GI Surgery

Question 1

Gastrotomy Closure

Answer 1

Double layer continuous inverting
* Connell, simple continuous, Lembert
Single layer simple continuous or interrupted
3-0 monofilament
Absorbable, taper needle

Question 2

Enterotomy Closure

Answer 2

Single layer simple continuous or interrupted
3-0 or 4-0 absorbable

Question 3

Inverting Patterns

Answer 3

Cushing
Connell
Lembert

Question 4

Appositional Patterns

Answer 4

Simple interrupted
Simple continuous
Interrupted cruciate

Question 5

What is the weakest time point of GI tract healing?

Answer 5

3-5 days

Question 6

What are the ideal suture characteristics for GI surgery?

Answer 6

Synthetic
Monofilament
Absorbable
Taper needle
3-0 or 4-0

Question 7

What factors contribute to poor outcomes in animals with GI obstructions?

Answer 7

• Immunosuppression (DM, cachexia, neoplasia)
• Hypoalbuminemia (<2.5mg/dl)
• Peritonitis

Question 8

What are the ideal suture patterns for GI surgery?

Answer 8

Appositional
Continuous
Single layer
Full thickness

Question 9

Linear Foreign Body

Answer 9

Right sided intestinal gathering
Enteroplication
Eccentric gas bubbles, tapered

Question 10

Focal Foreign Body

Answer 10

Two distinct populations of bowels

Question 11

Surgical Wound Classification

Answer 11

Clean-contaminated
* No complications
* Perioperative antibiotics only
Contaminated
* Perforation
Dirty
* Septic peritonitis