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Small Animal Surgery > GI Surgery > Flashcards

GI Surgery Flashcards

1
Q

When performing a gastropexy, what are your 2 suture options?

A

PDS or Prolene with taper needle

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2
Q

Opening the bowel constitutes a ___-___ category.

A

Clean-contaminated

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3
Q

The bowel regains maximal wound strength in ___-___ days.

A

14-21 days

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4
Q

What are the 3 examples of absorbable monofilament suture?

A
  1. PDS
  2. Monocryl
  3. Maxon
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5
Q

What is the most popular nonabsorbable monofilament suture?

A

Polypropylene

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6
Q

What size suture should be used in a dog?

A

3-0 to 4-0

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7
Q

What size suture should be used in a cat?

A

4-0 to 5-0

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8
Q

What size suture should be used in a horse (small intestine)?

A

2-0 to 3-0

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9
Q

What size suture should be used in a horse (large intestine)?

A

0 to 2-0

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10
Q

Which vessels supply the lesser curvature of the stomach?

A
  1. Right gastric artery

2. Left gastric artery

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11
Q

Which vessels supply the greater curvature of the stomach?

A
  1. Right gastroepiploic artery
  2. Splenic artery
  3. Left gastroepiploic artery (from splenic a.)
  4. Short gastric artery (from splenic a.)
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12
Q

Where should you make a gastrotomy incision?

A

In the hypovascular area of the mid-body between the greater and lesser curvature

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13
Q

What type of needle should be used to close a gastrotomy?

A

CT (taper cut)

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14
Q

When closing a gastrotomy, what type of suture pattern would you use on the mucosa (layer 1)?

A

Simple continuous

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15
Q

When closing a gastrotomy, what type of suture pattern would you use on the seromuscular layer (layer 2)?

A

Simple continuous

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16
Q

Gastric incisions heal rapidly due to __1__ and __2__.

A
  1. Good blood supply

2. Reduced bacterial numbers

17
Q

In the large animal, a needle and suction system can be used for ___ distention but not for fluid evacuation.

A

Gas

18
Q

What is the strongest holding layer in the bowel?

A

Submucosa

19
Q

What are the 4 layers of the bowel from out to in?

A

Serosa

Muscularis

Submucosa

Mucosa

20
Q

Which 2 suture patterns are best for anatomic apposition of the individual layers, providing the best opportunity for primary healing?

A
  1. Simple interrupted apposing

2. Simple continuous apposing

21
Q

Inverting patterns can be used for ____ ____ bowel and ____.

A

Inverting patterns can be used for LARGE DIAMETER bowel and UTERUS.

22
Q

Which of the following goes into the lumen, Cushing or Connell?

A

Connell

23
Q

With what type of needle would you close the bladder?

A

3-0 monofilament absorbable with taper needle

24
Q

What method is most sensitive when looking for erosions, ulcers, and other small lesions in the GI tract?

A

Endoscopy

25
Q

On which side of the body does the stomach lie?

A

Left

26
Q

What is the typical indication for a gastropexy in the dog?

A

To prevent or treat gastric dilatation volvulus (GDV)

27
Q

What is the typical indication for an abomasopexy in the cow?

A

Left displaced abomasum (LDA)

28
Q

Which stitch can be used in the small intestine for reduce mucosal eversion?

A

Gambee

29
Q

True or False: Monofilament (PDS or maxon) absorbable suture material is the only suture material to use on the small intestine.

A

FALSE - nonabsorbable polypropylene is also acceptable

30
Q

Use ____ or ____ forceps when handling the small intestine.

A

DeBakey or Adson

31
Q

When retrieving a foreign body via enterotomy, make a longitudinal incision on the anti-mesenteric border distal OR proximal to the foreign body?

A

Distal

32
Q

Describe how you handle a size disparity in a small intestinal resection and anastomosis…

A

Make an oblique incision at the smaller end and a straight perpendicular incision at the large end. Spatulate the small end if needed.

33
Q

When closing an intestinal anastomosis, do you close the mesenteric or anti-mesenteric side first?

A

Mesenteric

34
Q

Which of the following is traumatic to the small intestine: carmalt forceps, doyen forceps, or penrose drain?

A

Carmalt forceps

35
Q

What does stricture lead to?

A

Obstruction

36
Q

What does dehiscence lead to?

A

Peritonitis

37
Q

What does leakage lead to?

A

Peritonitis

Small Animal Surgery (11 decks)

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