This presentation is about on
Instrument used in Laparotomy
What is Laparotomy
Lapratomy procedure
Lapratomy instrument name
Instrument used in Laparotomy
surgery
Surgical procedure of laparotomy
Accurate endoscope cleaning is essential to properly maintain your facility’s endoscope supply. This includes pre-cleaning at the point of use, transporting appropriately, leak testing & cleaning, inspecting, sterilizing the endoscope, and storing it correctly. Surgical Solutions can help your facility manage this process to improve your facility’s efficiency and throughput.
Diathermy
• Diathermy uses an electric current to cause localized heating,
permitting cutting of tissue and coagulation of blood.
• It may be unipolar or bipolar, the former having several settings
depending on which function is required.
Unipolar diathermy
Bipolar diathermy
• Advantages
• Allows surgery to proceed with better hemostatic control than using sharp
instruments.
• Different modes can be used to achieve different effects on different
tissues.
• Disadvantages
• High currents used in diathermy equipment cause induction in cables
used for other purposes. This results in interference in the ECG and other
monitors when diathermy is in use.
Safety
Accurate endoscope cleaning is essential to properly maintain your facility’s endoscope supply. This includes pre-cleaning at the point of use, transporting appropriately, leak testing & cleaning, inspecting, sterilizing the endoscope, and storing it correctly. Surgical Solutions can help your facility manage this process to improve your facility’s efficiency and throughput.
Diathermy
• Diathermy uses an electric current to cause localized heating,
permitting cutting of tissue and coagulation of blood.
• It may be unipolar or bipolar, the former having several settings
depending on which function is required.
Unipolar diathermy
Bipolar diathermy
• Advantages
• Allows surgery to proceed with better hemostatic control than using sharp
instruments.
• Different modes can be used to achieve different effects on different
tissues.
• Disadvantages
• High currents used in diathermy equipment cause induction in cables
used for other purposes. This results in interference in the ECG and other
monitors when diathermy is in use.
Safety
STITCH OUT PROTOCOL
SUTURE REMOVAL
Sutures are used for wound stabilization All sutures, being foreign bodies, cause irritation to the tissues & hence have the potential to cause scarring.
PRINCIPLE OF SUTURE REMOVAL
Suture area is first clean with normal saline. The suture is then pulled towards the incision line to prevent dehiscence. If suture entrapped in a scab, application of Hydrogen peroxide/normal saline is necessary
If pieces of suture left are left out infection may occur. RECOMMENDED
DURATION
FAILURE OF WOUND CLOSURE
AFTER SUTURING
• Breakage
Extruded suture
Cuts out
Resorbs too rapidly
Knot slips
Removed too early
POSSIBLE COMPLICATIONS
HYPERTROPHIC SCAR
KELOID
INFECTION
THANK YOU
Surgical instrumentation is critical to surgical procedure.
The performance of OR team is enhance when team members know each instrument by name, know how each is safely handled and know how each is used.
Preparing the instrument for appropriate processing will prolong its use in patient care and decrease the costs for repair and replacement.
Fumigation is a process of gaseous sterilisation which is used for killing of micro-organisms and prevention of microbial growth in air, surface of wall or floor.
This presentation contains :-
1.Definition of stiz bath
2. Uses of sitz bath
3.Procedure of sitz bath
4. Introduction to procedure
5. Definition of episiotomy
6. Types of episiotomy
7. Precaution in sitz bath
8. Addition of solution in water to take sitz bath
9. Caution during sitz bath
STITCH OUT PROTOCOL
SUTURE REMOVAL
Sutures are used for wound stabilization All sutures, being foreign bodies, cause irritation to the tissues & hence have the potential to cause scarring.
PRINCIPLE OF SUTURE REMOVAL
Suture area is first clean with normal saline. The suture is then pulled towards the incision line to prevent dehiscence. If suture entrapped in a scab, application of Hydrogen peroxide/normal saline is necessary
If pieces of suture left are left out infection may occur. RECOMMENDED
DURATION
FAILURE OF WOUND CLOSURE
AFTER SUTURING
• Breakage
Extruded suture
Cuts out
Resorbs too rapidly
Knot slips
Removed too early
POSSIBLE COMPLICATIONS
HYPERTROPHIC SCAR
KELOID
INFECTION
THANK YOU
Surgical instrumentation is critical to surgical procedure.
The performance of OR team is enhance when team members know each instrument by name, know how each is safely handled and know how each is used.
