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153 Local AnalJESSA > Abdominal Sx > Flashcards

Abdominal Sx Flashcards

1
Q

indicated for umbilical hernias

A

umbilical herniorrhapy

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2
Q

uncomplicated hernia

A

reducible hernia

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3
Q

hernia w/ abscess

A

partially reducible hernia

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4
Q

abscess and hernia (complicated by incarceration, adhesion, or strangulation)

A

irreducible hernia

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5
Q

position for umbilical herniorrhapy

A

dorsal recum

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6
Q

analgesia for umbilical herniorrhapy

A
  • cranial epidural analgesia w/ field block cranial to umbilicus
  • GA
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7
Q

type of irreducible where there are adhesions between hernial contents and hernial sac (peritoneal fluid,, greater omentum, abomasum, LI)

A

hernia accreta

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8
Q

type of irreducible where there is incarceration of viscera by hernial ring

A

incarcerated hernia

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9
Q

best for hernia accreta or incarcerated hernia

A

amputation of internal hernial sac

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10
Q

closing for hernial ring

A

horizontal mattress or Mayo suture pattern

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11
Q

when all sutures have been inserted, ____________________ is applied on all sutures to close hernial ring

A

steady traction

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12
Q

best for reducible hernia

A

replacement of internal hernial sac

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13
Q

best for very large hernial ring

A

closure of hernial ring using alloplastic material (mesh)

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14
Q

material and pattern to hold mesh

A

non-ab; SI

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15
Q

suture mat for closure of ring (reducible)

A
  • smooth non-ab
  • monofilament nylon
  • multifilament sheathed nylon
  • stainless steel
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16
Q

SC tissue suture pattern

A

continuous to obliterate dead space

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17
Q

skin suture pattern

A

SI

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18
Q

in females, a _______________ is reco for support

A

belly bandage

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19
Q

T/F: restrict pre- and postop feed intake to reduce tension on wound edges

A

T

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20
Q

reasons for failure of repair

A
  • sutures cutting thru tissues due to excessive tension
  • sutures tied tightly
  • ring too large
  • margin of ring too rigid
  • excess activity post-op
  • infxn
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21
Q

post-op management for herniorrhapy

A
  • systemic antibiotics 3-5 d
  • water only for 2 days
  • calf confinement
  • wound cleaning (diluted povidone iodine)
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22
Q

herniorrhaphy complications

A
  • seroma (leads to abscessation)
  • hematoma
  • dehiscence w/ prolapse of omentum (treat ASAP)
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23
Q

indicated for infxn of umbilical cord due to abscessation of urachus

A

resection of urachal fistula

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24
Q

can be used to determine the direction and depth of fistula

A

probe

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25
Q

anesth for resection of urachal fistula

A
  • caudal epidural w/ field block cranial to umbilicus
  • GA
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26
Q

position for resection of urachal fistula

A

dorsal rec w/ legs in extended position

27
Q

in resection of urachal fistula, make and _______________ incision around umbilicus and extend parapreputially

A

elliptical

28
Q

urachal fistulas often extend to serosa of the bladder
——> _____________

A

partial cystectomy

29
Q

closing for bladder

A

Schmieden and Lembert

30
Q

laparotomy in cattle is mostly carried out thru a _________ incision

A

flank

31
Q

standard method for left flank is __________________ incision

A

through-and-through

32
Q

local analgesia for laparotomy

A

infiltration, inverted L, paravertebral

33
Q

suture pattern for peritoneum, transversalis fascia, transversus mm.

A

simple continuous

34
Q

suture pattern for oblique mm.

A

SI (an or non-ab)

35
Q

subcutis suture pattern

A

simple continuous (ab)

36
Q

skin suture pattern

A

SI (non-ab)

37
Q

usually executed by a true grid or a modified grid incision

A

right flank laparotomy

38
Q

external oblique mm is split in the direction of its fibers (caudo-ventrally)

A

true grid

39
Q

external oblique mm. is incised vertically

A

modified grid

40
Q

layers of closing for left flank lapa

A

3-4

41
Q

layers of closing for right flank lapa

A

4

42
Q

rumenotomy indications

A
  • removal of FB (traumatic reticulitis/reticuloperitonitis)
  • severe rumen overload (ingestion of toxic plants)
  • exploratory surgery (chronic tympany)
  • removal of neoplasia
43
Q

rumenotomy technique

A

left flank laparotomy

44
Q

used to prevent peritoneal contamination

A

Weingart’s apparatus

45
Q

suture pattern for rumen and reticulum

A

Schmieden, Lembert/Cushing (ab or non-ab)

46
Q

etiology of LDA (left displaced abomasum)

A
  • high BCS at parturition
  • high concentrated feed intake (low fiber diet)
  • sudden change of feed
  • rearrangement of viscera after parturition
  • dz (fatty liver, ketosis, metritis, mastitis, hypocalcemia)
47
Q

conservative technique for LDA

A

rolling

48
Q

LDA techniques

A
  1. omentopexy or abomasopexy by right paramedial laparotomy
  2. omentopexy thru left or right flank
  3. percutaneous abomasopexy
49
Q

other term for percutaneous fixation

A

Utrecht method

50
Q

position for percutaneous fixation

A

standing left flank

51
Q

anesth for percutaneous fixation

A

paravertebral or local infiltration

52
Q

closing for abomasum in percutaneous fixation

A

seromuscular purse string suture pattern

53
Q

position for percutaneous fixation using a bar suture

A

right lat recum

54
Q

anesth for percutaneous fixation using a bar suture

A

xyla (45-50 mg IV)

55
Q

conservative treatment for RDA

A
  • inc exercise
  • provide access to fodder
  • metaclopramide admin
  • calcium borogluconate
56
Q

RDA clinical signs

A
  • pain ,bruxism
  • tachycardia
  • rumen stasis
  • rectal palpation for further exam
  • large, smooth, tense-walled viscus ventrally on right side
  • metabolic alkalosis (early) and acidosis (late)
57
Q

displacement always starts w/ a ________

A

flexio (displacement about a horizontal axis running cranio-caudally)

58
Q

flexio is followed by _____________

A

rotation (abomasum turns about an axis perpendicular to its greater curvature)

59
Q

cecotomy CS

A
  • distention of right abdominal cavity
  • dark and mucoid feces
  • absence of feces in rectum
60
Q

position for cecotomy

A

right flank lapa

61
Q

closing for cecum

A

Schmieden and Lembert

62
Q

most often observed in piglet

A

absence of anal opening

63
Q

T/F: in male piglet, distention may not be evident because of recto-vaginal fistula wherein some evacuation may occur

A

F - female

153 Local AnalJESSA (3 decks)

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