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Flashcards in Minimally invasive surgery Deck (24):
1

What are minimally invasive surgeries?

surgeries that are less invasive than open s1urgery, same purposes

2

What are 4 types of minimally invasive surgeries?

1. arthroscopic
2. laproscopic
3. endoscopic
4. minimal approach orthopedic surgery

3

What are the advantages of minimally invasive surgery?

1. less tissue damage
2 .shorter hospital stay
3. minimal post-op pain
4. earlier return to function
5. lower infection risk
6. better quality observation
7. better cosmetics

4

What are disadvantages of minimally invasive sugery?

1. referral hospital only
2. equipment expense
3. laparoscopic training
4. increased operative time (learning curve)

5

What is arthroscopy used for?

1. osteochondral chip fractures
2. osteochondrosis
3. subchondral bone cysts
4. diagnostic exploratory
5. assess fracture repair

6

What are the advantages of laparoscopy?

1. observation and access to abdominal organs
2. minimal post-op pain
3. minimal complications

7

what do you distend the abdomen with in laparoscopy

CO2--pressures 8-16mmHg

8

Why is the abdomen inflated with laparoscopy?

1. enter abdomen safely
2. allow proper visualization

9

What are the advantages of standing laparascopy?

surgical acces particularly to dorsal structures

10

What are the advantages of standing laparascopy?

surgical access particularly to dorsal structures

11

What is the epiploic foramen?

bordered by liver, pancreas, vena cava portal vein

12

What position is the horse in for dorsal recumbancy?

trendelenburg position 20-35 degrees down

13

What are 8 laparoscopic procedures?

1. crytorchidectomy
2. ovariectomy
3. diagnostic laparoscopy
4. adhesiolysis
5. closure NSS
6. inguinal herniohaphy
7. colopexy
8. cystorrhaphy

14

What are advantages of the laparoscopic approach? for cryptorchidism

1. ease of location of testes
2. avoid paramedian or inguinal incisions
3. easy return to exercise

15

What are the two approaches to equine cryptorchidism?

1. dorsal recumbancy
2. standing

16

Which horses are not good candidates for standing laparoscopic cryptorchidectomy?

1. foals
miniature horse
horses that are difficult to handle

17

What are endloop ligatures

used to lasso the testes

18

What are the advantages of standing laparoscopic ovariectomy

1. visibility
2. access
3. tension free ligation
4. secure hemostasis
5. avoid general anesthesia

19

What are methods of hemostasis for ovarioectomy?

1. endloop ligature
2. roeder knot
3. bipolar or monopolar electrosurgical foreps
4. vessel-sealing device
5. harmonic scalpel
6. stapling instrument
7. high power ultrasonic shears
8 YAG laser
9. vascular clips

20

What are methods of hemostasis for ovarioectomy?

1. endloop ligature
2. roeder knot
3. bipolar or monopolar electrosurgical foreps
4. vessel-sealing device
5. harmonic scalpel
6. stapling instrument
7. high power ultrasonic shears
8 YAG laser
9. vascular clips

21

What are the advantages of endloops?

1. excellent hemostasis
2. cost effective

22

What are the disadvantages of endloops

1. ligature slippage
2. ovarian tumors too large, not adequate hemostasis

23

When is laparoscopy a useful diagnostic tool?

1. recurrent colic
2. chronic colic
3. persistent weight loss

for biopsy

24

Why would you close nephrosplenic space?

to prevent left dorsal displacement of large colon--recurrence rate 21%