Exam 2: Laparoscopy Flashcards

1
Q

What is the most common indication for

laparoscopy?

A

Cryptorchidism

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2
Q

In addition to arthroscopic equipment,

what other 2 pieces of equipment are required for

laparoscopic sx?

A

CO2 Insufflator (distend the abdomen)

Verres needle (spring-loaded, prevents needle from puncturing

abdominal organs)

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3
Q

In addition to cryptorchidism, what are some

other indications for laparascopy?

A

Biopsy

Chronic weight loss or chronic colic

Removal of umbilical remnants in calves

Gastric ruptures, vaginal/rectal tears

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4
Q

For laparascopy, what flow rate do you

set on the CO2 insufflator to distend the abdomen?

A

10L/min

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5
Q

This needle, used in laparoscopy, is designed with

a spring-loaded, blunt, inner cannulated portion

in order to prevent the needle from puncturing

internal organs while entering the abdominal cavity

A

Verres Needle

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6
Q

This condition, induced using CO2 insufflation in

order to distend and separate

the abdominal wall from its contents,

is used for laparascopic procedures to ensure

visual clarity and space to perform diagnostic and therapeutic procedures

A

Pneumoperitoneum

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7
Q

Which 4 cavities are created for laparoscopic procedures

via CO2 insufflation and pneumoperitoneum creation?

A

Right body wall & Cecum

Left body wall & Spleen

Mesentery & Cecum

Mesentery & Spleen

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8
Q

What are the landmarks for laparoscopy in the horse?

A

Tuber coxae

Internal abdominal oblique

18th rib

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9
Q

For recumbent laparoscopy, an overhead hoist is used.

The hind quarters are elevated so abdominal contents

move forward. You must use

____________, otherwise abdominal organs keep the

diaphragm from being able to move up and down

A

IPPV!

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10
Q

What angle is the horse placed at

for recumbent laparoscopy?

A

30 degrees

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11
Q

This specific knot is used for closing laparoscopic procedures

A

Roeder Knot

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12
Q

These two tools can be used to assist with

Roeder ligature placement for laparoscopy

A

Push rod and Introducer sleeve

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13
Q

What are the 3 alternatives to ligature closure for

laparoscopy?

A

Stapling (GIA)

PDS Clip

Laser Cauterization

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14
Q

One complication to laparoscopy is

post-op discomfort, due to

CO2 mixing with abdominal fluid resulting

in the production of ______ acid

which is irritating to the GI lining

A

Carbonic acid

= CO2 + Abdominal Fluid

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15
Q

How is post-op discomfort

due to carbonic acid production

treated?

A

BANAMINE

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16
Q

Hemorrhage of these two vessels is another

potential complication of laparoscopy

A

Caudal epigastric artery, vein