Equine Laparoscopy, Staplers

Question 1

What are the main complications associated with laparoscopic surgery?

Answer 1

• Post op discomfort
• Hemorrhage
• Local incision infection

Question 2

T/F: Cryptorchidectomy is one of the most common indications for laparoscopy

Answer 2

True

Question 3

What type of stapler is shown here?

Answer 3

TA 90

Usually used for tissue resection. Can also be used for end-to-end anastamosis (3 staple lines in a triangle pattern around the intestine to be anastamosed)

Question 4

What is a “good night stitch”?

Answer 4

1 simple interrupted suture at the end of the staple line​

Question 5

Name the landmarks for a standing laparoscopy:

Answer 5

tuber coxae, 18^th rib, internal abdominal oblique muscle

Question 6

What type of stapler is shown here?

Answer 6

GIA

Usually used for resection and side-to-side anastamosis. After using the GIA stapler, be sure to close the stab incisions that the GIA was passed through

Question 7

Does the TA stapler have an inverting or everting pattern?

Answer 7

Everting

Question 8

Identify this piece of equipment:

Answer 8

Verres Needle

• The tip has blunt portion inside that is cannulated and spring loaded - extends past the sharp area of the needle
• Spring loaded portion gets pushed back and exposes sharp area to push through tissue
• As soon as it penetrates the abdominal cavity, the blunt end springs forward and prevents laceration of bowel

Question 9

Identify this piece of equipment:

Answer 9

SEMM Claw Foreps

Question 10

The ligature commonly used in laparoscopy is called:

Answer 10

Roeder knot

Question 11

What stapler was used to make these?

Answer 11

LDS

_L_igating and _D_ividing _S_tapler

Question 12

Identify this piece of equipment:

Answer 12

CO₂ Insufflator

Uses CO₂ to expand cavity (compare to arthroscopy that uses LRS to expand the joint)

Question 13

Identify this piece of equipment:

Answer 13

PDS Clip

Absorbable; locks into position for ligation of small vessels. This is not often used because it is too small for the vessels in adult horses

Question 14

What type of stapler is shown here?

Answer 14

skin stapler

Question 15

What type of stapler is shown here?

Answer 15

LDS

_L_igating and _D_ividing _S_tapler

Primarily used for ligating vessels

Question 16

What are the main advantages of laparoscopy over traditional surgery?

Answer 16

• Rapid return to function
• Relatively noninvasive
• Quick to perform

Question 17

Which staplers that we discussed in class have a cutting action?

Answer 17

GIA, LDS

Question 18

Identify this piece of equipment:

Answer 18

needle holder

Question 19

What type of stapler is shown here?

Answer 19

EEA

The EEA stapler has an inverting pattern; used for circular end-to-end

Question 20

What is the most common indication for laparoscopic surgery?

Answer 20

Cryptorchidectomy