Question

A surgical technology student is being supervised by the CST preceptor during a Whipple procedure. The CST comments that the student will have learned several procedures by the time they are done with this case.

1. What does the CST mean by his statement to the student?

2. What are the different procedures that constitute a Whipple procedure?

3. Discuss the different instrument trays that will be used for this case.

4. What type and size of suture is typically used for a subcuticular closure? What type of needle do you anticipate would be used?

5. Which incision is used most commonly for emergency surgery? Which incision is least likely to have an incidence of incisional herniation but a greater chance of infection or nerve damage?

Answer 1

1.What does the CST mean by his statement to the student?

Answer:- the Whipple procedure will involves a combination of procedures and will include resection and reconstruction.

2. What are the different procedures that constitute a Whipple procedure?

Answer:- resection, ex lap, cholecystectomy, partial gastrectomy, vagotomy, division of pancreas, dissection of retro peritoneal.

3. Discuss the different instrument trays that will be used for this case.

Answer:- Major instrument set, long instrument set, abdominal retractor, biliary instrument set, bowel instrument set, variety of stapling device, vascular instrument set.

4. What type and size of suture is typically used for a subcuticular closure? What type of needle do you anticipate would be used?

Answer:- 4-0 absorbable, cutting needle

5. Which incision is used most commonly for emergency surgery? Which incision is least likely to have an incidence of incisional herniation but a greater chance of infection or nerve damage?

Answer:- longitudinal medial, median incision.