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153 Local AnalJESSA > Abdominal Sx > Flashcards

Abdominal Sx Flashcards

(63 cards)

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1
Q

indicated for umbilical hernias

A

umbilical herniorrhapy

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2
Q

uncomplicated hernia

A

reducible hernia

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3
Q

hernia w/ abscess

A

partially reducible hernia

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4
Q

abscess and hernia (complicated by incarceration, adhesion, or strangulation)

A

irreducible hernia

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5
Q

position for umbilical herniorrhapy

A

dorsal recum

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6
Q

analgesia for umbilical herniorrhapy

A
  • cranial epidural analgesia w/ field block cranial to umbilicus
  • GA
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7
Q

type of irreducible where there are adhesions between hernial contents and hernial sac (peritoneal fluid,, greater omentum, abomasum, LI)

A

hernia accreta

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8
Q

type of irreducible where there is incarceration of viscera by hernial ring

A

incarcerated hernia

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9
Q

best for hernia accreta or incarcerated hernia

A

amputation of internal hernial sac

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10
Q

closing for hernial ring

A

horizontal mattress or Mayo suture pattern

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11
Q

when all sutures have been inserted, ____________________ is applied on all sutures to close hernial ring

A

steady traction

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12
Q

best for reducible hernia

A

replacement of internal hernial sac

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13
Q

best for very large hernial ring

A

closure of hernial ring using alloplastic material (mesh)

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14
Q

material and pattern to hold mesh

A

non-ab; SI

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15
Q

suture mat for closure of ring (reducible)

A
  • smooth non-ab
  • monofilament nylon
  • multifilament sheathed nylon
  • stainless steel
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16
Q

SC tissue suture pattern

A

continuous to obliterate dead space

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17
Q

skin suture pattern

A

SI

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18
Q

in females, a _______________ is reco for support

A

belly bandage

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19
Q

T/F: restrict pre- and postop feed intake to reduce tension on wound edges

A

T

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20
Q

reasons for failure of repair

A
  • sutures cutting thru tissues due to excessive tension
  • sutures tied tightly
  • ring too large
  • margin of ring too rigid
  • excess activity post-op
  • infxn
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21
Q

post-op management for herniorrhapy

A
  • systemic antibiotics 3-5 d
  • water only for 2 days
  • calf confinement
  • wound cleaning (diluted povidone iodine)
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22
Q

herniorrhaphy complications

A
  • seroma (leads to abscessation)
  • hematoma
  • dehiscence w/ prolapse of omentum (treat ASAP)
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23
Q

indicated for infxn of umbilical cord due to abscessation of urachus

A

resection of urachal fistula

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24
Q

can be used to determine the direction and depth of fistula

A

probe

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25
anesth for resection of urachal fistula
- caudal epidural w/ field block cranial to umbilicus - GA
26
position for resection of urachal fistula
dorsal rec w/ legs in extended position
27
in resection of urachal fistula, make and _______________ incision around umbilicus and extend parapreputially
elliptical
28
urachal fistulas often extend to serosa of the bladder ------> _____________
partial cystectomy
29
closing for bladder
Schmieden and Lembert
30
laparotomy in cattle is mostly carried out thru a _________ incision
flank
31
standard method for left flank is __________________ incision
through-and-through
32
local analgesia for laparotomy
infiltration, inverted L, paravertebral
33
suture pattern for peritoneum, transversalis fascia, transversus mm.
simple continuous
34
suture pattern for oblique mm.
SI (an or non-ab)
35
subcutis suture pattern
simple continuous (ab)
36
skin suture pattern
SI (non-ab)
37
usually executed by a true grid or a modified grid incision
right flank laparotomy
38
external oblique mm is split in the direction of its fibers (caudo-ventrally)
true grid
39
external oblique mm. is incised vertically
modified grid
40
layers of closing for left flank lapa
3-4
41
layers of closing for right flank lapa
4
42
rumenotomy indications
- removal of FB (traumatic reticulitis/reticuloperitonitis) - severe rumen overload (ingestion of toxic plants) - exploratory surgery (chronic tympany) - removal of neoplasia
43
rumenotomy technique
left flank laparotomy
44
used to prevent peritoneal contamination
Weingart's apparatus
45
suture pattern for rumen and reticulum
Schmieden, Lembert/Cushing (ab or non-ab)
46
etiology of LDA (left displaced abomasum)
- high BCS at parturition - high concentrated feed intake (low fiber diet) - sudden change of feed - rearrangement of viscera after parturition - dz (fatty liver, ketosis, metritis, mastitis, hypocalcemia)
47
conservative technique for LDA
rolling
48
LDA techniques
1. omentopexy or abomasopexy by right paramedial laparotomy 2. omentopexy thru left or right flank 3. percutaneous abomasopexy
49
other term for percutaneous fixation
Utrecht method
50
position for percutaneous fixation
standing left flank
51
anesth for percutaneous fixation
paravertebral or local infiltration
52
closing for abomasum in percutaneous fixation
seromuscular purse string suture pattern
53
position for percutaneous fixation using a bar suture
right lat recum
54
anesth for percutaneous fixation using a bar suture
xyla (45-50 mg IV)
55
conservative treatment for RDA
- inc exercise - provide access to fodder - metaclopramide admin - calcium borogluconate
56
RDA clinical signs
- pain ,bruxism - tachycardia - rumen stasis - rectal palpation for further exam - large, smooth, tense-walled viscus ventrally on right side - metabolic alkalosis (early) and acidosis (late)
57
displacement always starts w/ a ________
flexio (displacement about a horizontal axis running cranio-caudally)
58
flexio is followed by _____________
rotation (abomasum turns about an axis perpendicular to its greater curvature)
59
cecotomy CS
- distention of right abdominal cavity - dark and mucoid feces - absence of feces in rectum
60
position for cecotomy
right flank lapa
61
closing for cecum
Schmieden and Lembert
62
most often observed in piglet
absence of anal opening
63
T/F: in male piglet, distention may not be evident because of recto-vaginal fistula wherein some evacuation may occur
F - female

153 Local AnalJESSA (3 decks)

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