Additional Information
Book Details
Abstract
From patient preparation to hand washing, from equipment to basic surgical procedures, this highly practical manual by Drs. Christopher J. Hartman and Louis R. Kavoussi, provides students, residents, and clinicians with a firm foundation in the core techniques and skills required for the operating room environment. Concise and easy to read, it uses a highly illustrated, step-by-step approach to teach the must-know information common to the culture, resources, and processes of today’s operating rooms.
- Provides a quick yet thorough overview of surgical principles, techniques, instruments, and supplies commonly encountered in the OR.
- Features detailed illustrations and intra-operative photographs that detail each step of the procedures.
- Explains the roles within the OR, the behaviors needed to excel in this demanding environment, equipment and tools, basic surgical techniques, and tips for assisting and integrating smoothly into the surgical team.
- Ideal for any professional in the operating environment, including medical students, residents, surgical techs, physician assistants, and nurse practitioners.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Handbook of Surgical Technique: A True Surgeon’s Guide to Navigating the Operating Room | II | ||
| Handbook of Surgical Technique: A True Surgeon’s Guide to Navigating the Operating Room | IV | ||
| Copyright | V | ||
| Dedication | VI | ||
| PREFACE | VIII | ||
| ACKNOWLEDGMENTS | X | ||
| CONTENTS | 1 | ||
| VIDEO CONTENTS | 3 | ||
| INTRODUCTION: THE SURGICAL CULTURE | 5 | ||
| 1 - PREOPERATIVE PREPARATION OF THE PATIENT | 7 | ||
| PREOPERATIVE EVALUATION | 7 | ||
| Preoperative Cardiovascular Evaluation | 8 | ||
| Preoperative Pulmonary Evaluation | 9 | ||
| LABORATORY DATA | 10 | ||
| SPECIAL TESTING | 11 | ||
| PATIENT PREPARATION | 12 | ||
| REFERENCES | 13 | ||
| 2 - WELCOME TO THE OPERATIVE THEATER | 15 | ||
| WHY IS THERE AN OPERATING ROOM? | 15 | ||
| BASIC COMPONENTS OF THE ROOM | 16 | ||
| Doors | 16 | ||
| Heating, Ventilating, and Air-Conditioning | 16 | ||
| Lighting | 17 | ||
| Information Technology | 19 | ||
| Power | 19 | ||
| OR Gases and Suction | 20 | ||
| Storage | 20 | ||
| Tables | 21 | ||
| Scrub Sink | 22 | ||
| PERSONNEL | 22 | ||
| Nursing | 22 | ||
| Circulators | 22 | ||
| Scrub Technicians | 23 | ||
| Surgical Assistants | 24 | ||
| Housekeeping and the Sterile Processing Department | 24 | ||
| Anesthesia | 24 | ||
| Anesthesiologist | 24 | ||
| Nurse Anesthetist | 24 | ||
| Anesthesia Resident | 24 | ||
| Surgical Team | 25 | ||
| Attending Surgeon | 25 | ||
| Assistant Surgeon | 25 | ||
| Surgical Resident | 25 | ||
| REFERENCES | 25 | ||
| 3 - SCRUBBING AND STAYING STERILE | 27 | ||
| BASICS OF THE STERILE ENVIRONMENT | 27 | ||
| THE STERILE FIELD | 28 | ||
| SCRUBBING | 30 | ||
| DONNING A GOWN AND GLOVES | 31 | ||
| MAINTAINING STERILITY | 33 | ||
| DOFFING A GOWN AND GLOVES | 34 | ||
| REFERENCES | 35 | ||
| 4 - PATIENT POSITIONING AND PREPPING | 37 | ||
| SECURING AND PADDING THE PATIENT TO THE TABLE | 37 | ||
| Supine Position | 37 | ||
| Prone Position | 38 | ||
| Trendelenburg Position | 38 | ||
| Lateral Position | 38 | ||
| Lithotomy Position | 41 | ||
| Fowler’s Position | 41 | ||
| General Considerations | 42 | ||
| ANESTHESIA LINES AND TUBES | 42 | ||
| Vascular Access | 43 | ||
| Airway Management | 44 | ||
| Patient Monitoring | 44 | ||
| DVT PREVENTION | 45 | ||
| ANTIBIOTICS | 47 | ||
| SKIN SHAVING | 48 | ||
| SKIN STERILIZATION | 48 | ||
| THE TIME OUT | 48 | ||
| REFERENCES | 49 | ||
| 5 - BASIC TOOLS OF THE TRADE AND HOW TO USE THEM | 51 | ||
| FORCEPS | 51 | ||
| CLAMPS AND CLAMPING | 54 | ||
| NEEDLE HOLDERS | 58 | ||
| SCISSORS | 59 | ||
