabrasion                         713    Dermabrasion                                1034
Scar Revision                        713    Scar Revision                               1035
Cheiloplasty and Palatoplasty        713    PLASTIC AND RECONSTRUCTIVE                  1255
                                            SURGERY (Ch. 29)
Rhinoplasty                          714    Rhinoplasty                                 1033
Hand Surgery                         716    MICROSURGICAL REPLANTATION                  1038
Mammoplasty                          723    BREAST RECONSTRUCTION                       1021

CHAPTER 20                                  CHAPTER 15
GENITOURINARY SURGERY                       GENITOURINARY SURGERY
ANATOMY                              732    SURGICAL ANATOMY                            519
Suprarenal Glands                    732    Adrenal Glands                              519
Kidneys                              732    Kidneys                                     519
Ureters                              735    Ureters                                     520
Urinary Bladder                      736    Urinary Bladder                             520
Male Reproductive System             737    Urethra                                     522
AST. Surgical Technology, 2E.                     Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                   12E. Elsevier

                                                   Prostate Gland and Male Reproductive        524
                                                   Organs
PATHOLOGY AFFECTING THE                     739
ADRENAL GLANDS
Cushing’s Syndrome                          739
Adrenal Insufficiency (Addison’s Disease)   739
Pheochromocytoma                            739
PATHOLOGY AFFECTING THE                     739
URINARY SYSTEM
Bladder Tumors                              739
Urinary Calculi                             740
Kidney Disorders                            740
PATHOLOGY AFFECTING THE MALE                743
REPRODUCTIVE SYSTEM
Phimosis                                    743
Hypospadias/Epispadias                      743
Benign Prostatic Hypertrophy                743
Cancer of the Prostate                      744
Cryptorchidism                              744
Testicular Torsion                          744
Testicular Cancer                           744
Trauma to the Genitourinary System          745
DIAGNOSTIC PROCEDURES/TESTS                 745
History and Physical                        745    Assessment                                  523
Laboratory Findings                         745    Assessment                                  523
Radiological Findings                       751    Assessment                                  523
Biopsy                                      751
Endoscopy                                   751    DIAGNOSTIC AND ENDOSCOPIC                   536
                                                   PROCEDURES (Ch. 15)
SPECIAL EQUIPMENT,                          751    Implementation                              526
INSTRUMENTS, SUPPLIES, DRUGS
PREOPERATIVE AND                            752    Implementation                              526
INTRAOPERATIVE PREPARATION
Incisional Options                          754
SURGICAL PROCEDURES                         757    SURGICAL INTERVENTONS                       536
Adrenalectomy                               757    Adrenalectomy                               616
Nephrectomy                                 757    Nephrectomy                                 610
Renal Transplant                            762    Kidney Transplant                           613
Stone Removal                               763    SURGERY OF THE URETERS AND                  602
                                                   KIDNEY
Cystostomy                                  764    Suprapubic Cystostomy                       583
Cystectomy/Ileal Conduit                    766    Radical Cystectomy with Pelvic              595
                                                   Lymphadenectomy
Procedures for Stress Incontinence          771    Vesicourethral Suspension (Marshall-        587
Affecting Women                                    Marcheti-Krantz)
                                                   Transvaginal Bladder Neck Suspension        588
                                                   Suburethral Sling                           589
                                                   TVT Sling                                   591
Transurethral Endoscopy of the              774    DIAGNOSTIC AND ENDOSCOPIC                   536
Genitourinary Tract                                PROCEDURES
                                                   Transurethral Ureteropyeloscopy             540
Circumcision                                776    Circumcision (Ch. 29)                       1239
Orchiectomy                                 778    Orchiectomy                                 555
Orchiopexy                                  778    Orchiopexy (Ch. 29)                         1247
AST. Surgical Technology, 2E.                     Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                   12E. Elsevier

