Thursday, February 23, 2012

PYLOROPLASTY PROCEDURE 3


PYLOROPLASTY

What are the indications of pyloroplasty?

·        In cases to avoid holding up to stomach contents.

·        In patients of peptic ulcer after truncal vagotomy.

·        In patients having cancer of oesophagus after total oesophagectomy to enlarge the passage of the pylorus.



Position of the patient

Suspine.

Anaesthesia given

General.



Surgical steps

·        First the pylorus is located and a longitudinal incision, 3 – 5 cm on stomach side and 2.5cm on duodenal side is given cutting through the pylorus. All bleeding is controlled with ligatures.

·        The longitudinal incision is sutured in a transverse direction using interrupted sutures.



Instruments used



General set, 1

Laparotomy set, 1

Fine artery forceps, 4

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