Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgery 1 VCS863/4 > Abdominal Exploratory Notes > Flashcards

Abdominal Exploratory Notes Flashcards

1
Q

Exploratory Laparotomy / Celiotomy

A

an abdominal surgery in which the organs of hte abdominal cavity are systemically examined for signs of injury or disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

-otomy

A

incision into an organ or cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

-ectomy

A

removal of an organ or strucuter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

-ostomy

A

surgical creation of a new opening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Diagnostic

A

an exploratory laparotomy in which the purpose is to identify, but not always treat, a medical condition

Obtaining biopsies for animals with hepatobiliary, renal, or GI dysfunction; evaluating an animla with clinical signs of pain referable to the abdominal cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Therapeutic

A

An exploratory laparotomy in which the purpose is to correct the underlying cause of abdominal disease

Tumor removal, herniorrhaphy (hernia repair), enterotomy or gastrotomy to remove intestinal foreign body, correction of traumatic injury to abdominal organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Emergent

A

Surgery needs to occur imminently after appropriate diagnostics and therapeutics are performed

Gastrointestinal foreign bodies

Penetrating abdominal trauma

Septic peritonitis of any cause

bilioabdomen

Undiagnosed acute adbominal pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Urgent

A

Surgery need to occur soon, but can wait < 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Elective

A

Surgery can be scheduled at a time that is convenient for the veterinarian and owners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Muscles that compse the abdominal wall

A

Outer most muscle:

External abdominal oblique

Internal abdominal oblique

Transversus abdominus

Rectus Abdominus

Inner most muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Linea alba

A

A white band directly on ventral midline

Incisions through this structure will have less hemorrhage and inflammation compared to incisions through the muscle layers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Rectus Sheath

A

The external rectus sheath is the HOLDING LAYER onf the abdomen in regards to suturing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Median Raphe

A

Dogs have it, Cats Do NOT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ventral Midline Laparotomy Landmarks

A
  1. Xiphoid Process of the sternum - cranial extent of a complete celiotomy incision
  2. Pubic bone - Caudal extent of a complete celiotomy incision
  3. Umbilicus
  4. Mammary chain
  5. Prepuce - in a male dog the prepuse lies directly on midline. Complete celiotomy incisions must avoid this structure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What side of the patient does a right handed surgeon stand on?

A

Right side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What side of the patient does a Left Handed surgeon stand on?

A

Left side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the first thing you see in the cranial abdomen after completing the incision?

A

Falciform ligament

18
Q

Procedures that do NOT warrant a compele abdominal exploratory

A

prophylactic gastropexy

Ovariohysterectomy/Ovariectomy on a healthy animal

Cryptorchid castration on a healthy animal

Cesarean section on an otherwise healthy animal

Liver biopsies on an otherwise healthy animal with elevated ALT/AST and no imaging abnormaliites

Splenectomy for an animal with IMHA
Cystotomy for urolith retrieval on an otherwise healthy animal

19
Q

Condition that almost ALWAYS warrant a complete abdominal exploratory

A

Septic abdomen

Abdominal organ neoplasia

Gastrointestinal foreing body

Hemoabdomen

Uroabdomen

Gastric Dilation and Volvulus

20
Q

Exploratory Celiotomy / Abdominal Exploratory Technique:

A

The goal of an abdominal exploration is to use a consistent pattern to assess the entire abdominal cavity

21
Q

What do you assess in the Cranial Abdomen

A

Diaphragm

Esophagus

Liver

Gallbladder

Stomach

22
Q

What acts as a physiologic retractor of the right abdominal gutter

A

Duodenum and its mesentery (mesoduodenum)

23
Q

What structures can you assess in the Right abdominal Gutter?

A

right limb of the pancrease

right kidney

right ureter

vena cava

Portal vein

common hepatic artery

Right ovary and right uterine horn / right testicular artery

24
Q

What structure prevents the exteriorization of the Duodenum?

A

duodenocolic ligament

25
Q

What is the physiologic retractor for the Left Abdominal Gutter?

A

Descending Colon

26
Q

What structures can you assess in the LEFT abdominal gutter

A

spleen

left kidney

left ovary

left uterine horn / left testicular artery

Left adrenal gland (ventrally overlying phrenicoabdominal vein)

left ureter

27
Q

order of procedures

A

most critical first

clean, clean-contaminated, contaminated, dirty

Most important before addtional

28
Q

Abdominal Closure

A

Typically done in 3 layers

body wall

Subcutaneous tissues

skin

29
Q

Body wall closure

A

holding layer is the External Rectus Sheath

Avoid inclusion of significant amounts of subcutaneous fat in body wall closure, as it can be difficult to determine that the suture bite went deep enough to engage the correct layer

Think SQ tissue or preputialis muscle can look like body wall. Accidentally closing the wrong layer will result in a body wall hernia

30
Q

Body wall closure

suture pattern

A

Simple interupted with four throws per knot

31
Q

Body wall closure

suture type

A

Prolonged absorbable monofilament suture (PDS)

32
Q

Suture size

small cats (interrupted pattern only)

A

3-0

33
Q

Suture size

Dogs <10kg or large cats

A

2-0

34
Q

Suture size

11-25kg dog

A

0

35
Q

Suture size

>25kg dog

A

1

36
Q

Subcutaneous Tissue Closure

A

SQ layer closed to eliminate dead space and relieve tension from the skin

Take deep tacking bites of hte body wall ever 2-3 bites

37
Q

Subcutaneous Tissue Closure

Suture pattern

A

Simple continuous pattern with buried knots

4 throws to start and 4+ throws to end

38
Q

Subcutaneous tissue closure

suture type

A

Rapidly absorbable monofilament surture (monocryl)

PDS is acceptable for dogs

39
Q

Subcutaneous tissue closure

Suture size

A

3-0 or 4-0 suture

40
Q

Skin closure

A

may be closed with a buried or external sutures or staples

Subcuticular pattern will be used in lab

41
Q

Skin closure

suture type

A

Rapid absorbable monofilament (monocryl)

42
Q

Skin closure

suture size

A

3-0 or 4-0 suture

Surgery 1 VCS863/4 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions