Celiotomy & Cystotomy Flashcards
Define: Celiotomy
Any surgical incision into the abdominal cavity
Define: Laparotomy
refers to a flank approach to celiotomy
Define: Gossypiboma
Retained foreign body during surgery.
What is the most common surgical approach to celiotomy?
Ventral midline
Why is the paramedian surgical approach typically avoided?
Because an incision is made through muscle tissue which causes increased bleeding, pain and risk of complications
What is the Falciform ligament?
Remnant of the umbilical v.
What structures do we look for in the cranial quadrant?
Diaphragm, stomach, gallbladder, liver, pancreas
What structures do we look for in the right quadrant?
Duodenum, right kidney, ureters & adrenal gland
The descending colon, urterine horn, adrenal gland and spleen can be found in which abdominal quadrant?
Left quadrant
The cecum, jejunum, mesenteric lymph nodes and ascending colon can be found in which abdominal quadrant?
Central quadrant
T/F: Biopsies are most always indicated during exploratory/diagnostic celiotomy even if no gross lesions are detected.
True.
How should the bladder be manipulated during cystotomy in order to minimize trauma?
Placement of stay sutures
Closure of the bladder during cystotomy requires a water-tight closure. How do you achieve this?
Double Layer Closure:
1st layer = simple continuous; do NOT bury the knot
2nd layer= inverting pattern
Name the two inverting patterns used to close the bladder.
Cushing’s & Lambert
How do you close the holding layer?
Simple interrupted
