Surgical Procedures & Techniques Flashcards

During a Hartmann's procedure, which structure is closed as a blind end and left in the pelvis?

Answer: Rectal stump

In a Hartmann's procedure, the rectal stump is stapled or oversewn and left in place while a proximal end colostomy is created, allowing future reversal.

When setting up for a parotidectomy, which nerve monitoring system is essential to have functioning before incision?

Answer: Facial nerve (CN VII) electromyographic monitor

Continuous facial nerve EMG monitoring is essential during parotidectomy because the facial nerve runs through the parotid gland and damage causes permanent paralysis.

A scrub technologist is assisting with a bilateral inguinal hernia repair using the TEP (totally extraperitoneal) laparoscopic approach. Insufflation for this procedure is done in which space?

Answer: Preperitoneal space (space of Retzius)

In TEP repair, a balloon dissector creates the preperitoneal space (space of Retzius) anterior to the peritoneum, and CO2 is insufflated there without entering the abdominal cavity.

During a cystoscopy with ureteral stent placement, the scrub tech should have fluoroscopy available primarily to confirm:

Answer: Correct stent position with proximal curl in the renal pelvis and distal curl in the bladder

Fluoroscopic confirmation ensures both pigtail curls of the double-J stent are properly positioned to prevent migration or obstruction.

During an open abdominal aortic aneurysm repair, the scrub tech should have which type of clamp immediately available for proximal aortic control?

Answer: Satinsky vascular clamp

The Satinsky (partial occlusion) clamp is used for proximal aortic control; atraumatic vascular clamps minimize intimal injury to the vessel wall.

When a surgeon performs an esophagogastroduodenoscopy (EGD) intraoperatively to check anastomosis integrity, the scrub tech should anticipate having which item ready to detect leaks?

Answer: Blue methylene-dye-filled bulb syringe for intraluminal insufflation test

The anastomosis is submerged in saline and air is insufflated endoscopically; bubbles rising from the anastomotic line indicate a leak requiring repair.

During a salpingo-oophorectomy for a large ovarian cyst, the scrub tech should prepare a specimen bag (endocatch) primarily to:

Answer: Prevent spillage of cyst contents into the peritoneal cavity during extraction

Containing the cyst within an endoscopic specimen bag prevents intraperitoneal spillage of potentially malignant or infectious cyst contents during laparoscopic removal.