well you should
Do you know the ditterence between vomiting and regurgitation?
c) submucosa
What is the holding layer when doing esophageal surgery?
a) serosa
b) mucosa
c) submucosa
d) muscularis
submucosal plexus + segmental extrinsic vasculature
What is the vascular supply to consider when doing esophageal surgery?
b) simple interrupted
Closure is either done in 1 or 2 layers. What suture pattern is used for both?
a) simple continuous
b) simple interrupted
c) surgeon's stitch
d) horizontal mattress
a) prolene
but PDS can also be used
When doing a 2-layer closure, what suture is traditionally used in the submucosa? prolene is non-absorbable
a) prolene PDS is absorbable
b) catgut
c) nylon
d) monocryl
Where can a left lateral thoracotomy be done at?
a) 3rd, 4th, or 5th interspace b) 9th, 10th, or 11th interspace
b) 9th, 10th, or 11th interspace
c) both a and b a right lateral thoracotomy can be done at both
d) wherever the heck you want
1/7
, b) recurrent laryngeal nerve
tbh u should prob be careful of all of those lol
When performing an esophagotomy, what do you need to be so careful of?
a) thyroid gland
b) recurrent laryngeal nerve
c) sternohyoid muscle
d) larynx
When performing an esophagotomy, what is used to handle the esophagus? stay sutures
-severe trauma or necrosis of esophagus
When is an esophageal resection and anastomosis indicated? -esophageal stricture >3-5cm in length that is not successfully treated by bouginage
-esophageal neoplasia (rare in dog and cat)
b) 1/3
Up to how much of the thoracic esophagus may be resected?
a) 1/4
b) 1/3
c) 1/2
d) the whole dang thing
check closure integrity occluding the lumen, injecting saline, apply gentle pressure, and
Describe how to perform the leak test aka water test
observing for leakage between sutures
partial myotomy: circumferential incision through longitudinal muscle layer 2-3 cm cranial and
caudal to site of anastomosis
cranial mobilization of stomach
What are the tension-relieving techniques?
-reinforcement of esophagotomy or esophagectomy site
-muscle pedicle graft
When is esophageal patching indicated?
What does esophageal postoperative treatment involve?
2/7
Do you know the ditterence between vomiting and regurgitation?
c) submucosa
What is the holding layer when doing esophageal surgery?
a) serosa
b) mucosa
c) submucosa
d) muscularis
submucosal plexus + segmental extrinsic vasculature
What is the vascular supply to consider when doing esophageal surgery?
b) simple interrupted
Closure is either done in 1 or 2 layers. What suture pattern is used for both?
a) simple continuous
b) simple interrupted
c) surgeon's stitch
d) horizontal mattress
a) prolene
but PDS can also be used
When doing a 2-layer closure, what suture is traditionally used in the submucosa? prolene is non-absorbable
a) prolene PDS is absorbable
b) catgut
c) nylon
d) monocryl
Where can a left lateral thoracotomy be done at?
a) 3rd, 4th, or 5th interspace b) 9th, 10th, or 11th interspace
b) 9th, 10th, or 11th interspace
c) both a and b a right lateral thoracotomy can be done at both
d) wherever the heck you want
1/7
, b) recurrent laryngeal nerve
tbh u should prob be careful of all of those lol
When performing an esophagotomy, what do you need to be so careful of?
a) thyroid gland
b) recurrent laryngeal nerve
c) sternohyoid muscle
d) larynx
When performing an esophagotomy, what is used to handle the esophagus? stay sutures
-severe trauma or necrosis of esophagus
When is an esophageal resection and anastomosis indicated? -esophageal stricture >3-5cm in length that is not successfully treated by bouginage
-esophageal neoplasia (rare in dog and cat)
b) 1/3
Up to how much of the thoracic esophagus may be resected?
a) 1/4
b) 1/3
c) 1/2
d) the whole dang thing
check closure integrity occluding the lumen, injecting saline, apply gentle pressure, and
Describe how to perform the leak test aka water test
observing for leakage between sutures
partial myotomy: circumferential incision through longitudinal muscle layer 2-3 cm cranial and
caudal to site of anastomosis
cranial mobilization of stomach
What are the tension-relieving techniques?
-reinforcement of esophagotomy or esophagectomy site
-muscle pedicle graft
When is esophageal patching indicated?
What does esophageal postoperative treatment involve?
2/7
