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Surgical Recall > Chapter 13: Surgical Operations You Should Know > Flashcards

Chapter 13: Surgical Operations You Should Know Flashcards

1
Q

Billroth I

A

Antrectomy with gastroduodenostomy

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2
Q

Billroth II

A

Antrectomy with gastrojejunostomy

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3
Q

How can the difference between a Billroth I and Billroth II be remembered?

A

Billroth 1 has one limb; Billroth 2 has two limbs

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4
Q

Roux-en-Y limb

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

Brooke ileostomy

A

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

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6
Q

CEA

A

Carotid EndArterectomy; removal of atherosclerotic plaque from a carotidartery

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7
Q

APR

A

AbdominoPerineal Resection; removal of the rectum and sigmoid colon through abdominal and perineal incisions (patient is l_eft with a colostomy_);used for low rectal cancers

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8
Q

LAR

A

Low Anterior Resection; r_esection of low rectal tumors_ through an anteriorabdominal incision

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9
Q

Hartmann’s procedure

A
  1. Proximal colostomy
  2. Distal stapled-off colon or rectum that is left in peritoneal cavity
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10
Q

Mucous fistula

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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11
Q

Kocher (“koh-ker”) maneuver

A

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

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12
Q

Cattel maneuver

A

Mobilization of the ascending colon to the midline. If combined with a Kocher maneuver, exposes the vena cava

(Think: Cattel = Kocher = rightsided)

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13
Q

Seldinger technique

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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14
Q

Cricothyroidotomy

A

Emergent surgical airway through the cricoid membrane

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15
Q

Hepaticojejunostomy

A

Anastomosis between a jejunal roux limb and the hepatic bile ducts

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16
Q

Puestow procedure

A

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

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17
Q

Enterolysis

A

Lysis of peritoneal adhesions

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18
Q

LOA

A

Lysis Of Adhesions (enterolysis)

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19
Q

Appendectomy

A

Removal of the appendix

20
Q

Lap appy

A

Laparoscopic removal of the appendix

21
Q

Cholecystectomy

A

Removal of the gallbladder

22
Q

Lap chole

A

Laparoscopic removal of the gallbladder

23
Q

Nissen

A

Nissen fundoplication; 360-degree wrap of the stomach by the fundus of the stomach around the distal esophagus t_o prevent reflux_

24
Q

Lap Nissen

A

Nissen fundoplication with laparoscopy

25
Q

Simple mastectomy

A

Removal of breast and nipple without removal of nodes

26
Q

Choledochojejunostomy

A

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

27
Q

Graham patch

A

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

28
Q

Heineke–Mikulicz pyloroplasty

A

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

29
Q

Pringle maneuver

A

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

30
Q

Modified radical mastectomy

A

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

31
Q

Lumpectomy and radiation

A

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

32
Q

I & D

A

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

33
Q

Exploratory laparotomy

A

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

34
Q

TURP

A

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

35
Q

Fem pop bypass

A

FEMoral artery to POPliteal artery bypass using synthetic graft or saphenous

vein; used to bypass blockage in the femoral artery

36
Q

Ax Fem

A

Long prosthetic graft tunneled under the skin placed from the AXillary artery to the FEMoral artery (Extra-Anatomic bypass)

37
Q

Triple A repair

A

Repair of an AAA (Abdominal Aortic Aneurysm):

  1. Open aneurysm and placeprosthetic graft
  2. then close old aneurysm sac around graft
38
Q

CABG

A

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

39
Q

Hartmann’s pouch

A

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

40
Q

PEG

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

41
Q

Hemicolectomy

A

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

42
Q

Truncal vagotomy

A

Transection of the vagus nerve trunks;

  • must provide drainage procedure to stomach
    • gastrojejunostomy or pyloroplasty
    • because after truncal vagotomy, the pylorus does not relax
43
Q

Antrectomy

A

Removal of stomach antrum

44
Q

Whipple procedure

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)
45
Q

Excisional biopsy

A

Biopsy with complete excision of all suspect tissue (mass)

46
Q

Incisional biopsy

A

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

47
Q

Tracheostomy

A

Placement of airway tube into trachea surgically or percutaneously

Surgical Recall (168 decks)

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