A CST is assisting a surgeon with a lumbar discectomy procedure. The CST removes tissue from the jaws of the pituitary rongeur that the surgeon is using to remove the disc material. He looks at the specimen and says to the physician, “I think you should stop and look at this – it doesn’t look like disc material to me.” The surgeon asks, “How so?”, and the CST responds, “It has a lumen.” The surgeon examines the tissue, has the circulator page a genitourinary specialist, completes the discectomy, and assists in the repair of the ureter. What did the CST have to know in order to make this critical observation? Discuss the relationship between knowledge of anatomy and physiology and its practical application in the OR setting.
A CST is assisting a surgeon with a lumbar discectomy procedure. The CST removes tissue from the jaws of the pituitary rongeur that the surgeon is using to remove the disc material. He looks at the specimen and says to the physician, “I think you should stop and look at this – it doesn’t look like disc material to me.” The surgeon asks, “How so?”, and the CST responds, “It has a lumen.” The surgeon examines the tissue, has the circulator page a genitourinary specialist, completes the discectomy, and assists in the repair of the ureter. What did the CST have to know in order to make this critical observation?
Discuss the relationship between knowledge of anatomy and physiology and its practical application in the OR setting.
The spinal cord travels through a series of bones called vertebrae that make up the spinal column. The bones aid in the cord's defense against harm. Each vertebra has a disc in between it to act as a cushion and support.
As the soft inner section of the disc bulges out, it becomes a herniated or bulging disc. It commonly happens when a disc's outer wall dries up and becomes brittle with time or trauma. A herniated or degenerative disc in the lower spine is removed by a procedure called a lumbar discectomy.
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