Surgical Recall: 14 - Surgical Operations You Should Know

Front 1

Define the procedure: Billroth I

Back 1

Antrectomy (remove antrum of stomach) with gastroduodenostomy (connect remaining stomach to duodenum)

Front 2

Define the procedure: Billroth II

Back 2

Antrectomy (remove antrum of stomach) with gastrojejunostomy (connect remaining stomach to jejunum)

Front 3

How can you remember the difference between the Billroth I and II?

Back 3

Billroth 1 has 1 limb

Billroth 2 has 2 limbs

Front 4

Define the procedure: Roux-en-Y limb?

Back 4

Jejunojejunostomy forming a Y-shaped figure of small bowel

The free end can then be anastomosed to a second hollow structure (eg, esophagojejunostomy)

Front 5

Define the procedure: Brooke Ileostomy?

Back 5

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

Front 6

Define the procedure: CEA?

Back 6

Carotid Endarterectomy

- Removal of atherosclerotic plaque from a carotid artery

Front 7

Define the procedure: Bassini Herniorrhaphy?

Back 7

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

Front 8

Define the procedure: McVay Herniorrhaphy?

Back 8

Repair of inguinal hernia by approximating the transversus abdominis aponeurosis and the conjoint tendon to Cooper's ligament (which is basically the superior pubic bone periosteum

Front 9

Define the procedure: Lichtenstein Herniorrhaphy?

Back 9

"Tension-free" inguinal hernia repair using mesh (synthetic graft material)

Front 10

Define the procedure: Shouldice Herniorrhaphy?

Back 10

Repair of inguinal hernia by imbrication (overlap edges) of the transversalis fascia, transversus abdominis aponeurosis, and the conjoint tendon and approximation of the transversus abdominis aponeurosis and the conjoint tendon to the inguinal ligament

Front 11

Define the procedure: plug and patch hernia repair?

Back 11

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

Front 12

Define the procedure: APR?

Back 12

AbdominoPerineal Resection:

- Removal of the rectum and sigmoid colon through abdominal and perineal incisions (pt is left with a colostomy)

- Used for low rectal cancers <8 cm from the anal verge

Front 13

Define the procedure: LAR?

Back 13

Low Anterior Resection:

- Resection of low rectal tumors through an anterior abdominal incision

Front 14

Define the procedure: Hartmann's Procedure?

Back 14

1. Proximal colostomy

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

Front 15

Define the procedure: Mucus Fistula?

Back 15

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)

Front 16

Define the procedure: Kocher ("koh-ker") Maneuver?

Back 16

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

Front 17

Define the procedure: Seldinger Technique?

Back 17

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

Front 18

Define the procedure: Cricothyroidotomy?

Back 18

Emergent surgical airway through the cricoid membrane

Front 19

Define the procedure: Hepaticojejunostomy?

Back 19

Anastomosis between a jejunal roux limb and the hepatic ducts

Front 20

Define the procedure: Puestow Procedure?

Back 20

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

Front 21

Define the procedure: Stamm Gastrostomy?

Back 21

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

Front 22

Define the procedure: Highly Selective Vagotomy?

Back 22

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)

Front 23

Define the procedure: Enterolysis?

Back 23

Lysis of peritoneal adhesions

Front 24

Define the procedure: LOA?

Back 24

Lysis Of Adhesions (enterolysis)

Front 25

Define the procedure: Appendectomy

Back 25

Removal of appendix

Front 26

Define the procedure: Lap Appy?

Back 26

Laparoscopic removal of appendix

Front 27

Define the procedure: Cholecystectomy?

Back 27

Removal of gallbladder

Front 28

Define the procedure: Lap Chole?

Back 28

Laparoscopic removal of gallbladder

Front 29

Define the procedure: Nissen?

Back 29

Nissen Fundoplication:

- 360 degree wrap of stomach by fundus of the stomach around distal esophagus to prevent reflux

Front 30

Define the procedure: Lap Nissen?

Back 30

Nissen Fundoplication with laparoscopy:

- 360 degree wrap of stomach by fundus of the stomach around distal esophagus to prevent reflux

Front 31

Define the procedure: Simple Mastectomy?

Back 31

Removal of breast and nipple without removal of nodes

Front 32

Define the procedure: Choledochojejunostomy?

Back 32

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

Front 33

Define the procedure: Graham patch?

Back 33

Placement of omentum with stitches over a gastric or duodenal perforation (ie, omentum is used to plug hole)

Front 34

Define the procedure: Heineke-Mikulicz Pyloroplasty?

Back 34

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

Front 35

Define the procedure: Pringle Maneuver?

Back 35

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

Front 36

Define the procedure: Modified Radical Mastectomy?

Back 36

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

Front 37

Define the procedure: Lumpectomy and Radiation?

Back 37

- Removal of breast mass and axillary lymph nodes

- Normal surrounding breast tissue is spared

- Pt then undergoes post-op radiation treatments

Front 38

Define the procedure: I & D?

Back 38

Incision and Drainage of pus; wound is then packed open

Front 39

Define the procedure: Exploratory Laparotomy?

Back 39

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

Front 40

Define the procedure: TURP?

Back 40

TransUrethral Resection of Prostate:

- Removal of obstructing prostatic tissue via scope in urethral lumen

Front 41

Define the procedure: Fem Pop Bypass?

Back 41

FEMoral artery to POPliteal artery bypass using synthetic graft or saphenous vein; used to bypass blockage in femoral artery

Front 42

Define the procedure: Ax Fem?

Back 42

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

Front 43

Define the procedure: Triple A Repair?

Back 43

Repair of an AAA (Abdominal Aortic Aneurysm): open aneurysm and place prosthetic graft; then close old aneurysm sac around graft

Front 44

Define the procedure: CABG?

Back 44

Coronary Artery Bypass Graft via saphenous vein graft or internal mamillary artery bypass grafts to coronary arteries from aorta (cardiac revascularization)

Front 45

Define the procedure: Hartmann's Pouch?

Back 45

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

Front 46

Define the procedure: PEG?

Back 46

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

- Gastrostomy is then placed by using the Seldinger technique over the wire

Front 47

Define the procedure: Ileoanal Pull-Through?

Back 47

Anastomosis of the ileum to the anus after total proctocolectomy

Front 48

Define the procedure: Hemicolectomy?

Back 48

Removal of a colonic segment (ie, partial colectomy)

Front 49

Define the procedure: Truncal Vagotomy?

Back 49

Transection of the vagus nerve trunks; must provide drainage procedure to stomach (eg, gastrojejunostomy or pyloroplasty) because after truncal vagotomy, the pylorus does not relax

Front 50

Define the procedure: Antrectomy?

Back 50

Removal of stomach antrum

Front 51

Define the procedure: Whipple Procedure?

Back 51

Pancreaticoduodenectomy:

- Cholecystectomy

- Truncal vagotomy

- Pancreaticoduodenectomy - removal of head of pancreas and duodenum

- Choledochojejunostomy

- Pancreaticojejunostomy (anastomosis of distal pancreas remnant to jejunum)

- Gastrojejunostomy (anastomosis of stomach to jejunum)

Front 52

Define the procedure: Excisional Biopsy?

Back 52

Biopsy with complete excision of all suspect tissue (mass)

Front 53

Define the procedure: Incisional Biopsy?

Back 53

Biopsy with incomplete removal of suspect tissue (incises tissue from mass)

Front 54

Define the procedure: Tracheostomy?

Back 54

Placement of airway tube into trachea surgically or percutaneously