Surgical Abdo Tools Flashcards
Dever’s retractors:
Complications
Damage to skin and internal structures
Self-retaining retractors:
Indications
Used to retract a surgical excision and keep it open
Eg in hernia repair or appendicectomy
Self retaining retractors:
Complications
Compression of nerves and vessels
Disposable proctoscope:
Indications
Investigation and management if patients with perianal pathology
Examination of anal canal and lower rectum, with or without biopsy
Therapeutic: banding, sclerotherapy
Disposable proctoscope:
Complications
Haemorrhage
Perforations
Shouldered/ Gabriel Syringe:
Indications
Injection of haemorrhoids with 5% phenol in almond oil above dentate line
Shouldered/ Gabriel Syringe:
Complications
Immediate:
Pain if injected below dentate line
Damage to nearby structures
Primary haemorrhage
Late:
Prostatitis
Impotence
Disposable rigid sigmoidoscope:
Indications
Allows examination of rectum and rectosigmoid junction with possible biopsy
Outpatient or inpatient setting
Ix if IBD, rectal bleeding, colonic neoplasia
Disposable rigid sigmoidoscope:
Complications
Perforation:
Mechanical due to push against bowel wall
Or pneumatic due to over inflation
Bleeding
Differential for PR bleed
Commonly:
Perianal pathology, diverticular disease, malignancy
Also:
IBD, infection, upper GI bleed, angiodysplasia
Circular bowel stapler:
Indications
Rectal anastomosis
Gastrectomy
Haemorrhoids
Rectal prolapse
Circular bowel stapler:
Complications
Anastomotic leak
Checking the integrity of an anastomosis
Intraoperative:
Fill pelvic cavity with saline
Insufflate rectum with air and look for bubbles in the saline
Post-operative:
Water soluble contrast enema
Dever’s Retractors:
Indications
Open abdominal surgery to
retract viscera
increase field of view
