SR 14 - Surgical Operations You Should Know Flashcards

1
Q

Define - Billroth I

A

Antrectomy with gastroduodenostomy

One limb

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2
Q

Define - Billroth II

A

Antrectomy with gastrojejunostomy

Two limbs

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3
Q

Define - Roux-en-Y limb

A

Jejunojejunostomy forming a Y-shaped figure of small bowel

The free can can then be anastomosed to a second hollow structure

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4
Q

Define - Brooke ileostomy

A

Standard ileostomy that is folded on itself to protrude from the abdomen ~2cm to allow easy appliance placement and collection of succus

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5
Q

Define - CEA

A

Carotid endarterectomy

Removal of atherosclerotic plaque from a carotid artery

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6
Q

Define - Bassini herniorrhaphy

A

Repair of inguinal hernia by approximating transversus abdominis aponeurosis and the conjoint tendon to the relfection of Poupart’s (inguinal) ligament

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7
Q

Define - McVay herniorrhaphy

A

Repair of inguinal hernia by approximating the transversus abdominis aponeurosis and the conjoint tendon to Cooper’s ligament (which is basically the superior pubic bone periosteum)

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8
Q

Define - Shouldice herniorrhaphy

A

Repair of inguinal hernia by imbrication of teh transversalis fascia, transversus abdominis aponeurosis, and the conjoint tendon and approximation of the transversus abdominis aponeurosis and the conjoint tendon of the inguinal ligament

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9
Q

Define - Plug and patch hernia repair

A

Prosthetic plug pushes hernia sac in and then is covered with a prosthetic patch to repair inguinal hernias

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10
Q

Define - APR

A

Abdominoperienal resection
Removal of the rectum and sigmoid colon through abdominal and perineal incisions (patient is left with a colostomy)
Used for low rectal cancers

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11
Q

Define - LAR

A

Low anterior resection

Resection of low rectal tumors through an anterior abdominal incision

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12
Q

Define - Hartmann’s procedure

A

Proximal colostomy

Distal stapled-off colon or rectum that is left in peritoneal cavity

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13
Q

Define - Mucous fistula

A

Distal end of the colon is brought to the abdominal skin as a stoma
P’/roximal end is brought up to skin as an end colostomy

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14
Q

Define - Kocher maneuver

A

Dissection of the duodenum from the right-sided peritoneal attachment to allow mobilization and visualization of the back of the duodenum/pancreas

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15
Q

Define - Seldinger technique

A

Placement of a central line by first placing a wire in the vein, followed by placing the catheter over the wire

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16
Q

Define - Cricothyroidotomy

A

Emergent surgical airway through the cricoid membrane

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17
Q

Define - Hepaticojejunostomy

A

Anastomosis between a jejunal roux limb and the hepatic ducts

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18
Q

Define - Puestow procedure

A

Side-to-side anastomosis of the pancreas and jejunum

Pancreatic duct is filleted open

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19
Q

Define - Stamm gastrostomy

A

Gastrostomy placed by open surgical incision and tacked to the abdominal wall

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20
Q

Define - Highly selective vagotomy

A

Transection of vagal fibers to the body of the stomach without interruption of fibers to the pylorus
(Does not need pyloroplasty or other drainage procedure because the pylorus should still function)

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21
Q

Define - Enterolysis

A

Lysis of peritoneal adhesions

22
Q

Define - LOA

A

Lysis of adhesions (enterolysis)

23
Q

Define - Appendectomy

A

Removal of the appendix

24
Q

Define - Lap appy

A

Laparoscopic removal of the appendix

25
Q

Define - Cholecystectomy

A

Removal of the gallbladder

26
Q

Define - Lap chole

A

Laparoscopic removal of the gallbladder

27
Q

Define - Nissen

A

Nissen fundolication

360 wrap of the stomach by the fundus of the stomach around the distal esophagus to prevent reflux

28
Q

Define - Lap nissen

A

Nissen fundoplication with laparoscopy

29
Q

Define - Simple mastectomy

A

Removal of breast and nipple without removal of nodes

30
Q

Define - Choledochojejunostomy

A

Anastomosis of the common bile duct to the jejunum (end to side)

31
Q

Define - Graham patch

A

Placement of omentum with stitches over a gastric or duodenal perforation
Omentum is used to plug the hole

32
Q

Define - Heineke-Mikulicz pyloroplasty

A

Longitudinal incision through all layers of the pylorus, sewing closed in a transverse direction to make the pylorus nonfunctional (used after truncal vagotomy)

33
Q

Define - Pringle maneuver

A

Temporary occlusion of the porta hepatis (for temporary control of liver blood flow when liver parenchyma is actively bleeding)

34
Q

Define - Modified radical mastectomy

A

Removal of the breast, nipple, and axillary lymph nodes

No muscle is removed

35
Q

Define - Lumpectomy and radiation

A

Removal of breast mass and axillary lymph nodes
Normal surrounding breast tissue is spared
Patient then undergoes postoperative radiation treatments

36
Q

Define - I&D

A

Incision and drainage of pus

The wound is then packed open

37
Q

Define - Exploratory laparotomy

A

Laparotomy to explore the peritoneal cavity looking or the cause of pain, peritoneal signs, obstruction, hemorrhage, etc

38
Q

Define - TURP

A

Transurethral resection of the prostate

Removal of obstructing prostatic tissue via scope in the urethral lumen

39
Q

Define - Fem pop bypass

A

Femoral artery to popliteal artery bypass using synthetic graft or saphenous vein
Used to bypass blockage in the femoral artery

40
Q

Define - Ax Fem

A

Long prosthetic graft tunneled under the skin placed from the axillary artery to the femoral artery

41
Q

Define - Triple A repair

A

Repair of Abdominal Aortic Aneurysm
Open aneurysm and place prosthetic graft
Then close old aneurysm sac around graft

42
Q

Define - CABG

A

Coronary artery bypass grafting
Via saphenous vein graft or internal mammary artery bypass grafts to coronary arteries from aorta (cardiac revascularization)

43
Q

Define - Hartmann’s pouch

A

Oversewing of a rectal stump (or distal colonic stump) after resection of a colonic segment
Patient is left with a proximal colostomy

44
Q

Define - PEG

A

Percutaneous Endoscopic Gastrostomy
Endoscope is placed in the stomach, inflated with air - needle is passed percutaneously into the stomach, wire is passed over the needle transversing the abdominal wall, the gastrostomy is then placed by using the seldinger technique of the the wire

45
Q

Define - Ileoanal pull-through

A

Anastomosis of the ileum to the anus after a total proctocolectomy

46
Q

Define - Hemicolectomy

A

Removal of a colonic segment

47
Q

Define - Truncal vagotomy

A

Transection of the vagus nerve trunks

Must provide drainage procedure to the stomach because the pylorus does not relax

48
Q

Define - Antrectomy

A

Removal of stomach antrum

49
Q

Define - Whipple procedure

A

Pancreaticoduodenectomy:

  • Cholecystectomy
  • Truncal vagotomy
  • Pancreaticoduodenectomy (removal of the head of the pancreas and duodenum)
  • Choledochojejunostomy
  • Pancreaticojejunostomy (anastomosis of distal pancreas remnant to the jejunum)
  • Gastrojejunostomy (anastomosis of stomach to jejunum)
50
Q

Define - Excisional biopsy

A

Biopsy with complete excision of all suspect tissue (mass)

51
Q

Define - Incisional biopsy

A

Biopsy with incomplete removal of suspect tissue (incises tissue from mass)

52
Q

Define - Tracheostomy

A

Placement of airway tube into trachea surgically or percutaneously