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doc sparkly eyes for sparkly grades come thru > Abdominal surgery > Flashcards

Abdominal surgery Flashcards

1
Q

type of hernia: uncomplicated

A

reducible

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2
Q

type of hernia with abscess

A

partially reducible

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3
Q

type of hernia: abscess and hernia; (complicated by incarceration, adhesion or strangulation)

A

irreducible

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4
Q

best technique for hernia accreta or incarcerated hernia

A

Amputation of the internal hernial sac

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5
Q

Close the hernial ring using
– sutures pattern which perforate both p
__ and __

A

horizontal mattress
peritoneum and abdominal wall

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6
Q

Closure of the hernial ring using
__ suture pattern can also be done
Overlapping to strengthen incision line

A

Mayo

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7
Q

material of suture for non reducible hernia

A

Non absorbable

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8
Q

Best technique for reducible hernia

A

Replacement of the internal
hernial sac (omentum, parts of intestines)

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9
Q

Best for very large hernial ring

A

Closure of the hernial ring
using alloplastic material

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10
Q

Use non-absorbable suture material (

— pattern) to hold the mesh

A

simple interrupted suture

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11
Q

In all techniques:
-Suture the SC tissue in
____ pattern (to obliterate dead space)
-Close the skin using ____ sutures
-In females, a ___ is recommended for support
-Restrict pre- & postoperatively feed
intake to reduce tension on wound edges

A

In all techniques:
-Suture the SC tissue in continuous
suture pattern (to obliterate dead space)
-Close the skin using simple
interrupted sutures
-In females, a belly bandage is
recommended for support
-Restrict pre- & postoperatively feed
intake to reduce tension on wound edges

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12
Q

Embryonic connection of bladder to the outside world

A

urachus

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13
Q

promote recurrence of hernia
Can co-exist with umbilical hernia

A

fistula

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14
Q

adhesions between hernial contents & hernial sac (peritoneal fluid, greater omentum, abomasum or L.I.)

A

hernia accreta

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15
Q

goal of Amputation of the internal hernial sac

A

Separate adhesions between hernial sac and hernial contents

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16
Q

procedure done if Urachal fistulas extend to the serosa of the bladder

A

partial cystectomy

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17
Q

Extend ___ incision in an uncomplicated urachal fistula

A

elliptical

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18
Q

Bladder is closed with a ___ suture (left) pattern (inverting suture through all three layers and then buried by a second layer of sutures: ___-right suture pattern)

A

Schmieden
Lembert

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19
Q

Laparotomy in cattle is mostly carried out through a__ incision

A

flank

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20
Q

Standard method for left flank is __ incision

A

‘through-and-through’

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21
Q

animal position for flank laparotomy

A

standing

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22
Q

local analgesia for flank laparotomy

A

Infiltration, Inverted L, Paravertebral

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23
Q

flank laparotomy technique:

Make a ___ skin incision ventral to the lumbar transverse process
The ___ muscles are transected vertically
Incise ____ vertically
Lift the ____ and ____ with thumb forceps and incise using a scalpel

A

Technique:
Make a vertical skin incision ventral to the lumbar transverse process
The external and internal oblique muscles are transected vertically
Incise transversus muscle vertically
Lift the transversalis fascia and peritoneum with thumb forceps and incise using a scalpel

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24
Q

Extend the incision dorsally and ventrally with scalpel

A

f. scissors

25
Q

The oblique muscles are closed together using ___. pattern (either absorbable or non-absorbable)

A

simple interrupted sutures

26
Q

If laparotomy is carried out in the lower part of the flank, the __, which is more prominent there, is sutured in a ___ pattern using ___ material

A

subcutis

simple continuous
absorbable

27
Q

suture pattern for:

peritoneum
transversalis fascia
transversus muscle

A

Simple continuous

28
Q

all are procedures for left flank laparotomy except:

