Celiotomy and Cystotomy Flashcards

1
Q

Celiotomy

A

any surgical incision into the abdominal cavity

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2
Q

Laparotomy

A

Flank Approach

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3
Q

Prophylactic Indications for a Celiotomy/Laparotomy

A

Ovariohysterectomy

Gastropexy

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4
Q

Diagnostic Indications for Celiotomy/Laparotomy

A

Neoplasia

Biopsy

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5
Q

Therapeutic Indications for Celiotomy/Laparotomy

A

Cystotomy

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6
Q

Why would you perform enteroplication?

A

to prevent intussusception

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7
Q

When would you perform an Emergency Laparotomy?

A

Uncontrollable Hemorrhage
GDV
Perforated GIT
Bile peritonitis

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8
Q

Gossypiboma

A

Retained foreign object during surgery such as Sponge or instrument

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9
Q

What are the different types of Surgical Approaches for a Celiotomy/Laparotomy?

A
Ventral Midline
Paramedian
Paracostal 
Combined
Midline/Parapreputial
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10
Q

When would you use a Paramedian approach?

A

Unilateral cryptorchid

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11
Q

What organs would you use a Flank approach for?

A

Adrenals
Kidneys
Ovaries - sterilization in Europe

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12
Q

What are you aiming to incise with a Ventral Midline Approach?

A

Linea Alba

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13
Q

What muscle should you avoid with the Ventral Midline approach?

A

Rectus abdominis muscle

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14
Q

What do you find in a Cranial Quadrant of the abdomen?

A
Diaphragm
Stomach 
Liver
Gallbladder 
Left Limb of the Pancreas
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15
Q

What do you find in the Right Quadrant of the abdomen?

A
Duodenum
Right Pancreas
Right Kidney 
Ureter
Right Adrenal Glands
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16
Q

What do you find in the Left Quadrant of the abdomen?

A

Descending Colon
Left adrenal
Left uterine horn
Spleen

17
Q

What do you find in the central quadrant of the abdomen?

A

Ileocecocolic junction
Jejunum
Mesenteric LN
Transverse Colon

18
Q

What do you find in the Caudal Quadrant of the abdomen?

A
Duodenocolic Ligament 
Bladder 
Ventral Ligament of the bladder 
Prostatic abscess
Uterine Body
19
Q

What are the methods for biopsy used for Celiotomy/Laparotomy?

A

Needle Core

Incisional

20
Q

What is the holding layer for an abdominal closure?

A

External Rectus Fascia

21
Q

What is the most commonly used suture for an abdominal closure?

22
Q

What is a suture to avoid in abdominal closure?

A

Chromic gut
Silk
Vicryl rapid
Polymerized caprolactam

23
Q

What is the purpose of the subcutaneous closure?

A

Relieve dead space

Better skin apposition

24
Q

What layer is a source of granulation tissue in cats?

A

Subcutaneous tissue

25
Why do you bury the knot on the subcutaneous tissue?
Minimize chance of suture tags or knots being exposed through skin
26
When would you use an Intradermal pattern?
On a patient with little subcutaneous tissue
27
What are the suture patterns for closure of the bladder?
Simple continuous | Inverting pattern