Exploratory Laparotomy
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Questions and Answers

Which maneuver is used to observe the hepatic portal vein, caudal vena cava, coeliac artery, and other structures in the right paravertebral region?

  • Excision of the falciform ligament
  • Duodenal maneuver (correct)
  • Traction of the small intestine
  • Colonic maneuver
  • Which maneuver is used to observe the aorta, left adrenal gland, left kidney, and left ovary in the left paravertebral region?

  • Traction of the small intestine
  • Colonic maneuver (correct)
  • Excision of the falciform ligament
  • Duodenal maneuver
  • Which structures can be observed by traction of the small intestine?

  • Regional lymph nodes
  • Prostate gland and ductus deferens
  • Bladder and distal ureters (correct)
  • Uterine body and proximal vagina
  • Which structure can be observed by caudal retraction of the liver lobes and sectioning the triangular ligaments?

    <p>Aortic and caval hiatus</p> Signup and view all the answers

    Which structure can be observed by caudal retraction of the stomach?

    <p>Oesophageal hiatus</p> Signup and view all the answers

    Which structure can be observed by caudal retraction of the stomach and caudal retraction of the liver lobes?

    <p>Greater and lesser omentum</p> Signup and view all the answers

    Which structure can be observed by excision of the falciform ligament?

    <p>Peritoneal fluid</p> Signup and view all the answers

    Which maneuver is used to observe the right adrenal gland, right kidney, and right ovary?

    <p>Duodenal maneuver</p> Signup and view all the answers

    Which maneuver is used to observe the left adrenal gland, left kidney, and left ovary?

    <p>Colonic maneuver</p> Signup and view all the answers

    Which structures can be observed by examination of the right and left paravertebral gutters?

    <p>Regional lymph nodes</p> Signup and view all the answers

    Which region is generally split into five regions during an exploratory laparotomy?

    <p>Cranial abdomen</p> Signup and view all the answers

    What is the purpose of an exploratory laparotomy?

    <p>To obtain information not available via clinical diagnostic methods</p> Signup and view all the answers

    What should be done if no underlying pathology can be found during an exploratory laparotomy?

    <p>Perform an organ biopsy</p> Signup and view all the answers

    What should be done to facilitate examination of the diaphragmatic surface of the liver during an exploratory laparotomy?

    <p>Tilt the surgical table and transect the triangular ligaments</p> Signup and view all the answers

    Which structure should be observed during the caudal retraction of the stomach in an exploratory laparotomy?

    <p>Gallbladder and bile ducts</p> Signup and view all the answers

    What can be examined when assessing the descending duodenum during an exploratory laparotomy?

    <p>Right limb of pancreas</p> Signup and view all the answers

    Which region of the abdomen is not generally included in the five regions of an exploratory laparotomy?

    <p>Caudal abdomen</p> Signup and view all the answers

    What is the alternative term for exploratory laparotomy?

    <p>Coeliotomy</p> Signup and view all the answers

    During an exploratory laparotomy, what is the purpose of exteriorizing the spleen?

    <p>To facilitate examination of the pancreas</p> Signup and view all the answers

    Which structure is part of the hepatic hilus and should be observed during a duodenal manoeuvre in an exploratory laparotomy?

    <p>Portal vein, hepatic artery, caudal vena cava</p> Signup and view all the answers

    During an exploratory laparotomy, what is the purpose of exteriorizing the spleen?

    <p>To assess the pancreas</p> Signup and view all the answers

    Which structure can be observed by caudal retraction of the stomach?

    <p>Spleen</p> Signup and view all the answers

    Which region of the abdomen is not generally included in the five regions of an exploratory laparotomy?

    <p>Cranial abdomen</p> Signup and view all the answers

    Which structure can be observed by excision of the falciform ligament?

    <p>Liver</p> Signup and view all the answers

    Which maneuver is used to observe the aorta, left adrenal gland, left kidney, and left ovary in the left paravertebral region?

    <p>Duodenal manoeuvre</p> Signup and view all the answers

    Which structures can be observed by examination of the right and left paravertebral gutters?

    <p>Adrenal glands and kidneys</p> Signup and view all the answers

    Which structure can be observed by caudal retraction of the liver lobes and sectioning the triangular ligaments?

    <p>Spleen</p> Signup and view all the answers

    What is the alternative term for exploratory laparotomy?

    <p>Coeliotomy</p> Signup and view all the answers

    Which maneuver is used to observe the hepatic portal vein, caudal vena cava, coeliac artery, and other structures in the right paravertebral region?

    <p>Duodenal manoeuvre</p> Signup and view all the answers

    What can be examined when assessing the descending duodenum during an exploratory laparotomy?

    <p>Right limb of the pancreas</p> Signup and view all the answers

    Which structure can be observed by excision of the falciform ligament?

    <p>Right adrenal gland</p> Signup and view all the answers

    Which maneuver is used to observe the left adrenal gland, left kidney, and left ovary?

    <p>Colonic maneuver</p> Signup and view all the answers

    What can be examined when assessing the descending duodenum during an exploratory laparotomy?

    <p>Hepatic portal vein</p> Signup and view all the answers

    Which maneuver is used to observe the hepatic portal vein, caudal vena cava, coeliac artery, and other structures in the right paravertebral region?

    <p>Duodenal maneuver</p> Signup and view all the answers

    What is the purpose of an exploratory laparotomy?

    <p>To identify and treat underlying pathology</p> Signup and view all the answers

    Which maneuver is used to observe the right adrenal gland, right kidney, and right ovary?

    <p>Duodenal maneuver</p> Signup and view all the answers

    Which region of the abdomen is not generally included in the five regions of an exploratory laparotomy?

    <p>Greater peritoneal cavity</p> Signup and view all the answers

    What should be done if no underlying pathology can be found during an exploratory laparotomy?

    <p>Examination of right and left paravertebral gutters</p> Signup and view all the answers

    Which region is generally split into five regions during an exploratory laparotomy?

    <p>Caudal abdomen</p> Signup and view all the answers

    Which structure can be observed by caudal retraction of the liver lobes and sectioning the triangular ligaments?

    <p>Aortic and caval hiatus</p> Signup and view all the answers

    Which maneuver is used to observe the right adrenal gland, right kidney, and right ovary?

    <p>Duodenal maneuver</p> Signup and view all the answers

    What should be done if no underlying pathology can be found during an exploratory laparotomy?

    <p>Continue exploring other regions of the abdomen</p> Signup and view all the answers

    Which structures can be observed by traction of the small intestine?

    <p>Bladder and distal ureters</p> Signup and view all the answers

    Which region is generally split into five regions during an exploratory laparotomy?

    <p>Caudal abdomen</p> Signup and view all the answers

    Which structures can be observed by examination of the right and left paravertebral gutters?

    <p>Hepatic portal vein and caudal vena cava</p> Signup and view all the answers

    During an exploratory laparotomy, what is the purpose of obtaining information that is not available via clinical diagnostic methods?

    <p>To determine the underlying pathology</p> Signup and view all the answers

    Which region of the abdomen is generally split into five regions during an exploratory laparotomy?

    <p>Caudal abdomen</p> Signup and view all the answers

    What can be observed by caudal retraction of the liver lobes and sectioning the triangular ligaments during an exploratory laparotomy?

    <p>Gallbladder and bile ducts</p> Signup and view all the answers

    Which maneuver is used to observe the right adrenal gland, right kidney, and right ovary during an exploratory laparotomy?

    <p>Tilting the surgical table</p> Signup and view all the answers

    What should be done if no underlying pathology can be found during an exploratory laparotomy?

    <p>Perform an organ biopsy</p> Signup and view all the answers

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