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)
Define - Enterolysis
Lysis of peritoneal adhesions
Define - LOA
Lysis of adhesions (enterolysis)
Define - Appendectomy
Removal of the appendix
Define - Lap appy
Laparoscopic removal of the appendix
Define - Cholecystectomy
Removal of the gallbladder
Define - Lap chole
Laparoscopic removal of the gallbladder
Define - Nissen
Nissen fundolication
360 wrap of the stomach by the fundus of the stomach around the distal esophagus to prevent reflux
Define - Lap nissen
Nissen fundoplication with laparoscopy
Define - Simple mastectomy
Removal of breast and nipple without removal of nodes
Define - Choledochojejunostomy
Anastomosis of the common bile duct to the jejunum (end to side)
Define - Graham patch
Placement of omentum with stitches over a gastric or duodenal perforation
Omentum is used to plug the hole
Define - Heineke-Mikulicz pyloroplasty
Longitudinal incision through all layers of the pylorus, sewing closed in a transverse direction to make the pylorus nonfunctional (used after truncal vagotomy)
Define - Pringle maneuver
Temporary occlusion of the porta hepatis (for temporary control of liver blood flow when liver parenchyma is actively bleeding)
Define - Modified radical mastectomy
Removal of the breast, nipple, and axillary lymph nodes
No muscle is removed
Define - Lumpectomy and radiation
Removal of breast mass and axillary lymph nodes
Normal surrounding breast tissue is spared
Patient then undergoes postoperative radiation treatments
Define - I&D
Incision and drainage of pus
The wound is then packed open
Define - Exploratory laparotomy
Laparotomy to explore the peritoneal cavity looking or the cause of pain, peritoneal signs, obstruction, hemorrhage, etc
Define - TURP
Transurethral resection of the prostate
Removal of obstructing prostatic tissue via scope in the urethral lumen
Define - Fem pop bypass
Femoral artery to popliteal artery bypass using synthetic graft or saphenous vein
Used to bypass blockage in the femoral artery
Define - Ax Fem
Long prosthetic graft tunneled under the skin placed from the axillary artery to the femoral artery
Define - Triple A repair
Repair of Abdominal Aortic Aneurysm
Open aneurysm and place prosthetic graft
Then close old aneurysm sac around graft
Define - CABG
Coronary artery bypass grafting
Via saphenous vein graft or internal mammary artery bypass grafts to coronary arteries from aorta (cardiac revascularization)
Define - Hartmann’s pouch
Oversewing of a rectal stump (or distal colonic stump) after resection of a colonic segment
Patient is left with a proximal colostomy
Define - PEG
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
Define - Ileoanal pull-through
Anastomosis of the ileum to the anus after a total proctocolectomy
Define - Hemicolectomy
Removal of a colonic segment
Define - Truncal vagotomy
Transection of the vagus nerve trunks
Must provide drainage procedure to the stomach because the pylorus does not relax
Define - Antrectomy
Removal of stomach antrum
Define - Whipple procedure
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)
Define - Excisional biopsy
Biopsy with complete excision of all suspect tissue (mass)
Define - Incisional biopsy
Biopsy with incomplete removal of suspect tissue (incises tissue from mass)
Define - Tracheostomy
Placement of airway tube into trachea surgically or percutaneously
