Содержание
- 2. liver in the upper right quadrant of the cavity. It is separated into right and left
- 3. borders: superior: inferior surface of diaphragm Inferior: mesocolon transversum Contents: hepatic bursa, pregastric bursa, omental bursa,
- 4. Borders: Superior: mesocolon transversum Inferior: inlet of the lesser pelvis contents: Right & left paracolic canals
- 5. After cutting through the abdominal wall, if you put your hand under the wall, you will
- 6. lig. falciforme lig. coronarium hepatis lig. triangulare lig. hepatogastricum lig. hepatoduodenale lig. hepatocolicum lig. hepatorenale lig.
- 7. duodenojejunal recess superior ileocaecal recess inferior ileocaecal recess retrocaecal recess intersigmoid recess Recesses - pouches formed
- 8. Plica gastropancreatica Plica ileocecalis Plica duodenalis superior Plica duodenalis inferior Plica umbilicalis mediana Plica umbilicalis medialis
- 9. RIGHT MESENTERIC SINUS borders: medial-root of the mesentry Lateral – ascending colon Superior – transverse colon
- 10. Right paracolic canal communicates with right hepatic bursa Borders: Medial – ascending colon Lateral – parietalperitoneum
- 11. HEPATIC BURSA Borders: Superior – diaphragm Inferior – transverse mesocolon Anterior – anterior abdominal wall Medial
- 12. Pregastric bursa Borders: Anterior – left lobe of the liver and anterior abdominal wall Posterior –
- 13. BORDERS: Superior – lobus caudatus hepatis Inferior – mesocolon transversum Anterior – stomach & lesser omentum
- 14. The branches to the stomach arise from the above: celiac (C) left gastric (LG) - supplies
- 15. The stomach drains either directly or indirectly into the portal vein as follows:short gastric veins (SG)
- 16. Nerve supply
- 18. Gastritis (acute or stress) Produces inflammation of the mucosa. Can be associated with erosions and bleeding.
- 19. Menetrier’s Disease (aka Hypertrophic Gastritis)
- 20. Gastric Polyps
- 21. Bezoars
- 22. The “Culprit” H. pylori Treatment: Triple therapy
- 23. Gastric ulcers
- 24. Gastric Ulcers
- 25. History of Peptic Ulcer Surgery Harberer 1882- first gastric resection for ulcer Billroth 1885- Billroth II
- 26. Laser Coagulation of Bleeding Ulcer
- 27. Coil Embolization of Bleeding Ulcer
- 28. Pyloroplasty for Bleeding Ulcer
- 29. Open Surgical Procedures Truncal vagotomy and pyloroplasty Truncal vagotomy and gastrojejunostomy Truncal vagotomy and antrectomy Highly
- 30. GASTROSTOMY Temporary gastrostomy Minimal gastrostomy Vitzel’s gastrostomy Stamm-Kader’s gastrostomy Permanent gastrostomy Toprover’s gastrostomy Beck Jian’s gastrostomy
- 32. Roux -en -Y Reconstruction
- 33. Antecolic and Retrocolic BII
- 34. Truncal Vagotomy Resect 1-2cm of each vagal trunk on distal esophagus. Reduces acid by 80%. Denervates
- 35. Antrectomy and Truncal Vagotomy with BI
- 36. Truncal Vagotomy and Antrectomy Entails distal gastrectomy of 50-60% of stomach. Removes parietal cell mass. Requires
- 37. Selective Vagotomy Total denervation of the stomach from diaphragmatic crus to pylorus. Procedure still needs drainage,
- 38. Highly Selective Vagotomy Spares nerves of Latarjet, but divides vagal branches to proximal 2/3 of stomach.
- 39. Types of Vagotomies
- 40. Gastric Adenocarcinoma
- 41. Duodenum 4 parts Metabolically active Produces many enzymes D2: site of pacemaker D2: posterolateral insertion of
- 42. Duodenum Brunner’s glands Blood supply: GDA- superior pancreaticoduodenal SMA- inferior pancreaticoduodenal
- 43. Blood Supply of the Duodenum superior pancreaticoduodenal anterior and posterior branches inferior pancreaticoduodenal anterior and posterior
- 44. Duodenal Ulcers
- 45. Obstruction
- 46. Small Bowel Obstruction History Prior surgery Hernias Signs and Symptoms Colicky abdominal pain Nausea and vomiting
- 47. Intestinum Crasum
- 48. Large Bowel Obstruction
- 49. colostomy
- 50. Anastamosis Stapled vs. Hand-Sewn Brundage et al. J trauma. 1999 Multicenter retrospective cohort design “anastamotic leaks
- 51. Anastamosis Burch et al. Ann of Surg. 1999. Prospective randomized trial of single-layer continuous vs. two
- 52. Appendix vermiformis
- 54. The caecum was at McBurney's point in 245 (80.9%) patients, pelvic in 45 (14.9%) and high
- 55. Topography of appendix vermiformis and ceacum
- 57. Ulcerative Colitis Disease Severity Mild colitis: 20% Moderate colitis: 71% Severe colitis: 9% Acute disease complications
- 58. Subtotal Colectomy
- 59. Liver
- 60. Liver
- 61. Mosby items and derived items © 2006 by Mosby, Inc. Slide Liver Structure
- 62. Porto-caval anastomoses
- 63. Caput Medusa
- 65. Varices on EGD
- 66. Varix Banding
- 67. Gall bladder
- 68. Arteries of the gall bladder
- 69. Innervation of gall bladder
- 70. Lymphatic drainage of the gallbladder
- 71. Harvest Time
- 72. CT Scan
- 73. Plain Films
- 74. Ultrasound
- 75. Laparoscopic Cholecystectomy
- 76. cancer
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