Celiotomy Flashcards
Define celiotomy
surgical incision into the abdominal cavity
Define laparotomy
flank approach into the abdominal cavity
What are two prophylactic indications for a celiotomy?
OHE and gastropexy
What are two diagnostic indications for celiotomy?
Neoplasia and biopsy
What is a therapeutic indication for a celiotomy?
Cystotomy
What is in the cranial abdominal quadrant?
Diaphragm
Stomach
Liver/gallbladder
Left limb of pancreas
What is in the right abdominal quadrant?
Duodenum and right limb of the pancreas
Kidney
Ureter
Right adrenal gland
What is in the left abdominal quadrant?
Descending colon
Left adrenal gland
Left uterine horn
Spleen
What is in the central abdominal quadrant?
Cecum
Jejunum
Mesenteric LN
Transverse colon
What is in the caudal abdominal quadrant?
Duodenal colic ligament
Bladder
Prostate
Uterine body
What is the preferred sx approach for a celiotomy?
Ventral midline approach
What is the aim to incise into with a ventral midline approach?
Linea alba (best visualized at umbilicus)
What muscle should be avoided with a ventral midline approach?
Rectus abdominus
What are all the sx approach methods for a celiotomy?
Ventral midline Paramedian Paracostal Flank Parapeutial (males) Combined
What is the sx approach for a unilateral cryptorchid sx?
paramedian
What sx approach is used for cranially oriented organs?
Paracostal
What is gossypiboma?
Retained foreign object during sx
What are the landmarks if performing a complete celiotomy?
Symphysis to pubis
What is important to do before closure of the abdomen?
Sponge count**
Check for hemorrhage
Lavage abdomen (warm sterile saline)
What is the holding layer of the abdomen?
External rectus fascia
What are the suture patterns used in the abdomen?
Simple interrupted
Simple continuous
What are the suture sizes used in a patient: < 5kg 5-10 kg 10-30 kg > 30 kg
3-0
2-0
0
#1
What are the four suture materials that should be avoided in a celiotomy?
Chromic gut
Silk
Vicryl rapid
Polymerized caprolactam
What size bites should be taken when closing the fascia and evaluating?
5 mm X 5 mm
When closing the intradermal layer, what is the direction your bites are in position of the incision?
Parallel to tissue
What are the suture patterns used in an exploratory celiotomy skin closure?
Simple interrupted
Simple continuous
Cruciate
Ford interlocking
What is a complication of skin suture technique?
Dehiscence
