Thursday, March 1, 2012

GASTROSTOMY PROCEDURE 4

Gastrostomy

When is gastrostomy required ?

In cases of;

* Obstruction of oesophagus e.g.carcinoma to feed the patient and drain the stomach
* In cases of prolonged ileus or pacreatitis to keep stomach empty

Position of patient.
Supine.

Anaesthesia
General or local

Surgical steps

*Small midline incision
*Left anterior wall of stomach is held between two babcock's forceps midway between greater and lesser curvature
*Two purse string sutures from a selected site for entry.
*The stomach is incised at the selected point.A 14F foley's catheter is inserted through the opening and the two purse string tied around the catheter.
*The catheter is brought out through a stab on the anterior abdominal wall
*The stomach is anchored to the posterior peritoneum and rectus sheath.

Instruments used
*Laprotomy set
*Foley's catheter 14F
*Fine artery forceps 4
 
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