Scribd
Upload
35 views1 page

Img 0069

This document provides information about performing a small bowel resection surgery. It begins with a definition of small bowel resection as excising a diseased portion of the small intestine and rejoining the remaining healthy parts. Key steps described include making an incision, dividing the mesentery, resecting the affected segment, restoring bowel continuity via stapling or suturing, and closing the abdomen in layers. Considerations are given for performing the surgery as an isolated procedure or as part of another operation involving other organs. Equipment, supplies, and special notes are also listed.

Uploaded by

O'jays Navarro
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
35 views1 page

Img 0069

This document provides information about performing a small bowel resection surgery. It begins with a definition of small bowel resection as excising a diseased portion of the small intestine and rejoining the remaining healthy parts. Key steps described include making an incision, dividing the mesentery, resecting the affected segment, restoring bowel continuity via stapling or suturing, and closing the abdomen in layers. Considerations are given for performing the surgery as an isolated procedure or as part of another operation involving other organs. Equipment, supplies, and special notes are also listed.

Uploaded by

O'jays Navarro
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

I

l8

Surgicol Procedures lncluding Minimol Access Procedures

costrointestinot Surgery

e I lp

the pubic symphysis, and down to the table at the sides. For a thoracoabdominal approach, begin at the incision extending from the shoulder to the iliac crest, and down to the table anteriorly and pgsteriorly.

Droping
Folded towels and a transverse or laparotomy sheet

Equipment
Suction

leep an-accurate record ofirrigation fluid used. Eave rubber-lho.d clamps lprerre"i, ti...r" au__ "ead[, age to bowel). feep all soiled instruments isolated in a basin. Have long, free ties ready. lll,ozen settion may be requested. ..{1t:o" may request a..,cGan', closure of the abdomen; - f,nrs.rq_urres regowning, regloving, redraping, and a BasiclN4inor procedirres tray.

Electrosurgical unit Pillows, pads for positioning (for thoracoabdominal approach)

TAtt.BOWEt
Definition

RESECTION

lnstrumentotion Major procedures tray Long instruments tray Gastrointestinal procedures tray Hemoclip appliers (various sizes and lengths) Long blunt nerve hooks \2, e.9., Smithwick) Automatic stapling devices (optional) Large self-retaining retractor (e.g,, Balfour)
Supplies Blades (2) No. 10, (1) No. 15 Basin set Needle magnet or counter Suction tubing Electrosurgical pencil Hemoclips (variety) Staples (optional)

Ercision of a segment of the small intestine to remove a 3**_.11y:,ion. sangrenous porrion ;f ;h";;;;i'; rcmaining small bowel js anastomosJd';;;ilil;; nore distal small bowel or colon.
Eliscussion

lrcrtoratron, or source ofa hemorhhage, and so on. The

case, tumors-.of adjacent organs, and inflammatory "L"t.*ii* [rocesses as diverticulitis or tubo-ovarian abscess.

fticqdures because of adhesive

$mall-bowel resection is infrequently performed as an &olated procedure ro. i"guil'*;;{;;;;; disease, "* rare primary tumors; and mesenteric infarctions. More cf,en, the small bowel is resected in the course of other

["we]

dis_

Plocedure

For Thoracoabdominal Approach, Add


Chest tubes (e.g., Argyle)

Intrapleural seiiled drainage unit (e.g., Pleurevac)


Y-connector Bulb syringe

SpeciolNotes
Check that blood has been ordered and is available,

Weigh sponges.

blen

6epatient has had prevrous surgery and there are if ""."..iUi"] "specially adEslons. 'I'he mesentery is divided, ligating vascular -;;;l;;:" j;;;;: rbuctures; the a ffected segment i. ; nrity of the bowel is restoied Uv .-"i"ri"g 'tie end".of lleremaining small bowel togeti;il;;atic stalxrng devrce may !e employed or one_ or two-layered rnastomoses may be performed. The abdomen is closed D layers. , As Part of Another p-rocedure. Similar steps are
leaving the

_ 6at the entire small bowel is

As an Isolated procedure. An incision is made

so

tcrent organ

resected,"s;;;t;;;;il;"
""i"",

also to be resecild (e.g.,

the

ad_

a"u"vt.

You might also like