SURGICAI PRE TEST STUDY GUIDE
Billroth I - ANSWER antrectomy with gastroduodenostomy
Billroth II - ANSWER antrectomy with gastrojejunostomy
Billroth I and II difference? - ANSWER billroth I has 1 limb, II has 2
Roux-en-Y limb? - ANSWER jejunojejunostomy forming y shaped figure of small bowel
with free end anastomosed to second hollow structure (esophagojejunostomy)
Brooke ileostomy? - ANSWER standard ileostomy that is folded on itself to protrude from
abdomen ~ 2 cm to allow easy appliance placement and collection and succus
CEA - ANSWER carotid endarterectomy - removal of atherosclerotic plaque from CA
Bassini herniorrhaphy? - ANSWER repair of inguinal hernia by approximating
transversus abdominis aponeurosis and the conjoint tendon to the reflection of pouparts
ligament
McVay herniorrhaphy? - ANSWER repair of inguinal hernia by approximating the
transversus abdominis aponeurosis and conjoint tendon to coopers ligament
Liechtenstein herniorrhaphy? - ANSWER tension free inguinal hernia repair using mesh
Shouldice herniorrhaphy? - ANSWER repair of inguinal hernia by imbrication of the
transversalis fascia, transverses abdominis aponeurosis, and the conjoint tendon and
approximation of the transversus abdominis aponeurosis and the conjoint tendon to the
inguinal ligament
Plug and patch hernia repair - ANSWER prosthetic plug pushes hernia sac in and then is
covered with prosthetic patch to repair inguinal hernia
APR - ANSWER abdominoperineal resection, removal of rectum and sigmoid colon
through abdominal and perineal incisions
LAR - ANSWER low anterior resection, resection of low rectal tumors through anterior
abdominal incision
Hartmann's Procedure? - ANSWER proximal colostomy
distal stapled off colon or rectum that is left in peritoneal cavity
Mucous fistula? - ANSWER distal end of colon is brought to abdominal skin as a stoma
Kocher maneuver? - ANSWER dissection of duodenum from the right-sided peritoneal
attachment to allow mobilization and visualization of the back of the duodenum and
pancreas
,Cattel maneuver? - ANSWER mobilization of the ascending colon to the midline,
combine with Kocher to expose vena cava
Mattox maneuver? - ANSWER mobilization of the descending colon to the midline,
exposes abdominal aorta
Seldinger technique? - ANSWER placement of central line by first placing a wire in vein
following with catheter over wire
Cricothyroidotomy? - ANSWER emergent surgical airway through cricoid membrane
Hepaticojejunostomy? - ANSWER anastomosis between jejunal roux limb and hepatic
bile ducts
Peustow procedure? - ANSWER side-to-side anastomosis of the pancreas and jejunum
Stamm gastrostomy? - ANSWER gastrostomy placed by open surgical incision and
tacked to abdominal wall
Highly selective vagotomy? - ANSWER transection of vagal fibers to the body of the
stomach without interruption of fibers to the pylorus
Enterolysis? - ANSWER lysis of peritoneal adhesions
LOA - ANSWER lysis of adhesions
Appy? - ANSWER removal of appy
Lap appy - ANSWER removal of appy laparoscopically
Cholecystectomy? - ANSWER removal of gallbladder
Lap chole? - ANSWER removal of gallbladder laparoscopically
Nissen? - ANSWER fundoplication - wrap of stomach by fundus of the stomach around
the distal esophagus to prevent reflux
Lap nissen? - ANSWER fundoplication with laparoscope
Simple mastectomy? - ANSWER removal of breast and nipple without node removal
Choledochojejunostomy? - ANSWER anatomsosis of CBD and jejunum
Graham patch? - ANSWER placement of omentum with stitches over a gastric or
duodenal perforation
Heineke-mikulicz pyloroplasty? - ANSWER longitundinal incision through all layers of
pylorus, sewing closed in a transverse direction to make pylorus nonfunctional
Pringle maneuver? - ANSWER temporary occlusion of porta hepatis
Modified radical mastectomy? - ANSWER removal of breast, nipple, and axillary lymph
,nodes
Lumpectomy and radiation? - ANSWER removal of breast and axillary lymph nodes with
normal surrounding breast tissue spared then gets radiation
I and D? - ANSWER incision and drainage of pus and packed open
Exploratory laparotomy? - ANSWER laparotomy to explore peritoneal cavity looking for
cause of pain, peritoneal signs, obstruction, hemorrhage...
