12: abdominal exploratory, small animal surgery Flashcards

1
Q

advantages of laparotomy

A

full thickness intestinal biopsies
Oran biopsy/excision
can address hemostasis
direct visualization

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2
Q

Disadvantages of laparotomy

A
Increased morbidity 
pain
anesthetic risk
cost
dehiscence
infection
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3
Q

Diagnostic indications for abdominal exploratory surgery

A

Protein losing enteropahty
hepatopathy
suspected neoplasia

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4
Q

Why are abdominal exploratory surgeries performed

A

diagnostic/ therapeutic purposes

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5
Q

Layers of abdominal wall

A

Peritoneum
Transversis abdominus muscles
internal and external abdominal oblique muscles
rectus abdominus muslces

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6
Q

Major arterial blood supply to the abdomen

A

descending aorta

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7
Q

5 branches of descending aorta

A

celiac artery
right and left renal arteries
cranial and caudal mesenteric arteries

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8
Q

What is the blood supply for the spleen, pancreas, liver, stomach, and descending suodenum

A

Celiac artery

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9
Q

What supplies the small intestines and ascending nd transverse colon

A

cranial mesenteric artery

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10
Q

What supplies the descending colon

A

caudal mesenteric artery

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11
Q

What is the major conduit for venous return to the heart from the abdomen

A

Caudal vena cava

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12
Q

What is responsible for venous drainage of the GI

A

portal venous system

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13
Q

Patient prep steps

A
History
exams
Hematology, biochem, UA, imaging
ASA score
Stabilization
Shave
skin prep
perioperative antibiotics
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14
Q

What’s in cranial quadrant

A

diaphragm
liver, gall bladder
stomach pancreas

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15
Q

Mid-abdomen

A

spleen

intestine

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16
Q

Caudal quadrant

A

colon
bladder
prostate/uterus

17
Q

Abdominal gutters

A

kidneys
ureters
adrenal
ovaries

18
Q

How much fluid in peritoneal lavage

A

50ml/kg

19
Q

What do you need to retract to evaluate deep and lateral structures

A

mesoduodenum

descending colon

20
Q

What must be included in every tissue bite during closure of the linea

A

external rectus sheath

-holding layer of the abdominal wall