CLOSURE OF PERFORATION—SUBPHRENIC ABSCESS

Jan 6, 2019 by in CARDIOLOGY Comments Off on CLOSURE OF PERFORATION—SUBPHRENIC ABSCESS

A. CLOSURE OF PERFORATION Print Section Listen INDICATIONS Perforation of an ulcer of the stomach or duodenum is a surgical emergency; however, before performing the operation, sufficient time should be…

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VAGOTOMY, SUBDIAPHRAGMATIC APPROACH

Jan 6, 2019 by in CARDIOLOGY Comments Off on VAGOTOMY, SUBDIAPHRAGMATIC APPROACH

INDICATIONS Print Section Listen The long-term results of vagotomy are closely related to the completeness of the vagotomy and to efficient drainage or resection of the antrum (see Chapter 22)….

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PYLOROPLASTY—GASTRODUODENOSTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on PYLOROPLASTY—GASTRODUODENOSTOMY

INDICATIONS Print Section Listen These procedures may be used when the vagus innervation of the stomach has been interrupted either by truncal vagotomy, selective vagotomy, or division of the vagus…

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VAGOTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on VAGOTOMY

INTRODUCTION Print Section Listen Bilateral resection of segments of the vagus nerves in the region of the lower esophagus is a key component in treating intractable duodenal or gastrojejunal ulcers,…

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GASTROJEJUNOSTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on GASTROJEJUNOSTOMY

INDICATIONS Print Section Listen Gastrojejunostomy is indicated for certain patients with duodenal ulcer complicated by pyloric obstruction. It is indicated also if technical difficulties prevent resection or make resection hazardous;…

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PERCUTANEOUS ENDOSCOPIC GASTROSTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on PERCUTANEOUS ENDOSCOPIC GASTROSTOMY

INDICATIONS Print Section Listen The usual indications for gastrostomy include the need for feeding, decompression, or gastric access. In feeding situations, the gastrointestinal tract must be functional and the need…

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GASTROSTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on GASTROSTOMY

INDICATIONS Print Section Listen Gastrostomy is commonly utilized as a temporary procedure to avoid the discomfort of prolonged nasogastric suction following such major abdominal procedures as vagotomy and subtotal gastrectomy,…

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THORACOSCOPY

Jan 6, 2019 by in CARDIOLOGY Comments Off on THORACOSCOPY

INDICATIONS Print Section Listen This type of approach is ideal for a wide variety of elective and urgent procedures. Through this approach, the lung, mediastinum, pericardium, diaphragm, esophagus, sympathetic chain…

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THORACOTOMY INCISION

Jan 6, 2019 by in CARDIOLOGY Comments Off on THORACOTOMY INCISION

INDICATIONS Print Section Listen This incision is ideal for a wide variety of elective as well as emergency procedures. Through the left side, the left lung, heart, descending aorta, lower…

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