Celiotomy and Cystotomy Flashcards
Celiotomy
any surgical incision into the abdominal cavity
Laparotomy
Flank Approach
Prophylactic Indications for a Celiotomy/Laparotomy
Ovariohysterectomy
Gastropexy
Diagnostic Indications for Celiotomy/Laparotomy
Neoplasia
Biopsy
Therapeutic Indications for Celiotomy/Laparotomy
Cystotomy
Why would you perform enteroplication?
to prevent intussusception
When would you perform an Emergency Laparotomy?
Uncontrollable Hemorrhage
GDV
Perforated GIT
Bile peritonitis
Gossypiboma
Retained foreign object during surgery such as Sponge or instrument
What are the different types of Surgical Approaches for a Celiotomy/Laparotomy?
Ventral Midline Paramedian Paracostal Combined Midline/Parapreputial
When would you use a Paramedian approach?
Unilateral cryptorchid
What organs would you use a Flank approach for?
Adrenals
Kidneys
Ovaries - sterilization in Europe
What are you aiming to incise with a Ventral Midline Approach?
Linea Alba
What muscle should you avoid with the Ventral Midline approach?
Rectus abdominis muscle
What do you find in a Cranial Quadrant of the abdomen?
Diaphragm Stomach Liver Gallbladder Left Limb of the Pancreas
What do you find in the Right Quadrant of the abdomen?
Duodenum Right Pancreas Right Kidney Ureter Right Adrenal Glands
What do you find in the Left Quadrant of the abdomen?
Descending Colon
Left adrenal
Left uterine horn
Spleen
What do you find in the central quadrant of the abdomen?
Ileocecocolic junction
Jejunum
Mesenteric LN
Transverse Colon
What do you find in the Caudal Quadrant of the abdomen?
Duodenocolic Ligament Bladder Ventral Ligament of the bladder Prostatic abscess Uterine Body
What are the methods for biopsy used for Celiotomy/Laparotomy?
Needle Core
Incisional
What is the holding layer for an abdominal closure?
External Rectus Fascia
What is the most commonly used suture for an abdominal closure?
PDS
What is a suture to avoid in abdominal closure?
Chromic gut
Silk
Vicryl rapid
Polymerized caprolactam
What is the purpose of the subcutaneous closure?
Relieve dead space
Better skin apposition
What layer is a source of granulation tissue in cats?
Subcutaneous tissue
Why do you bury the knot on the subcutaneous tissue?
Minimize chance of suture tags or knots being exposed through skin
When would you use an Intradermal pattern?
On a patient with little subcutaneous tissue
What are the suture patterns for closure of the bladder?
Simple continuous
Inverting pattern
