Tagged: perioperative

Kidney Transplatation

Kidney Transplantation

  Definition The implantation of a kidney from a living donor or cadaver donor (kidney harvesting) to a tissue-matched recipient. Discussion Kidney transplantation is usually performed on an otherwise healthy...

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Rhinoplasty

Definition Cosmetic reconstruction of the external nose. Discussion In addition to cosmetic effect, a rhinoplasty can be performed to alleviate nasal airway problems usually caused by a deviated septum or...

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Rhytidectomy

Definition The removal of excess skin of the face and neck area, and the tightening of underlying support structures, such as muscle and superficial fascia. Discussion A rhytidectomy is often...

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Augmentation Mammoplasty

Definition The insertion of an implant behind or under the breast tissue, to increase its size. Discussion This procedure may be performed: After a subcutaneous mastectomy. On a patient whose...

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Blepharoplasty Surgery

Definition Excision of a protrusion of periorbital fat, and resection of excessive redundant skin of the eyelids. Discussion The procedure may be performed on both the upper and lower lids,...

Correction of Scoliosis

Correction Of Scoliosis

Definition The insertion of various rods, frames, or other fixation devices that act as internal splints until the vertebrae involved in the curvature fuses, correcting deformity. Discussion Scoliosis is described...

Coronary Artery Bypass Grafting (CABG)

Coronary Artery Bypass Grafting (CABG)

Definition Coronary artery bypass grafting (CABG) circumvents an occluded coronary artery with an autogenous graft, thereby restoring blood flow to the myocardium. Discussion Intracardiac procedures will necessitate the use of...

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Nephrectomy

Definition The surgical removal of a kidney (partial or total). Discussion A nephrectomy may be performed for many reasons, including hydronephrosis, pyelonephritis, renal atrophy, renal artery stenosis, trauma, and tumors...

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Abdominal Hysterectomy

Procedure Overview

1. After incising the skin, the incision is deepened through the subcutaneous tissue with the deep knife or cautery pencil.
2. The fascia is nicked with the deep knife and incised using a curved Mayo dissecting scissors.
3. Grasping one edge of the fascial margin with two or more Kocher clamps, blunt dissection separates the fascia from the underlying muscle.
4. The muscle is divided manually. The peritoneum is then knicked with the deep knife, and the incision is lengthened with Metzenbaum scissors.
5. A self-retraining retractor is placed in the wound, with moist lap sponges to protect the wound edges; the surgeon will “pack the bowel” away from the uterus with additional moist warm Lap sponges, and the operating table is placed in slight Trendelenberg position.
6. The uterus is isolated by severing it from the uterine ligaments ans adnexa.
7. The round ligaments of the uterus are ligated, divided, sutured, and tagged with a hemostat.

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