Lab 7 abdominal sx

Question 1

First structure encountered in abdomen is

Answer 1

Cecum

Question 2

Cecum lies ventrally on

Answer 2

Right side

Question 3

Apex of cecum directed

Answer 3

cranially

Question 4

How many bands does the cecum have?

Answer 4

4

Question 5

The lateral band of the cecum becomes

Answer 5

cecocolic fold, leading to right ventral colon

Question 6

Which colons are sacculated?

Answer 6

Ventral colons

Question 7

How many bands on small colon

Answer 7

two bands, one within mesentary

Question 8

Proximal colon attached to duodenum by

Answer 8

duodenocolic ligament

Question 9

Dorsal band of the cecum runs into

Answer 9

ileocolic fold, which continues onto antimesenteric border of the ileum

Question 10

The ileum is positively identified by

Answer 10

antimesenteric fold, which is continuous with ileocecal fold

Question 11

Junction of the proximal jejunum and distal duodenum identified by

Answer 11

duodenocolic ligament

-arises on antimesenteric side of duodenum and joins the small colon

Question 12

Duodenum lies in a gutter between

Answer 12

right dorsal colon and right dorsal body wall

Question 13

Epiploic foramen found by

Answer 13

grasping duodenum between fingers and thumb with dorsal surface of fingers against caudate lobe of liver

• opening found by moving right to left
• located just cranial to right kidney

Question 14

The stomach and the spleen are located in the

Answer 14

left quadrant

Question 15

Nephrosplenic ligament is

Answer 15

from left kidney to dorsal tip of spleen

Question 16

In a stallion, internal inguinal rings are located

Answer 16

ventrolateral to pelvic brim

Question 17

Complications of performing a jejuno-cecostomy

Answer 17

1. bypass of iliocecal valve

2. creation of sharp transition between intestinal segments of dissimilar functions

Question 18

Purpose of Parker Kerr technique

Answer 18

1. Minimal contamination
2. Excellent serosal apposition
3. Watertight seal

Question 19

Abdominal closure

Answer 19

1. Linea closed in simple continuous pattern with #2 vicryl
2. SC closed with simple continues
3. Skin closed with interrupted or continuous pattern

Question 20

Type of suture for stay sutures

Answer 20

2-0

-don’t tie these

Question 21

Closure of enterotomy

Answer 21

1. Use 2-0 suture, start pattern away from dominant hand (right to left) but direct needle towards yourself in simple continuous pattern
2. bites 8 mm to 1 cm apart
3. start and end in intact bowel
4. Cushing layer start with first bite going in opposite direction to remainder of suture pattern so knot is placed in the suture line, not away from it.