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
*Fine artery forceps 4
Any questions be sent to drmmkapur@gmail.com
All older posts are stored in archives for access and review.
Visitors that follow may post contriburions to the site.
To create consumer/provider engagement visit www.surgseminar.blogspot.com
