Check the boxes of which are characteristic of a Hiatal Hernia?
inflamation of the intestinal tract
ulceration of the esophogus
reflux of gastric juices
gastric juices eat the lining of the stomach
difficult in swollowing
What can be used for diagnostic intervention for a Hiatal Hernia?
tissue disection
EKG
MRI
The best option for treatment of of a Hiatal Hernia is?
antibiotics
anti acid tablets
hiatal surgery since its a serious condition
GER stands for?
gastroeshopogus reflux
gastroingeal reflux
gastroesophageal reflux
The Nissen in "Nissen Fundoplication" is?
name of the procedure
name of the hospital it was first performed in
The Dr's name
The Funcoplication in "Nissen Funciplication" is?
the name of the Dr who invented the procedure
the name of the procedure
the name of the hospital it was first performed in
Nissen Fundoplication is a hernia procedure that is best described as?
prevent ulceration of the stomach
prevent ulcers in the nasopharynx
prevent puncture of the diaphram
prevent acid reflux
Nissen Fundoplication is done by?
wrapping the interior wall of the stomach around the esophagus
wrapping the hiatus around the diaphragm
wrapping the posterior wall of the stomach around the esophagus
During a Nissen Fundoplication procedure precaution needs to be taken not to irritate?
the stomach
the lining of the esophagus
spleen
nasopharnyx
What type of incision is used for a Nissen Fundoplication?
inguinal incision
paramedian
oblique
subcostal incision
Which position is a Laparoscopic Nissen Fundoplication procedure performed?
supine
prone
trendelberg
lithotomy
Fundo in "Nissen Fundoplication" refers to ?
bottom of stomach
intestinal tract
esophogus
top of stomach
TIF is a method of using what to treat a hiatal?
umbilical canal
costal incision
mouth
An Appendicitis is usually caused by?
malnutrition
inflamation
blockage between the cecum and appendix
acid reflux
A Meckel's diverticulum is found?
stomach
colon
small bowel
A Zenker's diverticulum is found?
Diverticuulosis should be treated?
over 90% need to be treated medically with symptoms of bleeding and inflammation
usually no intervention is required
almost all cases result in rupture
most cases can be treated with antibiotics
when we refer to the colon we are referring to?
large intestine
How much of the colon is taken out in a Hemicolectomy procedure?
3/4 of the colon
1/3 of the colon
1/2 of the colon
the entire colon
Another name for the alimentary canal is the?
reproductive tract
urinary tract
respiratory tract
digestive tract
The inner layer of the wall of the digestive tract is called the?
serosa
submucosa
muscularis
mucosa
The three portions of the small intestine are the?
mesentery, duodenum, appendix
cecum, mesentery, ileum
ileum, sigmoid, jejunum
duodenum, ileum, jejunum
The outer layer of the wall of the digestive tract is called the
In what position is the patient placed when McBurney's incision will be used?
lateral
Supine
A diaphragmatic hernia is located?
on the ventral body surface
around the umbilicus
in the groin
in the diaphragm
Nissen fundoplication is the procedure performed to correct a/an?
gastric ulcer
inguinal hernia
hiatal hernia
ruptured tubal pregnancy
Maloney dilators are used to dilate the ?
esophagus
urethra
pyloric sphincter
cervix
A purse string suture is used to?
to provide traction
to tighten or close an opening
for ligation
as a retention suture
An end ileostomy is created from the
terminal ileum
sigmoid colon
descending colon
transverse colon
When the posterior stomach wall is wrapped around the distal esophagus this action is called?
Marsupialization
Distal Wrapping
Hot Dogging
Fundiplication
What is used to carefully retract back the distal esophagus during the Nissen Procedure?
surgeons hand
harrington
penrose drain
lap sponge
Where is the incision located for the open Hiatal Hernia procedure?
Midline
Flank
Pfannenstiel
Inguinal
What are the sutures and needles commonly used to repair the Hernia on the Open Hiatal Hernia procedure?
#0 Non-abs. on a CT-1
#0 Abs. on an SH
#3-0 Abs. on an SH
#2-0 Non-abs. on a Kieth
What instrument set(s) are used for the Open Nissen Procedure?