TURP - ANSWER transurethral resection of prostate
Fem Pop Bypass? - ANSWER femoral artery to popliteal artery bypass using synthetic
graft or saphenous vein to bypass femoral artery blockage
Ax Fem? - ANSWER long prosthetic graft tunneled under the skin placed from axillary
artery to the femoral artery
Triple A repair? - ANSWER repair of an AAA, open aneurysm and place prosthetic graft
then close old sac around graft
CABG? - ANSWER coronary artery bypass grafting via saphenous vein graft or internal
mammary artery grafts
Hartmann's Pouch? - ANSWER oversewing of rectal stump after resection of a colonic
segment, patient left with proximal colostomy
PEG? - ANSWER percutaneous endoscopic gastrotomy
Ileoanal pull-through? - ANSWER anastomosis of the ileum to the anus after total
proctocolectomy
, Hemocolectomy? - ANSWER removal of colonic segment
Truncal vagotomy? - ANSWER transection of vagus nerve trunks; must provide drainage
procedure for stomach because it will not relax status post
Antrectomy - ANSWER removal of stomach antrum
Whipple procedure? - ANSWER pancreaticoduodenectomy
Excisional biopsy? - ANSWER biopsy with complete excision of suspect tissue
Incisional biopsy? - ANSWER biopsy with incomplete removal of suspect tissue
Tracheostomy? - ANSWER placement of airway tube into trachea surgically or
percutaneously
when can a pt eat before major surgery? - ANSWER NPO after midnight the night before
surgery or *8+ hrs* the day of
what risks should be discussed with all pts and documented on the consent form for a
surgical procedures? - ANSWER bleeding, infection, anesthesia, scar, others are
procedure-specific ...add MI, CVA and death if patient has cardiovascular disease
if pt is on antiHTN meds, should they take them on the day of the procedure? - ANSWER
yes - remember clonidine = rebound HTN
If a patient is on an oral hypoglycemic agent (OHA), should the patient take the OHA on
the day of surgery? - ANSWER Not if the patient is to be NPO on the day of surgery
Billroth I - ANSWER antrectomy with gastroduodenostomy
Billroth II - ANSWER antrectomy with gastrojejunostomy
Billroth I and II difference? - ANSWER billroth I has 1 limb, II has 2
Roux-en-Y limb? - ANSWER jejunojejunostomy forming y shaped figure of small bowel
with free end anastomosed to second hollow structure (esophagojejunostomy)
Brooke ileostomy? - ANSWER standard ileostomy that is folded on itself to protrude from
abdomen ~ 2 cm to allow easy appliance placement and collection and succus
CEA - ANSWER carotid endarterectomy - removal of atherosclerotic plaque from CA
Bassini herniorrhaphy? - ANSWER repair of inguinal hernia by approximating
transversus abdominis aponeurosis and the conjoint tendon to the reflection of pouparts
ligament
McVay herniorrhaphy? - ANSWER repair of inguinal hernia by approximating the
transversus abdominis aponeurosis and conjoint tendon to coopers ligament
Liechtenstein herniorrhaphy? - ANSWER tension free inguinal hernia repair using mesh
Shouldice herniorrhaphy? - ANSWER repair of inguinal hernia by imbrication of the
transversalis fascia, transverses abdominis aponeurosis, and the conjoint tendon and
approximation of the transversus abdominis aponeurosis and the conjoint tendon to the
inguinal ligament
Plug and patch hernia repair - ANSWER prosthetic plug pushes hernia sac in and then is
covered with prosthetic patch to repair inguinal hernia
APR - ANSWER abdominoperineal resection, removal of rectum and sigmoid colon
through abdominal and perineal incisions
LAR - ANSWER low anterior resection, resection of low rectal tumors through anterior
abdominal incision
Hartmann's Procedure? - ANSWER proximal colostomy
distal stapled off colon or rectum that is left in peritoneal cavity
Mucous fistula? - ANSWER distal end of colon is brought to abdominal skin as a stoma
Kocher maneuver? - ANSWER dissection of duodenum from the right-sided peritoneal
attachment to allow mobilization and visualization of the back of the duodenum and
pancreas
,Cattel maneuver? - ANSWER mobilization of the ascending colon to the midline,
