Short answer: Gastric surgery 1. Identify where gastric/peptic ulcers are

Short answer: Gastric surgery 1. Identify where gastric/peptic ulcers are most frequently found. Identify the most common diagnostic procedures. What are additional surgical treatment may be done along with subtotal or partial gastrectomy (antrectomy)? 2. Just prior to the stomach being incised, what should be ready to use immediately and why? What technique is used to prevent exposure of the abdomen to any of the gastrointestinal site contents and/or malignant cells? 3. Identify the different methods of performing a gastrostomy. 4. What tubes can be used for gastrostomy if the stamm or witzel tubes are not used? What type of suturing technique will be used to secure the gastrostomy tube? What area of the abdomen is most likely to have a stab wound incision for the catheter to pass through the skin? 5. If a total gastrectomy is completed, what reconstruction procedure is commonly completed for the repair? What diagnosis requires a total gastrectomy? What two ligaments must be transected to mobilize the entire stomach? 6. What is the major difference between a Billroth I (antrectomy) and a Billroth II procedure for a partial or subtotal gastrectomy? 7. Because the stomach is so vascular, completely surrounded by vessels, describe what mechanical means of hemostasis is used. What thermal means may be used? 8. If a chevron incision or thoracoabdominal incision is used, what drainage equipment will be needed prior to wound closure? 9. Describe two techniques used for patients who are morbidly obese or with an unhealthy BMI. Short answer: Bowel surgery 1. Once the cancerous or diseased bowel is removed (excised), describe the next steps taken to ensure that the anastomosis will not be compromised. 2. Describe a stoma. When is the stoma matured? 3. Describe the difference between an end colostomy and a loop colostomy? 4. Describe the usual location(s) of the appendix. Identify the significance of the mesoappendix? 5. Which instrument is typically used to grasp the appendix? Describe the steps initiated if the appendix is perforated? 6. Describe two complications of an acute appendicitis if not treated. 7. Describe the technique for used for inverting the appendiceal stump for an open procedure. Short answer: Hernia Repair 1. A bassini-shouldice repair is performed to correct which condition? 2. What type of hernia results in gangrenous bowel that may be overlooked? 3. Describe the parameters of Scarpa’s fascia. 4. Describe the parameters of Hesselbach’s triangle. 5. Identify where coopers ligament is located. 6. Identify the location of a Spigelian hernia.

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