Colic Surgery

Question 1

verminous arteritis is caused by…

Answer 1

strongylus vulgaris

Question 2

gross assessment of tissue viability is ____ accuracte

Answer 2

54%

Question 3

which direction to reduce EFE

Answer 3

usually enters left to right so reduce right to left

Question 4

what forceps to use to close the linea alba?

Answer 4

russian forceps

Question 5

what to remember to give pre-op

Answer 5

tetanus prophylaxis

Question 6

frequency for flunixin meglumine

Answer 6

never more than q12 hours

Question 7

surgical treatment for colonic impactions

Answer 7

pelvic flexure enterotomy

Question 8

transverse colon runs from…

Answer 8

right to left

Question 9

how to decompress the intestines

Answer 9

L colon: with 14 g needle through taenia

SI: manual milking

Question 10

stapler used in colic surgery

Answer 10

Ta90 stapler

Question 11

what to be careful of when reducing a EFE

Answer 11

tearing of portal vein

Question 12

33% of all colic surgeries are for…

Answer 12

large colon volvulus

Question 13

pre op fluids for colic surgery

Answer 13

bolus at least 20 L + 10 L isotonic for every litter or hypertonic that was given

Question 14

where to begin ventral midline incision

Answer 14

at umbilicus where linea is thickest

Question 15

when resecting mesentery…

Answer 15

do so as close to intestines as possible to reduce risk for future mesenteric volvulus

Question 16

how to track from the cecum to the right dorsal colon

Answer 16

1. cecum
2. lateral band
3. cecocolic fold
4. right ventral colon
5. sternal flexure
6. left ventral colon
7. pelvic flexure (exteriorize)
8. left dorsal colon
9. right dorsal colon

Question 17

prognosis overall for colic sx

Answer 17

80%

Question 18

approaches that can be used in colic surgery

Answer 18

• ventral midline (preferred)
• paramedian
• inguinal
• flank (paralumber vs. transverse)

Question 19

how to track from cecum to ileum

Answer 19

1. cecum
2. dorsal band
3. ileocecal fold
4. antimesenteric band of ileum

Question 20

very bad sign when you open the abdominal cavity

Answer 20

no negative pressure

also bad smell, excess or abnormal fluid, abnormal position or excess gas

Question 21

What can NOT be exteriorized through a ventral midline incision? (7)

Answer 21

• stomach
• duodenum
• distal ileum
• base of cecum
• distal right dorsal colon
• transverse colon
• terminal small/descending colon

Question 22

what suture used to close the body wall

Answer 22

3 PDS or polyglactin 910/vicryl

Question 23

how many knots to close the body wall with

Answer 23

short burst simple continuous with 8 knots minimum

Question 24

gold standard for testing tissue viability

Answer 24

histo!!

Question 25

can exteriorize ____% of GI tract via ventral midline incision

Answer 25

75%