Surgery: Practical Surgery - Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication Flashcards

1
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the principles of Laparoscopic Cholecystectomy?

A
  1. Establish Pneumoperitoneum
  2. Identify and Clip CA and CD
  3. Dissect and Remove GB
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2
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is needed to Establish Pneumoperitoneum in a Laparoscopic Cholecystectomy?

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3
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

How does Calot’s triangle help to Identify and Clip Cystic Artery and Cystic Duct in a Laparoscopic Cholecystectomy?

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4
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the other (not Calot’s triangle) important landmarks help in Identiying and Clip Cystic Artery and Cystic Duct in a Laparoscopic Cholecystectomy?

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5
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is needed to Dissect and Remove GB in a Laparoscopic Cholecystectomy?

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6
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the complications of Laparoscopic Cholecystectomy?

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7
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the pre-hepatic causes of jaundice after Laparoscopic Cholecystectomy?

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8
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the hepatic causes of jaundice after Laparoscopic Cholecystectomy?

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9
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the post-hepatic causes of jaundice after Laparoscopic Cholecystectomy?

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10
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is an Inguinal Hernia Repair?

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11
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is an Open Inguinal Hernia Repair?

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12
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is the process of an Open Inguinal Hernia Repair?

A
  1. Enter inguinal canal
  2. Mobilise and retract spermatic cord
  3. Identify and dissect hernial sac
  4. Cover defect and posterior wall c¯ tension-free mesh
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13
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

How is the inguinal canal entered in an Open Inguinal Hernia Repair?

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14
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

How is the hernial sac identified and dissected in an Open Inguinal Hernia Repair?

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15
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the 2 main techniques for Laparoscopic Inguinal Hernia Repair?

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16
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the advantages of Laparoscopic Inguinal Hernia Repair?

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17
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the disadvantages of Laparoscopic Inguinal Hernia Repair?

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18
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the early complications of Laparoscopic Inguinal Hernia Repair?

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19
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the late complications of Laparoscopic Inguinal Hernia Repair?

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20
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is the post-op follow up of Inguinal Hernia Repair?

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21
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is the process of an Open Appendicectomy?

A
  1. Access the peritoneum
  2. Deliver caecum and find appendix
  3. Ligate mesoappendix and excise appendix
  4. Peritoneal lavage and close abdomen
22
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

How is Access the peritoneum gained in an Open Appendicectomy?

A
23
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

How do you Deliver caecum and find the appendix in an Open Appendicectomy?

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24
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

How do you Ligate mesoappendix and excise appendix in an Open Appendicectomy?

A
25
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

How do you Peritoneal lavage and close abdomen in an Open Appendicectomy?

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26
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is done if the Appendix is normal in an Open Appendicectomy?

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27
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the complications of an Open Appendicectomy?

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28
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the commonest locations of the appendix?

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29
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the disadvantages of an Laparoscopic Appendicectomy?

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30
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is the aim of Nissen Fundoplication?

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31
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What is the procedure of Nissen Fundoplication?

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32
Q

Laparoscopic Cholecystectomy, Inguinal Hernia Repair, Appendicectomy, Nissen Fundoplication

What are the complications of Nissen Fundoplication?

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