Friday, July 4, 2014

General Surgical Procedures 1 Truncal Vagotomy object position anaesthesia steps instruments




general surgical procedure
1.  Vagotomy
Objective
In case of peptic ulcer:
•   Division of Vagus Nerve below diaphragm
•   To reduce gastric acid secretion.
Position
Supine.
Anesthesia
General.
Procedure Steps
•   Incision Midline/Paramedian
•   Mobilize left lobe of liver
•   Liver colon and Small Intestines packed down and toward right
•   Mobilize lower esophagus
•   Sling round lower esophagus
•   Both nerves identified by palpation
•   Cut between ligatures
•   Specimen sent for histology for confirmation
•   Wound closed in layers.
Instruments
•   General set, 1
•   Gastrointestinal set, 1
•   Red rubber catheter (Sling).
Any questions be sent to drmmkapur@gmail.com
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