Hydrocelectomy                              781    Hydrocelectomy                              551
Varicocelectomy                             781    Varicocelectomy                             554
Hypospadias Repair                          782    Hypospadias Repair (Ch. 29)                 1241
Insertion of Inflatable Penile Prosthesis   782    Penile Implant                              547
Vasectomy                                   783    Vasectomy                                   552
Vasovasostomy                               784    Vasovasostomy                               553
Prostatectomy                               784    Transurethral Resection of the Prostate     560
                                                   Gland
                                                   Suprapubic Prostatectomy                    564

CHAPTER 21                                         CHAPTER 22
ORTHOPEDIC SURGERY                                 ORTHOPEDIC SURGERY
BONE AND BONE TISSUE                        792    Anatomic Structures                         817
Bone Tissue                                 792    Anatomic Structures                         817
Types of Bones                              794    Anatomic Structures                         819
Types of Joints                             794    Anatomic Structures                         817
Bone Growth and Bone Cells                  797
Intramembranous Bones                       798
Endochondral Bone                           798
Mineral Storage                             798
Factors That Affect Bone Growth             798
Clinical and Bone Landmark Terms            798
PATHOLOGY                                   798
Types of Fractures                          805
Normal Bone Healing                         805
Pathological Bone Healing                   806
Diagnostic Terms and Procedures             808
THE SKELETON                                808    Anatomic Structures                         817
The Skull                                   808    Head (Ch. 23)                               931
Vertebral Column                            811    Vertebrae                                   819
Bones of the Thoracic Region                812
Clavicles                                   812    Shoulder and Upper Extremity                819
Scapula                                     812    Shoulder and Upper Extremity                819
Pectoral Girdle                             812    Shoulder and Upper Extremity                819
Humerus                                     812    Shoulder and Upper Extremity                820
Radius and Ulna                             813    Shoulder and Upper Extremity                820
Hand and Wrist                              814    Wrist and Hand                              820
Pelvis                                      814    Pelvis, Hip and Femur                       822
Hip and Femur                               814    Pelvis, Hip and Femur                       822
Tibia and Fibula                            814    Knee, Tibia, and Fibula                     822
Ankle and Foot                              816    Ankle and Foot                              825
EQUIPMENT                                   818    Implementation                              828
Positioning Devices                         818    Positioning and Positioning Aids            830
Pneumatic Tourniquets                       819    Pneumatic Tourniquets                       834
Traction                                    819    Traction                                    835
Lasers                                      819    Lasers                                      838
Radiography                                 819    Radiographic Intervention                   833
Air Flow                                    820    Airflow Control                             838
Continuous Passive Range-of-Motion          820    Postoperative Management                    838
Machines
Transcutaneous Electrical Nerve             820    ELECTRICAL STIMULATION                      850
Stimulation
Electrical Stimulation of Bone              820    ELECTRICAL STIMULATION                      850
Saws, Drills, and Reamers                   820    Orthopedic Instrumentation                  840
AST. Surgical Technology, 2E.                       Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                     12E. Elsevier

Arthroscopic Equipment                        820    ARTHROSCOPY                                 915
SUPPLIES                                      821    Instruments and Accessory Items             839
Implants                                      821    Implant Inventories                         839
Suture                                        821    Suture Material                             840
Methyl Methacrylate                           821    Polymethyl Methacrylate                     840
Pharmacology                                  821    Medications                                 844
PROCEDURES                                    822    SURGICAL INTERVENTIONS                      850
Bone Grafting                                 822    Bone Grafting                               850
Knee Arthroscopy                              824    Arthroscopy Of The Knee                     915
Arthroscopic Repair of Meniscal Tear          827    Operative Arthroscopy                       918
Arthroscopic Anterior Cruciate Ligament              Arthroscopic Anterior Cruciate Ligament     918
Repair                                               Repair
Above-the-Knee Amputation
Endoscopic Carpal Tunnel Release              832    Carpal Tunnel Release                       871
Colle’s Fracture                              835    Correction of Colle’s Fracture with         871
                                                     External Fixation
Metacarpal Phalangeal Joint Arthroplasty      840    Metacarpal Arthroplasty                     913
Triple Arthrodesis                            840    Triple Arthrodesis                          893
Achilles Tendon Repair                        841
Bunionectomy                                  842    Bunionectomy                                894
Open Reduction-Internal Fixation (ORIF)       842    Open Reduction and Internal Fixation        858
of the Humerus                                       Fractures of the Humeral Shaft              863
 Shoulder Joint Arthroscopy                   845    Arthroscopy of the Shoulder                 921
Acromioplasty                                 846
Repair of the Rotator Cuff                    846    Correction of Rotator Cuff Tear             861
Internal Fixation of Femoral Shaft Fracture   851    Internal Fixation                           857
                                                     Supracondylar Fractures of the Femur        885
Repair of Hip Fracture                        852    Hip Fractures                               874
Total Hip Arthroplasty                        852    Total Hip Replacement                       902
Total Knee Arthroplasty                       859    Total Knee Replacement                      902

