Tara's medical Report- is it good or bad

[Guest guest]

Sounds like a standard op report to me. I've typed up a million like that!

LOL!

Regards~

Jacque

> Gastric Bypass w/ cholecystectomy(Gallbladder removed) Sept 7th

> 2001,DESCRIPTION- The patient was palce in the supine position, and her

> abdomen was prep and drapped in a sterile fashion. An upper midline

> incision was made from the xiphoid process to just above the umbilicus.The

> subcutsneous tissues were divided with fat fracture technique, and the

> midline fascia was divided eletrocautery. Generalized abdominal exploration

> was carried out with palpation and no gross abnormalities were found. The

> Bookwalter retraction device was then put into palce. and the area of the

> gastroesophageal junction was localized and the stomach encircled just

> below the level of the gastroesophageal junction with a Penrose drain. A

> 40- French chest tube was then followed around the stomach, and a TA-90

> heavy wire stapler was then passed through this window using the chest tube

> as a guid. A double application of TA-90 was utilized to fashion a gastric

> pouch of approximately 30cc.Attention was then directed to the small

> bowel. The Ligament of Treitz was identified, and the area of the jejunum

> approximately 15 cm distal to this was identified.The small bowel was

> divided at this point with a GIA stapling device.The proximal bowel was

> tacked with a silk suture. The Mesentary was divided for a lenght of a

> couple centimeters to provide mobilization. The jejunum was then passed in

> a retrocolic fashion throught the transverse colon mesentry up along the

> greater curve of the stomach. A gastrotomy was then made in the gastric

> pouch, and a 21-mm anvil was inserted through the gastrotomy. A 2-0 Prolene

> pursestring suture was itilized around the anvil. An EEA type anastomosis

> was then created. The EEA stapling device was passed thru the end of

> jejunum, and a side to side gastrojejunostomy anastomosis with a 21-mm EEA

> was performed. The blind end of the jejunum was then stapled with an ILS

> stapling device.The nasogastric tube was passed through the anastomosis

> into the jejunum for a short distance. Air was insufflated into the

> gastric pouch and the jejunum and the was no air leaks.Several uninterupted

> 3-0

silk sutures were used on the anastomosis to provide extra support and

sercurity.

> Attention was then dirrected to the small bowel . An area in the jejunum

> approximately 75 cm distal to the gastrojejunal anastomosis was selected

> for the jejunojejunal anastomosis. This was performed is a side to side

> fashion using the a GIA stapling Device. The enterotomies were then closed

> with an ILS stapling device. The mesentery of the transverse colon were

> closed with 3-0 Vicryl sutures. The the report just goes on to the removal

> of my gallbladder and that that abdominal cavity was then irrigated with

> several liters of warm saline irragation solution

[Guest guest]

Sounds like a standard op report to me. I've typed up a million like that!

LOL!

Regards~

Jacque

> Gastric Bypass w/ cholecystectomy(Gallbladder removed) Sept 7th

> 2001,DESCRIPTION- The patient was palce in the supine position, and her

> abdomen was prep and drapped in a sterile fashion. An upper midline

> incision was made from the xiphoid process to just above the umbilicus.The

> subcutsneous tissues were divided with fat fracture technique, and the

> midline fascia was divided eletrocautery. Generalized abdominal exploration

> was carried out with palpation and no gross abnormalities were found. The

> Bookwalter retraction device was then put into palce. and the area of the

> gastroesophageal junction was localized and the stomach encircled just

> below the level of the gastroesophageal junction with a Penrose drain. A

> 40- French chest tube was then followed around the stomach, and a TA-90

> heavy wire stapler was then passed through this window using the chest tube

> as a guid. A double application of TA-90 was utilized to fashion a gastric

> pouch of approximately 30cc.Attention was then directed to the small

> bowel. The Ligament of Treitz was identified, and the area of the jejunum

> approximately 15 cm distal to this was identified.The small bowel was

> divided at this point with a GIA stapling device.The proximal bowel was

> tacked with a silk suture. The Mesentary was divided for a lenght of a

> couple centimeters to provide mobilization. The jejunum was then passed in

> a retrocolic fashion throught the transverse colon mesentry up along the

> greater curve of the stomach. A gastrotomy was then made in the gastric

> pouch, and a 21-mm anvil was inserted through the gastrotomy. A 2-0 Prolene

> pursestring suture was itilized around the anvil. An EEA type anastomosis

> was then created. The EEA stapling device was passed thru the end of

> jejunum, and a side to side gastrojejunostomy anastomosis with a 21-mm EEA

> was performed. The blind end of the jejunum was then stapled with an ILS

> stapling device.The nasogastric tube was passed through the anastomosis

> into the jejunum for a short distance. Air was insufflated into the

> gastric pouch and the jejunum and the was no air leaks.Several uninterupted

> 3-0

silk sutures were used on the anastomosis to provide extra support and

sercurity.

> Attention was then dirrected to the small bowel . An area in the jejunum

> approximately 75 cm distal to the gastrojejunal anastomosis was selected

> for the jejunojejunal anastomosis. This was performed is a side to side

> fashion using the a GIA stapling Device. The enterotomies were then closed

> with an ILS stapling device. The mesentery of the transverse colon were

> closed with 3-0 Vicryl sutures. The the report just goes on to the removal

> of my gallbladder and that that abdominal cavity was then irrigated with

> several liters of warm saline irragation solution