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FLS- 11 Laparoscopic suturing Questions with Solutions, Exams of Advanced Education

FLS- 11 Laparoscopic suturing Questions with Solutions

Typology: Exams

2024/2025

Available from 07/07/2025

johniewalker91
johniewalker91 🇺🇸

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FLS- 11 Laparoscopic suturing
Compared to monofilament sutures, braided sutures are ___ to handle because they
lack _____, have ____ tendency to fray, and require ____ throws per knot - answer
generally easier to handle because they lack an elastic memory, have less of a
tendency to fray, and require less throws per knot
why are dyed sutures perferred? - answer may absorb blood and blend into the
background, making them difficult to see. For this reason, dyed sutures are generally
preferred
tapered vs cutting needle in laparoscopic surgery? - answer tapered in lsc surger
. The optimal port positioning for laparoscopic suturing and knot tying will place the
ports so that:
- elbows are flexed at:
- ports should be atleast ___ apart from each other for ____ when extracorporeal knot
tying techniques - answer surgeons elbows flexed at 90 degrees and adjacent to the
surgeon's body. The ports should be at least 10 cm apart for optimal efficiency when
utilizing intracorporeal knot tying techniques
When introducing the needle and suture into the abdomen, the needle holder should
grasp where?
this allows the needle to ___ and minimize ___ - answerthe suture 5-10 mm proximal to
its junction with the needle. This will allow the needle to pass through the trocar easily
as well as minimize the risk of inadvertent organ injury with the needle.
Curved needles typically will pass through trocars at least ___ in diameter - answer10
mm in diameter
It is possible to introduce standard curved needles when utilizing 3-5 mm ports by -
answerplacing the needle through the port site after removing the port with the port
backloaded on the instrument.
A glint of light reflected from the needle indicates - answerthat the needle is
perpendicular to the light source.
extracoporeal suture length - answeratleast 76cm or 30in
extracorporeal knot Because the angle of the suture is close to 180 degrees as it
passes through the tissue. Care must be taken to minimize friction while pulling the
needle out, thus minimizing the risk of tissue damage. This can be accomplished by -
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FLS- 11 Laparoscopic suturing

Compared to monofilament sutures, braided sutures are ___ to handle because they lack _____, have ____ tendency to fray, and require ____ throws per knot - answer generally easier to handle because they lack an elastic memory, have less of a tendency to fray, and require less throws per knot why are dyed sutures perferred? - answer may absorb blood and blend into the background, making them difficult to see. For this reason, dyed sutures are generally preferred tapered vs cutting needle in laparoscopic surgery? - answer tapered in lsc surger

. The optimal port positioning for laparoscopic suturing and knot tying will place the ports so that:

  • elbows are flexed at:
  • ports should be atleast ___ apart from each other for ____ when extracorporeal knot tying techniques - answer surgeons elbows flexed at 90 degrees and adjacent to the surgeon's body. The ports should be at least 10 cm apart for optimal efficiency when utilizing intracorporeal knot tying techniques When introducing the needle and suture into the abdomen, the needle holder should grasp where? this allows the needle to ___ and minimize ___ - answerthe suture 5-10 mm proximal to its junction with the needle. This will allow the needle to pass through the trocar easily as well as minimize the risk of inadvertent organ injury with the needle. Curved needles typically will pass through trocars at least ___ in diameter - answer mm in diameter It is possible to introduce standard curved needles when utilizing 3-5 mm ports by - answerplacing the needle through the port site after removing the port with the port backloaded on the instrument. A glint of light reflected from the needle indicates - answerthat the needle is perpendicular to the light source. extracoporeal suture length - answeratleast 76cm or 30in extracorporeal knot Because the angle of the suture is close to 180 degrees as it passes through the tissue. Care must be taken to minimize friction while pulling the needle out, thus minimizing the risk of tissue damage. This can be accomplished by -

answerplacing an instrument between the tissue and the suture as it exits the tissue. This instrument will act as a fulcrum to create the 180 degree angle of the suture away from the tissue thus removing most of the force on the tissue as the suture is pulled through. intra or extra corporeal knot tying- more strain on tissues than intracorporeal knot tying - answerextracorporeal knot tying generally puts more strain on tissues than intracorporeal knot tying, thus increasing the chance the suture will pull through flimsy tissue. roeders knot - answercommonly known as endoloop examples of when to use endoloop - answercut end of blood vessel appendix fallopian tube cut end of cystic duct most versatile choice for tissue approximation - answersuture material staple sizes -length: -staple size: - answerlength : 30-60mm staple size 2-4.5mm smaller staples are used for ___ tissue to achieve more ___ larger staples are used for ___ - answersmall: thinner tissue. more hemostasis larger: thicker tissue choice of staple height - answersmallest 2-2.5 white or gray, vascular or mesentery blue 3-3.5mm GI green 4-4.5 distal stomach or thick GI staple technique - answer1. The angle of the stapler must be appropriate in relation to tissue. Some staplers feature the ability to articulate the handle to assist in this task. As with clips, it is important for the surgeon to know exactly what tissue is between the jaws of the stapler prior to engaging the firing mechanism. Visualizing both tips of the staple cartridge is helpful to ensure that extraneous tissue is not incorporated in the staple line and that the staple is fully engaged with the tissue to be sealed and divided. Once the staple line is employed, care should be taken to ensure proper hemostasis along the staple line and that the tissue has been completely divided and sealed. If the knife blade of the stapler has not completely divided the tissue, make sure the staple lines are complete before dividing the remaining tissue, typically done with laparoscopic scissors. ideal suture length for intracorporeal knot tying - answer15cm (6in)