combine with Kocher to expose vena cava
Mattox maneuver? - ANSWER mobilization of the descending colon to the midline,
exposes abdominal aorta
Seldinger technique? - ANSWER placement of central line by first placing a wire in vein
following with catheter over wire
Cricothyroidotomy? - ANSWER emergent surgical airway through cricoid membrane
Hepaticojejunostomy? - ANSWER anastomosis between jejunal roux limb and hepatic
bile ducts
Peustow procedure? - ANSWER side-to-side anastomosis of the pancreas and jejunum
Stamm gastrostomy? - ANSWER gastrostomy placed by open surgical incision and
tacked to abdominal wall
Highly selective vagotomy? - ANSWER transection of vagal fibers to the body of the
stomach without interruption of fibers to the pylorus
Enterolysis? - ANSWER lysis of peritoneal adhesions
LOA - ANSWER lysis of adhesions
Appy? - ANSWER removal of appy
Lap appy - ANSWER removal of appy laparoscopically
Cholecystectomy? - ANSWER removal of gallbladder
Lap chole? - ANSWER removal of gallbladder laparoscopically
Nissen? - ANSWER fundoplication - wrap of stomach by fundus of the stomach around
the distal esophagus to prevent reflux
Lap nissen? - ANSWER fundoplication with laparoscope
Simple mastectomy? - ANSWER removal of breast and nipple without node removal
Choledochojejunostomy? - ANSWER anatomsosis of CBD and jejunum
Graham patch? - ANSWER placement of omentum with stitches over a gastric or
duodenal perforation
Heineke-mikulicz pyloroplasty? - ANSWER longitundinal incision through all layers of
pylorus, sewing closed in a transverse direction to make pylorus nonfunctional
Pringle maneuver? - ANSWER temporary occlusion of porta hepatis
Modified radical mastectomy? - ANSWER removal of breast, nipple, and axillary lymph
,nodes
Lumpectomy and radiation? - ANSWER removal of breast and axillary lymph nodes with
normal surrounding breast tissue spared then gets radiation
I and D? - ANSWER incision and drainage of pus and packed open
Exploratory laparotomy? - ANSWER laparotomy to explore peritoneal cavity looking for
cause of pain, peritoneal signs, obstruction, hemorrhage...
TURP - ANSWER transurethral resection of prostate
Fem Pop Bypass? - ANSWER femoral artery to popliteal artery bypass using synthetic
graft or saphenous vein to bypass femoral artery blockage
Ax Fem? - ANSWER long prosthetic graft tunneled under the skin placed from axillary
artery to the femoral artery
Triple A repair? - ANSWER repair of an AAA, open aneurysm and place prosthetic graft
then close old sac around graft
CABG? - ANSWER coronary artery bypass grafting via saphenous vein graft or internal
mammary artery grafts
Hartmann's Pouch? - ANSWER oversewing of rectal stump after resection of a colonic
segment, patient left with proximal colostomy
PEG? - ANSWER percutaneous endoscopic gastrotomy
Ileoanal pull-through? - ANSWER anastomosis of the ileum to the anus after total
proctocolectomy
, Hemocolectomy? - ANSWER removal of colonic segment
Truncal vagotomy? - ANSWER transection of vagus nerve trunks; must provide drainage
procedure for stomach because it will not relax status post
Antrectomy - ANSWER removal of stomach antrum
Whipple procedure? - ANSWER pancreaticoduodenectomy
Excisional biopsy? - ANSWER biopsy with complete excision of suspect tissue
Incisional biopsy? - ANSWER biopsy with incomplete removal of suspect tissue
Tracheostomy? - ANSWER placement of airway tube into trachea surgically or
percutaneously
when can a pt eat before major surgery? - ANSWER NPO after midnight the night before
surgery or *8+ hrs* the day of
what risks should be discussed with all pts and documented on the consent form for a
surgical procedures? - ANSWER bleeding, infection, anesthesia, scar, others are
procedure-specific ...add MI, CVA and death if patient has cardiovascular disease
if pt is on antiHTN meds, should they take them on the day of the procedure? - ANSWER
yes - remember clonidine = rebound HTN
If a patient is on an oral hypoglycemic agent (OHA), should the patient take the OHA on
the day of surgery? - ANSWER Not if the patient is to be NPO on the day of surgery
