Surgery Flashcards
What is an end colostomy?
Performed when a section of large bowel has been removed. Proximal end brought to the skin. Distal part sutured and left inside. Can be reversed later but can also be permanent.
What is an end ileostomy?
Stoma from the end of the ileum when the whole small bowel has been removed. Permanent
What is a loop colostomy?
Bowel is partially opened and a loop of bowel is taken outside the skin and opened - leaving 2 openings. Proximal end is turned into a spout. Temporary and will be reversed 6 - 8 weeks later
ASA1
Normal healthy patient
ASA2
Patient with mild systemic disease
ASA 3
Substansive functional limitations/severe systemic disease eg renal disease on dialysis
ASA4
Severe systemic disease that is a constant threat to life
ASA5
Moribound patient who is not expected to survive without the operation eg ruptured AAA
ASA6
Brain dead patient - organ harvesting
What surgery is required for colorectal cancer on the anal verge?
Abdomino perineal excision of rectum
What surgery is required for colorectal cancer in the low rectum?
Anterior resection
What surgery is required for colorectal cancer in the upper rectum?
Anterior resection
What surgery is required for colorectal cancer in the sigmoid colon?
High anterior resection
What surgery is required for colorectal cancer in the distal transverse descending colon?
Left hemicolectomy
What surgery is required for colorectal cancer in the caecal, ascending or proximal transverse colon
Right hemicolectomy
