The Challenge of Suturing Intra-Abdominally Is Not as Great as the Process

question 26

Multiple Choice

The challenge of suturing intra-abdominally is not as great as the process needed to tie and tighten the surgical knot.The knot-tying process can be achieved within or outside of the abdominal compartment.One technique uses laparoscopic grasping forceps and a laparoscopic needle holder only,and another uses the same instruments plus two obturator sleeves to push,slide,and tighten the knot into place.When sutures are tied and knotted during an open procedure,the surgeon may tie the knot with gloved fingers,called a one- or two-handed tie,or wrap the suture around the tip of a needle holder and grasp the other end of the suture to pull it through the wrapped coils;this is called an instrument tie.The intracorporeal suture technique uses the suture-tying process analogous to the:

• A) instrument tie.
• B) two-handed tie.
• C) one-handed tie.
• D) All of these techniques could be accomplished through the intracorporeal approach.

Differentiate between one-way and two-way communication and their uses.

Recognize the role of feedback in communication.

Understand the differences between formal and informal communication channels.

Appreciate the impact of cultural differences on communication.

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Definitions:

Deferred Tax Assets

Future tax benefits arising from deductible temporary differences and the carryforward of unused tax credits and losses.

Accrued Interest

Interest that has been earned but not yet paid, often related to bonds or loans.

Upstream Sale

A transaction where a subsidiary sells goods or services to its parent company, affecting intercompany transactions and transfer pricing.

Unrealised Profits

Profits that have been earned but not yet realized through a transaction, such as the increase in value of an investment that has not been sold.