GASTROSTOMIA TECNICA QUIRURGICA PDF

Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. See our User Agreement and Privacy Policy. See our Privacy Policy and User Agreement for details. Published on Feb 25,

Author:Meztisida Nemuro
Country:Namibia
Language:English (Spanish)
Genre:Career
Published (Last):10 October 2013
Pages:382
PDF File Size:6.56 Mb
ePub File Size:5.64 Mb
ISBN:400-2-65296-459-2
Downloads:31421
Price:Free* [*Free Regsitration Required]
Uploader:Mazahn



Operative Procedure Usually, a gastrostomy is placed as part of another intra-abdominal procedure. Currently, most gastrostomies are performed using the percutaneous endoscopic technique. Stamm Gastrostomy The body of the stomach is grasped with two Babcock clamps. An inner purse-string suture of absorbable suture is placed, followed by a n outer purse-string suture using silk Fig.

The adjacent linea alba is grasped with Kocher clamps, and with a no. A long Schnidt clamp is passed through this stab incision into the peritoneal cavity under direct vision. Using this Schnidt clamp as a guide, a similar clamp is passed from the peritoneum outward through the same incision. An 18 Fr Foley catheter or a gastrostomy tube is drawn through the anterior abdominal wall using the Schnidt clamp.

With electrocautery, a gastrotomy is made in middle of the previously placed inner purse-string suture, and the tip of the Foley catheter is inserted into the stomach. The balloon is inflated with 10 to 20 mL of water, and the purse-string sutures are snugly tied down. B, The second, outer purse-string suture is tied. The gastrostomy tube is secured to the anterior abdominal wall at four quadrants with the silk suture Fig. The gastrostomy tube is flushed with saline. The tube can be secured to the skin with a nylon suture.

C, Cross-section shows the gastrostomy tube being brought out through the anterior abdominal wall, and the anterior stomach wall is sutured to the peritoneum,. Janeway Gastrostomy This procedure involves creation of a small, permanent gastric tube using the anterior wall of the stomach.

The midportion of the anterior wall of the stomach is grasped with two Babcock clamps and drawn upward. A GIA linear stapler is applied to the serosal surface of the stomach with the tips of the forks about 3 cm from the greater curvature. The instrument is closed and fired, creating an approximately 4- to 5-cm gastric tube. For additional security, the staple line is inverted with interrupted silk sutures, taking care to avoid narrowing the lumen of the tube.

The gastric tube is brought out through a stab wound in the anterior abdominal wall. The gastric tube is secured on the undersurface of the anterior abdominal wall at four corners using silk sutures. The tip of the gastric tube is transected and then matured by placing interrupted mucocutaneous absorbable sutures.

The gastric tube can be tested by gently passing a Foley catheter through it. The midline incision is closed in the standard fashion by approximating the linea alba with continuous polypropylene monofilament sutures. The subcutaneous tissue is irrigated, and the skin is approximated with staples. Learn more about Scribd Membership Home. Much more than documents. Discover everything Scribd has to offer, including books and audiobooks from major publishers.

Start Free Trial Cancel anytime. Uploaded by Juan Hernandez. Document Information click to expand document information Description: tecnica quirurgica. Date uploaded Aug 25, Did you find this document useful?

Is this content inappropriate? Report this Document. Description: tecnica quirurgica. Flag for Inappropriate Content. Download Now. Related titles. Carousel Previous Carousel Next. Jump to Page. Search inside document. C, Cross-section shows the gastrostomy tube being brought out through the anterior abdominal wall, and the anterior stomach wall is sutured to the peritoneum, Janeway Gastrostomy This procedure involves creation of a small, permanent gastric tube using the anterior wall of the stomach.

CLOSURE The midline incision is closed in the standard fashion by approximating the linea alba with continuous polypropylene monofilament sutures. Documents Similar To gastrostomia. Leslie Samuel. Diana Montes. Rtr Ram Transformed Ram. Bio Sciences. Chai Cosme. Jaime de Bracamonte. Carmelle Zia Reyes. Anityo Nugroho. Faizan Elahi.

Rehaan Fayaz. Sri Purwanti. Habibi Ridwani. Grigore Popa. Schwartz's Principles of Surgery 11th Edition Teodora Chiriac. Ishaqe Sheikh. Popular in Medical Procedures. Bryan Barredo.

Muh Pradiki Mahindra. Herry Wibowo. Michael Bennett. Januar Alfred Poli. Adhe Tebet. DrSubodh Nanavati. Saiful Massa. June Hiel. Ramona Alexandra Perpelea. Jihad Elias Chahla. Narcis Tulbure. Paul Aries Catabay Lingan. Clinimed, Incorporated.

Gab Abalos. Tristan Paulo Madrigal.

HRK PHYSICS 5TH EDITION PDF

Cómo Comprender la Gastrostomía Endoscópica Percutánea

.

A DOUTRINA SECRETA DE HELENA BLAVATSKY PDF

gastrostomia

.

CASO SCHREBER SIGMUND FREUD PDF

.

Related Articles