Small Intestine Surgery- Exam 1

Question 1

Enterotomy

Answer 1

incision into the intestinal lumen

Question 2

Enterectomy

Answer 2

Removal of a segment of intestine

Question 3

Intestinal resection and anastomosis

Answer 3

Enterectomy and reestablished continuity between ends

Question 4

enterenteropexy

Answer 4

Intestinal plication; fixation of one intestinal segment to another using serosal patchin

Question 5

Enteropexy

Answer 5

fixation of intestine to body wall or other intestine

Question 6

What type of forceps should you use for intestinal surgery. This forceps would cause the least amount of damage

Answer 6

Debakey forceps

Question 7

When performing a resection and anastomosis, where do you place your sutures and why

Answer 7

Start at the mesenteric boarderSimple continuous from the mesenteric boarder to the antimesenteric boarder.

Question 8

How do you facilitate healing in Intestinal surgery

Answer 8

Omental patching- place omentum over suture line. It will hook on the sutures.

Question 9

Most common malignant neoplasm of Small Intestine

Answer 9

Adenocarcinoma
Lymphosarcoma
leiomyosarcoma

Question 10

What are important post operative care parameters?

Answer 10

Early enteral nutrition- either through an NG tube, or oral
Pain medications- avoid NSAIDS (risks of ulcers)
IV crystalloid fluids

Question 11

What is the holding layer for suture placement

Answer 11

submucosa