Author: Maxine Goldman, BS, RN
Affiliation: Medical Center of Tarzana; Tarzana, CA
Publisher: F.A. Davis Company
Publication Date: 2008
ISBN 10: 0803612265
ISBN 13: 9780803612266
Edition: 3rd


Be prepared with this handy, pocket guide to more than 400 surgical procedures. For each procedure, you'll find a definition and description: preparation of the patient, skin preparation, draping technique, equipment needed, instrumentation, supplies, and special notes. Among the topics covered are charting as a legal document, patient teaching, anesthesia, laser application, robotics, endoscopic (including laparoscopic) procedures, microsurgery, use of the harmonic scalpel and the argon beam coagulator, and care of the pediatric patient, including anesthesia considerations and surgical procedures. All aspects of patient care are addressed, including psychological care of the patient in surgery, safety measures for the patient and the operative team, the written record of intra-, pre- and postoperative care, and the application of JCAHO Universal Protocols for correct identification of the patient including correct site and laterality.

Table of Contents

Front Matter

  • Preface
  • Acknowledgments

PART 1 PERIOPERATIVE CONSIDERATIONS: Preoperative, Intraoperative, and Postoperative Care Including Psychological Support of the Surgical Patient

    Perioperative Care of the Patient

    • Psychological Support of the Patient in Surgery

    Protection of the Patient in Surgery/Patient Safety

    • Admission Procedure
    • Procedure for Safely Transferring the Patient to the Operating Table
    • Positioning/Surgical Positions
    • Medication Practices and Guidelines to Avoid Medication Errors
    • Allergies
    • Environmental Controls
    • Electrosurgery
    • Counting Procedure
    • Sterilization Modalities
    • Emergency and Disaster Considerations
    • Legal Rights
    • Legal Records
    • Death in the OR

    Safety Measures for Operating Room Personnel

    • Orientation
    • Surgery Department In-Service Education
    • Body Mechanics/Ergonomic Safety
    • Fatigue Factors
    • Radiation Safety
    • Infection Control and Prevention
    • Latex Allergy Precautions
    • Chemical Waste Hazards
    • Noxious Smoke Hazards
    • Fire Hazards

PART 2 Anesthesia General Information

    Anesthesia Modalities

    • General Information
    • General Anesthesia, Overview
    • Conduction Anesthesia, Overview
    • Conscious Sedation and Analgesia
    • Postoperative Transfer of the Patient to the PACU

    General Anesthesia

    • Perioperative Considerations

    Conduction Anesthesia

    • Central Nerve Blocks: Spinal, Epidural, and Caudal
    • Regional, Local, Topical Analgesia Modalities

PART 3 Technical Adjuncts to Surgery

    Laser Technology

    • Types of Lasers

    Endoscopy: A Minimal Access Approach



          Harmonic Scalpel and Plasma Scalpel

          • Harmonic Scalpel
          • Plasma Scalpel

          Argon Beam Coagulator

            Radiofrequency Ablation

            PART 4 Surgical Procedures

              Integumentary and Minimally Invasive Surgery

              • Excision (or Destruction) of Skin Lesions
              • Muscle Biopsy
              • Excision of Subcutaneous Lipoma
              • Incision and Drainage of an Abscess
              • Percutaneous Insertion of Catheters

              Breast Surgery

              • Breast Biopsy
              • Mastectomy

              Abdominal Extraintestinal Surgery

              • Abdominal Laparotomy
              • Abdominal Laparoscopy
              • Abdominal Herniorrhaphy
              • Laparoscopic Groin Herniorrhaphy
              • Cholecystectomy
              • Laparoscopic Cholecystectomy
              • Drainage of Pancreatic Cyst (Pseudocyst)
              • Pancreaticoduodenectomy (Whipple Procedure)
              • Pancreatectomy
              • Drainage of Abscess(es) in the Region of the Liver
              • Hepatic Resection
              • Splenectomy
              • Laparoscopic Splenectomy

