Celiotomy

Question 1

Define celiotomy

Answer 1

surgical incision into the abdominal cavity

Question 2

Define laparotomy

Answer 2

flank approach into the abdominal cavity

Question 3

What are two prophylactic indications for a celiotomy?

Answer 3

OHE and gastropexy

Question 4

What are two diagnostic indications for celiotomy?

Answer 4

Neoplasia and biopsy

Question 5

What is a therapeutic indication for a celiotomy?

Answer 5

Cystotomy

Question 6

What is in the cranial abdominal quadrant?

Answer 6

Diaphragm
Stomach
Liver/gallbladder
Left limb of pancreas

Question 7

What is in the right abdominal quadrant?

Answer 7

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

Question 8

What is in the left abdominal quadrant?

Answer 8

Descending colon
Left adrenal gland
Left uterine horn
Spleen

Question 9

What is in the central abdominal quadrant?

Answer 9

Cecum
Jejunum
Mesenteric LN
Transverse colon

Question 10

What is in the caudal abdominal quadrant?

Answer 10

Duodenal colic ligament
Bladder
Prostate
Uterine body

Question 11

What is the preferred sx approach for a celiotomy?

Answer 11

Ventral midline approach

Question 12

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

Answer 12

Linea alba (best visualized at umbilicus)

Question 13

What muscle should be avoided with a ventral midline approach?

Answer 13

Rectus abdominus

Question 14

What are all the sx approach methods for a celiotomy?

Answer 14

Ventral midline
Paramedian
Paracostal
Flank
Parapeutial (males)
Combined

Question 15

What is the sx approach for a unilateral cryptorchid sx?

Answer 15

paramedian

Question 16

What sx approach is used for cranially oriented organs?

Answer 16

Paracostal

Question 17

What is gossypiboma?

Answer 17

Retained foreign object during sx

Question 18

What are the landmarks if performing a complete celiotomy?

Answer 18

Symphysis to pubis

Question 19

What is important to do before closure of the abdomen?

Answer 19

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

Question 20

What is the holding layer of the abdomen?

Answer 20

External rectus fascia

Question 21

What are the suture patterns used in the abdomen?

Answer 21

Simple interrupted

Simple continuous

Question 22

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

Answer 22

3-0
2-0
0
#1

Question 23

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

Answer 23

Chromic gut
Silk
Vicryl rapid
Polymerized caprolactam

Question 24

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

Answer 24

5 mm X 5 mm

Question 25

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

Answer 25

Parallel to tissue

Question 26

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

Answer 26

Simple interrupted Simple continuous Cruciate Ford interlocking

Question 27

What is a complication of skin suture technique?

Answer 27

Dehiscence