Abdo surgery: intro and biopsy techniques

Question 1

What does good surgery require?

Answer 1

Good lighting

Question 2

Discuss the Yankauer suction tip?

Answer 2

Question 3

Discuss poole suction tip?

Answer 3

Question 4

What is this?

Answer 4

Frasier suction tip

Question 5

Discuss electrosurgery?

Answer 5

Question 6

Discuss laporotomy swabs?

Answer 6

Laparotomy swabs

Lap swaps bigger than others

Ply refers to layers of material; more layers more absorbent

Have ties on the end which can leave out of abdomen for safety of removal

Radiographic markers. BUT always count swabs in and out.

Question 7

Discuss the different kinds of lap swabs?

Answer 7

Surgical swabs

Guaze swabs commonly used as cheaper: Top picture. Not lint free so can leave bits of material in.

Topper type swab: below pic Much more absorbant

Question 8

Discuss Gillie needleholders?

Answer 8

Question 9

Discuss DeBakey atraumatic forceps?

Answer 9

ST work horse forceps

An instrument used for atraumatic work as you wont have to crush the tissues to hold them due to striations.

Question 10

Discuss these metzenbaum scissors?

Answer 10

Gold handles means tungsten carbite which lasts longer than stainless steel

Question 11

What are these?

Answer 11

Gosset abdominal retractors

Question 12

What are these?

Answer 12

Balfour abdominal retractors

Question 13

Discuss gelpi retractors?

Answer 13

Question 14

Discuss Doyen atraumatic intestinal clamps?

Answer 14

Question 15

What are these?

Answer 15

Doyen/Kocher intestinal clamps

Question 16

What are these?

Answer 16

Question 17

What is this?

Answer 17

‘Homemade’ intestinal clamps using Allis tissue forceps

Question 18

Discuss antibiotics and abdomen surgery?

Answer 18

Question 19

Discuss amorphous liver biopsy?

Answer 19

Question 20

Discuss liver biopsy of more focal lesions?

Answer 20

Question 21

Discuss neoplastic liver biopsy?

Answer 21

Question 22

What is this?

Answer 22

Core biopsy

Question 23

Discuss a liver biopsy with crush forceps?

Answer 23

Question 24

Discuss liver biopsy with a skin punch biopsy tool?

Answer 24

Question 25

Discuss haemostatic agents?

Answer 25

Question 26

Discuss mesenteric LN biopsy?

Answer 26

Liver biopsy –skin punch biopsy Wedge, core or shell biopsy appropriate.

Question 27

What must be considered of for LN biopsy?

Answer 27

Question 28

Discuss when to do a full-thickness small intestine biopsy?

Answer 28

Question 29

What else can be used as atraumatic forceps?

Answer 29

Question 30

How can a SI full thickness biopsy be done?

Answer 30

Question 31

What is this?

Answer 31

SI full thickness biopsy

Question 32

How should SI full thickness biopsies be closed?

Answer 32

Question 33

Discuss SI full thickness punch biopsy?

Answer 33

Question 34

How can haemostasis be maintained when full thickness biopsy done?

Answer 34

Question 35

What is this?

Answer 35

Peyer’s patches

Don’t biopsy Peyer’s patch as it is a lymphoid aggregate and may confuse the pathologist

Question 36

Discuss biopsying the pancreas?

Answer 36

• Don’t biopsy pancreas very commonly. Have to be careful.
• Can see all pancreas if you find duodenum most lateral part of intestine on RHS.
• You move the greater omentum cranially and the transverse colon caudally then you’re looking down root of mesentry
• Blood supply to pancreas intimately associated with duodenum

Question 37

Describe the difference in the pancreatic ducts in dogs and cats?

Answer 37

Question 38

Whats going on here then?

Answer 38