Celiotomy Flashcards Preview

RUSVM Surgery LAB > Celiotomy > Flashcards

Flashcards in Celiotomy Deck (26):
1

What do you call any surgical incision into the abdominal cavity?

Celiotomy

2

What do you call a flak approach to the abdominal cavity?

Laparotomy

3

What are the indications for a celiotomy/laparotomy?

Prophylactic (eg OHE or gastropexy)

Diagnostic (exploratory for neoplasia or biopsy)

Therapeutic (eg cystotomy)

4

What are indications for an emergency laparotomy?

Uncontrollable hemorrhage
GDV
Perforated GIT
Bile peritonitis

5

T/F: When preparing a male dog for celiotomy, you should drape the prepuce in the surgical field

False

Should always drape out of surgical field ... source of contamination

6

What do you call a retained foreign object during surgery?

Gossypiboma

— always count and recount gauze!!

7

What is the most common surgical approach for celiotomy ?

Ventral midline

Cause less hemorrhage and better visualization

8

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

9

When would you do a paracostal approach?

Crainial oriented organs like the stomach, liver, or gallbladder

10

When would you do a flank approach ?

For dorsally located structures — ovary, adrenals, kidney

11

When doing a ventral midline approach, you should be incising through the ??

Linea alba

- stab incision
—> if cranial, extend caudally with scalpel and groove director
—> if caudal, extend using scissors

12

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
OR
Ligate and resect

13

What is in the crainial quadrant of the abdomen?

Diaphragm
Stomach
Liver and gallbladder
Left limb of pancrease

14

What is in the right quadrant of the abdomen ?

Duodenum and right limb of pancreas

Kidney

Ureter

Adrenal (pheochromocytoma)

15

What is in the left quadrant of the abdomen?

Descending colon
Spleen


Left...
Kidney
Ureter
Uterine horn

16

What is located centrally in the abdomen?

Cecum
Jejunum
Mesenteric lymph nodes
Transverse colon

17

What is located in the caudal quadrant of the abdomen ?

Bladder
Prostate
Uterus

18

Always before closing the abdomen.. what do you need to assess?

Hemorrhage

Sponge count

Lavage - warm sterile saline, copious amounts,

19

What is the holding layer in closing the abdomen?

External rectus fascia

20

What suture patterns can be used in the external rectus fascia and how far should your bites be?

Simple interrupted
Simple continuous

5mm bites

21

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

22

What suture should you avoid in the external rectus fascia?

Chromic gut
Silk
Vicryl rapid
Polymerized caprolactam

23

What is the purpose of suturing the SQ ?

Receive dead space

Better skin apposition

24

What patterns are used in the SQ?

Simple interrupted
Simple continuous
-vertical bites

25

Do you do SQ tissue closure in cats?

Nope

Cats have very little SQ or dead space
SQ is very inflammatory — suture rxn

26

How do you do a intradermal (subcuticular) pattern?

Continuous patter
Bites parallel
Base of dermis
Exit and enter directly across


May be alternative to SC closure
Patients with little SC
May not need skin closure