Cyst Case Study

The key facts that the investigators are found in this study are: Placement of a urinary catheter for >2 days postoperatively can expand the possibility of CAUTI. Patients’ points of view on peri-operative catheterization were caused to recognize patient factors that energize or discourage timely catheter removal. Patients had an absence of information regarding catheterization and an inadequate inclusion in the choice for catheter removal with an absence of latrine facilities, which may add to extended catheterization and an expanded danger of CAUTI. The procurement of sufficient data to patients who need short-term catheterization connected to formal consent will expand patients’ awareness and may help decrease catheter duration and decrease the danger of

Through extensive research into catheter associated urinary tract infections there are many different approaches to reducing the modifiable risk factors and the incidence of catheter associated urinary tract infections in the hospital setting that can be used in any unit to reduce the liability of catheter associated urinary tract infections. According to (Gesmundo, 2016)) the prolonging of the catheter removal is one of the major reasons for catheter associated urinary tract infections. When adopting the principles of how to lower the rate the success begins at the time of admission and

DOI: 2/25/2016. Patient is a 47 year old female injury environmental assistant /housekeeper who sustained a work related injury when she lifted trash bag into bin and aggravated previous hernia. The patient was subsequently diagnosed with incisional hernia with obstruction. As per medical report dated 6/6/16, the patient reported pain at the umbilical incision. Bulge and increasing severe pain is noted for a few months. It is tender; bulging; stabbing; sharp; and deep. The pain is constant for few months. It was also noted that the patient had umbilical hernia repair 2 years ago. Recent onset of pain for the last few months is located in the periumbilical area and to the left side of it. Pain is interfering with her work. Alleviating factors

The complication is determined by any existing medical problem and the postoperative management. The complication should be treated considering the patient medical history in mind to avoid further problems. Initial signs include but not limited to pain, fever, dehydration and confusion. Most complications happen within minutes of surgery or days after surgery. Late complication may be bowel obstruction due to patient lying in one position for a long time, infection on the wound, pneumonia, nausea and vomiting and insomnia. When nurses advocate for the patients and identify the symptoms might help from becoming worse. Complications may also be influenced by other various causes, comprising of pain, sleep disturbance, medication or metabolic disorders, Nausea and vomiting: analgesia, paralytic ileus, Fever, Secondary hemorrhage often caused by infection, Pneumonia, wound not healing well. Report to the surgeon who may treat and prevent further damage to the

A research done by Tambyah and Oon (2012) shown that the prevalence of infection related to urinary catheter is of significant concerned issues globally. About 75% of the urinary tract infections result from urinary catheter and between 15-25% of the hospitalized patients need catheterization during their hospitalization in adult settings (World Health Organization, 2014). However, as evidenced by statistics done by Centers For disease Control And Prevention (2015), there is a significant decrease of 6% in the catheter infection from 2009 to 2014. As a result, however, the National Infection Prevention targetted to further reduce the infection rate by 2020 with reduction by 25%. Furthermore, catheter related infections had proven to increase mortality rate and increased period of hospitalization. Decisions and encouragement on reduced catheterization is one of the ‘Top Ten’ Patient Safety Strategies (Shekelle et al, 2013). However, at some situations, catheterization is needed. As known, the indication of urinary catheterization is for strict intake output of patients, patients having urinary incontinence and critically ill patients, especially bed-ridden patients (Wilson, 2011). Urinary catheter insertion is one of the procedures in the National Patient Safety Goal Programme (The Joint Commission, 2014) as it is among the procedures with high risk exposure to infection. Once infection is introduced,

Patient Charlie, a police officer and father of three was experiencing intense pain in his abdominal, pelvic, and sacral regions. Charlie was told he would need a laparoscopic hernia surgery as soon as possible. To begin the surgery doctor Carlos Garcia makes three small cuts, one to the right of the inferior and within the umbilical, the second in the lower abdominal area below the thoracic cavity, and in the final incision the navel is pulled apart. This allows Doctor Garcia to make a half inch lateral incision. Next, the doctor inflates the abdominal cavity with C02 gas to insert the procar which he aims towards the pelvic region. Once the scope is inserted we see the difference between the left and right inguinal. The hernia is in the right

