Chapter 14: General Surgery; Short Answer: Bowel Surgery Pathology

List the three basic configurations for intestinal anastomosis. (A-C)

A) End to end B) End to side C) Side to side

Identify the types of colon resections pictured in Figure 14-3. (A-F)

A) Right colectomy B) Right hemicolectomy C) Transverse colectomy D) Left colectomy E) Left hemicolectomy F) Abdominoperineal Resection

What is a stoma? When is the stoma matured?

An opening made into a hollow organ; Maturation occurs after closure of the abdominal incision.

Describe the difference between an end colostomy and a loop colostomy.

End: Created from the descending and sigmoid colon. Loop: Utilizes transverse colon, not generally used as a permanent colostomy, temporary fecal diversion.

Explain what is meant by the phrase "mobilize the bowel."

Freed from attachments.

What ligament maintains the stomach in the normal anatomic position?

Ligament of Treitz (delineates the beginning of the mesenteric small intestine).

Is the Maloney dilator inserted under sterile conditions? Why?

No; it is passed through the mouth to the esophagus by the anesthesia provider.

Describe the technique used to care for instrumentation and supplies that have been exposed to the inside of the intestinal tract.

Separated from sterile instruments and supplies passed off the field.