Rumenotomy (short surgeon)
Left flank abomasopexy (Utrecht method)
Low flank incision (CS lateral recumbency)
Abomasopexy

A

none.

plus
Standard caudal left flank dapat

29
Q

Incision site in relation to Abomasopexy RAFA

A

Rib- 1 hand girth away from the last rib
Abomasum (fundus and body)
Flank incision
Abomasopexy site sutured to the wall

30
Q

right flank laparotomy is Usually executed by a ‘__’ or a ‘___’ incision

A

true grid
modified grid

31
Q

how long should be the incision in flank laparotomy

A

15-20 cm

32
Q

external oblique muscle is split in the direction of its fibers

A

true grid

33
Q

Modified grid:
___muscle is incised vertically
-Internal oblique muscle (___)
-
____muscle (vertically)
- ____ and _____ – incised vertically

A

external oblique
cranio-ventrally
Transversus
Tranversalis fascia and peritoneum

34
Q

The __ muscle is sutured with 2 or 3 simple interrupted sutures

A

internal oblique

35
Q

what procedure is done in Upper Left Flank Laparotomy

A

rumenotomy

36
Q

apparatus used to prevent peritoneal contamination in rumenotomy

A

Weingart’s

37
Q

direction for incising ruminal wall

A

ventrally

38
Q

rumenotomy:

Remove the two lowest hooks and close incision with __ suture or a continuous seromuscular suture (___ or___) patterns

A

Schmieden
Lembert or Cushing

39
Q

in rumenotmy, The first suture line is oversewn with a ___ suture

A

continuous seromuscular

40
Q

cicatricial stricture of the anal opening may develop as a sequelar for what abdominal procedure?

A

Correction of Atresia Ani (et Recti)

41
Q

absence of anal opening

A

Correction of Atresia Ani (et Recti)

42
Q

atresia ani is often observed in what animal

A

piglet

43
Q

atresia ani:

If distal portion of rectum is also atretic, __ dissection is required

A

deeper

44
Q

anesthesia technique for atresia ani

A

caudal epidural

45
Q

animal position in cecotomy

A

-Standing Right Flank Laparotomy

46
Q

signs:
Distension of right abdominal cavity -Dark and mucoid feces
-Absence of feces in the rectum

what procedure?

A

cecotomy

47
Q

-A flexio is corrected by pushing with the whole lower arm the lesser curvature in a cranioventral direction along the right abdominal wall

A

greater

48
Q

-If a flexio with rotation is present, the abomasal corpus is first pushed in a ___ and ___direction, then the pyloric part is grasped and pulled __

A

cranial and ventral
caudally

49
Q

is the displacement about a horizontal axis running cranio-caudally)

A

flexio

50
Q

in many cases the ‘flexio’ is followed by a

A

rotation

51
Q

Etiology:
-High BCS at parturition
-High concentrate feed intake (low fiber diet) -Sudden change of feed
-Rearrangent of viscera after parturition -Other associated diseases (Fatty liver, Ketosis, Metritis, Mastitis, Hypoclacemia)

A

LDA

52
Q

conservative correciton for LDA

A

rolling

53
Q

surgical technique if blind

A

toggle and closed

54
Q

surgical technique if open

A

standing/dorsal recumbency

55
Q

animal position for right paramedian abomasopexy

A

dorsal recumb

56
Q

anesthesia for percutaneous fixation

A

Paravertebral or Local infiltration

57
Q

ph of abomasal fluid

A

2-3

58
Q

Correction of RDA: Conservative TX

A

-Increase exercise
-Provide access to fodder -Metaclopramide administration -Calcium borogluconate

59
Q

what abnormality?

-Pain and bruxism
-Tachycardia
-Rumen stasis
-Rectal palpation for examination
-Large, smooth, tense-walled viscus ventrally on R-side
-Metabolic alkalosis (early) the acidosis (late)

A

volvulus

doc sparkly eyes for sparkly grades come thru (13 decks)

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