Wound Management & Surgical Complications Flashcards

Deep vein thrombosis (DVT) prophylaxis for surgical patients most commonly includes:

Answer: Sequential compression devices (SCDs) and/or anticoagulants

DVT prophylaxis combines mechanical measures (SCDs) and pharmacologic agents (heparin, LMWH) based on patient risk stratification.

Which wound closure material is most appropriate for a highly contaminated traumatic laceration?

Answer: Delayed primary closure with wet-to-dry dressings

Highly contaminated wounds should not be closed primarily; delayed primary closure after adequate irrigation and debridement reduces infection risk.

A retained surgical sponge identified postoperatively is an example of which category of surgical adverse event?

Answer: Sentinel event

A retained foreign body (gossypiboma) is classified as a sentinel event by The Joint Commission — an unexpected occurrence resulting in or risking serious patient harm.

Which suture is MOST appropriate for vascular anastomosis because of its minimal tissue reactivity and strength retention?

Answer: Polypropylene (Prolene)

Polypropylene (Prolene) is a non-absorbable, monofilament suture with minimal tissue reactivity and permanent strength, ideal for cardiovascular anastomoses.

Which complication occurs when blood accumulates in the tissue planes of a surgical wound?

Answer: Hematoma

A hematoma is a collection of blood in the wound tissue planes, often from inadequate hemostasis, that can lead to infection or dehiscence if not evacuated.

The scrub technologist's role in the final wound count is to:

Answer: Count with the circulator and verbally confirm all counts are correct before closure

The scrub person and circulator count together, both visualizing each item, and verbally confirm counts are correct to the surgeon before wound closure is completed.