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Flashcards in [AC] General Upper Abdominal Surgery Deck (22):

A Gastrectomy is

The removal of the stomach


A oesophagogastrectomy is

Removal of the lower part of the oesophagus and entire stomach with oesophago - jejunostomy via laparotomy or thoracoabdominal incision


A bowel resection is a surgical procedure in which

A part of the large or small intestine is removed.


What is an abdominal aortic aneurysm repair?

A procedure used to treat an aneurysm (abnormal enlargement) of the abdominal aorta.


What is anaemia? Why does this occur from surgery?

Decrease in the number of red blood cells.

Could because of blood/fluid loss in theatre, in which can blood transfusion can be used to restore Hb levels in severe anaemic patients


A central venous catheter (or 'central line') is usually placed in surgery and is a ____

catheter placed into a large vein in the neck (internal jugular vein), chest (subclavian or axillary) or groin (femoral). It used to administer medication or fluids, obtain blood tests (specifically the 'central venous oxygen saturation') and measure central venous pressure


Some risk factors associated with oesophageal cancer?

Heavy alcohol use in conjunction with cigarette smoking or chewing tobacco

Some research of a genetic component


What is the most common initial symptom of oesophageal cancer?

Dysphagia (difficulty swallowing) but usually occurs in late stage oesophageal cancer


The most common surgical procedures for oesophageal cancer are:

transhiatal (trans-hiatal) esophagectomy and transthoracic esophagectomy


Transhiatal Esophagectomy involves

Both an abdominal incision and a cervical (neck) incision. The thoracic cavity is not opened (thus less likely of PPC's)


Transthoracic esophagectomy involves an

abdominal incision and a thoracotomy. The mid and lower parts of the oesophagus are removed along with the upper part of the stomach


The choice of what kind of operation the surgeon does for oesophageal cancer depends on

the location of the tumour; the patient's pulmonary function, and the surgeon's experience and preference


After esophagectomy, patients go to an

intensive care unit for 24 to 48 hours. They are usually intubated and have multiple drains and tubes.


Initial pain management of esophagectomy may include

epidurally, patient-controlled analgesia with morphine


Patients are nil by mouth for 5-7 days following esophagectomy therefore medication is provided via

intraveous or epidurally


We can initiate coughing, deep breathing, incentive spirometery after an esophagectomy patient has been



Early mobilisation for a patient after esophagectomy will reduce the pulmonary risk of

atelectasis, a precursor to pneumonia


We should check chest tube sites for

Drainage, and ensure the chest tube dressing is clean, dry and intact


Depending on the type of surgery, a chest tube may be in place. For patients with chest tubes we should assess the

drainage every shift. Expect no more than 100 to 200 mL/h on the first day. Drainage should decrease gradually


Generally, all patients have a nasogastric tube after esophagectomy. We should not

move, manipulate or irrigate the nasogastric tube. We should notify a physician immediately if the tube becomes dislodged or stops functioning properly


Early mobilisation as well as early leg and ankle exercises can prevent DVTs. For esophagectomy patients early mobilisation on the first day can include

Getting them out of bed to a chair


During surgery of esophagectomy a feeding jejunostomy tube is placed and is removed depending on patients progress. It is inserted ..

Through the abdomen and into the jejunum