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Surgery: Stomas, Surgical Scars Flashcards

1
Q

Stomas, Surgical Scars

What are the key inspection findings of Stomas on examination?

A
  • Site
  • Contents of bag
  • Appearance Scars
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2
Q

Stomas, Surgical Scars

What are the key palpation findings of Stomas on examination?

A
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3
Q

Stomas, Surgical Scars

What is needed to complete a Stoma examination?

A
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4
Q

Stomas, Surgical Scars

What is the definition of Stomas?

A

Conduit = a channel for conducting fluid

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5
Q

Stomas, Surgical Scars

What are the key questions in a Stoma history?

A
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6
Q

Stomas, Surgical Scars

What are the indications for a Stoma?

A
  • Exteriorisation
  • Diversion
  • Decompression
  • Feeding Lavage
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7
Q

Stomas, Surgical Scars

What are the differences between Ileostomy and Colostomy?

Including:

  1. Location
  2. Spouted or Flush?
  3. Contents
  4. Permenant indications
  5. Temporary indications
A
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8
Q

Stomas, Surgical Scars

What are the common stoma discussion points?

A
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9
Q

Stomas, Surgical Scars

What is the appearance of Ileostomy?

A
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10
Q

Stomas, Surgical Scars

What are the permenent and temporary indications for an End Ileostomy?

A
  • Permanent: Panproctocolectomy (no anus)
  • Temporary: Total colectomy
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11
Q

Stomas, Surgical Scars

What surgeries surgical causes End Ileostomy?

A
  • Proctocolectomy
  • Total colectomy c¯ later IPAA
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12
Q

Stomas, Surgical Scars

What are the indications for End Ileostomy?

A
  • UC FAP
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13
Q

Stomas, Surgical Scars

What are the temporary and permenant indications of an End Ileostomy?

A
  • Temporary stoma to defunction distal bowel
  • May be supported by bridge or rod
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14
Q

Stomas, Surgical Scars

What are the surgical causes of End Ileostomy?

A
  • Anterior resection Bowel rest
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15
Q

Stomas, Surgical Scars

War are the indications for End Ileostomy?

A
  • Colon Ca
  • Crohn’s
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16
Q

Stomas, Surgical Scars

What are the permenant and temporary indications for an End Colostomy?

A
  • Permanent: AP resection (no anus)
  • Temporary: Hartmann’s
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17
Q

Stomas, Surgical Scars

What are the surgical causes of End Colostomy?

A
  • AP resection Hartmann’s
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18
Q

Stomas, Surgical Scars

What are the indications for End Colostomy?

A
  • Colon Ca Diverticulits
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19
Q

Stomas, Surgical Scars

What are the features of Loop Colostomy?

A
  • RUQ:
    • Defunctioning transverse colostomy to cover a distal anastomosis: rarely performed
  • LIF:
    • Apex of sigmoid exteriorised w/o a resection for inoperable Ca rectum which is likely to obstruct.
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20
Q

Stomas, Surgical Scars

What are the surgical causes of Loop Colostomy?

A
  • Anterior resection
  • Decompression
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21
Q

Stomas, Surgical Scars

What are the indications for Loop Colostomy?

A
  • Colon Ca
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22
Q

Stomas, Surgical Scars

What is needed for patient preparation with a Stoma?

A
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23
Q

Stomas, Surgical Scars

How should a patient with a stoma sit?

A
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24
Q

Stomas, Surgical Scars

What are the early Stoma complications?

