Topographical anatomy and surgery of stomach. Gastrostomy. Sew up of the perforate ulcer. Тopographical anatomy of spleen and pancreas. Operations on them

E) put on camps and binding of the vermix in its basis?

27. Notice operative access which passes through Mack-Burney’s point:

а) Bergman-Israel;

b) Lenander;

c) Pirogue-Ovtanyan;

d) Dyakonov-Volckovych;

e) Fedorov.

28. Point operative access which is used in appendectomy:

а) left lateral pararectal laparotomy;

b) Lenander’s;

c) Pirogue’s;

d) Fedorov;

e) Outanyan.

1. Point vessels which can be injured in liver-stomach ligament in it’s injury:

а) right and left stomach-omental arteries and veins;

b) general liver artery and portal vein;

c) right and left stomach arteries and veins;

d) short arteries and veins of stomach;

e) right abd left liver arteries and veins.

2. Point vessels which can be injured in stomach-intestinal ligament in it’s dissection:

а) right stomach artery and veins;

b) right and left stomach-omental arteries and veins;

c) upper mesenteral artery and veins;

d) left stomach artery and veins;

e) general liver artery and portal vein.

3. Point vessels which can be injured in stomach-lien ligament in it’s injury:

а) left stomach artery and veins;

b) left stomach-omental artery and vein;

c) short arteries and veins of stomach;

d) right stomach-omental artery and vein;

e) right stomach artery and veins.

4. What lymphatic nodes can be enlarged first of all in metastasis of cancer of small flexion of the stomach:

а) near gates of spleen;

b) longitudinally through body and tail of pancreas;

c) into pyloric lymphatic nodes;

d) lymphatic nodes of the omentum;

e) abdominal trunk?

5. Definite kind of laparotomy for execution gastrotomy:

а) upper medial;

b) median medial;

c) leftside transrectal;

d) rightside transrectal;

e) upper transverse.

6. Point what stitches are used for sew up the perforative foramen of the body without recession of perforal edges:

а) two-rowed: first row – Shmiden’s stitch, second row – Lamber’s stitch;

b) two rowes of serous-muscular Lamber’s stitches;

c) Shmiden’s stitch;

d) P-liked stitches with gasping omentum on the peduncle;

e) two-rowed: first row – twined, second row – Lamber’s stitch.

7. Choose technique of sew up the wound of stomach after gastrotomy:

а) two-rowed: first row – Shmiden’s stitch, second row – Lamber’s stitch;

b) two rowes of serous-muscular Lamber’s stitches;

c) Shmiden’s stitch;

d) P-liked stitches with gasping omentum on the peduncle;

e) two-rowed: first row – tobacco-bag stitch, second row – Z-liked stitch.

8. How to renew possibility of coming food into the stomach after injury of gullet:

а) through gastrostome by Vitcel’s method;

b) through gastrostome by Toprover’s method;

c) continue feeding through sawn gullet;

d) through gastrostome by Sapozhkov method;

e) execute plasty of gullet?

9. How to renew possibility of coming food into the stomach in unoperable tumour of the gullet:

а) through gastrostome by Vitcel’s method;

b) through gastrostome by Toprover’s method;

c) continue feeding through sawn gullet;

d) through gastrostome by Shtamm-Senn-Cader’s metgod;

e) recession of gullet and replace it with artificial?

10. How do you put gastrostome by Toprover:

а) sew up the tube into anterior surface of the stomach with it’s next fixation in the foramen of stomach by tobacco-bag stitch;

b) dip rubber tube into gap of the stomach with it’s wall and fix it by three tobacco-bag stitches;

c) lead tube into cut on the conuse which is formed on the anterior surface of the stomach with the help of three tobacco-bag stitches;

d) lead tube into the stomach through the clutch, which is formed form the flap of the wall of stomach;

e) lead into the cut of stomach catheter with obturator?

11. Point volume of stomach which is recessed in economic resection of the stomach:

а) 2/3;

b) 4/5;

c) 3/4;

d) 1/2;

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