Minimally invasive surgery and adhesions Flashcards

1
Q

4 types of minimally invasive surgery

A

arthroscopic surgery
laparoscopic surgery
endoscopic surgery
minimal approach orthopedic surgery

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2
Q

5 Advantages of minimally invasive surgery

A
less tissue damage
shorter hospital stay
minimal post op pain
earlier return to function
lower infection risk
better cosmetics
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3
Q

3 major disadvantages to minimally invasive surgery

A

Specialized institutions
equipment expense
laparascopic training

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4
Q

Name of technique used mostly for minimally invasive surgery

A

Triangulation technique

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5
Q

Arthroscopy has replaced?

A

Arthrotomy

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6
Q

What is the term to describe filling the abdomen up with CO2

A

Insufflation

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7
Q

Big advantage for exploratory laparascopy (2)

A

Can do it standing

Better access to dorsal structures rather than dorsal recumbancy

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8
Q

What is the name of the position when the head is down angled 25 degrees?

A

Trendelenburg position

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9
Q

Name 4 laparoscopic procedures?

A

Cryptorchidectomy
ovariectomy
adhesiolysis
Closure of NSS

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10
Q

For equine cryptorchids they often use what approach to gain abdominal access/

A

Inguinal approach

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11
Q

Big advantages of laparoscopic apparoach to crypts (3)

A

Early return to exercise
ease of location of testes
Avoid paramedian and inguinal incsions

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12
Q

Big advantages of laparoscopic apparoach to crypts (3)

A

Early return to exercise
ease of location of testes
Avoid paramedian and inguinal incsions

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13
Q

3 bad candidates for standing laparoscopic cryptorchidectomy

A

Foals
Miniature horses
difficult to handle horses

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14
Q

complete workup prior to laparoscopic crypt surgery

A

Palpation
ultrasound
hormonal assay

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15
Q

4 advantages of laparoscopic ovariectomy

A

visibility
access
tension free ligation
Avoid GA

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16
Q

4 methods of hemostasis in Minimally invasive surgery

A

Endoloop ligatures
Bipolar and monopolar electrosurgical forceps
Vascular clips
Ligasure

17
Q

Which plasminogen activator is the key regulator of fibrinlysis

A

Tissue plasminogen activator (tPA)

Urokinase plasminogen activator (uPA)

18
Q

List therapeutic agents that can help prevent adhesions

A

belly jelly (sodium carboxymethylcellulose)
Bioresorbable hyaluronate carboxymethylcellulose membrane
Antibiotics (penicillin and gentamicin)
NSAIDS (flunixin)
DMSO
Heparin (enhaves fibrinolysis by increasing tPA)