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Some of the most common surgical operations performed in the United States include the following:
Appendectomy /
An appendectomy is the surgical removal of the appendix, a small tube that branches off the large intestine, to treat acute
appendicitis. Appendicitis is the acute inflammation of this tube due to infection.
Breast biopsy X
A biopsy is a diagnostic test involving the removal of tissue or cells for examination under a microscope. This procedure is also
used to remove abnormal breast tissue. A biopsy may be performed using a hollow needle to extract tissue (needle biopsy), or a
lump may be partially or completely removed (lumpectomy) for examination and/or treatment.
Carotid endarterectomy
Carotid endarterectomy is a surgical procedure to remove blockage from carotid arteries, the arteries located in the neck that
supply blood to the brain. Left untreated, a blocked carotid artery can lead to a stroke.
Carotid Endarterectomy
For some patients with carotid artery disease, the surgical removal of the plaque within the carotid artery (the artery that supplies blood to the brain) may be recommended.
This procedure is called a carotid endarterectomy. Carotid endarterectomy is the most commonly performed surgical treatment for carotid artery disease.
Cataract surgery
Cataracts cloud the normally clear lens of the eyes. Cataract surgery involves the removal of the cloudy contents with ultrasound
waves. In some cases, the entire lens is removed.
Cesarean section /
Cesarean section (also called a c-section) is the surgical delivery of a baby by an incision through the mother's abdomen and
uterus. This procedure is performed when physicians determine it a safer alternative than a vaginal delivery for the mother, baby,
or both.
Cholecystectomy /
A cholecystectomy is surgery to remove the gallbladder (a pear-shaped sac near the right lobe of the liver that holds bile). A
gallbladder may need to be removed if the organ is prone to troublesome gallstones, if it is infected, or becomes cancerous.
Open cholecystectomy is a surgery in which the abdomen is opened to permit to remove the gallbladder. Surgical removal is the
most common therapy for gallbladder disorders specifically if medical or pharmacologic regimens do not treat the symptoms.
The disadvantages of this procedure are longer hospitalization and recovery period, significant postoperative pain, and a large
scar. However, the surgery is safe and carries a low risk for complications. Open cholecystectomy is used when laparoscopy is
unsuitable for the patient. This procedure usually takes about one to two hours.
This operation has been employed for over 100 years and is a safe and effective method for treating symptomatic gallstones,
ones that are causing significant symptoms. At surgery, direct visualization and palpation of the gallbladder, bile duct, cystic
duct, and blood vessels allow safe and accurate dissection and removal of the gallbladder. Intra-operative Cholangiography has
been variably used as an adjunct to this operation.
Open cholecystectomy is the standard against which other treatments must be compared and remains a safe surgical
alternative.
Elderly patients. (those over 80 are particularly likely to have lower complication rates from open cholecystectomy
than laparoscopy)
Seriously ill patients with acute cholecystitis who do not respond to fluid aspiration (percutaneous cholecystectomy)
Infection
Risks
Before undergoing this procedure, understanding the associated risks are essential. No procedure is completely risk-free. The
incidence of complications after cholecystectomy is relatively low.
The physician will explain the procedure to the patient and offer him/her the opportunity to ask any questions that
he/she might have about the procedure.
The patient will be asked to sign a consent form that gives him/her permission to do the test. The patient should read
the form carefully and ask questions if something is not clear.
In addition to a complete medical history, the physician may perform a physical examination to ensure that the patient
is in good health before undergoing the procedure. The patient may undergo blood or other diagnostic tests.
The patient will be asked to fast for eight hours before the procedure, generally after midnight.
The patient may be able to take his/her regular medications with a sip of water.
If the patient is pregnant or suspect that she may be pregnant, she should notify the physician.
The patient must notify the physician if he/she is sensitive to or are allergic to any medications, latex, tape, and
anesthetic agents (local and general).
The patient must notify the physician of all medications (prescribed and over-the-counter) and herbal supplements
that he/she is taking.
The patient must notify the physician if he/she has a history of bleeding disorders or if you are taking any
anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be
necessary for the patient to stop these medications prior to the procedure.
If the procedure is to be done on an outpatient basis, the patient will need to have someone drive him/her home
afterwards because of the sedation given prior to and during the procedure.
Based upon the patients medical condition, the physician may request other specific preparations.
If nausea or vomiting is present, a suction tube to empty the stomach may be used, and a urinary drainage catheter
may also be used to decrease the risk of accidental puncture of the stomach or bladder during the operation.
Contents [show]
The patient may be asked to remove any jewelry or other objects that may interfere with the procedure.
The patient may be asked to remove clothing and be given a gown to wear.
The anesthesiologist will continuously monitor patients heart rate, blood pressure, breathing, and blood oxygen level
during the surgery.
The surgery is performed under general anesthesia, which renders the patient unconscious.
After the anesthesia is administered, the abdomen is cleaned with an antiseptic solution to reduce the risk for
infection.
