minimally invasive surgery Flashcards
minimally invasive surgery
-use of laparoscope or arthroscope devices through a scope and a small incision-> indirect observation of surgical field
-SURGICAL PROCEDURES THAT ARE
LESS INVASIVE
THAN OPEN SURGERY USED FOR THE SAME PURPOSE
minimal invasive surgery types
-ARTHROSCOPIC SURGERY
-ENDOSCOPIC SURGERY
-MINIMAL APPROACH
ORTHOPEDIC SURGERY
MINIMAL INVASIVE
SURGERY
advatages
LESS TISSUE DAMAGE
SHORT HOSPITAL STAY
EARLY RETURN TO WORK
MINIMAL POST-OPERATIVE PAIN
LOW INFECTION RISK
BETTER QUALITY OF OBSERVATION
BETTER COSMETICS
disadvantages of minimal invasive surgery
-SPECIALIZED INSTITUTIONS
REFERRAL HOSPITALS
-EXPENSIVE EQUIPMENT
-LAPAROSCOPIC TRAINING
-INCREASED OPERATIVE
TIME (Learning Curve
laproscopy
advantages: excellent quality of observation
-insufflation abdomen CO2 pressure 8-16 mm hg to enter safely and have proper visualization
EPIPLOIC FORAMEN ENTRAPEMENT
-Slit-Like Opening (≈ 4cm)
-Marks Entrance to Omental Bursa
(Located Right Dorsal Abdomen)
-Boarded By 2 Organs
(Liver & Pancreas)
-Boarded By 2 Veins
TRENDELENBURG POSITION
LAPAROSCOPIc cryptorchidism
ADVANTAGES
-Ease of Location of Testis
-Avoid Paramedian Incision or
-Inguinal Incisions
-Early Return To Exercise
standing laparoscopic crytochidectomy
Avoids General Anesthesia
Excellent Visualization
Minimal Complications
NOT GOOD CANDIDATES:
FOALS
MINIATURE HORSES
HORSES DIFFICULT TO HANDL
laparoscopic crytochidectomy how many hours off feed
-36 HOURS OFF FEED
(Dorsal Recumbency)
Admitted Day Before SX Being
Withheld Off Feed 12 Hours.
Day of SX Strict Instructions
Withholding Feed 36 Hours
-12-24 HOURS OFF FEED
(Standing)
INDICATION BILATERAL
OVARIECTOMY
BEHAVIOURAL MODIFICATION
STERILIZATION
CHRONIC VISERAL PAIN
ovarian pathology (cyts, hematoma)
OVARIECTOMY
TRADITIONAL OPEN APPROACHES
COLPOTOMY
FLANK LAPAROTOMY
VENTRAL MIDLINE CELIOTOMY
DIAGONAL PARAMEDIAN
complications: hamorrage, post op pain
-laproscoic is much better**
LAPAROSCOPIC
OVARIECTOMY
-standing or dorsal recumbancy approach
ADVANTAGES:
EXCELLENT VISIBILITY
EXCELLENT ACCESS TO OVARIES
TENSION FREE LIGATION
SECURE HEMOSTASIS
AVOID GENERAL ANESTHESIA
LAPAROSCOPIC
CLOSURE NEPHROSPLENIC SPACE
LARGE DORSAL COLON
ENTRAPPED:
SPLEEN
NEPHORSPLENIC LIGAMENT
LEFT KIDNEY