SA Gastric Surgery 2 Flashcards
Where should you make your incision for an enterotomy?
Longitudinal antimesenteric incision distal to a foreign body, distal to the foreign body.
Which suture material should you use to close the intestine?
Polyglecaprone
Biosyn/monocryl
(Heals quickly so don’t use PDS)
Small - 1.5 or 2 metric
How should you deal with size disparity after resection and anastamosis?
Spatulation the small portion (cut is made on the anti-mesenteric border.
What are the two methods to reinforce an intestinal suture line?
Omental patch - angiogenic, immunogenic and adhesive properties.
Serosal patch - anti-mesenteric border of jejunum sutured around site.
What can linear foreign bodies cause?
Plication of intestine at the level of the mesenteric border.
How should you deal with intusussception?
Manual reduction
Resection and anastamosis
At what age are dogs most likely to suffer intusussception?
3 months and less than 1 year
Where does intusussception happen most commonly?
Anywhere in the GIT but most commonly: middle of jejunum or ileocaecocolic junction
In which direct is an intusussception most likely to occur?
The more proximal part of the bowel telescopes into the more distal part of the bowel, in the direction of peristalsis.
What is the percentage risk of dehiscence following GI surgery?
5-15% risk following intestinal surgery
List 5 goals of septic peritonitis surgery
Explore abdomen
Diagnose and control source of contamination
Lavage
On-going drainage
Nutritional support
What are the mortality rates for septic peritonitis?
20-70%
What suture pattern should you use to close the intestines?
Appositional - continuous or interrupted. Must engage submucosa.
List two ways of providing ongoing drainage after surgery for septic peritonitis.
Open periteoneal drainage
Closed suction drains.