Methods: 71 Patients with pancreatic pseudocyst underwent endoscopic (n=35), laparoscopic (n=4) or open surgical drainage (n=32). The primary outcome was the primary and overall success rate. The secondary outcomes were estimated blood loss, operative time, opioid requirement, morbidity and mortality, length of hospital stay, hospital cost and recurrence rate.

7-9 Related complications such as migration, infection, pyelonephritis, breakage, encrustation, and stone formation are not uncommon.22,23 Placement of ureteric stents results in additional costs. Furthermore, unless a pull string is routinely used at the distal end of the stent, secondary cystoscopy is required to remove the stent, which has cost implications and the potential to add to the disruption of patients’lives.

Indwelling central venous catheters (CVCs) have been in use for the last 3 decades and offer a more simplified approach for children and adolescents who must endure frequent intravenous access for treatment {Hastings, 2002 #6}. Well-known complications are line infection, thrombosis, occlusion, migration, and fracture with possible subsequent embolization. Less common complication is retained CVC, following unsuccessful removal. This situation is reported in 0.4%–2% of all line removals {Maizlin, 2010 #8;Milbrandt, 2009 #7}. Adherent tunneled catheters can usually be removed by a surgical cut down, but in some cases the line can become stick to the wall of the central veins. In such cases, forceful traction can cause vascular injury, or fracture of the catheter {Field, 2007 #9}. We present challenging cases of a patients with stuck tunneled catheter, which could be securely removed by combined surgical and endovascular techniques.

• A catheter will be inserted into your child’s bladder to drain urine during and after surgery (urinary catheter).

Surgery remains a cornerstone of peritonitis treatment. The operative approach is directed by the underlying disease process and the type and severity of the intra-abdominal infection. In severe abdominal sepsis, however, delays in operative management may lead to a significantly higher need for reoperation and to worse outcomes overall; early exploration (i.e., before completion of diagnostic studies) may be indicated. Surgical intervention may include resection of a perforated viscus with reanastomosis or the creation of a fistula. To reduce the bacterial load, lavage of the abdominal cavity is performed, with particular attention to areas prone to abscess formation (eg, paracolic gutters and the subphrenic area). Laparoscopy

•Laparoscopic biopsy involves inserting a laparoscope, a thin tube with a tiny video camera attached, through a small incision to look inside the body to view the surface of organs. The health care provider will insert

Since, Janet has three children and is a single parent. She needs the support of a social worker to assist her with further support. E.g. her finances and the care of her children. Janet needs a Physiotherapist to support her with her recovery and mobility in order to regain her strength and physical activity. (Brown et al., 2014). So, can continue doing her day to day activities. It is possible that Janet has urinary retention issues (post-operatively), due to temporary bladder atony, which indicates the use of an indwelling catheter, can record urine output. (Odom-Forren, 2017). A catheter can remain in the body for up to 2 days in order to maintain constant drainage. This is done to prevent the bladder straining on the suture line. Encourage Jane for mobility, such

Acute appendicitis, leading to laparoscopic surgical appendectomy. This is focus is a relevant topic because appendicitis is known to be the single most frequent cause of abdominal pain requiring abdominal surgery, affecting people of all ages (Sengupta,

A laparoscopic approach appears to be associated with a reduction in surgical trauma and blood loss. In addition, it is presumable that some of the benefits of minimally invasive surgery such as reduced analgesic requirements, a shorter recovery period and reduced hospital stay (Kuhry, 2005). It has become a forerunner in the quest of improving surgical results by dropping postoperative pain and lessening recovery time. Yet, the use of laparoscopic instruments can be awkward and cumbersome, thus escalating operative time and dropping dexterity, which can