SL1 - Exploratory Celiotomy and Cystotomy Flashcards Preview

RUSVM Small Animal Surgery > SL1 - Exploratory Celiotomy and Cystotomy > Flashcards

Flashcards in SL1 - Exploratory Celiotomy and Cystotomy Deck (20):
1

celiotomy 

any surgical incision into the abdominal cavity 

2

laparotomy 

refers to a flank approach 

3

indications for emergency laparotomy 

uncoltrollable hemorrhage 

GDV

perforated GIT 

bile peritonitis 

4

what is gossypiboma 

retained foreign object during surgery

sponge and instrument counts, radiopaque sponges, unfold songes

5

surgical approaches 

ventral midline

paramedian 

paracostal 

flank

combined - ventral midline & paracostal, ventral midline & median sternotomy 

males - midline/parapreputial 

6

ventral midline approach 

aim is to incise through linea alba - visualized best at umbilicus 

avoid rectus abdominis muscle 

7

approach for exploratory celiotomy 

ventral midline approach 

stab inscision - cranial if using scalpel, cauda is using scissors 

from xyphoid to pubis for complete exploratory 

8

falciform ligament 

move to side 

my need to remove it if still getting in the way 

9

T/F with exploratory celiotomy biopsies are almost always indicated even if no gross lesions 

True

10

structures in cranial quadrant 

diaphragm

stomach

liver and gal bladder

left limb of the pancreas

11

structures in the right quadrant 

duodenum and right limb of the pancreas

right kidney

uterus

adrenal gland 

12

structures in left quadrant 

colon

uterus

left kidney and adrenal

spleen 

13

structures in central abdomen

ileocecal colic junction 

illeum and jejunum 

mesenteric L.N

transverse colon 

bladder

 

14

biopsy methods

needle core

incisional 

15

what should be done before closure

check for hemorrhage

sponge count 

lavage abdomen - warm sterile saline, copious amounts

16

what is the holding layer 

external rectus fascia

17

how many layers should be used to close 

3

external rectus fascia is the holding layer!

18

purpose of SQ tissue closure 

relieve dead space 

better skin apposition 

19

when should the knot be burried 

SQ pattern

intradermal patterns 

20

suturing the bladder 

watertight closure 

1st layer - simple continuous 

2nd layer - inverting pattern (cushing, lembert)