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Case study OF PATIENT WITH APPENDICITIS
Case study OF PATIENT WITH APPENDICITIS
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680,000 cases of Acute Appendicitis are reported each year (“Statistics about Acute Appendicitis”). With this many cases, one would think that doctors have a standard for performing an appendectomy. Depending on the situation, a patient could have a choice of which surgery he wants. Although open and laparoscopic appendectomies both successfully save patients, the methods of surgery differ in risk of infections, recovery time, and post-operative pain. An open appendectomy is routinely performed by making an incision in the lower abdomen, pulling the skin apart, exposing the internal organs, and removing the appendix. Since the surgery is performed with the abdominal cavity exposed, it is more likely to get infected. After the surgery, the
Popular television paint a glorified image of doctors removing the seriousness of medical procedures. In the non-fiction short story, “The First Appendectomy,” William Nolen primarily aims to persuade the reader that real surgery is full of stress and high stakes decisions rather than this unrealistic view portrayed by movies.
complications include hemorrhage, perforation, obstruction (from intessusception or volvulus) and neoplasia. In our case the patient had a proximal small bowel obstruction secondary to gallstone ileus with impaction of two smaller stones at a MD. This is exceptionally rare with only 3 cases having been reported in the literature. The techniques for surgical resection of MD are simple diverticulectomy or a segmental small bowel resection. As far as we know, there are no studies directly comparing these two resection techniques. However, as in our case, if the small bowel lumen is in danger of being narrowed or the neck of the diverticulum is wide, a segmental resection is favored over a simple diverticulectomy. [3]
Ahmed M, Nadeem Alam S, Khan O, Manzar S 2007. Post-operative wound infection: A surgeon’s dilemma. Pak. J. Sur. 23(1):41-47.
Frey, K. R. (2007). Surgical Technology for the Surgical Technologist. Clifton Park, NY: Delmar Cengage Learning.
Resection of the colon with anastomosis: A partial colectomy is a procedure whereby removing the cancer and a small amount of healthy tissue around it. An anastomosis which is sewing of the healthy parts of the colon together may also b...
Shouldice Hospital focus on hernia repair surgery which is mostly performed on males. Shouldice operation strategy involves early ambulation following hernia repair surgery that was superior to others. Only external kind of abdominal hernias were repaired at Shouldice Hospital. Internal types, such as hiatus (or diaphragmatic) hernias were not treated. First time repairs (primaries) of hernias involved straightforward operating procedures that required about 45 minutes. Such cases represent 82% of all operations and remaining were patients suffering recurrences of hernias previously repaired elsewhere. The market was targeted by providing following services
A typical surgery involves three entities: the surgeon, the patient and the medium for the surgeon to perform the surgery. The medium allows the surgeon to see and interact with the patient. It may include surgical instruments, camera systems, medical imaging systems or other technologies. In a conventional open surgery
I was once involved in a care of an Autistic teenager who brought in to the Emergency Department for sustaining fever and increased of irritability for three days. After several diagnostic testings, he was diagnosed with Appendicitis, and had to go for emergency surgery. The surgery team performed Exploratory Laparotomy. Coming back from the Operating Room, p...
The Company publishes "Modern Methods of Antiseptic Wound Treatment," which quickly becomes one of the standard teaching texts for antiseptic surgery. It helps spread the practice of sterile surgery in the U.S. and around the world.
Surgical Never Events can happen very easily if procedures to prevent them are not used. Surgical Never Events include foreign objects left inside the patient, wrong site surgery, and performing the wrong surgery on a patient. “There were 148 surgical never events in England between April and September 2013, including one woman who had a fallopian tube removed instead of her appendix” (Nursing Standard, 2014, p.10). It is crucial for these surgical errors to never happen because they are often never caught and can potentially result in a fatality. When patients do not have complications in a reasonable amount of time after surgery the errors are often never found because when they start to cause an issue it is often too late.
Clitoridectomy, also referred to as excision, removes the entire clitoris and the removal of the labia. Thirdly, there is a procedure called an infibulation. This is the most extreme form of circumcision, it consists of the removal of the clitoris, the labia, and the joining of the scraped sides of the vulva across the vagina, where they are secured with thorns or sewn with thread. A small opening is kept to allow passage of urine and menstrual blood. A woman with this type of circumcision must be cut ...
Usually, a local anesthetic is injected into the pelvic area. Then, the doctor makes an incision on each side of the scrotum to reach each vas deferens the tubes that carry sperm. Sometimes a single incision is made in the center. Each tube is blocked. In most procedures, a small section of each tube is removed. Tubes may be tied off or blocked with surgica...
More than 40,000 people a year are so desperate to lose weight they turn to the controversial, sometimes life-threatening surgery such as Gastric Bypass. I will be explaining what the surgery entitles, disadvantages vs. advantages. And most important, is Gastric bypass surgery the right choice when considering the risks. The most common form of “stomach stapling” is gastric bypass. In this procedure, a small pouch is formed in the stomach and stapled shut. The small intestine is then cut and stapled onto the pouch, shrinking the stomach’s ability to take in food. The technique involves removing a section of the stomach and rearranging the small bowel to divert bile and pancreatic secretions away from the food stream. Fats and starches flow through without being absorbed. In order to be a candidate for the surgery, patients must be considered morbidly obese or at least 100 pounds overweight. Before an individual gets the go-ahead, he or she meets with doctors and psychologists to rule out all other ways of help. Surgery may sound like the best option for a morbidly overweight person, but a small figure comes at a high price. There are health risks and the side effects can be fatal. Three people will die during every 1,000 procedures, according to the ASBS. Let me tell you about more disadvantages. More than one-third of obese patients who have gastric surgery develop gallstones. Nearly one in three develop nutritional deficiencies. Patients could also be at risk for anemia, osteoporosis and metabolic bone disease.
The improvements in surgeries, such as less invasive surgeries, having more ways to lessen pain, and surgeries having fewer side effects, has dramatically changed how the Ameri-cans react to the idea of surgery. The idea of less invasive surgery came about in America not soon after improvements in France, “a cascade of events was set in motion that impact on the performance of surgery in the 21st century. The concepts of "surgery through a scope" dated to the end of the 19th century but the technology of the late 20th century made laparoscopic surgery and minimally invasive surgery not an isolated event but a reality,” (Mack, Minimally Invasive). This is a major improvement that makes surgery more appealing to Americans. This same article tells of the problems of invasive surgery, “The pain, discomfort, and disability, or other morbidity as a result of surgery is more frequently due to trauma involved in gaining access to the ar...
On my first clinical rotation outside of 5w, in the Roanoke Memorial Hospital, I had the pleasure of visiting the OR. My last week of clinical rotation, I got the opportunity to witness two different cases. I saw a hemorrhoidectomy, and a Laparoscopic colectomy. Although I only had an opportunity of witnessing the hemorrhoidectomy in the middle of the procedure, both procedures were quite invasive. There were both very interesting to watch.