Surgical procedures Flashcards

1
Q

Whipple’s resection

A

Pancreaticoduodenectomy (indicated for pancreatic cancer), SE: dumping syndrome, PUD

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2
Q

Sengstaken-Blakemore tube

A

Oesophageal varices mx

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3
Q

Ivor-lewis type oesophagectomy

A

Indicated for oesophageal cancer

Involves laparotomy + right thoracotomy

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4
Q

Trendenleberg’s ligation

A

For varicose veins at saphenofemoral junction

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5
Q

Cockett’s ligation

A

Perforator vein

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6
Q

Short saphenous vein ligation

A

For short saphenous vein in popliteal fossa

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7
Q

Trahere transplantation

A

Vascular - transport axillary vein into deep venous system

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8
Q

Kistner transplantation

A

Venous valvuloplasty

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9
Q

Palma transplantation

A

Bypass venous op - with contralateral great saphenous vein

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10
Q

What are the two types of oesophagectomy procedure and what do each involve?

A
  1. Ivor Lewis - laparotomy + right thoracotomy

2. McKeown - laparotomy + right thoracotomy + left neck incision

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11
Q

What is a Nissen fundoplication used for?

A

GORD

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12
Q

What are some causes of small bowel obstruction? What drug may be given to these pts and why?

A

Adhesions
Hernia
Malignancy including non-GI eg ovarian mass or enlarged LN

Gastrograffin to reduce bowel wall oedema

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13
Q

What are some causes of large bowel obstruction?

A

Sigmoid volvulus
Malignancy
Strictures eg secondary to diverticular disease

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14
Q

Management of sigmoid volvulus?

A

Therapeutic sigmoidoscopy with flatus tube

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15
Q

Management of caecal volvulus?

A

Laparotomy +/- right hemicolectomy

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16
Q

Procedure indicated for higher rectal tumours? What is removed?

A

Anterior resection - removes sigmoid colon and top part of rectum

17
Q

What procedure is indicated for lower rectal tumours? What is removed?

A

Abdominoperineal resection - anus to top of sigmoid colon

18
Q

Indications for ileal conduit?

A

Bladder cancer
Neurogenic bladder
Bladder injury secondary to irradiation
Chronic pelvic pain

19
Q

Procedure indicated for right colon tumour? What is removed? What remains?

A

Right hemicolectomy

Remove from ileocaecal valve to first 3rd of colon

End ileostomy formed or primary anastomosis (join ileum to transverse colon)

20
Q

Procedure indicated for colon tumour, transverse or LHS? What is removed? What remains?

A

Left hemicolectomy

Remove from 2/3 transverse to sigmoid colon

Can form primary anastomosis - colocolic

21
Q

For extensive colonic disease what procedure may be indicated? What is left?

A

Panproctocolectomy - remove all colon from ileocaecal valve to rectum

  • Form end ileostomy
22
Q

What does a total colectomy involve? What is left?

A

Removal of ascending, transverse, descending and sigmoid colon, leaving rectum.

Now can form J pouch to form anastomosis so no stoma required if successful -> ileal-pouch anal anastomosis

23
Q

What does a subtotal colectomy involve? What is left?

A

Removal of ascending, transverse and descending colon. Leaves sigmoid colon and rectum in situ.

Leaves end ileostomy and stump

24
Q

What does a Hartman’s procedure involve?

A

emergency procedure eg for diverticular perforation - remove sigmoid colon and rectum

Sigmoidectomy + end colostomy + rectal stump -> may later attempt anastomosis

25
Q

What procedure is indicated for a high lying rectal tumour?

What is formed?
What is left?

A

Anterior resection -> involves sigmoidectomy + top part of rectum removal

End colostomy is formed or can form defunctioning loop ileostomy and later attempt anastomosis

26
Q

What procedure is indicated for a low lying rectal tumour?

What is formed?

A

AP resection (abdominoperineal) -> anus to top of rectum removed

Form end colostomy