Anal Sacculectomy: Therapeutic Detection

Dressing Removal A. Raise the tubing connectors above the level of the therapy unit B. Tighten clamps on the dressing tubing and canister tubing and disconnect C. Press THERAPY ON/OFF to deactivate the pump D. Gently remove drape from the skin E Gently remove foam from wound 1. If foam dressing adheres to wound base, introduce 10-30 ml of normal saline into foam, let stand, and then remove 2. If foam dressing adheres to wound base, may consider applying a single layer of non-adherent, porous material such as Adaptic, Xeroform, or Mepitel to serve as a barrier between the wound base and the foam dressing F. Discard disposables in accordance with regulations Maintaining the V.A.C. Device A. The V.A.C. canister should be changed when full (unit will alarm) or weekly B. Patient may be disconnected from unit for specific activities, but no more than 2 hours per 24 hour period C. To disconnect from the unit: 1. Close clamps on the tubing 2. Turn the unit OFF 3. Disconnect the dressing tubing from canister

The Pfannenstiel incision is most typically used for cesarean dissection. This is a transverse incision typically carried out two fingers width above the pubic symphysis. The incision is made through the subcutaneous fat, then through the underlying fascia.6 The fascia is then separated from the abdominal muscle bellies, and the abdominal muscles are separated by finger dissection or sharp dissection if necessary.6 The periosteum is then opened with either finger or sharp dissection, and the intraperitoneal cavity is revealed.6 Operations that allow for finger dissection tend to have better outcomes than operations that use sharp dissection of muscle bellies and connective tissue. In the end, surgeons will separate all four layers of the abdominal muscles at the linea alba.6 The separation of abdominal muscles is likely to cause inhibition of the muscles immediately after surgery. Without proper rehabilitation, this inhibition may last for a prolonged period of time.

Then the patient was transferred from one stretcher to the operating room (OR) stretcher. The patient was put to sleep with general anesthesia. After he went to sleep a tube was put into his throat to help with the airway. The patient also had a Foley catheter inserted; was told the catheter will stay in for a few days after surgery. Compression devices such as sequential compression device (SCD) were added to the patients legs this helps to keep the blood circulating in his legs. Monitors were used to observe his vital

The surgery procedure was performed a large ventral midline laparotomy started from the xiphoid process to a point caudal to the umbilicus for enable complete abdominal exploration. After spleen was examined, packed the abdomen with sterile wet gauze and measurement splenic volume by CT. After CT scan was done, spleen was taken out and placed on wet gauze. Then, dropped epinephrine 10 g/kg onto the splenic surface and waiting for 5 minutes before measurement the splenic volume by CT again. When all of the procedure was done, the abdomen was sutured.

The surgery is often performed laparoscopically, which means smaller surgical cuts, shorter recovery time, and reduced chance of risks and complications.

When providing care for an indwelling catheter it’s important that you provide patient comfort with minimal exposure of genital areas when needed for privacy and respect towards the client. Before beginning care, you would position a female patient in a dorsal recumbent position and a male in the supine position, followed by placing a waterproof pad underneath the client’s buttock. These positions are necessary in order to ease visualization of the genital area and provide proper care. In addition, you would place a warm blanket only exposing the perineal area along with the catheter for comfort. In order to provide easy access for you to clean around the catheter you should remove the catheter from the securing device while keeping the catheter

catheter into the patients’ vein. In this part of the procedure the nurse will set up supplies on a bedside table to help facilitate a clean I.V. insertion insuring no bacteria is introduced into the patient. The nurse can then access the patients arms for sufficient site to place the I.V. Once the appropriate site has been chosen the nurse will then apply a tourniquet approximately 4 inches above the insertion site. Next the skin at the site is prepped with an antimicrobial agent such as alcohol or chlorohexidine. With the nondominate hand the nurse will hold the skin around the site taught. With the dominate hand the nurse will hold the needle at a 10- to 30-degree angle to the skin and in one steady fluid motion pierce the skin and continue into the vein while observing the flash back chamber for blood. Next the needle is lowered to almost parallel to the skin and with the index finger the nurse will guide the catheter over the needle and into the vein. The nurse will then remover the needle, attach an extension and hub to the I.V. catheter, and secure it in place with a sterile transparent dressing. Now the patient is ready to receive the prescribed therapy.

Assess patient incision and G-tube site. Change and clean around the incision site. Suction patient ‘s trach and remove secretion to prevent pneumothorax and congestion.

2.10) Open the peritoneum of the abdominal cavity and take care to avoid cutting abdominal organs.

Now that you are better informed, you have a better idea of when you need to take them immediately to the vet when stomach troubles strike. While mild intestinal disorders will strike your dog during its lifetime, moving your underwear to an unreachable shelf will at least prevent that being the cause of a vet

Our series reinforces the feasibility and safety of laparoscopic management for distal catheter complications. The advantages of the laparoscopic approach include a shorter hospital stay because of less postoperative pain. The catheter is positioned under direct vision with less bowel manipulation, thus reducing the risk of bowel injury and the development of adhesions(3). Laparoscopy allows us to replace the shunts in the abdominal cavity under direct visual guidance and cut them to appropriate size if necessary.

When finally put in place the doctor will connect the arteries and veins. At this time the doctor will inspect the suture lines to make sure that there is no leaking of blood. Then the bile ducts will be attached to the liver. After everything is connected to the new liver the doctor will start the process of closing the surgical site. The doctor will accomplish that by closing the site with either sutures or staples. A drain will also be placed to help reduce the swelling. Then a bandage will be placed over the wound.(Liver Transplantation Procedure;

Surgery is a central component of managing anorectal fistulas and a requirement in patients who are experiencing symptoms [1]. Surgical goals include draining the site of infection, eliminating the tract of the fistula, preventing recurrence, and maintaining anal sphincter function [2]. Unfortunately, due to high fistula variability, surgical repair is complex, challenging, and dependent on both the experience and judgment of the surgeon [2].

To understand the Laparoscopic Adhesiolysis procedure, we must first understand what adhesions are. Adhesions are fibrous bands of scar tissue that form between tissues and organs. It’s kind of an internal scar tissue that connects tissues which are not normally connected. They usually form after an abdominal surgery, or after a bout of gastrointestinal or intra-abdominal infection such as diverticulitis, pelvic inflammatory disease and the like. Almost 95% of all people who undergo an abdominal surgery develop adhesions, as they are a part of the body’s natural healing process.

The surgical treatment for the diseases related to the gall bladder, liver, pancreas as well as oesophagus, stomach and small bowel that is the upper gastrointestinal tract) is known as the GI surgery. It is performed under the care of the general surgeon who has a specialist interest in upper gastrointestinal surgery. The conditions treated are many and varied; they often require the assistance of gastroenterologists and specialist nurses who boast specialization in the cancer care and inflammatory bowel