1887

Acute abdominal and gastrointestinal surgical emergencies

image of Acute abdominal and gastrointestinal surgical emergencies
GBP
Online Access: GBP25.00 + VAT
BSAVA Library Pass Buy a pass

Abstract

Abdominal and gastrointestinal surgical emergencies include a diverse group of conditions that can be challenging to diagnose and manage successfully. This chapter describes the initial examination, patient evaluation and surgical and postoperative management of emergencies concerning the oesophagus, stomach, small intestine, large intestine, pancreas, biliary tract and peritoneum

Loading full text...

Full text loading...

/content/chapter/10.22233/9781910443262.chap12

Figures

Image of 12.1
12.1 (a) Lateral and (b) dorsoventral abdominal radiographs of a dog with a small intestinal obstruction. Note the gas distension of several parts of the small intestine. The gas-filled descending duodenum is clearly visible on the lateral radiograph.
Image of 12.2
12.2 (a) Lateral and (b) dorsoventral abdominal radiographs of a dog with pancreatitis. Radiographic signs suggestive of pancreatitis include: increased soft tissue opacity and decreased abdominal detail in the right cranial abdomen; a static, gas-filled descending duodenum; displacement of the pyloric antrum to the left; and displacement of the duodenum to the right, producing a widened angle between the stomach and the duodenum. (Courtesy of Dr HM Saunders, University of Pennsylvania School of Veterinary Medicine.)
Image of 12.3
12.3 Lateral radiograph of a dog with gastric perforation, illustrating free gas in the peritoneal cavity. Note the diaphragm outlined clearly by the lungs cranially and the free peritoneal gas caudally.
Image of 12.4
12.4 Lateral thoracic radiograph of a dog illustrating a thoracic oesophageal body present over the heart base. (Courtesy of Dr C Harvey, University of Pennsylvania School of Veterinary Medicine)
Image of 12.5
12.5 Longitudinal oesophagotomy performed in the thoracic oesophagus to remove a fish hook. Stay sutures are used to retract the oesophageal wall. The incision is closed with a single layer of single interrupted sutures of 2 metric (3/0 USP) polydioxanone (PDS).
Image of 12.6
12.6 Right lateral radiograph of a dog with gastric dilatation–volvulus. Note the appearance of the pylorus in the craniodorsal abdomen as a gas-filled structure.
Image of 12.7
12.7 Incisional gastropexy with the cranial aspect of the incisions in the body wall and pyloric antrum sewn together.
Image of 12.9
12.9 Intestinal resection and anastomosis completed. The anastomosis site has been wrapped in omentum.
Image of 12.11
12.11 Diagrammatic representation of anastomosis of the small intestine to the large intestine. The large intestine has been oversewn so that its lumen approximates the size of the small intestine. The front is still to be sutured.
Image of 12.12
12.12 Serosal patching. (a) Two healthy loops of small intestine are brought alongside the loop of bowel to be patched. Sutures are placed between the mesenteric side of the normal and affected intestine loops. (b) The antimesenteric surfaces of the two healthy loops of intestine are apposed with single interrupted sutures, covering the affected area with bowel. Note: this procedure should only be performed to reinforce healthy bowel. Patching does not remove the need for accurate assessment of bowel viability and resection of unhealthy bowel.
Image of 12.13
12.13 Two closed suction drains, one placed in the cranial abdomen and one placed in the caudal abdomen, used to drain the peritoneal cavity after surgery for septic peritonitis.
Image of 12.14
12.14 Open peritoneal drainage. The linea alba is sutured approximately 3 cm apart with non-absorbable material. This open incision is then covered with a sterile bandage that will require changing every 6–12 hours.
Image of 12.15
12.15 Haemorrhagic splenic mass responsible for haemoperitoneum. Note the multiple masses in the omentum, suggesting local metastatic disease.

More like this

/content/chapter/10.22233/9781910443262.chap12
dcterms_title,dcterms_description
-contentType:Journal
5
5
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error