General surgery

Question 1

Name the 12 principles of GI surgery. Including suture choice and closure technique.

Answer 1

1. Clean-contaminated procedure

• peri-operative antibiotics (G-ve, anaerobes)
• isolation of viscus
• change instruments / gloves
• local lavage

2. Suture choice

• Monofilament, absorbable
• Reverse cutting or taper

3. Closures

• submucosa
• single layer appositional
• SI vs continuous

Question 2

The suture holding layer of the GIT is?

Answer 2

Submucosa

Question 3

What suture size and type is used for a subcutaneous closure?

Answer 3

ALL subcutaneous closures use:

3/0 Monosyn Synthetic Absorbable

Question 4

What size suture is used for a body wall cosure in a 5-10 kg dog?

Answer 4

2/0 PDS

Question 5

What suture size and type is required for a body wall closure for animals > 10kg to 30 kg?

Answer 5

0 PDS

Question 6

What size and type of suture is required to close the body wall of a dog > 30 kg?

Answer 6

1 PDS

Question 7

What suture and type is used for skin closure in a thick skinned animal?

Answer 7

3/0 Nylon

Question 8

What type and size of suture is used for skin closure in an animal with thin skin?

Answer 8

4/0 Nylon