              Gastrointestinal Surgery

              • Esophagoscopy
              • Gastroscopy
              • Colonoscopy
              • Sigmoidoscopy
              • Laparoscopic Esosphagomyotomy for Achalasia (Heller Procedure)
              • Esophagectomy
              • Esophageal Hiatal Herniorrhaphy
              • Laparoscopic Fundoplication (Nissen Procedure)
              • Vagotomy and Pyloroplasty
              • Laparoscopic Vagotomy
              • Closure of a Perforated Peptic Ulcer
              • Laparoscopic Closure of a Perforated Ulcer (With Vagotomy)
              • Gastrostomy
              • Gastrectomy
              • Bariatric Surgery
              • Laparoscopic Adjustable Gastric Banding and Proximal Gastric Bypass
              • Jejunostomy
              • Small-Bowel Resection
              • Cutaneous Ileostomy
              • Appendectomy
              • Laparoscopic Appendectomy
              • Colostomy
              • Closure of Colostomy
              • Right Hemicolectomy
              • Transverse Colectomy
              • Anterior Resection of the Sigmoid Colon and Rectum
              • Abdominoperineal Resection of the Rectum
              • Laparoscopic-Assisted Colon Resection
              • Proctocolectomy with Ileal Pouch Anal Anastomosis
              • Transanal Endoscopic Microsurgery
              • Hemorrhoidectomy, Anal Fissurectomy, Anal Fistulotomy
              • Anal Sphincteroplasty
              • Thiersch Procedure
              • Ripstein Procedure (Presacral Rectopexy)
              • Perineal Resection of the Rectum for Complete Rectal Prolapse (Procidentia)
              • Pilonidal Cystectomy and Sinusectomy

              Gynecologic and Obstetric Surgery

              • Dilatation of the Cervix and Curettage of the Uterus (D&C)
              • Conization of the Uterine Cervix
              • Therapeutic Abortion by Suction Curettage
              • Marsupialization of Bartholin’s Gland Duct Cyst
              • Culdoscopy
              • Vaginal Hysterectomy
              • Anterior and/or Posterior Colporrhaphy
              • Gynecologic Laparoscopy/Pelviscopy
              • Uterine Myomectomy
              • Total Abdominal Hysterectomy
              • Salpingo-Oophorectomy
              • Tubal Sterilization
              • Laparoscopic Hysterectomy and Laparoscopic- Assisted Vaginal Hysterectomy With Or Without Salpingo-Oophorectomy
              • Hysteroscopy
              • Surgery for Ectopic Pregnancy
              • Tuboplasty of the Fallopian Tubes
              • Cytoreductive Surgery for Ovarian Cancer (“Debulking Procedure”)
              • Pelvic Exenteration
              • Radical Vulvectomy With Regional Lymphadenectomy
              • Cerclage Procedures
              • Cesarean Section

              Genitourinary Surgery

              • Hypospadias Repair
              • Epispadias Repair
              • Urethroplasty
              • Circumcision
              • Penile Implant
              • Marshall-Marchetti-Krantz Procedure
              • Burch Procedure (Retropubic Colposuspension)
              • Tension-Free Vaginal Tape (TVT) Procedure for Bladder Suspension
              • Varicocelectomy
              • Hydrocelectomy
              • Vasectomy
              • Vasovasostomy
              • Cutaneous Vasostomy
              • Spermatocelectomy
              • Orchiectomy
              • Cystoscopy
              • Cystostomy
              • Cystectomy
              • Transurethral Resection of the Prostate (TURP) and/or Lesions of the Bladder or Bladder Neck (TURB)
              • Prostatectomy
              • Nephrectomy
              • Upper Tract Urolithotomy (Ureterolithotomy, Pyelolithotomy, Nephrolithotomy)
              • Percutaneous Nephrostomy and Nephrolithotomy
              • Cutaneous Ureterostomy
              • Ileal Conduit
              • Adrenalectomy
              • Extracorporal Shockwave Lithotripsy
              • Ultrasonic Lithotripsy
              • Electrohydraulic Lithotripsy
              • Implantation of an Artificial Urinary Sphincter

              Thoracic Surgery

              • Bronchoscopy
              • Mediastinoscopy
              • Segmental Resection of the Lung
              • Wedge Resection of the Lung
              • Pulmonary Lobectomy
              • Pneumonectomy
              • Decortication of the Lung
              • Insertion of Implantable Transvenous Endocardial Pacemaker
              • Insertion of Implantable Cardioverter Defibrillator (ICD)
              • Correction of Pectus Excavatum
              • Thymectomy
              • Thoracoscopy
              • Video-Assisted Thoracoscopic (VATS) Wedge Resection of the Lung
              • Video-Assisted Thoracoscopic (VATS) Pneumonectomy
              • Video-Assisted Thoracoscopic (VATS) Esophagogastromyotomy

              Vascular Surgery

              • Carotid Endarterectomy
              • Abdominal Aortic Procedures (Abdominal Aortic Aneurysmectomy, Abdominal Aortic Endarterectomy) with Aortoiliac Graft
              • Femoropopliteal Bypass
              • Femoral Arterial Thromboembolectomy
              • Greater Saphenous Vein Ligation and Stripping
              • Portosystemic Shunt
              • Arteriovenous Shunt or Arteriovenous (Bridge) Fistula

