Difference between revisions of ".NDU2MQ.MjYyMDM"
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<p>sut use Pauls Tube or heavy</p> | <p>sut use Pauls Tube or heavy</p> | ||
<p>tubing milking gut in</p> | <p>tubing milking gut in</p> | ||
| − | <p>tube to relieve gas etc.</p></html> | + | <p>tube to relieve gas etc.</p> |
| + | <p>When find gangrenous gut in</p> | ||
| + | <p>Hernia generally have Ileus</p> | ||
| + | <p>so safer to do euterstomy so as</p> | ||
| + | <p>to drain source of infection</p> | ||
| + | <p>Xcise gangrenous portion & sut.</p> | ||
| + | <p>ends to Parietal Peritoneum &</p> | ||
| + | <p>over & over sut - put tube</p> | ||
| + | <p>drain in each end of gut</p> | ||
| + | <p>coming out thru ring</p> | ||
| + | <p>In Obstruc. where pt. in xtremis</p> | ||
| + | <p>pick up first loop of gut, put</p> | ||
| + | <p>tube in each end & sut. to</p> | ||
| + | <p>parietal peritoneum, which acts</p> | ||
| + | <p>as drainage - obstruc to be</p> | ||
| + | <p>relieved later if this helps</p> | ||
| + | <p>out pat.</p> | ||
| + | <p> Colostomy</p> | ||
| + | <p>McBurney incision on</p> | ||
| + | <p>left side - loop pulled</p> | ||
| + | <p>up thru incis. - parietal &</p> | ||
| + | <p>visc. peritoneum sutured.</p> | ||
| + | <p>Tube under loop till peritone</p> | ||
| + | <p>united & gut ready to open</p> | ||
| + | <p>This for temporary or perma-</p> | ||
| + | <p>nent where drainage desired.</p> | ||
| + | <p>Gut opened [symbol with] cautery or knife</p> | ||
| + | <p> </p> | ||
| + | <p> </p></html> | ||
Latest revision as of 17:49, 29 June 2021
<html>Intusseption
Operation not indicated until
evidence of obstruction
[sketch] Peritoneum
Gut may slough at 1, when
have natural cure
Cut into bowel at 2.
Amputate intussepted at 1
part & close 2. with over & over
& Leuchert
Obstruction [symbol with] Ileus
Pick up first loop of bowel
come to 8 with purse string
sut use Pauls Tube or heavy
tubing milking gut in
tube to relieve gas etc.
When find gangrenous gut in
Hernia generally have Ileus
so safer to do euterstomy so as
to drain source of infection
Xcise gangrenous portion & sut.
ends to Parietal Peritoneum &
over & over sut - put tube
drain in each end of gut
coming out thru ring
In Obstruc. where pt. in xtremis
pick up first loop of gut, put
tube in each end & sut. to
parietal peritoneum, which acts
as drainage - obstruc to be
relieved later if this helps
out pat.
Colostomy
McBurney incision on
left side - loop pulled
up thru incis. - parietal &
visc. peritoneum sutured.
Tube under loop till peritone
united & gut ready to open
This for temporary or perma-
nent where drainage desired.
Gut opened [symbol with] cautery or knife
</html>
