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FLS- 11 Laparoscopic suturing Questions with Solutions
Typology: Exams
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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:
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)