Long Instrument set
GI Set
Major Lap set
All of the above sets
What is the position of the patient in, having the laparoscopic Nissen procedure?
Lateral
Low-Lithotomy
What is the definition of an appendectomy?
Anastomosis of the appendix to the small bowel
Drainage of an infected appendix
Creating a new opening into the appendix
The severance and removal of the appendix from its attachment
What instrument is used to grasp the appendix?
Babcock
Kelly
Mayo
Kocher
Which retractors are commonly used during an appendectomy?
Gelpi
Deavers
Army Navy
Appy rich
What suture is used to tie off the blood supply and support structures to the appendix?
#3-0 absorb.
#0 absorb
#0 nonabs.
#3-0 nonabs.
Which is the definition of a Volvulus?
finger like pouches on the intestine
a twisting of the intestines
necrosis of the intestines
a telescoping of the intestines
Which is the definition of Intussusception?
finger like pouches on the intestines
What can be used to carefully wall off surrounding structures when gaining exposure during an open bowel procedure?
Deaver retractors
Fig leaf or visceral retainer
Moist lap sponges
Gut bag
What is done with instruments that have come in contact with the intestinal lumen during a bowel resection?
they are returned to the back table with the other instruments
they are handed off to the circulator
they are wiped clean
they are kept separate from the other instruments until the end of the case
How is the segment of bowel on a Scope bowel procedure removed from the patient.
using an end to end anatomists stapler
It is cut into pieces and taken out through the trocars
It is left in the intestinal tract to be passed
An endo pouch is used to pull it out through a small incision at the end of the procedure.
A portion of the stomach protrudes through the hiatus of the diaphragm is known as?
incarcerated hernia
hernia that has turned necrotic
diseased hernia
When is surgical treatment for a hiatal hernia appropriate?
when the hernia turns necrotic
when the hernia becomes incarcerated
when the hernia ruptures
when medicines fail to give releif
Check the boxes for the instruments used in a Endoscopic Nissen Fundiplication procedure.
laparotomy set
long instrument set
Laparoscopy set
suction tubing
trocars
When the Surgeon has anesthesia place esophageal dilators down the esophagus to leave them in during the procedure, allowing the esophagus to maintain it's proper opening, this procedure is known as?
tracheostomy
appendectomy
Nissen Fundiplication
What is the name of the incision on an open appendectomy?
ventral
mcBurneys
abdominal
inguinal
Where anatomically is the appendix located and what it is attached to?
upper abdominals and attached to the gallbladder
inguinal and it is attached to the liver
Right lower quadrant of the abdomen and it is attached to the cecum.
Which stapler is used to sever the appendix on a Laparascopic Appendectomy?
Endo GIA
TA
EEA
Check the boxes with the three types of intestinal anastomosis that were discussed in class, and include the staplers needed for the job.
Functional End to End - Uses GIA stapler
end to end - metz stapler
side to end- GIA stapler
end to end - EEA stapler
end to end - TA stapler
check the boxes that state a reason why bowel may need to be resected
carcinoma
acidosis
Adhesions
Ulcerations
When bowel resection is to be performed, the bowel has to be isolated first before the bowel is stapled and cut. What part of the anatomy is resected before the bowel is stapled and cut?
mesentary
dermal tissue
What stapler will leave 2 (or 3 on the newer staplers) rows of staples on both sides and cut between the rows all at the same time?
TA stapler
EEA stapler
GIA stapler
Name the stapler that will just staple a row of staples but NOT cut?
What stapler is used to anastomose two lumens of bowel together in one firing?
What instrument/supplies set could be used in a laparoscopic Bowel Resection?
Major set, Bookwalter, Lap sponges
Minor set, manual retractors, peanut sponge
minor set, Bookwalter, raytec
where can Diverticula can be found?
Esophagus
nasal passage
larynx
How is the specimen removed from the abdomen on the endoscopic bowel resection?
A McBurney's incision is made and the specimen is cut out from there.
A McBurney's incision is made and the specimen is disected out from there.
A McBurney's incision is made and the specimen is pulled out from there.