              Cardiac Surgery

              • Cardiac Surgery
              • Cardiopulmonary Bypass (CPB)
              • Intra-Aortic Balloon Catheterization (IABC)
              • Aortic Valve Replacement
              • Mitral Valve Replacement
              • Coronary Artery Bypass Graft (CABG)
              • Pulmonary Embolectomy
              • MAZE Procedure
              • Transmyocardial Laser Revascularization Procedure (TMLR)

              Orthopedic Surgery

              • Open Reduction and Internal Fixation of a Carpal Bone Fracture
              • Excision of Ganglion
              • Carpal Tunnel Release
              • Endoscopic Carpal Tunnel Release
              • Arthroscopy of the Wrist
              • Arthroplasty of the Wrist with Prosthetic Replacement of the Carpal Bones
              • Open Reduction and Internal Fixation of the Radius and/or Ulna Fractures
              • Open Reduction and Internal Fixation of an Olecranon Process Fracture
              • Transposition of the Ulnar Nerve
              • Arthroscopy of the Elbow
              • Open Reduction and Internal Fixation of Fractures of the Humerus
              • Arthroscopy of the Shoulder
              • Repair of Recurrent Anterior Dislocation of the Shoulder
              • Open Reduction and Internal Fixation of Fracture(s) of the Humeral Head (Including Humeral Head Replacement by Prosthesis)
              • Arthroplasty of the Shoulder with Hemi (Partial) or Total Prosthetic Replacement of the Shoulder Joint
              • Open Reduction and Internal Fixation of Fractures of the Hip
              • Prosthetic Replacement of the Femoral Head
              • Total Hip Arthroplasty with Prosthetic Replacement of the Hip Joint
              • Open Reduction and Internal Fixation of Fractures of the Femoral Shaft
              • Arthrotomy of the Knee
              • Arthroscopy of the Knee
              • Excision of Popliteal (Baker’s) Cyst
              • Arthroplasty of the Knee Joint with Unicompartmental or Total Knee Prosthetic Replacement
              • Open Reduction and Internal Fixation of Fractures of the Tibial Shaft
              • Open Reduction and Internal Fixation of Fractures of the Ankle
              • Arthroscopy of the Ankle and Foot
              • Triple Arthrodesis of the Ankle
              • Total Ankle Arthroplasty with Prosthetic Joint Replacement
              • Repair of Tendo Calcaneus (Achilles Tendon)
              • Bunionectomy
              • Correction of Hammer Toe Deformity with Interphalangeal Fusion
              • Metatarsal Head Resection
              • Procedure for Correction of Scoliosis
              • Amputation of Lower Extremity

              Neurologic Surgery

              • Craniotomy
              • Cranioplasty
              • Transsphenoidal Hypophysectomy
              • Ventricular Shunts
              • Laminectomy
              • Percutaneous Vertebroplasty and Kyphoplasty
              • Excision of Cervical Intervertebral Disc with Fusion, Anterior Approach
              • Cordotomy
              • Rhizotomy

              Plastic Surgery

              • Scar Revision
              • Skin Grafting
              • Cleft Lip Repair
              • Cleft Palate Repair
              • Reduction of a Nasal Fracture
              • Reduction of a Mandibular Fracture
              • Reduction of a Zygomatic Fracture
              • Open Reduction of Orbital Floor Fracture
              • Rhinoplasty
              • Mentoplasty (Genioplasty) Augmentation
              • Blepharoplasty
              • Rhytidectomy
              • Dermabrasion
              • Otoplasty
              • Repair of Syndactyly
              • Digital Flexor Tendon Repair
              • Peripheral Nerve Repair
              • Microsurgical Vascular Repair
              • Palmar Fasciectomy
              • Reduction Mammoplasty/Mammaplasty
              • Augmentation Mammoplasty
              • Abdominoplasty/Abdominal Lipectomy
              • Liposuction and Tumescent Liposuction/ Suction-Assisted Lipectomy

              Neck Surgery

              • Thyroidectomy
              • Parathyroidectomy
              • Thyroglossal Duct Cystectomy
              • Excision of Pharyngoesophageal (Zenker’s) Diverticulum

