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).

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