Preparing the instrument for appropriate processing will prolong its use in patient care and decrease the costs for repair and replacement.
Fumigation is a process of gaseous sterilisation which is used for killing of micro-organisms and prevention of microbial growth in air, surface of wall or floor.
This presentation contains :-
1.Definition of stiz bath
2. Uses of sitz bath
3.Procedure of sitz bath
4. Introduction to procedure
5. Definition of episiotomy
6. Types of episiotomy
7. Precaution in sitz bath
8. Addition of solution in water to take sitz bath
9. Caution during sitz bath
*Trocarization*
*Trocarization* refers to the use of a trocar, a surgical instrument, to puncture a body cavity for various medical purposes. In the context of equine medicine, trocarization is used for decompression in cases of colic and large intestinal gas distension. It allows for rapid controlled decompression of colonic or cecal tympany, permitting improvement of both ventilation and intraabdominal pressure
The procedure involves the insertion of a trocar into the large colon or cecum to resolve gas distension and accompanying increased intraabdominal pressure. It's important to note that trocarization is not a substitute for surgery in severely gas-distended painful horses exhibiting signs of colic that require surgery
Complications following transcutaneous cecal trocarization may include a decrease in cecal motility over time, possibly due to local inflammation caused by the puncture. However, large intestinal trocarization could be considered for equids with colic and large intestinal gas distension, and more than one trocarization procedure was reported in some cases
In summary, trocarization is a medical procedure used in equine medicine for decompression in cases of colic and large intestinal gas distension, but it's not a substitute for surgery in severe cases. It's important to consider potential complications and the specific conditions under which it may be appropriate.
*Trocarization*
*Trocarization* refers to the use of a trocar, a surgical instrument, to puncture a body cavity for various medical purposes. In the context of equine medicine, trocarization is used for decompression in cases of colic and large intestinal gas distension. It allows for rapid controlled decompression of colonic or cecal tympany, permitting improvement of both ventilation and intraabdominal pressure
The procedure involves the insertion of a trocar into the large colon or cecum to resolve gas distension and accompanying increased intraabdominal pressure
It's important to note that trocarization is not a substitute for surgery in severely gas-distended painful horses exhibiting signs of colic that require surgery
Complications following transcutaneous cecal trocarization may include a decrease in cecal motility over time, possibly due to local inflammation caused by the puncture However, large intestinal trocarization could be considered for equids with colic and large intestinal gas distension, and more than one trocarization procedure was reported in some cases
In summary, trocarization is a medical procedure used in equine medicine for decompression in cases of colic and large intestinal gas distension, but it's not a substitute for surgery in severe cases. It's important to consider potential complications and the specific conditions under which it may be appropriate
This topic is been added in the new edition ( 26th ) of Bailey & Love. This topic covers the types, uses and also the principles of removal of a drain. Every MBBS student should be aware of drains & its uses in surgery.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. ……
• What is Laparotomy?
• When we Do Laparotomy?
• Instruments used in Laparotomy
3. WHAT IS LAPARATOMY?
• A laparotomy is a surgical procedure involving a surgical incision through the abdominal
wall to gain access into the abdominal cavity. It is also known as a celiotomy.
4.
5. WHEN A LAPARATOMY IS REQUIRED
• to look for problems in the abdomen or internal organs, or to treat a particular condition. For
example, it might be done to find out why you have abdominal (tummy) pain, if you have an
injury to your abdomen, to look at the spread of certain diseases such as endometriosis and
cancer.
6. INSTRUMENTS USED IN LAPAROTOMY
• Many instruments Used in Laparotomy I will Discuss some of these in my
presentation
7. TOWEL CLAMP::SECURING AND RETRACTING TISSUE
DURING EXCISION OF SUBCUTANEOUS TUMORS SUCH AS
CYSTS OR LIPOMAS
38. MORRISON RETRACTOR IS A HANDHELD
RETRACTOR. THEY ARE EACH PRIMARILY USED
IN ABDOMINAL OB/GYN PROCEDURES SUCH AS
ABDOMINAL HYSTERECTOMIES, CESAREAN
SECTION DELIVERIES, AND PROCEDURES FOR
ECTOPIC PREGNANCIES.
39. BULL DOG FORCEPS USED :IT HAS SERATED JAW AND
SPRING ACTION SO THAT IT WILL GRIP AND HOLD
SUTURES, TISSUES OR VESSELS.
