OPERATIONS Flashcards
lap adrenalectomy LEFT
Lateral decubitus position
Foley catheter
Orogastric tube
Flexed table
Camera report
Slightly superior and left a belly button
Working ports subcostal triangulated with camera report
LEFT:
Mobilize splenic flexure (Watch out for the pancreas)
Create a plane medial to the adrenal gland and lateral to the aorta
Divide inferior adrenal vein
Divide phrenic vessels
Divide adrenal arteries
Do right inferior and lateral attachments
Deliver specimen
Inspecting hemostasis
Close ports
lap adrenalectomy LEFT
Oral gastric tube
Floyd catheter
Lateral decubitus
Flex table
Take down triangular ligament of the liver
Retract liver medially with additional port liver retractor
Gain entry through the peritoneum overlying the medial aspect of the adrenal gland.
Plane posterior lateral to the vena cava bluntly developed
Adrenal vein ligation division
Adrenal arteries ligation division
Component separation
Bilateral subcostal incisions three finger breast below cost a margin
Dissection carried down to external oblique aponeurosis
External oblique fascia into your she is released longitudinally with Metzenbaums scissors(Being careful of in pure epigastric) from costal margin to inguinal ligament
Post year rector she just lateral to linea Alba released
4 – 6 inches with external oblique
two – 3 inches with rectus sheath
Femoral hernia repair open without mash
Cooper’s ligament
(rectus sheath margin combines with )
Sew cooper’s ligament to transversalis Fashion
Transition stitch at femoral sheath
then sew to transversus
If you cannot reduce bowel and the femoral hernia approach what maneuver can be done
Cutting the lacunar ligament
cut inguinal ligament
Triangle of doom
VAS
Iliac vessels
Spermatic epigastric vessels?
Triangle of pain
VAS
General branch genitofemoral nerve
Federal branches genitofemoral nerve
Triple tube therapy of duodenal unrepairable injury
G tube
Retro D tube
J tube
