#LAPAROTOMY SURGICAL INSTRUMENTS QUIZ SKIN#
#LAPAROTOMY SURGICAL INSTRUMENTS QUIZ FULL#

One side of the falciform ligament can be separated from the ventral body wall to expose the underlying viscera. The falciform ligament lies beneath the linea alba anterior to the umbilicus.

#LAPAROTOMY SURGICAL INSTRUMENTS QUIZ SKIN#

Do not extend the body wall incision beyond the skin incision. Holding the scissors in a mostly closed position, push along the linea alba using two fingers as a guide and to lift the abdominal wall. This nick is then extended along the linea alba using a “push-cut” technique with blunt-blunt (Mayo) scissors.

A small nick can be made through the body wall and peritoneum. Moderate tension applied to the body wall laterally by the assistant will aid in this process.īy lifting the linea alba near the umbilicus with a pair of toothed thumb forceps, the surgeon decreases the risk of damaging abdominal contents. Skin towels are applied.ĭissection is continued through the soft tissues to fully expose the linea alba. Skin bleeders are clamped and haemostasis maintained by torsion or ligation of the vessels with fine suture material. Surgical techniqueĪ ventral midline skin incision is made from the xiphisternum to the cranial edge of the pubis. The clipped area is surgically prepared in the routine manner and field drapes applied as practiced in exercise 3. The clipped area should extend well beyond the mammae on each side.

The entire ventral abdominal area should be clipped from the posterior pelvic region anteriorly beyond the xiphisternum. Other approaches include the paracostal, flank and paramedian approaches. The most common approach to the abdomen is through the ventral midline. EquipmentĬaps, gowns and masks, instruments and drapes will be supplied. It is also important to wear clean shoes (not open footwear).Įating and drinking are not permitted in the surgery laboratory. It is essential that you wear clean scrub suits for this exercsie.

#LAPAROTOMY SURGICAL INSTRUMENTS QUIZ FULL#

Whilst cadavers will be used for this class, full preparation of the surgeon and patient will be performed and aseptic technique practiced throughout the surgery. The group will be divided into groups of 3 students who will all scrub and participate in the laboratory. You will perform a ventral midline laparotomy and examine the abdominal viscera by direct visualisation and palpation before surgically closing the wound. The aim of this exercise is to put into practice all of the aseptic techniques you have learnt over the past 8 weeks in order to perform an exploratory laparotomy. Exercise 4 Exploratory Laparotomy In The Dog

Laparotomy surgical instruments quiz