In which quadrant would a surgeon cut to remove the gallbladder quizlet?
Open Cholecystectomy The surgeon makes an incision approximately 6 inches long in the upper right side of the abdomen and cuts through the fat and muscle to the gallbladder.
What is the Abdominocrural crease?
means white line; found in the anterior abdominal wall. bilateral abdominocrural creases. between the thigh and the abdomen. two layers of the peritoneum.
Why is the spleen removed rather than repaired after severe trauma?
You may need to have your spleen removed if you have an injury that damages the organ, causing its covering to break open, or rupture. A ruptured spleen can lead to life-threatening internal bleeding.
Which handheld retractors might be used to retract the liver during gallbladder surgery?
Deaver – used to retract deep abdominal or chest incisions. Used in Cholecystectomy (removal of gallbladder) for retraction of right lobe of liver.
What is a Langenbeck retractor?
Description: Langenbeck Retractor is a very popular surgical device that allows surgeons to pull back soft tissues and incision or wound edges during a wide range of general surgeries. Versatile L-Shaped tip for retracting wide slices of tissue. Terminal downward curve for protecting surrounding structures.
What is the reason for injecting saline through the Cholangiogram?
Chapter 14 – General Surgery
| Question | Answer |
|---|---|
| 54. What is the reason for injecting saline through the cholangiogram catheter prior to the contrast media? | D. The saline will test patency of the cystic duct prior to injfection the contrast. |
What is the difference between Cholangiogram and Cholangiography?
Cholangiography is performed to identify patency of the bile ducts and is necessary if the diagnosis is uncertain. Usually, an intraoperative cholangiogram is performed so that if EHBA is diagnosed, it is possible to proceed to hepatoportoenterostomy.
What is a Cholangiogram and what surgical procedure is performed in conjunction with it?
An intraoperative cholangiogram (IOC) is an X-ray of your bile ducts. It’s usually done during surgery to remove your gall bladder.
What does the Cholangiogram test determine?
Cholangiography means looking at the structure of the bile ducts and gallbladder. It can help to find the size of a gallbladder cancer and whether it has spread.
What side is gallbladder on?
Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver.
What is a Cholangiogram used for?
An intraoperative cholangiogram is a special kind of X-ray imaging that shows those bile ducts. It’s used during surgery. With a typical X-ray, you get one picture. But a cholangiogram shows your doctor a live video of your bile ducts so they can see what’s happening in real-time.
Why do we perform an intraoperative Cholangiogram?
You may have intraoperative cholangiogram to: Look for gallstones that may be in the common bile duct. Allow the surgeon to see the anatomy of the bile duct system from the liver to the small intestine.
What is a Cholangiopathy?
Any disease of the bile ducts. See AIDS-associated sclerosing, Infantile obstructive.
How do you do a tube Cholangiogram?
What happens during the procedure? X-ray pictures are taken of the abdominal area. The tube draining the bile duct is cleaned and a small needle is inserted into it. A small amount of contrast (X-ray dye) is injected into the bile ducts through the tube while x-ray pictures are taken.
When should a T tube be removed after cholecystectomy?
To prevent some of these complications, it is common practice to drain the biliary tree with a T-tube. The T-tube is usually removed 2 weeks after it was placed. There have been numerous reports of bile leak following T-tube removal in the literature. These leaks can result in bile ascites, biloma, or bile peritonitis.
How much should at tube drain?
Expect 300 to 500 ml of thick, blood-tinged, bright yellow to dark green bile drainage the first 24 hours after surgery. Report drainage greater than 500 ml/day. After about 4 days, the amount will be less than 200 ml/day. Keep the dressing dry.
What is a Cholecystostomy tube?
What is a Cholecystostomy Tube? A cholecystostomy tube (C-tube) is used to drain an infected gallbladder through the skin. A C-tube is different than a “cholecystectomy,” which is surgery to remove the gallbladder.
How long should a Cholecystostomy tube stay in?
The doctor usually removes the tube in about two to three weeks, after ensuring there is no further leakage. In patients who later need a cholecystectomy, the bile drain may remain in place until the patient is stabilized and prepared for a surgery. In some patients the drain may be left permanently in place.
What color should biliary drainage be?
You will have a drainage bag attached to your catheter. You will see bile (yellow-green fluid) flowing into the bag. The fluid may appear bloody for the first day or 2. The color will eventually be golden yellow or greenish, depending on exactly where the catheter is inside your body.