Introduction to the Operating Room

LESSON 2: Operating Room Personnel, Policies, and Nomenclature
 

2-8

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2-8. REPAIR PROCEDURES

a. Discussion. Repair is the reconstruction, reforming, fixation, or stabilization of a part. The suffixes used for plastic surgery procedures are as follows:

(1) -plasty--the shaping or surgical formation of a body part.

 

(2) -(o)stomy--to provide with an opening.

 

(3) -desis--the binding of a body part.

 

(4) -pexy--the fixation or suspension of a body part.

b. -Plasty.

(1) Graft.

(a) Skin graft--the implantation of a portion of skin onto a body part.

 

(b) Bone graft--the implantation of a piece of bone to replace a removed bone or bony defect.

 

(c) Cartilage graft--the implantation of a portion of cartilage into a body part.

(2) Lengthen or shorten--tendon (tenoplasty).

(a) Advancement--eye muscles.

 

(b) Recession--eye muscles.

(3) Attach or reattach

(a) --nerves (neuroplasty).

 

(b) --tendons (tenoplasty).

(4) Reconstruct

(a) --nose (rhinoplasty).

 

(b) --ear (otoplasty).

 

(c) --tongue (glossoplasty).

 

(d) --larynx (laryngoplasty).

 

(e) --joints (arthroplasty).

 

(f) --bones (osteoplasty).

 

(g) --inguinal hernia (hernioplasty).

c. -Ostomy. This suffix indicates a plastic surgery procedure when used to denote the joining together of two parts with the formation of a permanent opening between two spaces that are usually apart from each other. For example, if a portion of intestine is removed, the usual operative procedure is to anastomose the ends (to stitch the two cut ends together). Such a plastic operation is called an enterostomy. The specific parts of the gastrointestinal tract anastomosed are indicated by naming them (see example below). Anastomosis of large blood vessels may be performed also. (Other usage of the suffix -ostomy denotes surgical procedures classified as incisions (see para 2-3a(2),c).

(1) Anastomosis--formation of a communication between stomach and bowel or between any two organs or vessels.

 

(2) Gastroduodenostomy--anastomosis of the stomach to the duodenum.

 

(3) Ileocolostomy--anastomosis of the ileum (distal portion of small intestine) to the colon.

d. Desis.

(1) Fusion.

(a) Spondylosyndesis--spinal fusion.

 

(b) Arthrodesis--fusion of a joint to produce ankylosis (immobility and consolidation of joint).

(2) Stabilization.

 

Tenodesis--suture of a tendon to a skeletal attachment.

e. Pexy.

(1) Fixation.

(a) Nephropexy--fixation of a movable kidney; performed to correct nephroptosis (downward displacement of the kidney).

 

(b) Scapulopexy--fixation of the scapula.

 

(c) Splenopexy--fixation of the spleen.

 

(d) Colpopexy--fixation of a relaxed vagina to the abdominal wall.

 

(e) Orchiopexy--fixation into the scrotum of an undescended testicle.

(2) Suspension.

 

Hysteropexy--suspension of the uterus.

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