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Surgery Lab Quiz > Celiotomy > Flashcards

Celiotomy Flashcards

1
Q

Define celiotomy

A

surgical incision into the abdominal cavity

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2
Q

Define laparotomy

A

flank approach into the abdominal cavity

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3
Q

What are two prophylactic indications for a celiotomy?

A

OHE and gastropexy

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4
Q

What are two diagnostic indications for celiotomy?

A

Neoplasia and biopsy

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5
Q

What is a therapeutic indication for a celiotomy?

A

Cystotomy

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6
Q

What is in the cranial abdominal quadrant?

A

Diaphragm
Stomach
Liver/gallbladder
Left limb of pancreas

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7
Q

What is in the right abdominal quadrant?

A

Duodenum and right limb of the pancreas
Kidney
Ureter
Right adrenal gland

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8
Q

What is in the left abdominal quadrant?

A

Descending colon
Left adrenal gland
Left uterine horn
Spleen

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9
Q

What is in the central abdominal quadrant?

A

Cecum
Jejunum
Mesenteric LN
Transverse colon

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10
Q

What is in the caudal abdominal quadrant?

A

Duodenal colic ligament
Bladder
Prostate
Uterine body

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11
Q

What is the preferred sx approach for a celiotomy?

A

Ventral midline approach

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12
Q

What is the aim to incise into with a ventral midline approach?

A

Linea alba (best visualized at umbilicus)

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13
Q

What muscle should be avoided with a ventral midline approach?

A

Rectus abdominus

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14
Q

What are all the sx approach methods for a celiotomy?

A 
Ventral midline
Paramedian
Paracostal
Flank
Parapeutial (males)
Combined
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15
Q

What is the sx approach for a unilateral cryptorchid sx?

A

paramedian

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16
Q

What sx approach is used for cranially oriented organs?

A

Paracostal

17
Q

What is gossypiboma?

A

Retained foreign object during sx

18
Q

What are the landmarks if performing a complete celiotomy?

A

Symphysis to pubis

19
Q

What is important to do before closure of the abdomen?

A

Sponge count**
Check for hemorrhage
Lavage abdomen (warm sterile saline)

20
Q

What is the holding layer of the abdomen?

A

External rectus fascia

21
Q

What are the suture patterns used in the abdomen?

A

Simple interrupted

Simple continuous

22
Q 
What are the suture sizes used in a patient:
< 5kg
5-10 kg
10-30 kg
> 30 kg
A

3-0
2-0
0
#1

23
Q

What are the four suture materials that should be avoided in a celiotomy?

A

Chromic gut
Silk
Vicryl rapid
Polymerized caprolactam

24
Q

What size bites should be taken when closing the fascia and evaluating?

A

5 mm X 5 mm

25
Q

When closing the intradermal layer, what is the direction your bites are in position of the incision?

A

Parallel to tissue

26
Q

What are the suture patterns used in an exploratory celiotomy skin closure?

A

Simple interrupted
Simple continuous
Cruciate
Ford interlocking

27
Q

What is a complication of skin suture technique?

A

Dehiscence

Surgery Lab Quiz (11 decks)

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