CHAPTER 22                                           CHAPTER 25 THORACIC SURGERY
CARDIOTHORACIC SURGERY                               CHAPTER 27 CARDIAC SURGERY
                                                     CHAPTER 29 PEDIATRIC SURGERY
ANATOMY OF THE CHEST                          864    SURGICAL ANATOMY (Ch. 25)                   1043
The Thorax                                    864    SURGICAL ANATOMY                            1043
The Trachea                                   866    Trachea (Ch. 21)                            783
The Bronchial Tree                            866    SURGICAL ANATOMY                            1045
The Lungs                                     867    SURGICAL ANATOMY                            1045
ANATOMY AND PHYSIOLOGY OF                     868    SURGICAL ANATOMY (Ch. 27)                   1117
THE HEART
Location of the Heart                         868    SURGICAL ANATOMY                            1117
Coverings of the Heart                        869    SURGICAL ANATOMY                            1117
The Heart Wall                                869    SURGICAL ANATOMY                            1117
The Heart Chambers                            869    SURGICAL ANATOMY                            1117
The Heart Valves                              869    SURGICAL ANATOMY                            1117
Blood Flow Through the Heart                  870    SURGICAL ANATOMY                            1117
Blood Supply for the Heart                    871    SURGICAL ANATOMY                            1117
The Cardiac Cycle                             871
Cardiac Output                                872
Cardiac Conduction                            872    SURGICAL ANATOMY                            1117
Anatomical Development of the Heart           872
OPERATIVE PATHOLOGY                           873
The Chest Wall                                873
AST. Surgical Technology, 2E.                     Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                   12E. Elsevier

