Trolly layout for open-cholesyestectomy

today we are discussing about trolly layout of gallblader operation . we all know it is the common operation among middle aged man and elder person . for that reason we have to manage this instrument trolly for many times . lets see what are the instrument used here .

one very improtant thing that is the trolly must be sterile for the instrument should be kept there .

first of all we need towel clip for fixing the towel .

then we need bard parker handle and insicion blade

then we use allise and artery

ALLISE
ARTERY

Then we use diathermy

that after morrise retractor

morrise retractor

and then deverse retractor

hence we are like to use succesion

to remove the blood and internal fluid

then we use use special instrument for gb holding and decting like

moynihans forcep

right angle forcep and desgerdin forcep

moynihans forcep

rightangle forcep

desgerdin forcep

after that we use mersilk suture without needle to fix the duct and artery respectively

then we use suture like vicrele and ethycon to fix body mussle and skin respectively .

Comments

Patient Shifting from O.T to Post Operative Care ( Part 2)

Standard of Practice II It is the responsibility of the HCWs to safely transport a patient to the preoperative holding area or operating room. Confirm IV lines, indwelling catheters, monitoring system lines and drains, and any other lines are secure and patent, and IV bag and collection containers are hanging away from the patient’s head.. Ensure head, arms and legs are protected, adequately padded, and patient is comfortable as possible. . The patient should be transported feet first; rapid movements, particularly when going around a corner should be avoided. Rapid movements, especially if the patient has received preoperative medications, can cause the patient to become disoriented, dizzy, and nauseated, and induce vomiting .. The staff person moving the transportation device should be positioned at the patient’s head in order to look forward for potential hazards. This also allows immediate access to the patient’s airway in case of respiratory distress or vomiting...

the abdominal arota branches

The abdominal aorta in a nutshell The abdominal aorta is a continuation of the descending thoracic aorta . It supplies all of the abdominal organs , and its terminal branches go on to supply the pelvis and lower limbs . It also supplies the undersurface of the diaphragm and parts of the abdominal wall . It begins at T12 and ends at L4 , where it divides into the right and left common iliac arteries . It enters the abdomen through the aortic opening of the diaphragm , which is located beneath the median arcuate ligament between the crura of the diaphragm at T12 . It is accompanied through the aortic opening by the azygos vein and the thoracic duct . It is located on th e posterior abdominal wall in the retroperitoneal space of the abdomen. It descends on the left of the inferior vena cava (IVC) over the anterior surface of the bodies of the lumbar vertebrae and follows the curvature...

Dynamic Hip Screw or DHS ACCOURDING TO ORTHO SURGICAL ASSISTANT PERSPECTIVE

AT FIRST WE NEED A SCRUB TROLLY , AND THEN WE COVER THE UPPER PART WITH STERILE RUBBER SHEET , THEN AGAIN WE WOULD LIKE TO COVER IT WITH STERILE SHEET PROPERLY , AFTER FIXING IT PROPERLY , BELOW MENTION INSTRUMENT PROVIDED INSTRUMENT DRAPPING PART BOWL + SWAB HOLDING FORCEP + GAUZE FOR PROPER DISINFECTENT THE AREA THEN STERILE RUBBER SHEET AND THEN STERILE NORMAL COTTON SHEET FOR PROPER COVERING THE OTHER BODY PART RATHER THAN THE DRAPPING SITE ONE SURGICAL PART AT FIRST WE NEED USUALLY 4 NO BARD PARKER HANDLE AND 24 NO BLADE FOR INCISION AND THEN WE NEED A ARTERY FORCEP , A RETRACTOR AND ALSO A DIATHERMY TO COAGULATE THE ARTERY AND VEIN ONE OF THE PARTICULAR OPERATION SITE AND THEN WE WOULD LIKE TO USE HOMANS FORCEP AND BONE LIVER TO EXPOSE THE BONE AND THEN WE TAKE THE C- ARM SHOT TO SEE THE POSITION OF THE FRACTURE SITE AND THE DISPLACED BONE WE WOULD LIKE TO USE A STAINMANN PIN TO RELOCATE THE FRACTURE SITE BONE...

Operation Theatre & Anesthesia Technology

Search This Blog