Arthoscopy/Laparoscopy

Question 1

Two broad indications for arthroscopy?

Answer 1

Diagnosis

Treatment

Question 2

5 advantages of arthroscopy

1.
2.
3.
4.
5.

Answer 2

1. Minimal Joint Trauma
2. Joint Evaluation
3. Remove debris
4. Chip removal
5. Infection reduced

Question 3

2 main disadvantages of arthroscopy

Answer 3

1. Equipment cost

2. Set up time.

Question 4

most commonly used arthroscope angle in horses?

Answer 4

70 degrees

Question 5

What is the minimum degree arthroscope required to angle down enough to see the joint surface?

Answer 5

30 degrees

Question 6

What is the function of an arthroscopic obturator?

Answer 6

They are sharp to pierce fibrous parts of the joint capsule or blunt for thrusting the arthroscope into the joint.
Blunt ends would be best when we don’t want to scratch the cartilage on the joint surface.

Question 7

What is the function of an egress cannula?

Answer 7

flush out debris

Question 8

What is a reason you would need to make a skin incision before distending the joint for an arthroscopy?

Answer 8

You may need to make the skin incision before joint distension because the landmarks can become obscured.

Question 9

When would you introduce the arthroscopic sleeve? What is inside the sleeve?

Answer 9

After making skin incision.

Inside the sleeve is a sharp trochar, insert it through the fibrous capsule.

Question 10

The fluid line for an arthrscopy should be (partially/completely) inserted into the joint.

Answer 10

completely into the joint

Question 11

The triangulation technique for arthrscopy involves addition of a ______ and ______

Answer 11

Light cable and Egress cannula

Question 12

Abnormalities you can notice during evaluation of the synovial capsule with arthroscope?

1
2
3

Answer 12

1. Hyperemia
2. Thickened villi
3. Petechiation

Question 13

Thickened villi seen on arthroscopy has what clinical significance?

Answer 13

You are dealing with a chronic problem.

Question 14

Cartilage abnormalities you can see with an arthroscopy:
1
2
3

Answer 14

1. Fibrillation
2. Erosions/wear lines
3. Full thickness cartilage loss

Question 15

Collagen is arranged in _____s for strength

Answer 15

arches

Question 16

Chip Fractures of the Carpus. 3 most common ones:

1.
2.
3.

Answer 16

1. distal radial carpal bone
2. proximal intermediate carpal bone
3. distal lateral radius

Question 17

Laparoscopy definition?

Answer 17

a procedure done with a laparoscope to look inside the abdomen.

Question 18

3 main advantages of Laparoscopy:
1.
2.
3.

Answer 18

1. Rapid return to function
2. Relatively non-invasive
3. Quick to perform

Question 19

3 main disadvantages of laparoscopy:

1.
2.
3.

Answer 19

1. Expensive equipment
2. Skill of surgeon
3. Video image is two-dimensional

Question 20

Laparascopy is useful for biopsies of what three organs?

Answer 20

Liver, Spleen, and Kidney

Question 21

Extra equipment you need or laparscopy (other than laparoscope)?

Answer 21

1. CO2 insufflator

2. Long handle instruments.

Question 22

CO2 insufflators and Laparscopy:

1. > __ L/min?
2. If intraabdom: ____mm Hg
3. Main disadvantage of using one?

Answer 22

1. > 10 L/min
2. 10-15 mm Hg
3. post-op discomfort.

Question 23

Landmarks for standing laparoscopy:

Answer 23

tuber coxae, 18th rib, and internal abdominal oblique muscle.

Question 24

Performing ___________ is important when doing a recumbent laparoscopy.

Answer 24

intermittent positive-pressure ventilation