The surgeon makes an incision approximately 4-6 inches long in the upper right abdomen and cuts through the fats
and muscles to the gallbladder.
Cholecystectomy is done with hemostat repair of peritoneum with chromic 3-0 followed by the fascia with vicryl-0.
It is a portable suction apparatus used in wards and theatres for aspirating fluids and vomit from the mouth and airways, and
from operation sites by sucking the material through a catheter into a bottle. The term could also apply to devices which operate
from piped vacuum supplies or bottle gas cylinders but is more commonly used to mean electric suction units which contain a
vacuum pump, bacterial filter, vacuum gauge, trap for moisture (or any debris accidentally drawn into the mechanism), a
reservoir for the aspirated material, and a suction catheter or nozzle. They may be intended to provide high or low vacuum, and
high and low flow rates. Low vacuum is used for post-operative wound drainage.
The main reservoir is usually a glass bottle with volume marks up the side and sometimes this has a float valve so that the
vacuum is cut off before the bottle becomes full enough to allow the contents to be drawn into the pipe work of the pumping
mechanism. However, frothing of the contents can sometimes defeat the float valve mechanism.
Electrosurgical Unit
This machine has an escharotics substance, electric current, or hot iron used to destroy tissue.
Mayo table
Used to hold instruments in place.
Mosquito
used to clamp small blood vessels.
Kelly
used to clamp larger vessels and tissue
Right Angle
used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. A right angle with a suture attached is
called a tie on a passer.
Richardson
used to retract deep abdominal or chest incisions.
Army Navy
used to retract shallow or superficial incisions.
Russian Forceps
used to grasp tissue.
Thumb Forceps
used to grasp tough tissue (fascia, breast).
Knife Holder
used to hold the surgical blades.
Surgical Blade
used to cut body tissue or surgical supplies.
Allis
used to grasp tissue. A Judd-Allis holds intestinal tissue; a Heavy Allis holds breast tissue.
Babcock
used to grasp delicate tissue (intestine, fallopian tube, and ovary).
Kocher
used to grasp heavy tissue. May also be use as a clamp.
Metzenbaum Scissors
used to cut delicate tissue
Kidney Basin
used to collect body fluids or as a container for various other liquids.
Towel clips
used to hold towels and used in draping.
Malleable
used to retract deep wounds; may be bent to various shapes.
Deaver
used to retract deep abdominal or chest incisions.
If the gallbladder is removed, although bile still flows into the intestine from the liver, fat digestion may be less
efficient because the bile is not concentrated.
Potential problems associated with cholecystectomy include respiratory problems related to location of the incision,
wound infection, or abscess formation.
After the operation, the patient is expected to have urinary retention and constipation because of the absence of
peristalsis due to the side effects of anesthesia.
The patient may experience post-operative discomforts including nausea and vomiting, restlessness and pain.
Intestines recover slowly because of the effect of anesthesia, one cannot eat normally for the first few hours or days
after the operation.
As with any surgery, there are risks such as bleeding, infection, or an adverse reaction to anesthesia. Other risks
include bile duct or bowel injury.
The patient should not engage in heavy lifting or straining for six to eight weeks after open surgery.
o
Coronary artery bypass
Most commonly referred to as simply "bypass surgery," this surgery is often performed in people who have angina (chest pain) and
coronary artery disease (where plaque has built up in the arteries). During the surgery, a bypass is created by grafting a piece of a
vein above and below the blocked area of a coronary artery, enabling blood to flow around the obstruction. Veins are usually taken
from the leg, but arteries from the chest may also be used to create a bypass graft.
Total (or simple) mastectomy, in which the surgeon removes the entire breast, including the nipple, the areola (the
colored, circular area around the nipple), and most of the overlying skin, and may also remove some of the lymph nodes under
the arm, also called the axillary lymph glands.
Modified radical mastectomy, in which the surgeon removes the entire breast (including the nipple, the areola, and
the overlying skin), some of the lymph nodes under the arm, and the lining over the chest muscles. In some cases, part of the
chest wall muscles is also removed.
Radical mastectomy, involves removal of the entire breast (including the nipple, the areola, and the overlying skin),
the lymph nodes under the arm, and the chest muscles.
Partial colectomy
A partial colectomy is the removal of part of the large intestine (colon) which may be performed to treat cancer of the colon or
long-term ulcerative colitis.
Prostatectomy
The surgical removal of all or part of the prostate gland, the sex gland in men that surrounds the neck of the bladder and urethra the tube that carries urine away from the bladder. A prostatectomy may be performed for an enlarged prostate, benign prostatic
hyperplasia (BPH), or if the prostate gland is cancerous.
Tonsillectomy
The surgical removal of one or both tonsils. Tonsils are located at the back of the mouth and help fight infections.
