Surgery NAVLE

Question 1

What is the significance of peritoneal glucose in diagnostics?

Answer 1

20 pts. lower than BG

It is not as great in cats but still effective.

Question 2

What does a peritoneal lactate level indicate?

Answer 2

2 pts. higher than Blood Lac.

Not as good of indicators if recent sx, as it may cause mild, non-septic peritonitis, especially if drains are present.

Question 3

What should be checked prior to surgery in cases of compromised liver function?

Answer 3

Coagulation

This is crucial to ensure safe surgical procedures.

Question 4

What is a myelogram?

Answer 4

Injected into the subarachnoid space

It is used for diagnostic imaging of the spinal cord.

Question 5

Name a type of absorbable suture.

Answer 5

Polyglyconate (Maxon)

It is a synthetic monofilament that maintains over 50% of tensile strength for 3 weeks.

Question 6

What is a nonabsorbable suture used for skin?

Answer 6

Prolene

It is a monofilament that maintains a large amount of tensile strength.

Question 7

What is the Lembert suture pattern used for?

Answer 7

Closure of hollow viscera

It is a type of inverting suture pattern.

Question 8

What are the types of tension relieving suture patterns?

Answer 8

• Appositional
• Simple interrupted/continuous
• Ford interlocking
• Cruciate
• Intradermal

These patterns are used to relieve tension in tissues.

Question 9

What is the Miller’s Knot used for?

Answer 9

Ligation

It is a type of circumferential ligature.

Question 10

What is the holding layer in the abdomen?

Answer 10

External Rectus Sheath

This layer is important for surgical closure.

Question 11

What type of collagen is replaced during wound repair?

Answer 11

Type III is replaced with Type I

This process takes 8-11 months.

Question 12

What is a characteristic of Type II external skeletal fixators?

Answer 12

Not for use in the most proximal bones

They are used to stabilize fractures.

Question 13

What is the approach for a diaphragmatic hernia repair?

Answer 13

Via abdomen along ventral midline

This approach allows access to suture the tear in the diaphragm.

Question 14

What is required for placing an esophagostomy tube?

Answer 14

General Anesthesia (GA)

The tube is placed on the left side of the neck.

Question 15

What is the left paracostal approach used for?

Answer 15

Gastrostomy Tube placement

This procedure also requires general anesthesia.

Question 16

What does Cervical Disc Arthroplasty (CDA) involve?

Answer 16

Artificial Disc

It allows for movement in the cervical spine.

Question 17

What is the purpose of dorsal laminectomy?

Answer 17

Used if there is a thick ligament or compression from the top

It may result in a weaker post-op condition and potential pain.

Question 18

What is the simplest approach for spinal surgery?

Answer 18

Ventral Slot

It is especially useful if there is not a lot of ligament involved.