The Mediastinum                             873
The Lungs                                   874
Thoracic Trauma                             875
Thoracic Outlet Syndrome                    877
Thoracic Aortic Aneurysm                    877
Coronary Artery Disease                     879
Valvular Disease                            881
Cardiomyopathy                              882
Cardiac Dysrythmias                         882
Congenital Heart Defects                    884
DIAGNOSTIC PROCEDURES: THORAX               887    SURGICAL INTERVENTIONS(Ch. 25)              1058
Bronchoscopy                                887    Standard Bronchoscopy Using Rigid           1058
                                                   Bronchoscope
                                                   Bronchoscopy Using Flexible                 1062
                                                   Bronchoscope
Mediastinoscopy                             887    Mediastinoscopy                             1063
Thoracoscopy                                887    Thoracoscopy                                1064
Thoracentesis                               889
DIAGNOSTIC PROCEDURES:                      889    Diagnostic Studies (Ch. 27)                 1124
CARDIAC
Radiological Studies                        889    Diagnostic Studies                          1124
SURGICAL INTERVENTION:                      889    SURGICAL INTERVENTION (Ch. 25)              1058
THORACIC
Special Preoperative Considerations         889    PERIOPERATIVE NURSING                       1047
                                                   CONSIDERATIONS
Special Instrumentation, Supplies, Drugs,   889    Implementation                              1051
and Equipment
Patient Preparation                         890    Implementation                              1049
Thoracoscopy                                892    Thoracoscopy                                1064
Scalene/Supraclavicular Node Biopsy         895
Thoracotomy for Upper Lobectomy             895    Thoracotomy                                 1065
Thoracotomy for Right Pneumonectomy         899    Pneumonectomy                               1066
Thoracotomy for Wedge Resection or          899    Segmental Resection                         1069
Segmentectomy
Decortication of Lung                       899    Decortication                               1072
SURGICAL INTERVENTION:                      900    PERIOPERATIVE NURSING                       1121
CARDIAC (ADULT)                                    CONSIDERATIONS (Ch. 27)
                                                   SURGICAL INTERVENTION (Ch. 27)              1153
Preoperative Considerations                 900    PERIOPERATIVE NURSING                       1121
                                                   CONSIDERATIONS
Patient Preparation                         901    PERIOPERATIVE NURSING                       1142
                                                   CONSIDERATIONS
Techniques of Cardiopulmonary Bypass        901    Cardiopulmonary Bypass ((CPB)               1145
Mechanical Circulatory Assistance           904    Mechanical and Biological Circulatory       1176
                                                   Assistance
Coronary Artery Bypass Grafting             905    SURGERY FOR CORANARY                        1157
                                                   ARTERY DISEASE
Aortic Valve Replacement                    911    SURGERY FOR THE AORTIC VALVE                1170
Mitral Valve Replacement                    916    SURGERY FOR THE MITRL VALVE                 1165
Thoracic Aortic Aneurysmectomy              917    SURGERY FOR THE THORACIC                    1171
                                                   AORTA
Pericardiectomy/Pericardial Window          918    PERICARDIECTOMY                             1156
Heart Transplantation                       919    Heart Transplantation                       111
Permanent Pacemaker Insertion               920    Insertion of Permanent Pacemaker            1183
AST. Surgical Technology, 2E.                     Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                   12E. Elsevier

Percutaneous Transluminal Coronary          921
Angioplasty
SURGICAL INTERVENTION:                      921    SURGERY FOR CONGENITAL                      1266
CARDIAC (PEDIATRIC)                                HEART DISEASE (Ch. 29)
Special Preoperative Preparation            922    PERIOPERATIVE NURSING                       1211
                                                   CONSIDERATIONS
Atrial Septal Defect                        922    Surgery for Atrial Septal Defect            1267
Ventricular Septal Defect                   922    Surgery for Ventricular Septal Defect       1268
Patent Ductus Arteriosus                    923    Closure of Patent Ductus Arteriosus         1280
Correction of Aortic Coarctation            924    Repair of Coactation of the Aorta           1282
Procedure for Correction of Tetralogy of    924    Correction of Tetralogy of Fallot           1272
Fallot
Procedure for Correction of Transposition   925    Operations for Correction of                1273
of the Great Arteries                              Transposition of the Great Arteries
CHAPTER 23                                         CHAPTER 26 VASCULAR SURGERY
PERIPHERAL VASCULAR SURGERY
PERIPHERAL VASCULAR SURGERY                 928    VASCULAR SURGERY                            1079
SURGICAL ANATOMY                            928    SURGICAL ANATOMY                            1079
Blood Vessels                               928    SURGICAL ANATOMY                            1079
Blood Pressure                              930    SURGICAL ANATOMY                            1079
The Arterial System                         931    SURGICAL ANATOMY                            1079
The Venous System                           933    SURGICAL ANATOMY                            1079
OPERATIVE PATHOLOGY AND                     934    ARTERIAL DISEASE                            1080
DIAGNOSIS                                          VENOUS DISEASE                              1086
Arterial Embolism                           935    Acute Arterial Insufficiency                1081
Arteriosclerosis Obliterans                 935    Chronic Arterial Insufficiency              1080
Aneurysms of the Abdominal Aorta            936    Aneurysmal Disease                          1083
SURGICAL INTERVENTIONS                      937    SURGICAL INTERVENTIONS                      1097
Peripheral Vessel Angioplasty               937    Precutaneous Transluminal Angioplasty       1101
Bypass Grafting and Endarterectomy          939    Carotid Endarterectomy with Shunt           1109
Features of Peripheral Vascular Procedure   940    PERIOPERATIVE NURSING                       1086
                                                   CONSIDERATIONS
Aortofemoral Bypass                         943
Abdominal Aortic Aneurysmectomy             947    Abdominal Aortic Aneurysm Resection         1097
Femoropopliteal Bypass                      950    Femoral -Popliteal Bypass                   1102
Femorofemoral Bypass                        954    Femorofemoral Bypass                        1102
Axillofemoral Bypass                        956
Carotid Endarterectomy                      959    Carotid Endarterectomy                      1106
CHAPTER 24                                         CHAPTER 23
NEUROSURGERY                                       NEUROSURGERY
SURGICAL ANATOMY                            966    SURGICAL ANATOMY                            931
Divisions of the Nervous System             966    SURGICAL ANATOMY                            931
Cranium                                     966    Head                                        931
Vertebral Column                            973    Back                                        947
Blood Supply                                974    Blood Supply                                938
Cranial Nerves                              974    Cranial Nerves                              941
Spinal Nerves                               974    Peripheral Nerves                           953
NEUROSURGICAL PATHOLOGY                     976
Cervical Spine                              976    Pathological lesions of the Spinal Cord     951
                                                   and Adjacent Structures
Thoracic Spine                              977    Pathological lesions of the Spinal Cord     951
                                                   and Adjacent Structures
Lumbar Spine                                978    Pathological lesions of the Spinal Cord     951
                                                   and Adjacent Structures
AST. Surgical Technology, 2E.                      Rothrock. Alexander’s Care of the Patient in Surgery,
Delmar Learning                                    12E. Elsevier