Circumcision
Hydrocele
Hemangiomas
Lymphangiomas
Branchial Cysts/Sinuses
Frenulectomy
Labial Adhesions
Cholecystectomy - gallstones
Appendectomy - appendicitis
Splenectomy - splenomegaly
Colostomy closure/reversal
Tumor Biopsy
Laparoscopy/Laparotomy - abdominal
Repair of Gastroschisis
Repair of Omphalocele
Abdominal Masses/Cysts
Prefixes[edit]
bi- : two
Etymology actually refers to soft, fleshy part of abdominal wall. The term celio- is probably more accurate and used in America.
lobo- : related to a lobe (of the brain or lungs)
Suffixes[edit]
-ectomy : surgical removal (see List of -ectomies). The term 'resection' is also used, especially when referring to a tumor.
-opsy : looking at
Plasty1
Ectomy
Stomy
Otomy
Other
ory
CN
S
PN
S
Decompressive
Craniotomy Pallidotomy
Thalamotomy Lobotom
Neurosurgery P
y Bilateral
sychosurgery B
cingulotomy Cordotomy
rain biopsy
ohippocampectomy
Rhizotomy
or temporal
Ventriculostomy
Ganglionectomy Sympathectomy/Endo
scopic thoracic
sympathectomy Neurectomy
Axotomy Vagotomy
Nerve biopsy
En
do
cri
ctomy
ne
Ey
e
Ear
s
Punctoplasty Photorefractive
Trabeculoplas
ty
my Vitrectomy
Otoplasty
Keratotomy (M.A.R.K.)
transplantation
Sinusotomy Pneumotom
spir Rhinoplasty
ato
ctomy
Septoplasty
ry
Ly
Corneal
Myringotomy
ectomy
Re
CV
Asymmetric Radial
y Cricothyroidotomy Cri
Tracheostomy
cothyrotomy Bronchoto
my Thoracotomy Thyrot
Pleurodesis Lun
g transplantation
omy Tracheotomy
Angioplasty
Pericardiectomy Endarterectomy
Cardiotomy Pericardioto
Heart
my
transplantation
Thymus
transplantation
mp
Spleen
hati
transplantation
Splenopexy Ly
mph node biopsy
Gastrostomy (Percutaneous
Gingivectomy Glossectomy Esophage
endoscopic
GI/
Uvulopalatopl
gastrostomy) Gastroduodenosto
mo
asty Palatopl
my Gastroenterostomy Ileosto
uth
asty
my Jejunostomy Colostomy C
y/Pancreaticoduodenectomy
holecystostomy Hepatoportoent
erostomy Sigmoidostomy
Vertical banded
Uvulotomy Myotomy (He gastroplasty Ga
ller
stropexy Colon
myotomy Pyloromyotom
resection Nissen
y) Anal
fundoplication H
sphincterotomy Lateral
ernia
internal sphincterotomy
repair Omentop
exy Liver biopsy
Nephropexy Ur
Uri
nar
y
Urethroplasty
Pyeloplasty
Nephrostomy Ureterostomy Cy
Nephrectomy Cystectomy
stostomy (Suprapubic
ethropexy Lithotr
Nephrotomy
cystostomy) Urostomy
ipsy Kidney
transplantation
Renal biopsy
Re
Phalloplasty
Vasovasostomy Vasoepididymo
pro
Scrotoplasty
stomy
duc
Meatotomy
Circumcision Fo
reskin
restoration Orch
tive
iopexy Prostate
ctomy
biopsy
Tubal
Re
Vaginoplasty
pro
Clitoroplasty
duc Labiaplasty T
tive uboplasty Fi
mbrioplasty
Amniotomy Clitoridotom
y Hysterotomy Hymenot
Salpingostomy
ligation Tubal
reversal Colporr
haphy Cesarean
section Hymeno
rrhaphy Endom
etrial biopsy
Bo
ne,
car
tila
ge,
an
d jo
int
bone:Acromio
bone: Epiphysiod
plasty Khyph
oplasty Ment
oplasty Acro
my Astragalectomy) Corpectomy Fa
mioplasty
cetectomy Laminectomy(Hemilaminect
omy)
tomy Foraminotomy
bone: Osteotomy
joint: Arthropl
asty Rotation
esis
joint: Arthrodesis
Arthroscopy Ul
nar collateral
ligament
reconstruction
plasty
Mu
Bursectomy amputation(Hemicorporec
scl
tomy, Hemipelvectomy)
ciotomy
biopsy Amputati
e/
on Tendon
soft
transfer
tiss
ue
Breast
implant Mastop
Bre
ast
Mammoplasty
exy Breast
Lumpectomy Mastectomy
reconstruction
Breast reduction
plasty
Ski
Escharotomy
Skin biopsy
Abdominal
surgery Inguinal
hernia
Oth
er/
Abdominopla
un
sty Herniopla
gro
sty Frenulopl
up
asty Z-plasty
ed
surgery Biopsy
Fistulotomy Laparotomy
Ureterosigmoidostomy
Myringotomy Sphincter
otomy Commissurotomy
Brostrom
prodedure Caut
erization Graftin
g Hypnosurgery
Laparoscopy N
OTES Nuss
procedure Radio
surgery