Laparoscopy Flashcards
Laparoscopy is a procedure done with a laparoscope to look inside where?
The abdomen
A thin, lighted tube used to look inside the abdomen is called a what?
Laparoscope
Using a thin, lighted tube to look inside the thorax is called what?
Thoracoscopy
What are 3 advantages of performing laparoscopy?
- Rapid return to function
- Relatively non-invasive
- Quick to perform
What are 3 disadvantages of laparoscopy?
- Expense of equipment
- Skill of surgeon and assistant
- Video image is 2-dimensional
What are 2 positions horses can be in when performing a laparoscopy?
- Standing
- Recumbent
Where is a common location for rectal tears in a horse?
Near the pelvic inlet
What is one of the most common uses of laparoscopy in horses?
Cryptorchidectomy
What are 3 organs laparoscopy is commonly used for in order to collect a biopsy?
- Liver
- Spleen
- Kidney
What flow rate is a CO2 insufflator set at for use in laparoscopy?
Less than 10 L/min
What is the pressure range for a CO2 insufflator intra-abdominally?
10-15 mmHg
What is the disadvantage of using a CO2 insufflator?
Post-op discomfort
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?
Verres needle
It is important to have a lot of what when examining the abdominal cavity?
Light
Do you need an assistant for a standing laparoscopy?
For an arthroscopy?
- Yes
- No
Where should the monitor be placed with a standing laparoscopy?
In front of the surgeon so it can be seen.
It is important to restrain what part of the horse before performing a flank laparotomy?
The Tail
What are NOT used when draping a horse for a laparotomy?
Towel clamps
What are the 3 landmarks that define the borders of a laparotomy?
- Caudal border of the 18th rib
- Tuber coxae
- Internal abdominal oblique muscle
What angle is the table set at for a recumbent laparoscopy with a horse?
30 degrees
What needs to be used during recumbent laparoscopy with a horse?
Intermittent positive-pressure ventilation (IPPV)
Up to how many portals might be needed for recumbent laparoscopy in a horse?
What tools are used through these portals?
- 4
- Forceps, camera, scissors, ligature
Who holds the camera during a recumbent laparoscopy?
The Assistant
What type of a knot can be used during a laparoscopy?
Roeder knot
What are two components that are needed to insert suture into the abdominal cavity during a laparoscopy?
- Pushrod
- Introducer sleeve
What is a tool that can be used during a gastro-intestinal-anastomosis (GIA)?
Stapler
What is an example of an absorbable clip that is locked once and not reopened?
PDS clip
Are PDS clips often used with large animals?
No, not usually big enough for large animal.
What are 3 complications that can be seen with laparoscopy?
- Post-op discomfort
- Hemorrhage
- Local incision infection
