Friday, January 07, 2011

Terminology in surgery

How to describe an operation

The terminology used to describe all operations is a composite of basic Latin or Greek terms.

First describe the organ to be operated on
Examples:
  • lapar-, abdomen (laparus = flank);
  • nephro-, kidney;
  • pyelo-, renal pelvis;
  • cysto-, bladder;
  • chole-, bile/the biliary system;
  • col(on)-, large bowel;
  • hystero-, uterus;
  • thoraco-, chest;
  • rhino-, nose;
  • masto/mammo-, breast.
Second describe any other organs or things involved in the procedure
Examples:
  • docho-, duct;
  • angio-, vessel (blood- or bile-carrying);
  • litho-, stone.
Third describe what is to be done
Examples:
  • -otomy, to cut (open);
  • -ectomy, to remove;
  • -plasty, to change shape or size;
  • -pexy, to change position;
  • -raphy, to sew together;
  • -oscopy, to look into;
  • -ostomy, to create an opening in (stoma = mouth);
  • -paxy, to crush;
  • -graphy/gram, image (of).
Lastly add any terms to qualify how or where the procedure is done
Examples:
  • percutaneous, via the skin;
  • trans-, across;
  • antegrade, forward;
  • retrograde, backwards.
Examples of terms
  • Choledochoduodenostomy an opening between the bile duct and the duodenum.
  • Rhinoplasty nose reshaping.
  • Pyelolithopaxy destruction of pelvicalyceal stones.
  • Bilateral mastopexy breast lifts.
  • Percutaneous arteriogram arterial tree imaging by direct puncture injection.
  • Loop ileostomy external opening in the small bowel with two sides.
  • Flexible cystourethroscopy internal bladder and urethral inspection.






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