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Surgical Recall > Surgical Operations You Should Know, Chapter 14 P82-91 > Flashcards

Surgical Operations You Should Know, Chapter 14 P82-91 Flashcards

1
Q

Define the following procedures:
1. Billroth I
P82 (picture)

A

Antrectomy with gastroduodenostomy

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2
Q
  1. Billroth II

P82 (picture)

A

Antrectomy with gastrojejunostomy

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3
Q
  1. How can the difference between a Billroth I and a
    Billroth II be remembered?
    P82 (picture)
A

Billroth 1 has one limb; Billroth 2 has two limbs

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4
Q

Describe the following procedures:
1. Roux-en-Y limb
P83 (picture)

A

Jejunojejunostomy forming a Y-shaped figure of small bowel; the free end can then be anastomosed to a second hollow structure (e.g., esophagojejunostomy)

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5
Q
  1. Brooke ileostomy

P83

A

Standard ileostomy that is folded on itself to protrude from the abdomen ≈2 cm to allow easy appliance placement and collection of succus

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6
Q
  1. CEA

P83

A

Carotid EndArterectomy; removal of atherosclerotic plaque from a carotid artery

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7
Q
  1. Bassini herniorrhaphy

P83

A

Repair of inguinal hernia by approximating transversus abdominis aponeurosis and the conjoint tendon to the reflection of Poupart’s (inguinal) ligament

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8
Q
  1. McVay herniorrhaphy

P83

A

Repair of inguinal hernia by approximating the transversus abdominis aponeurosis and the conjoint tendon to
Cooper’s ligament (which is basically the superior pubic bone periosteum)

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9
Q
  1. Lichtenstein herniorrhaphy

P83

A

“Tension-free” inguinal hernia repair using mesh (synthetic graft material)

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10
Q
  1. Shouldice herniorrhaphy

P84

A

Repair of inguinal hernia by imbrication of the transversalis fascia, transversus abdominis aponeurosis, and the conjoint tendon and approximation of the transversus abdominis aponeurosis and the conjoint tendon to the inguinal ligament

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11
Q
  1. Plug and patch hernia repair

P84

A

Prosthetic plug pushes hernia sac in and then is covered with a prosthetic patch to repair inguinal hernias

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12
Q
  1. APR

P84

A

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

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13
Q
  1. LAR

P84

A

Low Anterior Resection; resection of low rectal tumors through an anterior abdominal incision

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14
Q
  1. Hartmann’s procedure

P84

A
  1. Proximal colostomy

2. Distal stapled-off colon or rectum that is left in peritoneal cavity

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15
Q
  1. Mucous fistula

P84

A

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)

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16
Q
  1. Kocher (“koh-ker”) maneuver

P84 (picture)

A

Dissection of the duodenum from the right-sided peritoneal attachment to allow mobilization and visualization of the back of the duodenum/pancreas

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17
Q
  1. Seldinger technique

P85

A

Placement of a central line by first placing a wire in the vein, followed by placing the catheter over the wire

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18
Q
  1. Cricothyroidotomy

P85

A

Emergent surgical airway through the cricoid membrane

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19
Q
  1. Hepaticojejunostomy

P85

A

Anastomosis between a jejunal roux limb and the hepatic ducts

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20
Q
  1. Puestow procedure

P85 (picture)

A

Side-to-side anastomosis of the pancreas and jejunum (pancreatic duct is filleted open)

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21
Q
  1. Stamm gastrostomy

P85

A

Gastrostomy placed by open surgical incision and tacked to the abdominal wall

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22
Q
  1. Highly selective vagotomy

P86 (picture)

A

Transection of vagal fibers to the body of the stomach without interruption of fibers to the pylorus (does not need
pyloroplasty or other drainage procedure because the pylorus should still function)

23
Q
  1. Enterolysis

P86

A

Lysis of peritoneal adhesions

24
Q
  1. LOA

P86

A

Lysis Of Adhesions (enterolysis)

25
Q
  1. Appendectomy

P86

A

Removal of the appendix

26
Q
  1. Lap appy

P86

A

Laparoscopic removal of the appendix

27
Q
  1. Cholecystectomy

P86

A

Removal of the gallbladder

28
Q
  1. Lap chole

P86

A

Laparoscopic removal of the gallbladder

29
Q
  1. Nissen

P86 (picture)

A

Nissen fundoplication; 360 wrap of the stomach by the fundus of the stomach around the distal esophagus to prevent reflux

