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Archive > Study Guide Review (Chapters 23 and 33) > Flashcards

Study Guide Review (Chapters 23 and 33) Flashcards

1
Q

Two techniques currently used for laparoscopic approach to a direct inguinal hernia are:

A
  1. transabdominal preperitoneal (TAPP) laparoscopy

2. Total extraperitoneal (TEP) surgery

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2
Q

In the TAPP approach, a _____ is created, and the inguinal canal is entered via the _____.

A

pneumoperitoneum

abdominal cavity

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3
Q

In the TEP approach, instead of a pneumoperitoneum, the _____ is inflated with a balloon dissector, which expands the tissue planes.

A

peritoneal space

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4
Q

A _____ is performed to remove a section of diseased colon and restore continuity to the intestine.

A

partial colectomy

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5
Q

The colon is removed to treat _____, _____, _____, and _____.

A

carcinoma, ulcerative colitis, diverticulitis, and intestinal obstruction

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6
Q

A _____ is the general term applied to removal of the large intestine.

A

colectomy

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7
Q

During a colectomy, the _____ and _____ are not removed.

A

sigmoid colon and rectum

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8
Q

What are the 7 abdominal incisions?

A
  1. midline
  2. paramedian
  3. subcostal
  4. flank
  5. inguinal
  6. McBurney
  7. lower transverse (Pfannenstiel)
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9
Q

When is a midline incision used?

A
  1. laparotomy
  2. percutaneous endoscopic gastronomy
  3. partial gastrectomy
  4. Billroth I
  5. Billroth II
  6. transhiatal esophagectomy
  7. segmental resection of the small intestine
  8. resection of the colon
  9. colectomy
  10. abdominoperineal resection
  11. liver transplantation
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10
Q

When is a paramedian incision used?

A
  1. percutaneous endoscopic gastronomy
  2. loop colostomy
  3. colectomy
  4. segmental resection of the liver
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11
Q

When is a subcostal incision used?

A
  1. segmental resection of the liver

2. liver transplantation

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12
Q

When is a flank incision used?

A

??

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13
Q

When is an inguinal incision used?

A
  1. open repair of an indirect inguinal hernia
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14
Q

When is a McBurney incision used?

A
  1. appendectomy
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15
Q

When is a lower transverse (Pfannenstiel) incision used?

A

??

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16
Q

Direct inguinal hernia is a protrusion of abdominal or inguinal tissue through the _____.

A

tranversalis fascia

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17
Q

A direct hernia protrudes through a weakness in the abdominal wall in the region between the _____ and _____ and medial to the inferior epigastric artery.

A

rectus abdominis muscle and inguinal ligament

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18
Q

The _____ is the most difficult type to repair.

A

direct inguinal hernia

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19
Q

With an _____ hernia, the peritoneal sac containing intestine protrudes through the internal inguinal ring and passes down the inguinal canal outside Hesselbach’s triangle.

A

indirect inguinal

20
Q

An _____ hernia is more common in males, but can occur in females.

A

indirect inguinal

21
Q

A _____ procedure may be used to repair either an indirect or direct reducible inguinal hernia using mesh behind the hernial defect.

A

laparoscopic

22
Q

A _____ involves repairing the defect in the transversalis fascia below the inguinal ligament and removing the peritoneal sac protruding through the femoral ring. (more common in women)

A

femoral herniorrhaphy

23
Q

Repair of an _____ consists of closing the peritoneal opening and uniting the fasciae above and below the defect to reconstruct the abdominal wall surrounding the umbilicus. (most often is children/congenital, some women after childbirth)

A

unbilical hernia

24
Q

An _____ is an abdominal wall defect occurring in the linea alba at the umbilical ring.

A

umbilical hernia

25
Q

Impaired healing of a previous surgical incision, usually a vertical abdominal incision, may cause a _____.

A

ventral (incisional) hernia

26
Q

An _____ is sometimes the aftermath of postoperative hematoma, infection, or undue strain.

A

incisional hernia

27
Q

A _____ has a high recurrence rate when mesh is placed on the outside of a large repair.

A

ventral hernia

28
Q

What is the duct of Wirsung?

A

is a duct joining the pancreas to the common bile duct to supply pancreatic juices which aid in digestion

29
Q

The _____ are sections of the small bowel suspended from the abdominal wall by a sheet of vascular tissue called the mesentery.

A

jejunum and ileum

30
Q

The pancreatic duct (duct of Wirsung) and the common bile duct from the liver drain their contents into the _____ section of the small intestine.

A

duodenum

31
Q

During a _____, the entire breast is removed. Axillary lymph nodes are not removed. The muscles of the chest wall are preserved.

A

simple mastectomy

32
Q

The peritoneum is usually closed with a/an _____ suture line.

A

continuous

33
Q

The peritoneum is usually closed with _____.

A

absorbable suture swaged to a taper needle, size 0 or 2-0

34
Q

When entering the abdominal cavity, the _______________is lifted with hemostats and a small incision made with the deep knife or Metzenbaum

A

peritoneum

35
Q

What type of breast biopsy involves removing the entire mass?

A

excisional biopsy

36
Q

Which type of breast biopsy involves a needle being inserted into the mass and tissue is retrieved for histologic examination?

A

core biopsy

37
Q

A mastectomy where a wedge or quadrant of breast tissue is removed.

A

segmental mastectomy

38
Q

Signs of gallstones or cancer near the gallbladder are:

A

swelling, pain, and infection; obstructive jaundice may occur

39
Q

What is the function of a t-tube?

A

drain bile

40
Q

When is a tube used?

A

cholecystectomy and operative cholangiography

41
Q

What does the surgeon use to irrigate a mastectomy wound?

A

antibacterial solution

42
Q

What instruments are used in a common bile duct exploration?

A
  • four trocars (umbilical 10mm, midline 10mm, 2 at axillary line 5mm)
  • 30 degree telescope
  • laparoscope
  • straight locking grasper
  • scissors
  • esu hook
  • surgical clips
43
Q

What is a vagotomy?

A

performed to reduce gastric enzymes by severing the nerves that control their release

44
Q

What is pyloroplasty?

A

enlarging the pyloric opening between the stomach and the duodenum

45
Q

What is gastrectomy?

A

the stomach may be totally or partially resected

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