Neoplasms                                   979     Head                                        943
Head Injury                                 980     Head                                        945
Spinal Cord Injury                          982     Pathological lesions of the Spinal Cord     951
                                                    and Adjacent Structures
Cerebrovascular Disease                     982     Head                                        945
Congenital Abnormalities                    983     Head                                        945
INFECTION                                   984
Abscess                                     984     Pathological lesions of the Spinal Cord     951
                                                    and Adjacent Structures
Spinal Tumors                               985     Pathological lesions of the Spinal Cord     952
                                                    and Adjacent Structures
Peripheral Nerve Disorders                  985
NEUROSURGICAL PROCEDURES                    986     PERIOPERATIVE NURSING                       955
                                                    CONSIDERATIONS
                                                    SURGICAL INTERVENTION
Special Instrumentation, Supplies, Drugs,   986     Implementation                              959
and Equipment
Patient Preparation                         990     Implementation                              955
Craniotomy                                  991     Craniotomy                                  971
Craniectomy                                 1001    Craniectomy                                 980
Ventriculoperitoneal and Ventriculoatrial   1005    Ventriculoperitoneal Shunt                  970
Shunt
Transphenoidal Hypophysectomy               1008    Transphenoidal Hypophysectomy               983
Stereotactic Procedure                      1011    Stereotactic Procedures                     987
Cranioplasty                                1012    Cranioplasty                                984
Spinal Procedures                           1012    BACK SURGERY                                990
Peripheral Nerve Procedure                  1020    PERIPHERAL NERVE SURGERY                    997
ADVANCES IN NEUROSURGERY                    1022
 Intraoperative MRI                         1022
Three-Dimensional Reconstruction            1022
Radiosurgery                                1022
Minimal Invasive Techniques                 1022
Stereotaxis                                 1022
Intraoperative Ultrasound                   1023
Brain Mapping                               1023
Endoscopic Neurosurgery                     1023
Deep Brain Stimulation                      1023

APPENDIX A: ANATOMY PLATES                  1025
APPENDIX B: COMMON PREFIXES                 1036
AND SUFFIXES
APPENDIX C: MEASUREMENTS                    1039

				
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