30
Q
  1. Lap Nissen

P87

A

Nissen fundoplication with laparoscopy

31
Q
  1. Simple mastectomy

P87

A

Removal of breast and nipple without removal of nodes

32
Q
  1. Choledochojejunostomy

P87

A

Anastomosis of the common bile duct to the jejunum (end to side)

33
Q
  1. Graham patch

P87

A

Placement of omentum with stitches over a gastric or duodenal perforation (i.e., omentum is used to plug the hole)

34
Q
  1. Heineke-Mikulicz pyloroplasty

P87 (picture)

A

Longitudinal incision through all layers of the pylorus, sewing closed in a transverse direction to make the pylorus nonfunctional (used after truncal vagotomy)

35
Q
  1. Pringle maneuver

P87 (picture)

A

Temporary occlusion of the porta hepatis (for temporary control of liver blood flow when liver parenchyma is actively bleeding)

36
Q
  1. Modified radical mastectomy

P88

A

Removal of the breast, nipple, and axillary lymph nodes (no muscle is removed)

37
Q
  1. Lumpectomy and radiation

P88

A

Removal of breast mass and axillary lymph nodes; normal surrounding breast tissue is spared; patient then undergoes
postoperative radiation treatments

38
Q
  1. I & D

P88

A

Incision and Drainage of pus; the wound is then packed open

39
Q
  1. Exploratory laparotomy

P88

A

Laparotomy to explore the peritoneal cavity looking for the cause of pain, peritoneal signs, obstruction, hemorrhage, etc.

40
Q
  1. TURP

P88

A

TransUrethral Resection of the Prostate; removal of obstructing prostatic tissue via scope in the urethral lumen

41
Q
  1. Fem pop bypass

P88 (picture)

A

FEMoral artery to POPliteal artery bypass using synthetic graft or saphenous vein; used to bypass blockage in the femoral artery

42
Q
  1. Ax Fem

P89 (picture)

A

Long prosthetic graft tunneled under the skin placed from the AXillary artery to the FEMoral artery

43
Q
  1. Triple A repair

P89

A

Repair of an AAA (Abdominal Aortic Aneurysm):

Open aneurysm and place prosthetic graft; then close old aneurysm sac around graft

44
Q
  1. CABG

P89 (picture)

A

Coronary Artery Bypass Grafting; via saphenous vein graft or internal mammary artery bypass grafts to coronary arteries from aorta (cardiac revascularization)

45
Q
  1. Hartmann’s pouch

P89

A

Oversewing of a rectal stump (or distal colonic stump) after resection of a colonic segment; patient is left with a
proximal colostomy

46
Q
  1. PEG

P90 (picture)

A

Percutaneous Endoscopic Gastrostomy:
Endoscope is placed in the stomach, which is then inflated with air; a needle is passed into the stomach percutaneously, wire is passed through the needle
traversing the abdominal wall, and the gastrostomy is then placed by using the Seldinger technique over the wire

47
Q
  1. Ileoanal pull-through

P90

A

Anastomosis of the ileum to the anus after total proctocolectomy

48
Q
  1. Hemicolectomy

P90

A

Removal of a colonic segment (i.e., partial colectomy)

49
Q
  1. Truncal vagotomy

P90 (picture)

A

Transection of the vagus nerve trunks; must provide drainage procedure to stomach (e.g., gastrojejunostomy or
pyloroplasty) because after truncal vagotomy, the pylorus does not relax

50
Q
  1. Antrectom

P91

A

Removal of stomach antrum

51
Q
  1. Whipple procedure

P91 (picture)

A

Pancreaticoduodenectomy:

  • Cholecystectomy
  • Truncal vagotomy
  • Pancreaticoduodenectomy—removal of the head of the pancreas and duodenum
  • Choledochojejunostomy
  • Pancreaticojejunostomy (anastomosis of distal pancreas remnant to the jejunum)
  • Gastrojejunostomy (anastomosis of stomach to jejunum)
52
Q
  1. Excisional biopsy

P91

A

Biopsy with complete excision of all suspect tissue (mass)

53
Q
  1. Incisional biopsy

P91

A

Biopsy with incomplete removal of suspect tissue (incises tissue from mass)

54
Q
  1. Tracheostomy

P91

A

Placement of airway tube into trachea surgically or percutaneously

Surgical Recall (33 decks)

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