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SURGERY > MUST KNOW SURGICAL OPERATIONS > Flashcards

MUST KNOW SURGICAL OPERATIONS Flashcards

1
Q

Billroth I

A

proximal stomach is anastomosed directly to the duodenum (i.e. gastroduodenostomy)

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2
Q

Billroth II

A

greater curvature of stomach is anastomosed directly to the jejunum (i.e. gastrojejunostomy)

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3
Q

Roux-En-Y anastomosis

A

2 upper limb of the “Y” represent:
• proximal segment of stomach and distal small bowel it joins with
• blind end that is surgically divided off

lower part of “Y”:
• formed by the distal small bowel beyond anastomosis

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4
Q

Brooke Ileostomy

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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5
Q

CEA

A

Carotid EndArterectomy; removal of atherosclerotic plaque from a carotid artery

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6
Q

Bassini Herniorrhapy

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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7
Q

McVay herniorrhaphy

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)

addresses BOTH inguinal and femoral ring defects

indicated for femoral hernias and in cases where the use of prosthetic material is contraindicated

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8
Q

Lichtenstein herniorrhaphy

A

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

allows for a tension-free repair of the inguinal floor by buttressing the floor with a prosthetic mesh

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9
Q

Shouldice herniorrhaphy

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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10
Q

Plug and patch hernia

repair

A

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

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11
Q

AbdominoPerineal Resection (APR)

A

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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12
Q

Low Anterior Resection

A

Resection of low rectal tumors through an anterior

abdominal incision

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13
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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14
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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15
Q

Kocher Maneuver

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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16
Q

Seldinger

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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17
Q

Cricothryroidotomy

A

Emergent surgical airway through the cricoid membrane

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18
Q

Hepaticojejunostomy

A

Anastomosis between a jejunal roux limb and the hepatic ducts

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19
Q

Puestow Maneuver

A

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

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20
Q

Stamm Gastrostomy

A

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

21
Q

Highly Selective Vagotomy

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)

22
Q

Enterolysis

A

Lysis of peritoneal adhesions

23
Q

Appendectomy

A

Removal of appendix

24
Q

Lap Appy

A

Laparoscopic removal of the appendix

25
Q

Cholecystectomy

A

Removal of the gallbladder

26
Q

Lap Chole

A

Laparoscopic removal of the gallbladder

27
Q

Nissen Fundoplication

A

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

28
Q

Simple Mastectomy

A

Removal of breast and nipple without

removal of nodes

29
Q

Choledochojejunostomy

A 
Anastomosis of the common bile duct to
the jejunum (end to side)
30
Q

Graham Patch

A

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

31
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 truncal vagotomy)

32
Q

Pringle Maneuver

A

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

33
Q

Modified Radical Mastectomy

A

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

34
Q

Lumpectomy and Radiation

A 
Removal of the breast, nipple, and axillary
lymph nodes (no muscle is removed)
35
Q

Exploratory Laparotomy

A

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

36
Q

TransUrethral Resection of the Prostate (TURP)

A

Removal of obstructing prostatic tissue via scope in the urethral lumen

37
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

38
Q

Triple A Repair

A

Repair of an AAA (Abdominal Aortic Aneurysm): Open aneurysm and place prosthetic graft; then close old aneurysm sac around graft

39
Q

Coronary Artery Bypass Grafting (CABG)

A

Via saphenous vein graft or internal mammary artery bypass grafts to coronary arteries from aorta (cardiac revascularization)

40
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

41
Q

Percutaneous Endoscopic Gastrostomy

A

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

42
Q

Ileoanal Pull-through

A

Anastomosis of the ileum to the anus

after total proctocolectomy

43
Q

Hemicolectomy

A

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

44
Q

Truncal Vagotomy

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

45
Q

Antrectomy

A

Removal of stomach antrum

46
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)

47
Q

Excisional Biopsy

A

Biopsy with complete excision of all suspect tissue (mass)

48
Q

Incisional Biopsy

A

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

49
Q

Tracheostomy

A

Placement of airway tube into trachea surgically or percutaneously

SURGERY (27 decks)

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