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Flashcards in Surgical Operations You Should Know Deck (54):
1

What is a Billroth I?

Antrectomy with gastroduodenostomy

2

What is a Billroth II?

Antrectomy with gastrojejunostomy

3

How can the difference between a Billroth I and II be remembered?

Billroth I has one limb, Billroth II has two limbs

4

What is a Roux-en-Y limb?

Jejunojejunostomy forming a Y-shaped figure of small bowel.
The free end can then be anastomosed to a second hollow structure (e.g. esophagojejunostomy)

5

What is a Brooke ileostomy?

Standard ileostomy that is folded on itself to protrude from the abdomen 2 cm to allow easy appliance placement and collection of succus

6

What is a CEA?

Carotid EndArterectomy:
Removal of atherosclerotic plaque from a carotid artery

7

What is a Bassini herniorrhaphy?

Repair of inguinal hernia by approximating transversus abdominis aponeurosis and the conjoint tendon to the reflection of Poupart's ligament

8

What is a McVay herniorrhaphy?

Repair of inguinal hernia by approximating the transversus abdominis aponeurosis and the conjoint tendon to Cooper's ligament

9

What is a Lichtenstein herniorrhaphy?

Tension-free inguinal hernia repair using mesh

10

What is a Shouldice herniorrhaphy?

Repair of inguinal hernia by imbrication of the transversus abdominis fascia, transversus abdominis aponeurosis, and the conjoint tendon and approximation of the transversus abdominis aponeurosis and the conjoint tendon to the inguinal ligament

11

What is a plug and patch hernia repair?

Prosthetic plug pushes hernia sac in and then is covered with a prosthetic patch to repair inguinal hernia

12

What is an APR?

AbdominoPerineal Resection:
Removal of the rectum and sigmoid colon through abdominal and perineal incisions (patient is left with a colostomy).
Used for low rectal cancers < 8 cm from the anal verge.

13

What is an LAR?

Low Anterior Resection:
Resection of low rectal tumors through an anterior abdominal incision

14

What is Hartmann's procedure?

1. Proximal colostomy
2. Distal stapled-off colon or rectum that is left in peritoneal cavity

15

What is a mucous fistula?

Distal end of the colon is brought to the abdominal skin as a stoma (proximal end is brought up to skin as an end colostomy)

16

What is a Kocher maneuver?

Dissection of the duodenum from the right-sided peritoneal attachment to allow mobilization and visualization of the back of the duodenum and pancreas

17

What is the Seldinger technique?

Placement of a central line by first placing a wire in the vein, followed by placing the catheter over the wire

18

What is a cricothyroidotomy?

Emergent surgical airway through the cricoid membrane

19

What is a hepaticojejunostomy?

Anastomosis between a jejunal roux limb and the hepatic ducts

20

What is a Puestow procedure?

Side-to-side anastomosis of the pancreas and jejunum (pancreatic due is filleted open)

21

What is a Stamm gastrostomy?

Gastrostomy place by open surgical incision and tacked to the abdominal wall

22

What is a highly selective vagotomy?

Transection of vagal fibers to the body of the stomach without interruption of fibers to the pylorus (does not need pyloroplasty or other drainage procedure because the pylorus should still function)

23

What is enterolysis?

Lysis of peritoneal adhesions

24

What is LOA?

Lysis Of Adhesions

25

What is an appendectomy?

Removal of the appendix

26

What is a lap appy?

Laparoscopic removal of the appendix

27

What is a cholecystectomy?

Removal of the gallbladder

28

What is a lap chole?

Laparoscopic removal of the gallbladder

29

What is a Nissen?

Nissen fundoplication:
360 wrap of the stomach by the fundus of the stomach around the distal esophagus to prevent reflux

30

What is a lap Nissen?

Nissen fundoplication with laparoscopy

31

What is a simple mastectomy?

Removal of the breast and nipple without removal of nodes

32

What is a choledochojejunostomy?

Anastomosis of the common bile duct to the jejunum (end-to-side)

33

What is a Graham patch?

Placement of omentum with stitches over a gastric or duodenal perforation

34

What is a Heineke-Mikulicz pyloroplasty?

Longitudinal incision through all layers of the pylorus, sewing closed in a transverse direction to make the pylorus nonfunctional (used after truncal vagotomy)

35

What is a Pringle maneuver?

Temporary occlusion of the porta hepatis (for temporary control of liver blood flow when liver parenchyma is actively bleeding)

36

What is a modified radical mastectomy?

Removal of the breast, nipple, and axillary lymph nodes (no muscle removed)

37

What is a lumpectomy and radiation?

Removal of breast mass and axillary lymph nodes.
Normal surrounding breast tissue is spared.
Patient then undergoes postoperative radiation treatments.

38

What is an I&D?

Incision and Drainage of pus.
The wound is then packed open.

39

What is exploratory laparotomy?

Laparotomy to explore the peritoneal cavity looking for the cause of pain, peritoneal signs, obstruction, hemorrhage, etc.

40

What is a TURP?

TransUrethral Resection of the Prostate:
Removal of the obstructing prostatic tissue via scope in the urethral lumen

41

What is a fem pop bypass?

FEMoral artery to POPliteal artery bypass using synthetic graft or saphenous vein.
Used to bypass blockage in the femoral artery.

42

What is an ax fem?

Long prosthetic graft tunneled under the skin placed from the AXillary artery to the FEMoral artery

43

What is a AAA repair?

Open aneurysm and place prosthetic graft, then close old aneurysm sac around graft

44

What is a CABG?

Coronary Artery Bypass Graft:
Via saphenous vein graft or IMA bypass grafts to coronary arteries from aorta (cardiac revascularization)

45

What is Hartmann's pouch?

Oversewing of a rectal stump (or distal colonic stump) after resection of a colonic segment.
Patient is left with a proximal colostomy.

46

What is a PEG?

Percutaneous Endoscopic Gastrostomy:
Endoscope is placed in the stomach, which is then inflated with air.
A needle is passed into the stomach percutaneously, wire is passed through the needle traversing the abdominal wall, and the gastrostomy is then placed by using the Seldinger technique over the wire.

47

What is an ileoanal pull-through?

Anastomosis of the ileum to the anus after total proctocolectomy

48

What is a hemicolectomy?

Removal of a colonic segment (i.e. partial colectomy)

49

What is a truncal vagotomy?

Transection of the vagus nerve tunis.
Must provide drainage procedure to stomach (e.g. gastrojejunostomy or pyloroplasty) because after truncal vagotomy, the pylorus does not relax.

50

What is an antrectomy?

Removal of stomach antrum

51

What is a Whipple procedure?

Cholecystectomy, truncal vagotomy, pancreaticoduodenectomy (removal of the head of the pancreas and duodenum), choledochojejunostomy, pancreaticjejunostomy (anastomosis of distal pancreas remnant to the jejunum), gastrojejunostomy

52

What is an excisional biopsy?

Biopsy with complete excision of all suspect tissue

53

What is an incisional biopsy?

Biopsy with incomplete removal of suspect tissue

54

What is a tracheostomy?

Placement of airway tube into trachea surgically or percutaneously