Laparoscopy

Question 1

Laparoscopy is a procedure done with a laparoscope to look inside where?

Answer 1

The abdomen

Question 2

A thin, lighted tube used to look inside the abdomen is called a what?

Answer 2

Laparoscope

Question 3

Using a thin, lighted tube to look inside the thorax is called what?

Answer 3

Thoracoscopy

Question 4

What are 3 advantages of performing laparoscopy?

Answer 4

• Rapid return to function
• Relatively non-invasive
• Quick to perform

Question 5

What are 3 disadvantages of laparoscopy?

Answer 5

• Expense of equipment
• Skill of surgeon and assistant
• Video image is 2-dimensional

Question 6

What are 2 positions horses can be in when performing a laparoscopy?

Answer 6

• Standing

- Recumbent

Question 7

Where is a common location for rectal tears in a horse?

Answer 7

Near the pelvic inlet

Question 8

What is one of the most common uses of laparoscopy in horses?

Answer 8

Cryptorchidectomy

Question 9

What are 3 organs laparoscopy is commonly used for in order to collect a biopsy?

Answer 9

• Liver
• Spleen
• Kidney

Question 10

What flow rate is a CO2 insufflator set at for use in laparoscopy?

Answer 10

Less than 10 L/min

Question 11

What is the pressure range for a CO2 insufflator intra-abdominally?

Answer 11

10-15 mmHg

Question 12

What is the disadvantage of using a CO2 insufflator?

Answer 12

Post-op discomfort

Question 13

An example of a stainless steel needle with a spring loaded blunt inner portion with a sharp outer edge that can be used for “belly taps” is known as a what?

Answer 13

Verres needle

Question 14

It is important to have a lot of what when examining the abdominal cavity?

Answer 14

Light

Question 15

Do you need an assistant for a standing laparoscopy?

For an arthroscopy?

Answer 15

• Yes

- No

Question 16

Where should the monitor be placed with a standing laparoscopy?

Answer 16

In front of the surgeon so it can be seen.

Question 17

It is important to restrain what part of the horse before performing a flank laparotomy?

Answer 17

The Tail

Question 18

What are NOT used when draping a horse for a laparotomy?

Answer 18

Towel clamps

Question 19

What are the 3 landmarks that define the borders of a laparotomy?

Answer 19

• Caudal border of the 18th rib
• Tuber coxae
• Internal abdominal oblique muscle

Question 20

What angle is the table set at for a recumbent laparoscopy with a horse?

Answer 20

30 degrees

Question 21

What needs to be used during recumbent laparoscopy with a horse?

Answer 21

Intermittent positive-pressure ventilation (IPPV)

Question 22

Up to how many portals might be needed for recumbent laparoscopy in a horse?
What tools are used through these portals?

Answer 22

• 4

- Forceps, camera, scissors, ligature

Question 23

Who holds the camera during a recumbent laparoscopy?

Answer 23

The Assistant

Question 24

What type of a knot can be used during a laparoscopy?

Answer 24

Roeder knot

Question 25

What are two components that are needed to insert suture into the abdominal cavity during a laparoscopy?

Answer 25

• Pushrod

- Introducer sleeve

Question 26

What is a tool that can be used during a gastro-intestinal-anastomosis (GIA)?

Answer 26

Stapler

Question 27

What is an example of an absorbable clip that is locked once and not reopened?

Answer 27

PDS clip

Question 28

Are PDS clips often used with large animals?

Answer 28

No, not usually big enough for large animal.

Question 29

What are 3 complications that can be seen with laparoscopy?

Answer 29

• Post-op discomfort
• Hemorrhage
• Local incision infection