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Omentum
A double fold of peritoneum attached to the stomach
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Pancreas
Only organ that is both an endorcine and exocrine gland, dumps into the duodenum via the duct of Wirsung, which turns into the duct of Santorini
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Peritoneum
Serous membrane that lines the abdominal and pelvic walls and hold the viscera in place
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Rectus Abdominus
Vertical muscle of the abdominal wall
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Retroperitoneal
A plane, not a space, behind the peritoneum
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Small intestine 3 parts
Duodenum, ileum, jejunum
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Spleen
The largest mass of lymphatic tissue in the upper left abdominal quadrant
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Vagus nerve
Parasympathetic nerve that innervates the stomach
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Appendectomy
Appendix is severed from its attachement at the cecum and removed
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Cholecystectomy
Removal of gallbladder
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Colon Resection, AKA?
Removal of the entire or diseased part of the colon
Colectomy
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Colostomy
Surgically created openeing from a portion of the colon to the exterior skin through the abdominal wall
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Esophagectomy
Excision of a part of the esophagus
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Exploaratory laparotomy
Surgically opening the abdominal wall and entering the peritoneal cavity
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Gastrectomy
Removal of the lower half to 2 thirds of the stomach with continuity reestablished by several methods
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Gastric Bypass, AKA?
Creation of a small proximal gastric pouch by stapling the duodenum and bypassing the distal end of the stomach with a gastrojejunostomy
Roux-en-Y
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Billiroth I
Subtotal gastrectomy and gastroduodenostomy, in which the remaining portion of the stomach is anastomosed to the duodenum
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Billiroth II
Subtotal gastrectomy and gastrojejunotomy in which the remaining portion of the stomach is anastomosed to the jejunum
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Gastrostomy
Creates a fistula to introduce food into the stomach, inserting a PEG catheter into the stomach with the aid of a fiberoptic gastroscope
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Ileostomy
Externalization through the abdominal wall of the proximal end of the transected ileum; performed in conjunction with a total colostomy
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Liver resection
Partial removal of the liver
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Nissen's fundoplication, AKA?
- Wrapping the proximal stomach around the gastroensophageal junction to prevent esophageal reflux
- Esophageal hiatal herniorrhaphy
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Parathyroidectomy
Excision of one or more of the parathyroid glands
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Pilonidal cystectomy
excesionof a cyst with its sinus tracts in the sacrococcygeal region
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Pyloromyotomy
Incision through the pyloric muscle to release a stenosis or stricture
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Splenectomy
Removal of the spleen
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Thyroidectomy
Removal of the thyroid gland
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Tracheostomy
Inciscing the trachea to insert a tube through which the patient breathes
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Tracheotomy
Incision of the trachea
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Vagotomy
Resection of portions of the vagus nerve near the stomach at the level of the esophagus
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Whipple procedure, AKA?
Radical removal of the head of the pancreas, the entire duodenum, a portion of the jejunum, the distal third of the stomach, and the lower half of the common bile duct with reconstruction utilizing anastomosis of biliary-intestinal continuity.
pancreaticoduodenectomy
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Anoscopy
Examination of the mucosa of the anal canal
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Cholangiogram
Using radiology to assess stones in the biliary tract
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Choledochoscopy
Examination of the common bile duct
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CT
Noninvasive diagnostic method of viewing body tissue that uses an x-ray beam in conjunction with a computer
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Esophagogastroduodenoscopy
Examination of the esophagus and stomach and the duodenum
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Esophagoscopy
Examination of the esophagus
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MRI
Uses electro-magnetic energy to provide soft-tissue images
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Needle aspiration
Suctioning blood, body fluids, and tissue fluids
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Proctoscopy
Examination of the mucosa of the rectum and anal canal
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Sigmoidoscopy
Examination of the sigmoid colon and rectum, including removal of polyps and tissue specimens
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Ultrasound
Outlines the shape of tissues and organs to identify structural defects
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Type of drain used in appendectomy
Penrose
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Modified radical mastectomy
Removal of the entire breast, all axillary lymph nodes are resected; the major pectoralis muscle is left in place; the minor pectoralis muscle may or may not be resected
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Radical mastectomy
Removal of the entire breast with axillary lymph nodes, pectoral muscles, and all fat, fascia and adjacent tissues
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Simple mastectomy
Removal of the entire breast without the lymph nodes or muslce dissection
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Subcutaneous mastectomy
Removal of all breast tissue with the overlying skin and nipple left intact
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Biliary atresia
Congenital absence of bile ducts
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Cholelithiasis
Gall stones
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Cholecystectmy
Removal of the gallbladder
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Cholecystotomy
Establishing an opening into the gallbladder to permit drainage of the organ and removal of stones
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Choledochotomy
Incision of the common bile duct for exploration and removal of stones
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Cholecystoduodenostomy
Anastomosis between the gallbladder and the duodenum
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Cholecystojejunostomy
Anastomosis between the gallbladder and the jejunum
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Choledochoduodenostomy
Side to side or end to end anastomosis between the duodenum and the common bile duct
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Choledochojejunostomy, AKA?
Side to side or end to end anastomosis between the jejunum and the common bile duct
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Transduodenal sphincterotomy
Partial division of the sphincter of Oddi and exploration of the distal end of the common bile duct
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Ileostomy
The creation of a pouch from the ileum to collect intestinal contaents which drain into a bag worn on the abdomen
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Esophagectomy
The removal of the diseased portions of the esophagus and stomach and the anastomosis of the remaining parts
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Excision of Zenker's diverticulum
Removal of a herniation in the esophageal wall
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Pyloromyotomy
Incision through pyloric muscle to release a stenosis or stricture
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Pyloroplasty
Enlargement of the pyloric opening
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Gastric bypass
Creation of a small proximal gastric pouch by stapling the duodenum and bypassing the distal end of the stomach with a gastrojejunostomy
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Describe Hesselbach's triangle
- Deep epigastric vessels laterally
- Inguinal ligament inferiorly
- Rectus abdominis muscle medially
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Epigastric hernia
Protrusions of intestine through defects in the abdominal wall
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Femoral hernia
Protrudes from the groin, below the inguinal ligament into the thigh
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Hiatal hernia
Protrusion of a portion of the stomach through the opening for the esophagus
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Incarcerated (irriducible) hernia
Contents are trapped in the extraabdominal sac and cannot be returned to the normal cavity
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Incisional hernia
Protrusion from a surgical scar
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Reducible hernia
Contents of the hernial sac can be returned to the normal intra-abdominal position
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Inguinal hernia
Direct or indirect hernias represent attenuations or tears in the transversal fascia
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Strangulated hernia
Contents are trapped in the extra-abdominal sac, the blood supply is cut off, and will eventually undergo necrosis
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Umbilical hernia
Small fascial defects around the naval
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Ventral hernia
Any hernia through the abdominal wall; can appear after previous operations (incisional) or spontaneously
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Parathyroidectomy
Excision of one or more of the parathyroid glands up to 3 1/2 glands may be removed if all glands appear to be diseased.
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Substernal intrathoracic thyroidectomy
Excision of enlarged goiter into the substernal and intrathoracic regions which may be causing tracheal obstruction
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Truncal vagotomy
Interrupts vagal trunks at esophageal hiatus or diaphragm
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Selective vagotomy
Denervates stomach
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Proximal vagotomy
Interrups vagal branches along lesser curvature of stomach
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