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Bowel Viability Assessment Criteria

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Questions and Answers

What is the primary purpose of bathing the involved bowel segment in warm saline for a few minutes during assessment of bowel viability?

To ligate and divide blood vessels
To restore pulsation of arteries
To improve color and peristalsis (correct)
To exteriorize the bowel segment from the abdomen

During intestinal resection and anastomosis, what is the purpose of incising the mesentery?

To leave as much of the mesentery as possible alongside adjacent arcade vessels (correct)
To exteriorize the bowel segment from the abdomen
To ligate and divide blood vessels
To restore pulsation of arteries

What is a limiting factor in assessing bowel viability using routine criteria?

The requirement for pulsation of arteries
The subjective nature of the criteria (correct)
The need for bleeding when incised
The inability to observe intestinal color

What is the recommended course of action for bowel segments of questionable viability?

Resect the bowel segment (A) Signup and view all the answers

What is the primary purpose of using moistened laparotomy sponges during intestinal resection and anastomosis?

To isolate the diseased segment of bowel from the abdominal cavity and adjoining viscera (C) Signup and view all the answers

What is a critical step in the intestinal resection and anastomosis procedure?

Completing the anastomosis without damaging adjacent arcade vessels (D) Signup and view all the answers

What is the primary purpose of enteropexy in intestinal surgery?

Fixation of an intestinal segment to the body wall or another loop of intestine (C) Signup and view all the answers

Which of the following is NOT a common cause of intestinal obstruction in small intestine?

Diabetes (D) Signup and view all the answers

What is the primary goal of intestinal resection and anastomosis?

To reestablish continuity between the divided ends of the intestine (C) Signup and view all the answers

What is the term for the incision into the intestine to relieve obstruction?

Enterotomy (B) Signup and view all the answers

What is the primary diagnostic tool used to assess bowel viability?

Endoscopy (D) Signup and view all the answers

What is the recommended preoperative management for intestinal surgery?

Obtain a minimum database, including a complete blood cell count, chemistry profile, urinalysis, and coagulation profile (D) Signup and view all the answers

What is a crucial factor in optimal healing of intestinal anastomosis?

Minimal surgical trauma and accurate mucosal apposition (B) Signup and view all the answers

What is the primary goal of enterotomy in intestinal surgery?

To exteriorize and isolate the diseased intestine from the abdomen (A) Signup and view all the answers

When is surgery indicated for intestinal obstruction?

When perforation, strangulation, or complete obstruction is present (A) Signup and view all the answers

What is the recommended suture pattern for intestinal anastomosis?

Simple interrupted, Gambee, crushing, or simple continuous pattern with a monofilament suture (D) Signup and view all the answers

Why is it important to engage the submucosa in intestinal sutures or staples?

To reduce the risk of dehiscence and infection (B) Signup and view all the answers

What is the primary purpose of milking chyme from the intestinal lumen during enterotomy?

To clear the intestinal lumen of contents to facilitate further surgical procedures (C) Signup and view all the answers

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