2011 Surg 10

Card Set Information

Author:
cathy4xo
ID:
89405
Filename:
2011 Surg 10
Updated:
2011-06-06 01:48:42
Tags:
para umbilical hernia
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Description:
para-umbilical hernia
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  1. Para-umbilical hernia + operation risks:
    Management steps?
    • Establish if pt is competent to consent or not?
    • Establish rapport
    • Discuss options in family meeting
  2. Describe the surgery for para-umbilical hernia repair?
    • GA
    • Identify hernia sac and content (& reduce contents)
    • Herniotomy - excise sac and close defect
    • +/- Herniorrhaphy - structural repair of abdominal wall
    • +/- Resection of non-viable bowel
  3. What are the risks of para-umbilical hernia repair surgery?
    • General: bleeding, infection, reaction to GA, DVT/PE, MI/stroke
    • Specific: pain, damage to bowel, recurrence (30%!!)
  4. What are the alternatives to para-umbilical hernia repair surgery?
    • Active conservative: NBM + NG tube, IV fluids/antibiotics, analgesia, DVT prophylaxis
    • Palliation: comfort measures, inform family, NFR

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