Incisions
The most common incision used for an Exploratory Laparotomy would be the:
The longitudinal midline is the incision most frequently used for an Exploratory Laparotomy since it is the simplest to perform, offers good exposure, can easily be extended, and contains avascular tough connective tissue.
The divisions of the small intestines in order beginning at the pyloric sphincter are:
The small intestine begin at the pyloric sphincter of the stomach and includes (in order) the duodenum, jejunum, and ileum.
Hernias that significantly reduce the blood supply to the hernia contents are said to be ________ hernias.
The ring of a strangulated hernia compromises the blood supply to the tissues trapped in the hernia sac.
The instrument most commonly used to grasp the appendix during an Appendectomy is a/an:
The babcock is used to grasp the appendix during Appendectomy.
Fine dissecting scissors used during abdominal surgery are:
Metzenbaum scissors are fine dissecting scissors used during abdominal surgery.
The surgical incision that is commonly used for pelvic gynecological procedures and has a low incidence of dehiscence is the ________ incision.
The Pfannenstiel incision is commonly used for pelvic gynecological procedures, and it has a low incidence of dehiscence because the fascia layer is split side-to-side, while the muscle is split and peritoneum is entered using a vertical incision.
A “twisting” of the bowel causing obstruction is called a/an:
A “twisting” of the bowel causing obstruction is called a volvulus.
A hernia that forms due to a defect in the internal inguinal ring is referred to as a ________ hernia.
An indirect inguinal hernia forms due to a defect in the internal inguinal ring.
During a Pilonidal Cystectomy, the patient will be placed in the ________ position.
Pilonidal cysts occur on the posterior surface of the sacrum and would require that the patient be placed in a prone or jackknife position for surgical access.
The suture most appropriate for closure of the intestinal mucosa is:
3-0 chromic is the suture of choice (in a continuous stitch) when closing the mucosa of the GI tract. The serosal layer is closed by interrupted stitches of 3-0 silk. The extensive use of staples is rapidly replacing sutures in anastomoses.
The surgical incision for a Splenectomy could be:
The most common incision for Splenectomy is the left subcostal incision.
The cyst and sinus tract which is removed from between the intergluteal folds is called:
A pilonidal cyst is a cyst and sinus tract removed from between the intergluteal folds.
The most common type of hernia is the:
The indirect inguinal hernia is the most common type of hernia.
The scissors used to open the common bile duct during duct exploration are called:
Potts scissors are used to extend the incision into the common bile duct during duct exploration.
Breast infections are commonly caused by which of the following microbes?
Breast infections are commonly caused by Staphylococcus aureus, a common microbe that is part of the normal flora of the skin.
The surgical incision commonly used for Open Choleystectomy is the ________ incision.
The right subcostal incision is commonly used because the gallbladder is located under the liver in the right upper quadrant.
An anastamosis made between the gallbladder and the duodenum is called:
Cholecystoduodenostomy is an anastamosis made between the gallbladder and the duodenum.
A hernia whose contents cannot be “pushed back” into the abdominal cavity is referred to as a/an ________ hernia.
A hernia whose contents cannot be pushed back into the abdominal cavity is referred to as an incarcerated hernia.
Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is called a:
Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum is called a Pyloroplasty.
The tube used to drain bile from the common bile duct following exploration is a:
Following exploration of the CBD, the “T” portion of the T-tube is placed in the CBD with the long end brought out through an opening in the CBD and the abdominal wall and is connected to a drainage bag for gravity drainage. The function of the T-tube is to assure patency of the CBD following the trauma of surgery.
A vertical incision 4 cm lateral to the midline of the abdomen is a/an ________ incision.
The paramedian incision runs parallel to the midline of the abdomen.
The ligament of Treitz is found between which of the following two structures?
The ligament of Treitz is found at the point where the duodenum ends and the jejunum begins.
Femoral hernias occur:
Femoral hernias are more common in women and occur in the femoral ring where the femoral artery exits the torso, which is below the inguinal (Poupart’s) ligament.
Following Modified Radical Mastectomy, the breast incision would be drained using a:
Following Modified Radical Mastectomy, the breast incision would be drained using a closed wound drain attached to vacuum drainage. This system prevents seroma formation and minimizes the potential for postoperative wound infection.
The abdominal cavity is filled with which gase to create a pneumoperitoneum during minimally invasive surgery (laparoscopy)?
During minimally invasive surgery (laparoscopy), pneumoperitoneum is created using CO2.