Minimally invasive surgery and adhesions Flashcards Preview

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Flashcards in Minimally invasive surgery and adhesions Deck (18):
1

4 types of minimally invasive surgery

arthroscopic surgery
laparoscopic surgery
endoscopic surgery
minimal approach orthopedic surgery

2

5 Advantages of minimally invasive surgery

less tissue damage
shorter hospital stay
minimal post op pain
earlier return to function
lower infection risk
better cosmetics

3

3 major disadvantages to minimally invasive surgery

Specialized institutions
equipment expense
laparascopic training

4

Name of technique used mostly for minimally invasive surgery

Triangulation technique

5

Arthroscopy has replaced?

Arthrotomy

6

What is the term to describe filling the abdomen up with CO2

Insufflation

7

Big advantage for exploratory laparascopy (2)

Can do it standing
Better access to dorsal structures rather than dorsal recumbancy

8

What is the name of the position when the head is down angled 25 degrees?

Trendelenburg position

9

Name 4 laparoscopic procedures?

Cryptorchidectomy
ovariectomy
adhesiolysis
Closure of NSS

10

For equine cryptorchids they often use what approach to gain abdominal access/

Inguinal approach

11

Big advantages of laparoscopic apparoach to crypts (3)

Early return to exercise
ease of location of testes
Avoid paramedian and inguinal incsions

12

Big advantages of laparoscopic apparoach to crypts (3)

Early return to exercise
ease of location of testes
Avoid paramedian and inguinal incsions

13

3 bad candidates for standing laparoscopic cryptorchidectomy

Foals
Miniature horses
difficult to handle horses

14

complete workup prior to laparoscopic crypt surgery

Palpation
ultrasound
hormonal assay

15

4 advantages of laparoscopic ovariectomy

visibility
access
tension free ligation
Avoid GA

16

4 methods of hemostasis in Minimally invasive surgery

Endoloop ligatures
Bipolar and monopolar electrosurgical forceps
Vascular clips
Ligasure

17

Which plasminogen activator is the key regulator of fibrinlysis

Tissue plasminogen activator (tPA)
Urokinase plasminogen activator (uPA)

18

List therapeutic agents that can help prevent adhesions

belly jelly (sodium carboxymethylcellulose)
Bioresorbable hyaluronate carboxymethylcellulose membrane
Antibiotics (penicillin and gentamicin)
NSAIDS (flunixin)
DMSO
Heparin (enhaves fibrinolysis by increasing tPA)