VAGOTOMY
When is vagotomy done?
In cases of peptic ulcer:
· Divison of vagus nerve below diaphragm
· To reduce gastric acid secretion.
Position of the patient
Supine.
Anaesthesia
General.
Steps of surgical procedure
· The incision is given in midline/paramedian.
· Next mobilized left lobe of liver.
· Liver, colon and small intestine packed down and towards right.
· Mobilise lower oesophagus.
· Both nerves identified by palpation.
· Cut between ligatures.
· Specimen sent to histology for confirmation.
Instruments
General set, 1
Laparotomy set, 1
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