Surgical procedures Flashcards
Whipple’s resection
Pancreaticoduodenectomy (indicated for pancreatic cancer), SE: dumping syndrome, PUD
Sengstaken-Blakemore tube
Oesophageal varices mx
Ivor-lewis type oesophagectomy
Indicated for oesophageal cancer
Involves laparotomy + right thoracotomy
Trendenleberg’s ligation
For varicose veins at saphenofemoral junction
Cockett’s ligation
Perforator vein
Short saphenous vein ligation
For short saphenous vein in popliteal fossa
Trahere transplantation
Vascular - transport axillary vein into deep venous system
Kistner transplantation
Venous valvuloplasty
Palma transplantation
Bypass venous op - with contralateral great saphenous vein
What are the two types of oesophagectomy procedure and what do each involve?
- Ivor Lewis - laparotomy + right thoracotomy
2. McKeown - laparotomy + right thoracotomy + left neck incision
What is a Nissen fundoplication used for?
GORD
What are some causes of small bowel obstruction? What drug may be given to these pts and why?
Adhesions
Hernia
Malignancy including non-GI eg ovarian mass or enlarged LN
Gastrograffin to reduce bowel wall oedema
What are some causes of large bowel obstruction?
Sigmoid volvulus
Malignancy
Strictures eg secondary to diverticular disease
Management of sigmoid volvulus?
Therapeutic sigmoidoscopy with flatus tube
Management of caecal volvulus?
Laparotomy +/- right hemicolectomy