Surgical Operations You Should Know Flashcards
What is a Billroth I?
Antrectomy with gastroduodenostomy
What is a Billroth II?
Antrectomy with gastrojejunostomy
How can the difference between a Billroth I and II be remembered?
Billroth I has one limb, Billroth II has two limbs
What is a Roux-en-Y limb?
Jejunojejunostomy forming a Y-shaped figure of small bowel.
The free end can then be anastomosed to a second hollow structure (e.g. esophagojejunostomy)
What is a Brooke ileostomy?
Standard ileostomy that is folded on itself to protrude from the abdomen 2 cm to allow easy appliance placement and collection of succus
What is a CEA?
Carotid EndArterectomy:
Removal of atherosclerotic plaque from a carotid artery
What is a Bassini herniorrhaphy?
Repair of inguinal hernia by approximating transversus abdominis aponeurosis and the conjoint tendon to the reflection of Poupart’s ligament
What is a McVay herniorrhaphy?
Repair of inguinal hernia by approximating the transversus abdominis aponeurosis and the conjoint tendon to Cooper’s ligament
What is a Lichtenstein herniorrhaphy?
Tension-free inguinal hernia repair using mesh
What is a Shouldice herniorrhaphy?
Repair of inguinal hernia by imbrication of the transversus abdominis fascia, transversus abdominis aponeurosis, and the conjoint tendon and approximation of the transversus abdominis aponeurosis and the conjoint tendon to the inguinal ligament
What is a plug and patch hernia repair?
Prosthetic plug pushes hernia sac in and then is covered with a prosthetic patch to repair inguinal hernia
What is an APR?
AbdominoPerineal Resection:
Removal of the rectum and sigmoid colon through abdominal and perineal incisions (patient is left with a colostomy).
Used for low rectal cancers < 8 cm from the anal verge.
What is an LAR?
Low Anterior Resection:
Resection of low rectal tumors through an anterior abdominal incision
What is Hartmann’s procedure?
- Proximal colostomy
2. Distal stapled-off colon or rectum that is left in peritoneal cavity
What is a mucous fistula?
Distal end of the colon is brought to the abdominal skin as a stoma (proximal end is brought up to skin as an end colostomy)
What is a Kocher maneuver?
Dissection of the duodenum from the right-sided peritoneal attachment to allow mobilization and visualization of the back of the duodenum and pancreas
What is the Seldinger technique?
Placement of a central line by first placing a wire in the vein, followed by placing the catheter over the wire
What is a cricothyroidotomy?
Emergent surgical airway through the cricoid membrane
What is a hepaticojejunostomy?
Anastomosis between a jejunal roux limb and the hepatic ducts
What is a Puestow procedure?
Side-to-side anastomosis of the pancreas and jejunum (pancreatic due is filleted open)
What is a Stamm gastrostomy?
Gastrostomy place by open surgical incision and tacked to the abdominal wall