4: Abdomen Flashcards
Which direction does external abdominal oblique go?
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Which direction does internnal abdominal oblique go?
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Which direction does transversus abdominis go?
IIIIIII
What happens to the linea alba caudally?
Gets thinner
How do you do a celiotomy in a male dog?
The incision must deviate around the prepuce, but still enter through the linea alba
What are the advantages of a flank laparotomy?
Space, kidneys, adrenals, retroperitoneal access
What are the disadvantages of a flank laparotomy?
More bleeding as through muscle
Which blood vessel must you ligate for a celiotomy in males?
Preputial (and re-suture the muscle after)
When might you remove the falciform fat?
In need view of cranial abdomen
What can happen to falciform fat after surgery if you don’t remove it?
Becomes necrotic
How do you remove the falciform fat?
Ligate the artery cranially
Why must you take care when palpating the stomach?
To avoid regurgitation
What should you do if you don’t find anything on an ex-lap?
Take biopsies
What are three methods for a peripheral liver biopsy?
Crushing, guillotine suture, suture fracture
Which peripheral liver biopsy method reduces the chance of bleeding?
Suture
What are two methods for a central liver biopsy?
Punch, gelfoam or pressure
What do you send liver biopsies to the lab for?
Histo and culture
Where do you usually biopsy the pancreas?
Right pancreatic limb
Why do you only take a very small amount for a pancreas biopsy?
To avoid pancreatitis
What are two methods to take a pancreas biopsy?
Suture fracture or blunt dissection
Do you need to culture pancreas?
No
When do you biopsy the intestine?
Only if indicated
What are three methods to biopsy the intestine?
Punch, scalpel and scissors or scalpel only
Which layers do you include on an intestine biopsy?
ALL
Which direction do you suture a punch biopsy?
Transversely
Which direction do you suture a scalpel biopsy?
Longitudinally
What must you do after you take an intestinal biopsy?
Lavage after, either locally or whole abdomen but must have suction
How long does the linea alba take to heal?
6 weeks
What must you remember to repair in males?
The preputial muscle
What is linea alba healing like?
Poor as low blood supply - only 20% at 2 weeks
