An ostomy is a surgically formed opening from the inside of the body to the outside of the body. In this procedure, the intestinal mucosa is brought out to the abdominal wall. A stoma, which is attached to the skin, is formed by stitching the mucosa to the skin. There are different types of ostomy procedures performed such as an ileostomy and a colostomy. Ostomy surgery is vital for patients to perform fecal elimination.
Ostomy Care
An ostomy is a surgically formed opening from the inside of the body to the outside of the body. In this procedure, the intestinal mucosa is brought out to the abdominal wall. The stoma is attached to the skin and is formed by suturing the mucosa to the skin (Taylor, 2011, p1325). Not many ostomy surgeries were performed before the 1700s. Jean Amoussat, a French surgeon published a report of stoma operations between 1716 and 1839. On his report he found that 27 operations were performed with only 6 survivors. Due to the high mortality rates from documented surgeries, surgeons were afraid to perform ostomies because of the effect it could have on their reputations. With the development of anesthesia during the 1800s, surgeons began to use diverting colostomy to manage bowel obstruction.
Stomas were first known as fistulas that spontaneously developed during bowel movements. One surgeon noted the correlation between a fistula development and the patient’s survival. The surgeon stated in his journal that surgeons should take lessons from Mother Nature, and since then, ostomy surgeries were planned to improve mortality rates. By the 1900s, surgeons were able to use autopsies of deceased patients that had ostomy surgery to learn what mistakes were made. Ostomy surgeries then became a realisti...
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...etrieved from http://education.surgery.ufl.edu/Lectures/History of Ostomy Surgery.pdf
Duchesne, J. C., Wang, Y., Weintraub, S. L., Boyle, M., & al, e. (2002). Stoma complications: A multivariate analysis / discussion. The American Surgeon, 68(11), 961-6; discussion 966.
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Reed, Karen S, MSN, DHSc, RN,C.N.L., C.R.R.N. (2012). Bags and blogs: Creating an ostomy experience for nursing students. Rehabilitation Nursing, 37(2), 62-5. Retrieved from http://search.proquest.com/docview/1002737895?accountid=158428 Stomas - General Surgery | Fastbleep. (n.d.). Retrieved from http://www.fastbleep.com/medical-notes/surgery/8/8/276
Taylor, Carol. Fundamentals of nursing: the art and science of nursing care. 7th ed.
Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011. Print.
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.
Mink Intro – External Anatomy Overview. (n.d.). mreroh.com . Retrieved May 27, 2014, from http://www.mreroh.com/student/apdocs/Dissection/Intro%20-%20External%20Anatomy.pdf
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
By the end of the century, a new type of surgery was being used called
Do diagnostic Medical Sonographers actually help begin a new life? Yes, according to researchers they do help patients indicate any problems that there may be and what may be expected. This essay will talk about Diagnostic Medical Sonographers and everything it takes to become one and how to become successful as well as why they are important to our global community. Sonographer’s are also known as ultrasound Technicians, they are very important in the medical field because they help patients and physicians diagnose and treat diseases as well as other medical information. The following paragraphs will talk about the information of the Salary and also the Job Responsibilities. With the technicians continuously providing
“Surgery.” Brought to Life Exploring the History of Medicine. Science Museum, London, n.d. Web. 23 Jan. 2014.
Osteonecrosis has become a subject of interest amongst orthopaedic surgeons predominantly during the last four to five decades.
The pancreas can be divided into two sections when studying the histology. The pancreas has exocrine and endocrine functions, each with unique cell types. The exocrine pancreas serves to secrete digestive enzymes into the duodenum. Some of the specific enzymes and secreted substances are Proteases, lipase, amylase, bicarbonate, and water (Bowen, “Exocrine Secretions”). These enzymes are used to break down protein, fat, and carbohydrates respectively. The bicarbonate simply act as an acid buffer to prevent damage of the small intestine as the stomach acid must be neutralized. The enzymes are created in acinar cells and the bicarbonate is synthesized in epithelial cells surrounding pancreatic ducts (Bowen “Exocrine
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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.
Endoscope: a bendable telescope placed inside the rectum so the surgeon can do a visual exam
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Arthrogryposis is a disorder in which a child is born with joint contractures; this means some of their joints may be stuck in one position (curved or crooked). Children born with this disorder may have thin, weak, stiff, or missing muscles around these joints. The most common cause of arthrogryposis is fetal akinesia which is where the baby doesn’t move around a lot in the womb during development. Extra tissue can form in the joints making movement more difficult for the child to move. The reasons that fetal akinesia can take place may be because the womb was abnormally shaped so there wasn’t enough room for the baby to move around, amniotic fluid may have leaked out of the womb, or the baby’s parts did not form normally such as joints, bones, and muscles. They have also found that in approximately one third of the children who have this disorder have been determined to be a genetic cause.
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The history of anatomy and physiology dates back to ancient Egyptian times when humans were mummified after death and bodies would be stripped of their internal organs during the embalming process. It was not until much later when Hippocrates II, known as the father of medicine, was the first to write about human anatomy. Shortly after that, the Alexandrian Medical School was established, where human dissection was allowed for the first time, which promoted research and new discoveries in the field. From there, many other influential researchers came up with theories regarding the cardiovascular and nervous systems, etc; however, the missing links in some of the earlier theories was found with the discovery of the microscope, which changed the focus of research and led to many advancements in the field.