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Surgery Lab Quiz > Celiotomy > Flashcards

Flashcards in Celiotomy Deck (27):
1

Define celiotomy

surgical incision into the abdominal cavity

2

Define laparotomy

flank approach into the abdominal cavity

3

What are two prophylactic indications for a celiotomy?

OHE and gastropexy

4

What are two diagnostic indications for celiotomy?

Neoplasia and biopsy

5

What is a therapeutic indication for a celiotomy?

Cystotomy

6

What is in the cranial abdominal quadrant?

Diaphragm
Stomach
Liver/gallbladder
Left limb of pancreas

7

What is in the right abdominal quadrant?

Duodenum and right limb of the pancreas
Kidney
Ureter
Right adrenal gland

8

What is in the left abdominal quadrant?

Descending colon
Left adrenal gland
Left uterine horn
Spleen

9

What is in the central abdominal quadrant?

Cecum
Jejunum
Mesenteric LN
Transverse colon

10

What is in the caudal abdominal quadrant?

Duodenal colic ligament
Bladder
Prostate
Uterine body

11

What is the preferred sx approach for a celiotomy?

Ventral midline approach

12

What is the aim to incise into with a ventral midline approach?

Linea alba (best visualized at umbilicus)

13

What muscle should be avoided with a ventral midline approach?

Rectus abdominus

14

What are all the sx approach methods for a celiotomy?

Ventral midline
Paramedian
Paracostal
Flank
Parapeutial (males)
Combined

15

What is the sx approach for a unilateral cryptorchid sx?

paramedian

16

What sx approach is used for cranially oriented organs?

Paracostal

17

What is gossypiboma?

Retained foreign object during sx

18

What are the landmarks if performing a complete celiotomy?

Symphysis to pubis

19

What is important to do before closure of the abdomen?

Sponge count**
Check for hemorrhage
Lavage abdomen (warm sterile saline)

20

What is the holding layer of the abdomen?

External rectus fascia

21

What are the suture patterns used in the abdomen?

Simple interrupted
Simple continuous

22

What are the suture sizes used in a patient:
< 5kg
5-10 kg
10-30 kg
> 30 kg

3-0
2-0
0
#1

23

What are the four suture materials that should be avoided in a celiotomy?

Chromic gut
Silk
Vicryl rapid
Polymerized caprolactam

24

What size bites should be taken when closing the fascia and evaluating?

5 mm X 5 mm

25

When closing the intradermal layer, what is the direction your bites are in position of the incision?

Parallel to tissue

26

What are the suture patterns used in an exploratory celiotomy skin closure?

Simple interrupted
Simple continuous
Cruciate
Ford interlocking

27

What is a complication of skin suture technique?

Dehiscence