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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.
Education of the patient will begin. Depending on the size of the abscess and how extensive the procedure was the patient may need a relative or friend to drive them back home. Not only would the patient need a ride back home, they may need to be watched for 24 hours. As part of pain management pain medication may be given to the patient to decrease pain. Antibiotics may be given to fight or prevent infection caused by the bacteria. The patient will also need to list all medications that they are taking so there will not be any contraindications with the medications that the patient is given. Advise the patient that more than one follow-up appointment will be necessary in order to properly treat the wound. Before the end of the appointment, the medical assistant should give the patient written instructions along with an emergency number and the number to the practice incase the patient has any questions or concerns. Advise the patient to return to the practice if they experience any fever, chills, or the abscess returns. If red streaks appear around the wound tell the patient to call the emergency department immediately. After the the procedure and patient education has been completed, make sure all the step of the procedure has been documented in the patient’s record and all follow-up procedures have been
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.
Dr. Nolen's purpose for writing "The First Appendectomy," which speaks about his first execution of an appendectomy, was to inform. Dr. Nolen writes explains the procedures in performing an appendectomy and the possible complications that can and did occur during his first operation. Dr. Nolen informs readers that, “There are five layers of tissue the abdominal wall: skin, fat, fascia (a tough membranous tissue), muscle
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...
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...
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
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.
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.
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.
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 ...
...y within a medical setting has stepped away from the shadows and into a brighter future with the development of the da Vinci Surgical System in the medical world. Before the surgical robot, doctors or surgeons would have had to make several incisions to their patient’s body, which would cause the patients recovery to be elongated and possibly painful. The da Vinci Surgical System allows surgeons to make smaller, less visible incisions to the patient’s body and have a better precision during the procedure. Throughout several years, surgeons relied on their typical laparoscopic surgery to be able to provide patients with the procedures that required them to make large incisions through the patient’s abdomen. Nowadays, surgeons and their patients can have a sigh of relief because the surgical robot provides surgeons with the precision that they long strived for.
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...