Flashcards in Celiotomy Deck (26):
What do you call any surgical incision into the abdominal cavity?
What do you call a flak approach to the abdominal cavity?
What are the indications for a celiotomy/laparotomy?
Prophylactic (eg OHE or gastropexy)
Diagnostic (exploratory for neoplasia or biopsy)
Therapeutic (eg cystotomy)
What are indications for an emergency laparotomy?
T/F: When preparing a male dog for celiotomy, you should drape the prepuce in the surgical field
Should always drape out of surgical field ... source of contamination
What do you call a retained foreign object during surgery?
— always count and recount gauze!!
What is the most common surgical approach for celiotomy ?
Cause less hemorrhage and better visualization
Why do we generally want to avoid paramedical approaches to the abdomen?
Goes through muscle tissue and cause excessive bleeding
Also more painful for patient
When would you do a paracostal approach?
Crainial oriented organs like the stomach, liver, or gallbladder
When would you do a flank approach ?
For dorsally located structures — ovary, adrenals, kidney
When doing a ventral midline approach, you should be incising through the ??
- stab incision
—> if cranial, extend caudally with scalpel and groove director
—> if caudal, extend using scissors
The falciform ligaments can be very prominent... how can you deal with this to improve visualization during surgery?
Retract to left for right
Can cauterize and remove with electroscaplel
Ligate and resect
What is in the crainial quadrant of the abdomen?
Liver and gallbladder
Left limb of pancrease
What is in the right quadrant of the abdomen ?
Duodenum and right limb of pancreas
What is in the left quadrant of the abdomen?
What is located centrally in the abdomen?
Mesenteric lymph nodes
What is located in the caudal quadrant of the abdomen ?
Always before closing the abdomen.. what do you need to assess?
Lavage - warm sterile saline, copious amounts,
What is the holding layer in closing the abdomen?
External rectus fascia
What suture patterns can be used in the external rectus fascia and how far should your bites be?
What suture is used in the external rectus fascia ?
Monofilament - polydiosanon or poligelcaperone
Multifilament- polyglycolic acid or polyglactin
Non absorbable - polypropylene, monofilament nylon, stainless steel wire
What suture should you avoid in the external rectus fascia?
What is the purpose of suturing the SQ ?
Receive dead space
Better skin apposition
What patterns are used in the SQ?
Do you do SQ tissue closure in cats?
Cats have very little SQ or dead space
SQ is very inflammatory — suture rxn