Friday, July 18, 2014

SURGICAL PROCEDURE 3 Pyloroplasty


3.  Pyloroplasty
Indications
•   In peptic ulcer to drain stomach after Truncal vagotomy.
•   In cancer esophagus after total esophagectomy.
Position
Supine.
Anesthesia
General.
Procedure
•   Locate pylorus.
•   Make a longitudinal incision, 3 to 5 cm on stomach side and 2.5 cm on duodenal side, cutting through the pylorus. Control all bleeding with ligatures.
•   Suture the longitudinal incision in a transverse direction using interrupted sutures.
Instruments
•   General set, 1
•   Gastrointestinal set, 1.

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