Second Surgery Flash Cards

Question 1

When conducting a splenectomy what is the order of the 3 main components of vasculature going from the caudal omentum (head of the spleen and stomach being most cranial)?

Answer 1

1. Left gastroepiploic first
2. Short gastric
3. Splenic arteries and veins

Question 2

What is the ideal location for the placement of a gastropexy?

Answer 2

• Placement is at the level of 11th to 12th rib

Question 3

What suture type and size should be used for the closure of the body wall?

Answer 3

0 PDS

Question 4

What suture type and size should be used for the closure of the subQ body wall?

Answer 4

• 3-0 Monosyn

Question 5

What suture size and type should be used for the closure of the skin?

Answer 5

• 3-0 Nylon and use a cutting needle

Question 6

What suture material should be used for the ligation of the splenic vessels?

Answer 6

• Left gastroepipiloic and the short gastric - use 3-0 PDS
• Splenic - use 2-0 PDS

Question 7

What suture material should be used for the gastropexy?

Answer 7

2-0 PDS

Question 8

What size scalpel blade should be used for the gastropexy?

Answer 8

Number 10 scalpel blade

Question 9

Breifly explain how you will suture the pyloric antrum and the thoracic wall together:

Answer 9

• Start outside on pyloric antrum ⇒ go inside on thoracic wall ⇒ repeat up to the top taking big bites ⇒ change directions at the top going outside on thoracic wall m