Technique lap colectomy
Brown gloves
32 inch lcd screens
? Finger tip instruments ?
Tatoo lesion
Ports
Paramedian lap port: left hand
Gastrocolics and hepatic flexure
Mesentery
Ileocolic artery
Bring out for resection and anastamosis
Back table check
Doesn't cut the ends-transverse closure with TIA-leaves mesentery open
Oncotech pathology
Feed immediately
Sent via BlackBerry from T-Mobile
32 inch lcd screens
? Finger tip instruments ?
Tatoo lesion
Ports
Paramedian lap port: left hand
Gastrocolics and hepatic flexure
Mesentery
Ileocolic artery
Bring out for resection and anastamosis
Back table check
Doesn't cut the ends-transverse closure with TIA-leaves mesentery open
Oncotech pathology
Feed immediately
Sent via BlackBerry from T-Mobile
Fw: Lap colectomy IMG00167.jpg
-----Original Message-----
From: afqnfulton@gmail.com
Date: Fri, 9 Nov 2007 13:59:18
To:bevglewis@yahoo.com
Subject: Lap colectomy IMG00167.jpg
image/jpeg
Sent via BlackBerry from T-Mobile
Thoracic incisions Sabiston
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Beta Blockade Periop
Beta Blockade Periop
-----------------
Atenolol 5-10 mg IV 30 min before and after surgery.
50-100 mg/d by mouth throughout the hospital stay for a max of 7 days.
Target HR 55-65/min - dose held for HR < 55 or SBG < 100 mm Hg.
Candidates - minor criteria: meeting any two of the following:
1. Age 65 or older
2. HTN
3. Current smoker
4. Serum choles at least 240 mg/dl
5. DM not requiring insulin.
Revised cardiac risk index criteria: use beta blockers in patients meeting
ANY of the following criteria -
1. High risk surg proced: intraperitoneal, intrathoracic, suprainguinal
vascular procedures.
2. Ischemic heart disease - hx of MI, hx of or current angina; sublingual
NTG; pos exercise test results; Q waves on EKG; PTCA or CABG and have chest
pain
3. Cerebrovasc disease - hx of TIA, CVA.
4. DM requiring insulin
5. Chronic renal insufficiency baseline Cr of at least 2.0 mg/dl
080706 Ruptured chocolate cyst
Chocolate cysts are endometriomas. This one too complex and involved to be removed laparoscopically. Even open, it was quite a case.
Here is another patient's website about her laparoscopic experience.
Here is another patient's website about her laparoscopic experience.
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