SR 14 - Surgical Operations You Should Know Flashcards
Define - Billroth I
Antrectomy with gastroduodenostomy
One limb
Define - Billroth II
Antrectomy with gastrojejunostomy
Two limbs
Define - Roux-en-Y limb
Jejunojejunostomy forming a Y-shaped figure of small bowel
The free can can then be anastomosed to a second hollow structure
Define - Brooke ileostomy
Standard ileostomy that is folded on itself to protrude from the abdomen ~2cm to allow easy appliance placement and collection of succus
Define - CEA
Carotid endarterectomy
Removal of atherosclerotic plaque from a carotid artery
Define - Bassini herniorrhaphy
Repair of inguinal hernia by approximating transversus abdominis aponeurosis and the conjoint tendon to the relfection of Poupart’s (inguinal) ligament
Define - McVay herniorrhaphy
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)
Define - Shouldice herniorrhaphy
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
Define - Plug and patch hernia repair
Prosthetic plug pushes hernia sac in and then is covered with a prosthetic patch to repair inguinal hernias
Define - APR
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
Define - LAR
Low anterior resection
Resection of low rectal tumors through an anterior abdominal incision
Define - Hartmann’s procedure
Proximal colostomy
Distal stapled-off colon or rectum that is left in peritoneal cavity
Define - Mucous fistula
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
Define - Kocher maneuver
Dissection of the duodenum from the right-sided peritoneal attachment to allow mobilization and visualization of the back of the duodenum/pancreas
Define - Seldinger technique
Placement of a central line by first placing a wire in the vein, followed by placing the catheter over the wire
Define - Cricothyroidotomy
Emergent surgical airway through the cricoid membrane
Define - Hepaticojejunostomy
Anastomosis between a jejunal roux limb and the hepatic ducts
Define - Puestow procedure
Side-to-side anastomosis of the pancreas and jejunum
Pancreatic duct is filleted open
Define - Stamm gastrostomy
Gastrostomy placed by open surgical incision and tacked to the abdominal wall
Define - Highly selective vagotomy
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)