Abdominal surgery Flashcards
What is the ideal suture material (including needle type, gauge of suture, etc.) for closure of, or, surgery on the stomach?
- Polyglyconate
- monofilament,
- 21 days
- Polydioxanone
- monofilament
- 28 days
- Glycomer 631
- monofilament
- 18 days
What is the ideal suture material (including needle type, gauge of suture, etc.) for closure of, or, surgery on the urinary bladder?
- Glycomer 631
- monofilament
- 18 days
- Polyglytone 6211
- Monofilament
- 10 days
- Poliglecaprone 25
- monofilament
- 14 days
- Polyglyconate
- Monofilament
- 21 days
- Polydioxanone
- Monofilament
- 28 days
What is the ideal suture material (including needle type, gauge of suture, etc.) for closure of, or, surgery on the linea alba?
- Polyglyconate
- monofilament,
- 21 days
- Polydioxanone
- monofilament,
- 28 days
What is the ideal suture material (including needle type, gauge of suture, etc.) for closure of, or, surgery on the pancreas?
Polypropylene – monofilament, permanent (top 2)
- Polyglyconate
- monofilament,
- 21 days
- Polydioxanone
- monofilament,
- 28 days
What is the ideal suture material (including needle type, gauge of suture, etc.) for closure of, or, surgery on the gall baldder?
- Glycomer 631
- monofilament
- 18 days
- Polyglyconate
- monofilament,
- 21 days
- Polydioxanone
- monofilament,
- 28 days
Name this abdominal retractor
List three advantages and three disadvantages for its use in small animal surgery
Balfour abdominal retractor
Advantages:
- Three-point retractor – stable once placed
- Can be used as a two-point or three-point retractor
- Many versions come with a locking nut to prevent the retractor closing once placed
Disadvantages:
- Large – may not fit in practice autoclave
- Expensive
- Cannot be used on small patients (see paediatric Balfour retractor)
How are abdominal retractor classified?
- Hand-held
- Self-retaining
- Two-point, three-point or circular
What is this retractor and how does it work?
- Gosset retractor
- Self-retaining
- Two-point
- Remains open only due to friction
- Often closes inappropriately
What is this retractor and how does it work?
Langenbeck retractor
- Hand-held
- one-point
- Requires a surgical assistant to hold
What is this retractor and how does it work?
Gelpi retractor
- Self-retaining
- Two-point
- Ratchet keeps the instrument open at required, chosen degree
What would be a good antibiotic to use for use in a clean/contaminated small bowel enterectomy surgery in small animals?
When would be the best time for this drug to be administered?
- Choice of drug
- Cephalosporin 1st/2nd/3rd gen
- Cefuroxime 20mg/kg iv
- Clavulanate amoxicillin 20 mg/kg iv
- Route of drug
- iv every 60-90 min dependent on surgery
- Duration of therapy
- Contaminated: 24h
- Dirty: therapeutic - 5d ?
The picture shows two types of commercially available surgical swabs.
- Name four main differences between the two products
- Why might these differences be advantageous when performing abdominal surgery?
- Left
- 10 x 10 cm standard multi-ply gauze cotton swabs
- No radio-opaque marker
- No tie
- Right
- 30 x 30 cm multi-ply laparotomy swab
- Has a radio-opaque marker
- Tie to secure swab to outer drapes
- Tie is present to minimise the possibility that the abdominal swab is left in the abdominal cavity
- Remember, the radio-opaque marker does not prevent the surgeon leaving a swab in the abdominal cavity
What safety precautions should be taken when using surgical swabs during open abdominal surgery?
- Count the swabs prior to performing the procedure
- Count the swabs prior to closure of the linea alba
- Do not disposed of the swabs until the swab count is correct and the operation is finished
