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 .

AND FIX THE GUIDE WIRE TO LOCATE THE FRACTURE DIRECTION WITH THE HELP OF C- ARM

THEN WE USE THE HIP SCREW NAIL TO FIX THE HIP SCREW AND THEN FIX THE DHS PLATE WITH THE HELP OF DRILLING MECHINE AND THEN THE TOP SCREW

IF NEEDED WE WOULD COLLECT NEEDED BONE GRAFTING FROM ANOTHER PART OF BODY AND AFTER RESIZING ACCOURDING TO THE FRACTURE PLACE , HAVE TO FIX IT

AND THEN AT FIRST WE CLOSED THE BONE TAKEN SITE AND THEN ,, AFTER WASHJING THE OPERATION SITE PROPERLY , WOULD HAVE TO CLOSED THE OPERATION SITE

FOR CLOSING WE LIKE TO USE VICRYL 1 USUALLY FOR SUB CUTUNAS LYRE AND NON ABSORBABLE SUTURE METERIAL FOR SKIN FOR BOTH THE SITE .

DRESSING

FOR DRESSING AT FIRST WE CLEAND THE OT SITE WITH DISINFECTANT SOLUABLE AND THEN PUT GAUZE THEN ROLLING THE COTTON ROLE ACCOURDING TO THE LEG THEN BANDAGE THE AREA PROPERLY

AFTER THAT AGAIN WE USE BENGINE AROUND THE DRESSING

SAME AS DONG FOR THE BONE GRAFTING PLACE

THANK YOU ..................................................................

GOURAB DAS

Comments

Choosing the option between fibula plate and nail

Fibula is the secondary bone of our leg which connects knee to ankle along aside tibia as a secondary part . It usually broke along aside tibia as an evidence of major accident There is two option to fix it . Firstly we are choosing about fibula nail as a simple procedure . Surgeon needs only a pliers and nail after creating a port according to its position to fix it under the guidance of c arm . If Surgeon go for here need to open the fracture to fix plate on the area . And needs for clam k wire and other nessary things to fix the fracture. Why the options? Surgeon choose the options according to the fracture , if the fracture line goes vertically ways or the both part of fibula resting perfectly and doesn't dislocated from its own position , surgeon goes for nail fixation. If the fracture is not showing properly in x ray and both end of the bone misplaced after the injury or fracture line...

Patient shifting from operation theatre to post operative care unit (Part 1 )

T he safe care of transporting patients to the operating room and recognizing the possible hazards, in order to prevent injuries to the patient and surgery department personnel. The recommended practices aid in ensuring the transfer and transportation of the patient without tissue injury; avoiding undue physical or emotional discomfort. Standard of Practice I It is the responsibility of the HCWs to ensure the safe patient transfer of a patient from a bed to a transportation device. The specific needs of the patient should be considered when selecting the method of transport. This includes: A. Need for IV pole(s) B. Need to transport oxygen tank C. Mobility of the patient D. Conscious, semi-conscious or unconscious patient E. Size of patient F. Age of patient G. Determining the physical abilities and state of health of the patient. Knowing the patient’s state of health and abilities will help in the choice of mode of transportation,...

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...

Operation Theatre & Anesthesia Technology

Search This Blog