Chapter 13: Surgical Operations You Should Know Flashcards
Billroth I
Antrectomy with gastroduodenostomy
Billroth II
Antrectomy with gastrojejunostomy
How can the difference between a Billroth I and Billroth II be remembered?
Billroth 1 has one limb; Billroth 2 has two limbs
Roux-en-Y limb
Jejunojejunostomy forming a Y-shaped figure of small bowel; the free end can then be anastomosed to a second hollow structure (e.g.,esophagojejunostomy)
Brooke ileostomy
Standard ileostomy that is folded on itself to protrude from the abdomen ≈2cm to allow easy appliance placement and collection of succus
CEA
Carotid EndArterectomy; removal of atherosclerotic plaque from a carotidartery
APR
AbdominoPerineal Resection; removal of the rectum and sigmoid colon through abdominal and perineal incisions (patient is l_eft with a colostomy_);used for low rectal cancers
LAR
Low Anterior Resection; r_esection of low rectal tumors_ through an anteriorabdominal incision
Hartmann’s procedure
- Proximal colostomy
- Distal stapled-off colon or rectum that is left in peritoneal cavity
Mucous fistula
Distal end of the colon is brought to the abdominal skin as a stoma (proximal end is brought up to skin as an end colostomy)
Kocher (“koh-ker”) maneuver
Dissection of the duodenum from the _right-sided peritoneal attachmen_t to allow mobilization and visualization of the back of the duodenum/pancreas
Cattel maneuver
Mobilization of the ascending colon to the midline. If combined with a Kocher maneuver, exposes the vena cava
(Think: Cattel = Kocher = rightsided)
Seldinger technique
Placement of a central line by first placing a wire in the vein, followed by placing the catheter over the wire
Cricothyroidotomy
Emergent surgical airway through the cricoid membrane
Hepaticojejunostomy
Anastomosis between a jejunal roux limb and the hepatic bile ducts
Puestow procedure
Side-to-side anastomosis of the pancreas and jejunum (pancreatic duct is filleted open)
Enterolysis
Lysis of peritoneal adhesions
LOA
Lysis Of Adhesions (enterolysis)
Appendectomy
Removal of the appendix
Lap appy
Laparoscopic removal of the appendix
Cholecystectomy
Removal of the gallbladder
Lap chole
Laparoscopic removal of the gallbladder
Nissen
Nissen fundoplication; 360-degree wrap of the stomach by the fundus of the stomach around the distal esophagus t_o prevent reflux_
Lap Nissen
Nissen fundoplication with laparoscopy
Simple mastectomy
Removal of breast and nipple without removal of nodes
Choledochojejunostomy
Anastomosis of the common bile duct to the jejunum (end to side)
Graham patch
Placement of omentum with stitches over a gastric or duodenal perforation(i.e., omentum is used to plug the hole)
Heineke–Mikulicz pyloroplasty
Longitudinal incision through all layers of the pylorus, sewing closed in a transverse direction to make the pylorus nonfunctional (used after truncalvagotomy)
Pringle maneuver
Temporary occlusion of the porta hepatis (for temporary control of liver blood flow when liver parenchyma is actively bleeding)
Modified radical mastectomy
Removal of the breast, nipple, and axillary lymph nodes (no muscle is removed)
Lumpectomy and radiation
Removal of breast mass and axillary lymph nodes; normal surrounding breast tissue is spared; p_atient then undergoes postoperative radiation treatments_
I & D
Incision and Drainage of pus; the wound is then packed open
Exploratory laparotomy
Laparotomy to explore the peritoneal cavity looking for the cause of pain,peritoneal signs, obstruction, hemorrhage, etc.
TURP
TransUrethral Resection of the Prostate; removal of obstructing prostatic tissue via scope in the urethral lumen
Fem pop bypass
FEMoral artery to POPliteal artery bypass using synthetic graft or saphenous
vein; used to bypass blockage in the femoral artery
Ax Fem
Long prosthetic graft tunneled under the skin placed from the AXillary artery to the FEMoral artery (Extra-Anatomic bypass)
Triple A repair
Repair of an AAA (Abdominal Aortic Aneurysm):
- Open aneurysm and placeprosthetic graft
- then close old aneurysm sac around graft
CABG
Coronary Artery Bypass Grafting; via saphenous vein graft or internalmammary artery bypass grafts to coronary arteries from aorta (cardiac revascularization)
Hartmann’s pouch
Oversewing of a rectal stump (or distal colonic stump) after resection of a colonic segment; patient is left with a proximal colostomy
PEG
Percutaneous Endoscopic Gastrostomy: Endoscope is placed in the stomach,which is then inflated with air; a needle is passed into the stomach percutaneously, wire is passed through the needle traversing the abdominal wall, and the gastrostomy is then placed by using the Seldinger technique over the wire
Hemicolectomy
Removal of a colonic segment (i.e., partial colectomy)
Truncal vagotomy
Transection of the vagus nerve trunks;
- must provide drainage procedure to stomach
- gastrojejunostomy or pyloroplasty
- because after truncal vagotomy, the pylorus does not relax
Antrectomy
Removal of stomach antrum
Whipple procedure
Pancreaticoduodenectomy:
- Cholecystectomy
- Truncal vagotomy
- Pancreaticoduodenectomy—removal of the head of the pancreas and duodenum
- Choledochojejunostomy
- Pancreaticojejunostomy (anastomosis of distal pancreas remnant to the jejunum)
- Gastrojejunostomy (anastomosis of stomach to jejunum)
Excisional biopsy
Biopsy with complete excision of all suspect tissue (mass)
Incisional biopsy
Biopsy with incomplete removal of suspect tissue (incises tissue from mass)
Tracheostomy
Placement of airway tube into trachea surgically or percutaneously
