18 Questions
What is the primary purpose of bathing the involved bowel segment in warm saline for a few minutes during assessment of bowel viability?
To improve color and peristalsis
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
What is a limiting factor in assessing bowel viability using routine criteria?
The subjective nature of the criteria
What is the recommended course of action for bowel segments of questionable viability?
Resect the bowel segment
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
What is a critical step in the intestinal resection and anastomosis procedure?
Completing the anastomosis without damaging adjacent arcade vessels
What is the primary purpose of enteropexy in intestinal surgery?
Fixation of an intestinal segment to the body wall or another loop of intestine
Which of the following is NOT a common cause of intestinal obstruction in small intestine?
Diabetes
What is the primary goal of intestinal resection and anastomosis?
To reestablish continuity between the divided ends of the intestine
What is the term for the incision into the intestine to relieve obstruction?
Enterotomy
What is the primary diagnostic tool used to assess bowel viability?
Endoscopy
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
What is a crucial factor in optimal healing of intestinal anastomosis?
Minimal surgical trauma and accurate mucosal apposition
What is the primary goal of enterotomy in intestinal surgery?
To exteriorize and isolate the diseased intestine from the abdomen
When is surgery indicated for intestinal obstruction?
When perforation, strangulation, or complete obstruction is present
What is the recommended suture pattern for intestinal anastomosis?
Simple interrupted, Gambee, crushing, or simple continuous pattern with a monofilament suture
Why is it important to engage the submucosa in intestinal sutures or staples?
To reduce the risk of dehiscence and infection
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
Learn about the routine criteria for assessing bowel viability, including observation of intestinal color, wall texture, and other factors. Discover the challenges of assessment and how to improve appearance.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
