Hiatal Hernia Essay

As of 2015 (Bariatric Surgery Statistics) Sleeve Gastrectomy is the widely used restrictive kind of bariatric surgery.

2. Name the structure that is a double fold of peritoneum and holds the colon to the abdominal wall.

buildup of gas in the abdominal area. This leads to discomfort, cramps, and bloating. (Ni 2009)

that was very painful. He went into surgery and explained that the hernia was more painful than

Martinez experienced the discomfort of a ventral hernia found on the right lower quadrant of his abdomen. He went to Dr. Kappelman’s office, as an established patient and known to the surgery service. Dr. Kappelman examined Mr. Martinez’s hernia and wanted to monitor it over time. By March 20 of 2013, the hernia symptoms had become unmanageable. Dr. Kappelman decided the most relief would come from surgical repair. Dr. Kappelman’s 37 years of experience and familiarity with his patient’s type of hernia, he was confident in his approach and preparation for Mr. Martinez’s surgery. “If I thought there was something unusual about the hernia, if there was some question about the actual presence of the hernia, I would have evaluated further, but there was no indication for it. Dr. Kappelman spent the previous year monitoring this defect in his patient’s abdominal wall in addition to his symptomology over the previous year. Mr. Martinez was appropriately consented for the ventral hernia repair with the PROCEED Ventral Patch Mesh implantation. “PROCEED Ventral Patch is a sterile, self-expanding, partially absorbable, flexible laminate Mesh device designed for the repair of hernias and other fascial deficiencies”. (EXHIBIT C) The March 20, 2013 surgery of Mesh implantation went smoothly (EXHIBIT A). “The hernia was mobilized removing it from surrounding tissues. The hernia was then opened and Dr. Kappelman noted it contained preperitoneal fat. The

This condition is characterized by symptoms and complications that result from reflux or back of gastric content into the esophagus that extent also into the oral cavity or even the lungs. Common signs and symptoms of this condition include heartburn( burning/stinging), and does note that radiates to the back such as in the case of Peptic Ulcer Disease (PUD). Furthermore, other symptoms patients may experience are a chronic cough, bronchospasm, chest pain not related to a cardiomyopathy, hoarseness, early satiety, abdominal fullness, bloating with belching. Complications related to this disorder are closely linked to esophageal ulceration, hematemesis, melena, stricture development(Dains, Baumann, & Scheibel,

As you can see, it is a tubelike structure made of muscle and lined with mucous membrane. The pharynx functions as part of the respiratory and digestive system because it is located behind the nasal cavities and the mouth. It is the structure that we refer to as the throat. It is about twelve and a half centimeters long and consists of three parts; the nasopharynx, oropharynx and the laryngopharynx. (Anatomy.tv, n.d.) The esophagus branches off of the pharynx which carries food to the stomach. Swallowing takes place in the pharynx partly as a reflex and partly under voluntary control. The tongue and soft palate pushes food into the pharynx, which closes off the trachea. The food then enters the esophagus. The esophagus is a muscular tube extending from the pharynx to the stomach. . (Mohan, 2010). It is about 25 centimeters long. The production of mucus by glands in the mucosal lining as you can see lubricates the tube to permit easier passage of food moving toward the stomach. (Thibodeau & Patton, 2008). Food is pushed through the esophagus and into the stomach by a series of contractions called peristalsis. The lower esophageal sphincter is just before the opening to the stomach. It opens to let food pass into the stomach and closes to keep it there. (Mohan, 2010).

In 1896 Isabel Hampton Robb formed a group of fewer than 20 nurses and the group became the Nurses' Associated Alumnae of the United States and Canada and in 1911 the organization was renamed as the American Nursing Association. In 1889 Isabel Robb became the first Superintendent of Nurses at John Hopkins Hospital and the principle of the Training School. Isabel Robb wrote the very first nursing ethics textbook.

My first nursing intervention was to also get a certified translator. I did not however, have no nursing intervention for the N.G. tube because the diet for a bowel surgery changes to a different diet within 24-48 hours based assess of bowel movement and flatus. I also assess the bowel movement before pain instead because based on Maslow hierarchy the physiological needs to be assess before assessing the patient comfort level. I did check the values of fluids and feeding. You have great interventions. However, I have a different one and a different order.

Shouldice Hospital focus on hernia repair surgery which is mostly performed on males. Shouldice operation strategy

But the lower abdomen is still when someone breathes with the diaphragm. The chest breathing also generates more stress and basically a cycle is started. This cause bodily tenseness and agitates the mind.

As we breathe in, the muscles in the chest wall force the thoracic area, ribs and connective muscles to contract and expand the chest. The diaphragm is contracted and moves down as the area inside the chest increases as air enters the lungs. The lungs are forced open by this expansion and the pressure inside the lungs becomes enough that it pulls

Unique and pioneering surgical technique for Hernia operation which reduced the suffering of the patients and led to rapid

Many people have a hiatal hernia with no symptoms. The larger the hernia, the more likely that you will have symptoms. In some cases, a hiatal hernia allows stomach acid to flow back into the tube that carries food from your mouth to your stomach (esophagus). This may cause heartburn symptoms. Severe heartburn symptoms may mean that you have developed a condition called gastroesophageal reflux disease (GERD).

There are many different types of hernias. The most common type is inguinal which occurs in the groin (Balentine, J.R, 2010). Other types of hernias are femoral, umbilical, incisional, hiatal, sports, and congenital diaphragmatic. Symptoms of a hernia may include pain or discomfort and localized swelling on the abdomen or in the groin area. If a hernia is found the usual treatment is surgery. Most common surgery is laparoscopic.