Flashcards in Surgical Operations You Should Know Deck (54):
What is a Billroth I?
Antrectomy with gastroduodenostomy
What is a Billroth II?
Antrectomy with gastrojejunostomy
How can the difference between a Billroth I and II be remembered?
Billroth I has one limb, Billroth II has two limbs
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)
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
What is a CEA?
Removal of atherosclerotic plaque from a carotid artery
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
What is a McVay herniorrhaphy?
Repair of inguinal hernia by approximating the transversus abdominis aponeurosis and the conjoint tendon to Cooper's ligament
What is a Lichtenstein herniorrhaphy?
Tension-free inguinal hernia repair using mesh
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
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
What is an APR?
Removal of the rectum and sigmoid colon through abdominal and perineal incisions (patient is left with a colostomy).
Used for low rectal cancers
What is an LAR?
Low Anterior Resection:
Resection of low rectal tumors through an anterior abdominal incision
What is Hartmann's procedure?
1. Proximal colostomy
2. Distal stapled-off colon or rectum that is left in peritoneal cavity
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)
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
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
What is a cricothyroidotomy?
Emergent surgical airway through the cricoid membrane
What is a hepaticojejunostomy?
Anastomosis between a jejunal roux limb and the hepatic ducts
What is a Puestow procedure?
Side-to-side anastomosis of the pancreas and jejunum (pancreatic due is filleted open)
What is a Stamm gastrostomy?
Gastrostomy place by open surgical incision and tacked to the abdominal wall
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)
What is enterolysis?
Lysis of peritoneal adhesions
What is LOA?
Lysis Of Adhesions
What is an appendectomy?
Removal of the appendix
What is a lap appy?
Laparoscopic removal of the appendix
What is a cholecystectomy?
Removal of the gallbladder
What is a lap chole?
Laparoscopic removal of the gallbladder
What is a Nissen?
360 wrap of the stomach by the fundus of the stomach around the distal esophagus to prevent reflux
What is a lap Nissen?
Nissen fundoplication with laparoscopy
What is a simple mastectomy?
Removal of the breast and nipple without removal of nodes
What is a choledochojejunostomy?
Anastomosis of the common bile duct to the jejunum (end-to-side)
What is a Graham patch?
Placement of omentum with stitches over a gastric or duodenal perforation
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)
What is a Pringle maneuver?
Temporary occlusion of the porta hepatis (for temporary control of liver blood flow when liver parenchyma is actively bleeding)
What is a modified radical mastectomy?
Removal of the breast, nipple, and axillary lymph nodes (no muscle removed)
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.
What is an I&D?
Incision and Drainage of pus.
The wound is then packed open.
What is exploratory laparotomy?
Laparotomy to explore the peritoneal cavity looking for the cause of pain, peritoneal signs, obstruction, hemorrhage, etc.
What is a TURP?
TransUrethral Resection of the Prostate:
Removal of the obstructing prostatic tissue via scope in the urethral lumen
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.
What is an ax fem?
Long prosthetic graft tunneled under the skin placed from the AXillary artery to the FEMoral artery
What is a AAA repair?
Open aneurysm and place prosthetic graft, then close old aneurysm sac around graft
What is a CABG?
Coronary Artery Bypass Graft:
Via saphenous vein graft or IMA bypass grafts to coronary arteries from aorta (cardiac revascularization)
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.
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.
What is an ileoanal pull-through?
Anastomosis of the ileum to the anus after total proctocolectomy
What is a hemicolectomy?
Removal of a colonic segment (i.e. partial colectomy)
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.
What is an antrectomy?
Removal of stomach antrum
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
What is an excisional biopsy?
Biopsy with complete excision of all suspect tissue
What is an incisional biopsy?
Biopsy with incomplete removal of suspect tissue