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Questions and Answers
Match the following surgical procedures with their wound classification:
Match the following surgical procedures with their wound classification:
C-section = Class II C-section w/ meconium = Class III Circumcision = Class I Circ Hepatectomy = Class II Lap Nissen w/ EGD = Clean Orchiectomy = Clean Contaminated Orchiopexy = Clean Orch Pancreatectomy = Class II Pan Parotidectomy = Class II Parotid Penrose drain III = just placed Penrose drain IV = if purulent Pilonidal cyst = class I cyst Pilonidal cyst inflamed = class III cyst Pilonidal cyst w/ purulence = class IV cyst Thorascopy and thoractomy = class I thors Vasectomy = class II vas
What is the wound classification for a C-section?
What is the wound classification for a C-section?
- Class IV
- Class I
- Class III
- Class II (correct)
What is the definition of a class I wound?
What is the definition of a class I wound?
- Visible contaminated, unsterile instruments
- Dirty infected, purulent, old wound
- Clean, no resp, no GU, no infection, primary closed (correct)
- Clean contaminated, controlled entry
What classification is given to a pilonidal cyst w/ purulence?
What classification is given to a pilonidal cyst w/ purulence?
What is the wound classification for a thorascopy and thoractomy?
What is the wound classification for a thorascopy and thoractomy?
A vasectomy is classified as ______.
A vasectomy is classified as ______.
A pilonidal cyst inflamed is classified as a class I cyst.
A pilonidal cyst inflamed is classified as a class I cyst.
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Study Notes
Wound Classifications Overview
- Class I: Clean wounds with no respiratory, gastrointestinal, or genitourinary involvement; primarily closed with no infection.
- Class II: Clean-contaminated wounds; controlled entry into respiratory, alimentary, or genitourinary tracts.
- Class III: Contaminated wounds; includes visible contamination and unsterile instruments, often resulting from fresh accidents.
- Class IV: Dirty/infected wounds; characterized by purulence, old wounds, gangrene, or perforated viscera.
Surgical Procedures and Their Wound Classes
- C-section is classified as Class II.
- C-section with meconium elevates the classification to Class III.
- Circumcision is classified as Class I.
- Hepatectomy falls under Class II classification.
- Lap Nissen with EGD is classified as a clean procedure.
- Orchiectomy is labeled as clean-contaminated.
- Orchiopexy is classified as clean.
- Pancreatectomy is classified as Class II.
- Parotidectomy is also categorized as Class II.
- Penrose drain placed is categorized as Class III.
- Penrose drain classified as Class IV if purulent.
Specific Conditions Related to Pilonidal Cyst
- Pilonidal cyst without inflammation is classified as Class I.
- An inflamed pilonidal cyst elevates the classification to Class III.
- Pilonidal cyst with purulence is classified as Class IV.
Thoracic Surgical Procedures
- Thoracoscopy and thoracotomy are classified as Class I.
Vasectomy Classification
- Vasectomy is classified as Class II.
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