A
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25
**_Stomas, Surgical Scars_** What are the delayed Stoma complications?
26
**_Stomas, Surgical Scars_** What is needed for patient recovery with a Stoma?
27
**_Stomas, Surgical Scars_** What is the classification of Stomas?
28
**_Stomas, Surgical Scars_** What is a Urostomy?
29
**_Stomas, Surgical Scars_** What is an Ideal Conduit?
30
**_Stomas, Surgical Scars_** What is an Indiana Pouch?
31
**_Stomas, Surgical Scars_** What is important in a surgical scar examination?
32
**_Stomas, Surgical Scars_** What is it important to look for in a surgical scar examination?
33
**_Stomas, Surgical Scars_** What layers does a Midline Laparotomy go through?
34
**_Stomas, Surgical Scars_** What is the appearance of a Midline Laparotomy?
35
**_Stomas, Surgical Scars_** What is the use of a Midline Laparotomy?
36
**_Stomas, Surgical Scars_** What are the features of a Midline Laparotomy?
37
**_Stomas, Surgical Scars_** What is the appearance of a Right Paramedian scar?
38
**_Stomas, Surgical Scars_** What is the use of a Right Paramedian scar?
39
**_Stomas, Surgical Scars_** What are the features of a Right Paramedian scar?
40
**_Stomas, Surgical Scars_** What is the appearance of a Kocher's (Subcostal) scar?
41
**_Stomas, Surgical Scars_** What is the use of a Kocher's (Subcostal) scar?
42
**_Stomas, Surgical Scars_** What is the appearance of a Rooftop scar?
43
**_Stomas, Surgical Scars_** What is the use of a Rooftop scar?
44
**_Stomas, Surgical Scars_** What is the appearance of a Pfannenstiel scar?
45
**_Stomas, Surgical Scars_** What is the use of a Pfannenstiel scar?
46
**_Stomas, Surgical Scars_** What are the features of a McBurkey's and Lanz scar? What layers of they go through?
47
**_Stomas, Surgical Scars_** What is the appearance of a McBurkey's and Lanz scar?
48
**_Stomas, Surgical Scars_** What is the use of a McBurkey's and Lanz scar?
* Appendicectomy
49
**_Stomas, Surgical Scars_** What are the features of McBurkey's and Lanz scar?
50
**_Stomas, Surgical Scars_** What is the appearance of a Thoracoabdominal scar?
51
**_Stomas, Surgical Scars_** What is the use of a Thoracoabdominal scar?
* Oesophagogastrectomy
52
**_Stomas, Surgical Scars_** What is the appearance of a Transverse Muscle Splitting scar?
53
**_Stomas, Surgical Scars_** What is the use of a Transverse Muscle Splitting scar?
* Right Hemicolectomy
54
**_Stomas, Surgical Scars_** What are the features of a Transverse Muscle Splitting scar?
55
**_Stomas, Surgical Scars_** What is the appearance of Inguinal Hernia Incision scars?
56
**_Stomas, Surgical Scars_** What is the use of Inguinal Hernia Incision scars?
* Open Inguinal Hernia * Repair Orchidectomy
57
**_Stomas, Surgical Scars_** What are the features of Inguinal Hernia Incision scars?
58
**_Stomas, Surgical Scars_** What is the appearance of McEvedy-Modified scar?
59
**_Stomas, Surgical Scars_** What is the use of a McEvedy-Modified scar?
* Emergency Femoral Hernia
60
**_Stomas, Surgical Scars_** What are the features of McEvedy-Modified scar?
61
**_Stomas, Surgical Scars_** What is the appearance of a Loin scar?
62
**_Stomas, Surgical Scars_** What is the use of a Loin scar?
* Nephrectomy
63
**_Stomas, Surgical Scars_** What is the appearance of a Vascular access scar?
64
**_Stomas, Surgical Scars_** What is the use of a Vascular access scar?
65
**_Stomas, Surgical Scars_** What are the key contents bag inspection findings for Stomas?
66
**_Stomas, Surgical Scars_** What are the key appearance inspection findings for Stomas?
67
**_Stomas, Surgical Scars_** What are the key scar inspection findings for Stomas?
68
**_Stomas, Surgical Scars_** What are the Exteriorisation indications for a Stoma?
69
**_Stomas, Surgical Scars_** What are the Diversion indications for a Stoma?
70
**_Stomas, Surgical Scars_** What are the Decompression indications for a Stoma?
71
**_Stomas, Surgical Scars_** What are the Feeding indications for a Stoma?
72
**_Stomas, Surgical Scars_** What are the Lavage indications for a Stoma?
73
**_Stomas, Surgical Scars_** What is the appearance of a Colostomy?
74
**_Stomas, Surgical Scars_** What are the features (not the use) of Rooftop scars?
75
**_Stomas, Surgical Scars_** Name the scars

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