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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