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Questions and Answers
Which instrument is specifically used for removing split thickness skin grafts from donor sites?
What is the maximum inflation time for a tourniquet during limb-specific surgery?
What is the primary purpose of dressings in plastic surgery?
Which of the following instruments is categorized under pneumatic-powered instruments?
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In what position are most patients typically placed during plastic surgery procedures?
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What type of pressure do drains create to aid in healing post-surgery?
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Which of the following goals is NOT typically associated with the use of dressing in plastic surgery?
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What is a common use of loupes in plastic surgery?
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Which of the following is NOT a component of a minor count in plastic surgeries?
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What type of sutures might be used for procedures requiring precision in plastic surgery?
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Which of the following correctly describes aesthetic surgery?
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What is the primary difference between aesthetic and reconstructive plastic surgery?
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What role do tissue flaps play in plastic surgery?
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What anatomical structure is NOT primarily involved in plastic surgery?
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Which nursing assessment is essential prior to plastic surgery?
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Which of the following describes a significant consideration when using specialty equipment in plastic surgery?
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What is a common misconception regarding the layers of skin in plastic surgery?
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How can the understanding of anatomy improve patient outcomes in plastic surgery?
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What determines the type of anesthesia used in plastic surgery?
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Why is psychosocial consideration significant in plastic surgery?
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Study Notes
Overview of Plastic Surgery
- Plastic surgery consists of aesthetic and reconstructive subspecialties.
- Aesthetic surgery enhances or modifies body structures for improved appearance.
- Reconstructive surgery addresses abnormal structures due to birth defects, disease, or injury to restore function.
Anatomy in Plastic Surgery
- Plastic surgery spans various biological systems and does not focus on a single anatomy.
- Techniques may involve complex, staged procedures with tissue transplantation, reconstruction, and re-implantation.
- Flaps transfer tissue along with its blood supply, used for covering defects or creating structures (e.g., breasts, facial features).
- Key skin layers:
- Epidermis: Outer layer producing pigment and protecting the immune system.
- Dermis: Contains nerve endings, sweat/oil glands, and hair follicles.
- Subcutaneous Tissue: Composed of fat, connective tissue, and blood cells.
Perioperative Nursing Considerations
- Conduct a visual assessment of patient’s condition and skin integrity.
- Mark and verify surgical site with the entire surgical team to prevent errors.
Anesthesia and Patient Positioning
- Anesthesia options include IV sedation, local anesthetic, or general anesthesia.
- Patient positioning typically is supine or lateral, based on the surgical procedure.
Draping and Instrumentation
- Draping depends on procedure, surgeon preferences, and available resources.
- A minor instrument count is performed for all plastic surgeries (initial and final counts).
- Common instruments include:
- Basic plastic instrument tray
- Freer elevator
- Tenotomy/Stevens scissors
- Micro instruments
- Bipolar cautery
- Fine sutures
Equipment Used in Plastic Surgery
- Forced-Air Warming Blankets: Prevent hypothermia during extensive skin exposure.
- Dermatomes: Utilized for harvesting split thickness skin grafts; always ensure mineral oil is available.
- Skin Meshers: Create uniform slits in skin grafts to enlarge coverage areas.
- Pneumatic-Powered Instruments: Electric drills and saws for specific procedures.
- Tourniquet: Inflatable cuff ensures a bloodless field; pressure based on systolic blood pressure with a maximum inflation time of 60 minutes.
- Loupes: Magnifying glasses aid in microsurgery for better visualization during nerve repairs.
- Microscopes: Enhance view for nerve repairs and microsurgical anastomoses, particularly in hand surgeries.
Sutures and Dressings
- Suture types vary from permanent to absorbable, ranging from micro (10-0) to larger sizes (3).
- Dressings must:
- Immobilize the surgical area.
- Apply consistent pressure on the wound.
- Collect drainage.
- Provide patient comfort.
- Protect the wound from further injury.
Drains
- Drains apply negative pressure to remove serous fluids and blood clots, promoting healing.
- Commonly used drains include Jackson-Pratt or Hemovac, attached to closed-wound suction devices.
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Description
Test your knowledge on the essential concepts of plastic surgery, including both aesthetic and reconstructive techniques. This quiz covers relevant anatomy, psychosocial considerations, and instrumentation as outlined in the suggested readings. Enhance your understanding and prepare for real-world applications in surgical settings.
