Difference between revisions of ".NDU2MQ.MjYyMDM"
(Created page with "<html><p> Intusseption</p> <p>Operation not indicated until</p> <p>evidence of obstruction</p> <p>[sketch] Peritoneum</p> <p>&n...") |
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| Line 14: | Line 14: | ||
<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 I [leave?]</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] caution as knife</p> | ||
| + | <p> </p> | ||
| + | <p> </p></html> | ||
Revision as of 21:53, 8 May 2019
<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 I [leave?]
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] caution as knife
</html>
