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A tie on passer is used when:

a) a superficial vessel needs to be tied
b) a vessel deep in a body cavity needs to be tied
c) an incision is being closed

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Final answer:

A tie on passer is a surgical instrument used for tying off vessels deep within a body cavity and is essential in vascular surgery. It is less likely to be utilized for superficial tasks such as closing incisions that can heal through primary union. Adequate anatomical knowledge is vital for effective use of the instrument.

Step-by-step explanation:

A tie on passer is a surgical instrument primarily used when a vessel deep in a body cavity needs to be tied off. This typically occurs during vascular surgery, a specialty dealing with diseases and conditions of the vascular portion of the cardiovascular system. The process of tying off vessels is crucial in managing blood flow and is essential for procedures such as the removal of plaque from vessels, repair and replacement of diseased or damaged vessels, and during minimally invasive procedures that include the insertion of venous catheters.

The concept of primary union is related to the closure of wounds where edges are close enough to be brought together securely, promoting quicker and more thorough healing. In such conditions, a tie on passer would be less likely to be used, as its primary application is for deeper surgical tasks rather than superficial closure of incisions.

Understanding the anatomy and relative locations of body structures, such as knowing what is 'superficial to' or 'inferior to' another structure, is essential in surgery and using instruments like the tie on passer effectively. This knowledge also helps to minimize confusion during the description and treatment of various medical conditions.

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