Celiotomy Flashcards
Definition: Celiotomy
Surgical incision into the abdominal cavity
[Laparotomy is a flank approach; used interchangeably]
When would an emergency laparotomy be indicated?
- uncontrollable hemorrhage [HSA]
- GDV
- Perforated GIT
- Bile peritonitis
When prepping your patient for an [exploratory] celiotomy, how far should you clip?
Beyond xiphoid and caudal to cranial pubis area
During an exploratory celiotomy, the patient should be position in _____ recumbency.
dorsal
What does Gossypiboma mean?
Retained foreign object during surgery (such as a sponge or instrument)
What surgical approach is ideal for a celiotomy?
Ventral midline
What approach would allow you to make an incision directly over a unilateral cryptorchid testical in the inguinal area?
Paramedian
This approach is caudal to the last rib and provides more access to cranial structures (liver, spleen, etc.)
Paracostal
What dorsal organs can be accessed via the flank approach?
kidneys, adrenals, ovaries
What landmark is used to visualize the linea alba?
umbilicus
When making your stab incision for the ventral midline approach, the incision should be made in a ____ direction if using a scalpel and a ____ if using scissors.
scalpel–cranial
scissors–caudal
T/F:
If no gross lesions are observed, biopsies are unnecessary.
False
What is the #1 reason for rupture of a ureter?
iatrogenic–accidentally clap during spay
What 3 things are critical to do before closing the abdominal cavity?
- check for hemorrhage
- sponge/instrument count
- Lavage abdomen
[may wording for this question isn’t great but I remember him putting a lot of emphasis on this slide]
What structures are in the cranial quadrant of the abdominal cavity?
diaphragm, stomach, gall bladder, liver left limb of pancreas
In which quadrant is the duodenum located?
right
The prostate and bladder are located in which quadrant?
Caudal
Which quadrant is the spleen located in?
left
Which ligament(s) of the bladder can be removed? Which should be avoided?
Ventral ligament can be removed.
lateral should be avoided.
What is the holding layer of abdominal wall?
External rectus sheath
Which suture pattern(s) can be used to close the external rectus sheath?
simple interrupted & simple continuous
[same for SC closure]
What 4 suture types should be avoided when closing the abdominal cavity?
- Chromic gut
- Silk
- Vicryl rapid
- Polymerized caprolactam
What’s the purpose of subcutaneous tissue closure? (2)
- decrease dead space
2. better apposition
Why would we avoid closing the the SC tissue in a cat?
The SC in cats tends to be inflammatory. They also have v little SC which serves as a source of granulation tissue–if you disrupt this, you delay healing.
This pattern may be used as an alternative to SC closure in patients that have very little SC
Intradermal pattern
SC closure: After tying to the loop, what technique involves taking a deep SC bite and bringing the needle out through the skin? What does this technique accomplish?
Smurfing the knot,
it inverts the knot deeper
