Podcast
Questions and Answers
What is the maximum allowable inflation time for a tourniquet during limb-specific surgery?
What is the maximum allowable inflation time for a tourniquet during limb-specific surgery?
Which of the following instruments is specifically used for removing split thickness skin grafts?
Which of the following instruments is specifically used for removing split thickness skin grafts?
Which of the following is NOT one of the five goals of dressings in plastic surgery?
Which of the following is NOT one of the five goals of dressings in plastic surgery?
What type of sutures range from permanent to absorbable in plastic surgery?
What type of sutures range from permanent to absorbable in plastic surgery?
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What is the primary reason for using forced-air warming blankets in plastic surgery?
What is the primary reason for using forced-air warming blankets in plastic surgery?
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What should always be available when using dermatomes for skin grafting?
What should always be available when using dermatomes for skin grafting?
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What is the main distinction between aesthetic surgery and reconstructive surgery?
What is the main distinction between aesthetic surgery and reconstructive surgery?
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What is the purpose of using drains after plastic surgery?
What is the purpose of using drains after plastic surgery?
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Which layer of skin is primarily responsible for producing pigment cells?
Which layer of skin is primarily responsible for producing pigment cells?
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What is a common use of flaps in plastic surgery?
What is a common use of flaps in plastic surgery?
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Which magnifying tool is commonly worn by plastic surgeons during microsurgery?
Which magnifying tool is commonly worn by plastic surgeons during microsurgery?
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Which of the following is an important consideration for perioperative nursing in plastic surgery?
Which of the following is an important consideration for perioperative nursing in plastic surgery?
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What is the primary positioning used for patients during plastic surgery?
What is the primary positioning used for patients during plastic surgery?
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What types of issues do reconstructive surgeries typically address?
What types of issues do reconstructive surgeries typically address?
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Which type of surgical count is completed for ALL plastic surgeries?
Which type of surgical count is completed for ALL plastic surgeries?
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Which type of anesthesia may be determined based on the patient's condition and surgery type?
Which type of anesthesia may be determined based on the patient's condition and surgery type?
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What role do sweat glands play in skin physiology relevant to plastic surgery?
What role do sweat glands play in skin physiology relevant to plastic surgery?
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How is psychological well-being generally influenced by aesthetic plastic surgery?
How is psychological well-being generally influenced by aesthetic plastic surgery?
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Which of the following statements about the anatomy relevant to plastic surgery is false?
Which of the following statements about the anatomy relevant to plastic surgery is false?
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Which component of the skin contains nerve endings and contributes to sensation?
Which component of the skin contains nerve endings and contributes to sensation?
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Study Notes
Overview of Plastic Surgery
- Plastic surgery encompasses aesthetic (cosmetic) and reconstructive procedures.
- Aesthetic surgery enhances or alters appearance; reconstructive surgery restores function and corrects abnormalities.
Anatomy Relevant to Plastic Surgery
- Surgery is applied across various anatomical systems, requiring complex operative techniques.
- Tissues can be transplanted or reconstructed using flaps, which preserve blood supply and are utilized in procedures like breast reconstruction and facial repairs.
- No specific anatomy is exclusive to plastic surgery; it intersects with orthopedic, microvascular, and ophthalmologic practices.
Skin Layers
- Epidermis: The outer layer that produces pigment and protects the immune system.
- Dermis: Contains nerve endings, glands, and hair follicles.
- Subcutaneous Tissue: Composed of fat, connective tissue, and blood cells.
Perioperative Nursing Considerations
- Nursing Assessment: Visual checks of physical condition, skin integrity, and limitations; site marking is crucial for surgical accuracy.
- Anesthesia: Types include IV sedation, local anesthetic, or general anesthesia tailored to patient needs and surgical procedure.
Patient Positioning
- Positioning depends on specific surgical techniques; commonly supine or lateral.
- Follow ORNAC Standards for appropriate positioning protocols.
Draping
- Draping varies based on the procedure, surgical preference, and institutional guidelines, with burn surgeries requiring draping for both donor and recipient sites.
Instrumentation and Count
- Minor count for instruments is mandatory in all plastic surgeries.
- Essential instruments include:
- Basic plastic instrument tray
- Freer elevator
- Tenotomy/Stevens scissors
- Micro instruments
- Bipolar cautery
- Fine sutures
Essential Equipment
- Forced-Air Warming Blankets: Prevent hypothermia during extensive skin exposure surgeries.
- Dermatomes: Instrument for excising split thickness skin grafts; mineral oil is essential for operation.
- Skin Meshers: Create uniform slits in skin grafts to expand their coverage over burn areas.
- Pneumatic-Powered Instruments: Electric drills and saws for specific surgical needs.
- Tourniquets: Inflatable cuffs to create a bloodless field; calibrated to patient’s blood pressure and limited to 60 minutes of use.
- Loupes: Magnification glasses aiding in microsurgery and nerve repairs.
- Microscopes: Enhance visualization during nerve repairs and microsurgical anastomoses, particularly in hand surgery.
- Sutures: Range from permanent to absorbable, with sizes from micro (10-0) to larger options (3).
Dressings and Drains
- Dressings serve multiple functions:
- Immobilize surgical sites
- Apply pressure to the wound
- Manage drainage
- Enhance patient comfort
- Protect the surgical area
- Drains remove serous fluid and blood clots, promoting healing, often connected to closed-wound suction devices like Jackson-Pratt or Hemovac.
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Description
This quiz explores the fundamental concepts of plastic surgery, including both aesthetic and reconstructive procedures. It covers relevant anatomy, skin layers, and perioperative nursing considerations essential for surgical practices. Test your knowledge on how these elements integrate into the surgical process.