              Otorhinolaryngological (ENT) Surgery

              • Myringotomy
              • Tympanoplasty
              • Stapedectomy
              • Mastoidectomy
              • Cochlear Implant
              • Submucous Resection (SMR) of the Nasal Septum
              • Functional Endoscopic Sinus Surgery (FESS)
              • Intranasal Antrostomy/Intranasal Fenestration of the Nasoantral Wall
              • Caldwell-Luc Procedure (Radical Drainage of the Maxillary Sinuses)
              • Nasal Polypectomy
              • Drainage of the Frontal Sinus
              • Tonsillectomy and Adenoidectomy (T & A)
              • Uvulopalatopharyngoplasty
              • Laryngoscopy
              • Tracheostomy
              • Excision of Submandibular (Submaxillary) Gland
              • Parotidectomy
              • Laryngectomy
              • Radical Neck Dissection
              • Excision of Lesions of the Oral Cavity (Partial Glossectomy with Marginal Resection of the Mandible)

              Ophthalmic Surgery

              • General Information
              • Excision of Chalazion
              • Canthotomy
              • Tarsorrhaphy/Canthorrhaphy
              • Ectropion Repair
              • Entropion Repair
              • Blepharoptosis Repair/Blepharoplasty
              • Excision of Eyelid Lesion
              • Eyelid Laceration Repair
              • Lacrimal Duct Probing
              • Dacryocystorhinostomy
              • Correction of Strabismus
              • Evisceration of the Eye
              • Enucleation of the Globe
              • Orbital Exenteration
              • Corneal Transplant/Keratoplasty
              • Cataract Extraction
              • Secondary Lens Implant
              • Extraction of an Intraocular Foreign Body
              • Trabeculectomy
              • Excision of Pterygium
              • Repair of Retinal Detachment/Scleral Buckling
              • Vitrectomy
              • Refractive Keratoplasty Procedures

              Dental Surgery

              • Dental Extraction/Odontectomy
              • Dental Restoration with Implants
              • Arch Bar Application
              • Total Temporomandibular Joint (TMJ) Replacement Surgery
              • Orthognathic/Maxillofacial Surgery

              Radiation Therapy/Radiotherapy Procedures

              • Introduction to Radiation Therapy Procedures in Surgery
              • Radiation Therapy for Head and Neck Tumors
              • Radiation Therapy for Tumors of the Breast
              • Radiation Therapy for Gynecologic Tumors
              • Radiation Therapy for Carcinoma of the Prostate
              • Radiation Therapy for Rectal Tumors

              Pediatric Surgery

              • Pediatric General Information
              • Pediatric Tracheostomy
              • Branchial Cleft Sinusectomy
              • Correction of Congenital Dislocation of the Hip
              • Repair of Congenital Diaphragmatic Hernia
              • Omphalocele Repair
              • Repair of Exstrophy of the Urinary Bladder
              • Pediatric Umbilical Herniorrhaphy
              • Pediatric Inguinal Herniorrhaphy
              • Repair of Congenital Atresia of the Esophagus
              • Insertion of a Pediatric Central Venous Catheter
              • Pediatric Laparoscopy
              • Pyloromyotomy for Congenital Hypertrophic Pyloric Stenosis
              • Pediatric Gastrostomy
              • Pediatric Hepatic Portoenterostomy/Kasai Procedure
              • Relief of (Pediatric) Intestinal Obstruction
              • Reduction of Pediatric Intussusception
              • Pediatric Colostomy
              • Pediatric Colorectal Resection for Aganglionic Megacolon (Hirschsprung’s Disease)
              • Repair of Imperforate Anus
              • Pediatric Laparoscopic Appendectomy
              • Pediatric Laparoscopic Fundoplication/Nissen Procedure
              • Excision of Wilms’ Tumor
              • Excision of Sacrococcygeal Teratoma
              • Pediatric Thoracoscopy
              • Pediatric Laparoscopic Splenectomy

            PART 5 Instrument Trays

              General Surgery Instrument Trays

              • Major Procedures Tray
              • Basic/Minor Procedures Tray
              • Limited Procedures Tray
              • Thyroid Tray
              • Long Instruments Tray
              • Biliary Tract Procedures Tray
              • Choledochoscopy Tray (“Open” Procedure)
              • Laparoscopic Cholecystectomy
              • Laparoscopic Choledochoscopy
              • Basic Rigid Sigmoidoscopy Tray
              • Gastrointestinal Procedures Tray
              • Ano-Rectal Procedures Tray

              Gynecologic and Obstetric Trays

              • Dilatation and Curettage (D&C) Tray
              • Cervical Conization Tray
              • Hysteroscopy Tray
              • Pelvic Laparoscopy Tray
              • Vaginal Hysterectomy Tray
              • Abdominal Hysterectomy Tray
              • Laparoscopic Hysterectomy
              • Laparoscopic Tubal Sterilization
              • Cesarean Section Tray