| RETRACTORS AND RETRACTING | 61 | ||
| Handheld Retractors | 61 | ||
| Self-Retaining Retractors | 63 | ||
| CAUTERY DEVICES | 64 | ||
| SUCTION DEVICES | 66 | ||
| 6 - ASSISTING IN THE OR: HOW TO HELP AND NOT GET IN THE WAY | 69 | ||
| WHERE TO STAND | 69 | ||
| Nonscrubbed Individuals | 69 | ||
| Scrubbed Individuals | 70 | ||
| PASSING INSTRUMENTS | 72 | ||
| EXPOSING THE FIELD | 74 | ||
| Identifying What Is Important | 74 | ||
| Do No Harm | 74 | ||
| Retracting | 75 | ||
| KEEPING THE FIELD CLEAR | 76 | ||
| Suctioning | 76 | ||
| Gauze and Laparotomy Pads | 77 | ||
| HOLDING THINGS FOR THE SURGEON | 78 | ||
| Clamps | 78 | ||
| Sutures | 78 | ||
| Laparoscopes and Endoscopes | 79 | ||
| CUTTING SUTURE | 80 | ||
| APPLYING CAUTERY | 81 | ||
| REFERENCES | 83 | ||
| 7 - SUTURES AND SUTURING | 85 | ||
| SUTURE MATERIALS AND SIZES | 85 | ||
| Suture Materials | 85 | ||
| Absorbable Sutures | 85 | ||
| Nonabsorbable sutures | 88 | ||
| Suture Sizes | 89 | ||
| NEEDLE TYPES AND SIZES | 89 | ||
| Needle Shape | 90 | ||
| Needle Point | 90 | ||
| Free Versus Swaged Needles | 92 | ||
| Needle Thickness and Circular Diameter | 92 | ||
| HOW TO THROW A SUTURE | 92 | ||
| KNOT TYING | 95 | ||
| Square Knot | 95 | ||
| Surgeon’s Knot | 96 | ||
| Slip Knot | 96 | ||
| Two-Handed Knots | 96 | ||
| One-Handed Knots | 99 | ||
| Instrument Tying | 100 | ||
| 8 - MAKING AN INCISION | 103 | ||
| PLANNING THE INCISION—WHERE AND HOW LONG | 103 | ||
| Surgeries of the Chest | 103 | ||
| Median Sternotomy | 103 | ||
| Thoracotomy Incision | 104 | ||
| Surgeries of the Abdomen | 104 | ||
| Midline Incision | 104 | ||
| Chevron Incision | 104 | ||
| Thoracoabdominal Incision | 105 | ||
| Flank Incision | 105 | ||
| Pfannenstiel Incision | 106 | ||
| Kocher Incision | 106 | ||
| McBurney Incision | 107 | ||
| LOCAL ANESTHESIA | 107 | ||
| HOW TO MAKE INCISIONS | 108 | ||
| Skin | 109 | ||
| Muscle | 109 | ||
| Fascia | 110 | ||
| HEMOSTASIS | 110 | ||
| Cautery | 111 | ||
| Tie | 111 | ||
| Suture Ligation | 111 | ||
| REFERENCES | 112 | ||
| 9 - PUTTING EVERYTHING BACK TOGETHER: CONCLUDING THE OPERATION | 113 | ||
| INSPECTING THE FIELD | 113 | ||
| IRRIGATION | 113 | ||
| HEMOSTASIS AND HEMOSTATIC AGENTS | 114 | ||
| Dry Matrix Agents | 114 | ||
| Biologically Active Agents | 115 | ||
| DRAINS | 116 | ||
| When to Drain | 116 | ||
| Types of Drains | 116 | ||
| Penrose | 116 | ||
| Jackson-Pratt | 116 | ||
| Blake | 116 | ||
| Hemovac | 116 | ||
| Pigtail | 117 | ||
| Sump | 117 | ||
| Chest Tube | 117 | ||
| Size of Drain | 118 | ||
| Placing and Securing a Drain | 118 | ||
| Foley Catheter | 119 | ||
| Nasogastric Tube | 119 | ||
| SUTURING | 119 | ||
| Peritoneum | 119 | ||
| Muscle | 120 | ||
| Fascia | 120 | ||
| Subcutaneous Tissue | 120 | ||
| Skin | 120 | ||
| Simple Suture | 121 | ||
| Subcuticular Suture | 121 | ||
| SKIN STAPLERS | 121 | ||
| DRESSINGS | 121 | ||
| Steri-Strips | 121 | ||
| Covering the Incision | 122 | ||
| Specialty Coverings | 122 | ||
| Wound Vacuum-Assisted Closure Systems | 122 | ||
| Skin Glue | 123 | ||
| Tape | 123 | ||
| REFERENCES | 125 | ||
| 10 - POSTOPERATIVE CARE | 127 | ||
| DIET | 127 | ||
| ANALGESIA | 129 | ||
| PULMONARY CONSIDERATIONS | 131 | ||
| AMBULATION | 132 | ||
| DVT PROPHYLAXIS | 132 | ||
| WOUND CARE | 133 | ||
| SPECIAL CONSIDERATIONS: FOLEY CATHETER AND DRAIN MANAGEMENT | 134 | ||
| REFERENCES | 134 | ||
| INDEX | 137 | ||
| A | 137 | ||
| B | 137 | ||
| C | 137 | ||
| D | 138 | ||
| E | 138 | ||
| F | 138 | ||
| G | 138 | ||
| H | 138 | ||
| I | 139 | ||
| J | 139 | ||
| K | 139 | ||
| L | 139 | ||
| M | 139 | ||
| N | 139 | ||
| O | 140 | ||
| P | 140 | ||
| R | 141 | ||
| S | 141 | ||
| T | 142 | ||
| U | 142 | ||
| V | 142 | ||
| W | 142 | ||
| X | 142 | ||
| Y | 142 |