Surgical Procedures and Stomach Anatomy Flashcards

Vocabulary terms covering stomach anatomy, surgical instrumentation, suture techniques, and gastrectomy procedures.

Monitored Anesthesia Care (MAC)

An anesthesia state where the patient is heavily sedated and breathes on their own without needing an endotracheal tube.

Lesser Curvature

The top curvature of the stomach that curves less than the greater curvature.

Greater Curvature

The bottom curvature of the stomach that forms its inferior border.

Upper Midline Incision

A surgical incision located directly above the umbilicus.

Deep Knife

A scalpel used to make an incision into an organ like the stomach, which is considered dirty after use and must not be reused on the skin.

French

A unit of measurement used for catheters and tubes, such as a Foley catheter, referring to the diameter of the lumen.

Purse String Suture

A continuous running stitch placed around a circular lumen or tube opening and pulled tight to cinch it securely.

Clean Contaminated Case

A surgical classification for procedures where an internal organ with flora, such as the stomach, is entered, requiring prophylactic antibiotics.

Lesser Omentum

A peritoneal structure that connects the lesser curvature of the stomach to the posterior surface of the liver to help hold the stomach in place.

Bookwalter Retractor

A large self-retaining retractor used in open laparotomy procedures, such as gastrectomies, to free up surgical hands.

Umbilical Tape

A tape used to loop around and retract structures such as the esophagus or vessels for prolonged exposure during surgery.

Cell Saver

A blood recycling device used during procedures with high anticipated blood loss to salvage and reinfuse patient blood.

GIA / Linear Cutter Stapler

A surgical stapler that fires two double lines of staples and cuts in between to divide tissue and seal lumens simultaneously.

Anastomosis

The surgical process of reattaching or reconnecting two divided lumens or anatomical structures.

End-to-End Anastomosis

A surgical connection formed by reattaching the severed end of one lumen directly to the severed end of another.

Side-to-Side Anastomosis

A surgical connection formed by placing two sealed ends of lumens side-by-side and joining them through adjacent incisions.

End-to-Side Anastomosis

A surgical connection formed by attaching the open end of one lumen to an incision on the side of another sealed lumen.

Total Gastrectomy

The complete surgical removal of the stomach, often reconstructed as a Roux-en-Y where the esophagus is connected to the jejunum.

Billroth I and II

Partial gastrectomy procedures commonly performed for cancer, where a portion of the stomach is removed and anastomosed to the small intestine.