              Genitourinary Trays

              • Hypospadias Tray
              • Vasectomy Tray
              • Vasovasostomy Tray
              • Cystoscopy Tray
              • Prostatectomy Instrument Trays
              • Kidney, Ureter, Bladder Tray

              Thoracic Instrument Trays

              • Bronchoscopy Instrument Trays
              • Mediastinoscopy Tray
              • Thoracoscopy or Video-Assisted Thoracic Surgery Tray
              • Thoracotomy Tray
              • Pacemaker Tray

              Cardiovascular Procedures Instrument Trays

              • Abdominal and Thoracic Vascular Procedures Tray
              • Arteriovenous (A-V) and Carotid Artery (CA) Shunt Instrument Tray
              • Peripheral Vascular Procedures Tray
              • Cardiac Procedures Instrument Trays Open Heart Basic Instrument Tray

              Orthopedic Instruments Trays

              • Minor Orthopedic Procedures Tray
              • Basic Orthopedic Procedures Tray
              • Bone-Holding Instruments Tray
              • Knee Arthrotomy Tray
              • Hip Instruments Tray
              • Total Hip Systems Instrument Tray

              Neurosurgical Procedures Instrument Trays

              • Craniotomy Tray
              • Kerrison Rongeurs and Pituitary Forceps Tray
              • Laminectomy Tray

              Plastic Surgery Instrument Trays

              • Basic Plastic Procedures Tray

              Otorhinolaryngologic (ENT) Instrument Trays

              • Ear Procedures Instrument Tray
              • Myringotomy Instruments Tray
              • Nasal Procedures Instrument Tray
              • Tonsillectomy and Adenoidectomy Instruments Tray
              • Tracheostomy Instruments Tray

              Ophthalmic Procedures Trays

              • Basic Eye Procedures Tray
              • Basic Eye Procedures Microscope Tray
              • Basic Eye Muscle Procedures Tray
              • Eyelid and Conjunctival Procedures Tray
              • Dacryocystorhinostomy Tray
              • Globe and Orbit Procedures Tray
              • Corneal Procedures Tray
              • Cataract Extraction and Lens Procedure Tray
              • Glaucoma Procedures Tray
              • Basic Eye Procedures Microscope Tray
              • Retinal Procedures Tray

              Dental Instrument Trays

              • Dental Instruments for Extractions Tray
              • Dental Restoration with Implant
              • Temporomandibular Joint (TMJ) Procedures Instrument Tray
              • Orthognathic/Maxillofacial Procedures Instrument Tray

              Pediatric Instrument Trays

              • Pediatric Major Procedures Tray
              • Pediatric Minor Procedures Tray
              • Pediatric Gastrointestinal Procedures Tray
              • Pediatric Thoracotomy Tray


            • Chapter 1 Perioperative Care of the Patient
            • Chapter 2 Protection of the Patient in Surgery/Patient Safety
            • Chapter 3 Safety Measures for Operating Room Personnel
            • Chapter 4 Anesthesia Modalities
            • Chapter 5 General Anesthesia
            • Chapter 6 Conduction Anesthesia
            • Chapter 7 Laser Technology
            • Chapter 8 Endoscopy: A Minimal Access Approach
            • Chapter 9 Robotics
            • Chapter 10 Microsurgery
            • Chapter 11 Harmonic Scalpel and Plasma Scalpel
            • Chapter 12 Argon Beam Coagulator
            • Chapter 13 Radiofrequency Ablation
            • Chapter 14 Integumentary and Minimally Invasive Surgery
            • Chapter 15 Breast Surgery
            • Chapter 16 Abdominal Extraintestinal Surgery
            • Chapter 17 Gastrointestinal Surgery
            • Chapter 18 Gynecologic and Obstetric Surgery
            • Chapter 19 Genitourinary Surgery
            • Chapter 20 Thoracic Surgery
            • Chapter 21 Vascular Surgery
            • Chapter 22 Cardiac Surgery
            • Chapter 23 Orthopedic Surgery
            • Chapter 24 Neurologic Surgery
            • Chapter 25 Plastic Surgery
            • Chapter 26 Neck Surgery
            • Chapter 27 Otorhinolaryngological Surgery
            • Chapter 28 Ophthalmic Surgery
            • Chapter 29 Dental Surgery
            • Chapter 30 Radiation Therapy/Radiotherapy Procedures
            • Chapter 31 Pediatric Surgery
            • Chapter 32 Through Chapter 43, Instrument Trays