K Laparoscopic appendectomy 1. Introduction Appendectomy is performed for acute appendicitis, and a laparoscopic approach is most commonly used. 2. Preoperative assessment and patient preparation a) History and physical examination (1) Gastrointestinal: Patients point…
J Herniorrhaphy 1. Introduction Inguinal hernias are defects in the transverse abdominal layer; a direct hernia comes through the posterior wall of the inguinal canal, and an indirect hernia comes through…
H Gastrostomy 1. Introduction A gastrostomy involves the placement of a semipermanent tube through the abdominal wall directly into the stomach. These tubes are used for gastric decompression or for feeding….
I Hemorrhoidectomy 1. Introduction Hemorrhoids are masses of vascular tissue found in the anal canal. Internal hemorrhoids are found above the pectinate line, arise from the superior hemorrhoidal venous plexus, and…
G Gastrectomy 1. Introduction Total gastrectomy is annually performed for gastric cancer. 2. Preoperative assessment and patient preparation a) History and physical: Assess fluid and hydration status. The patient may be vomiting or…
F Esophagoscopy and gastroscopy 1. Introduction Flexible, diagnostic esophagogastroduodenoscopy, a common procedure in pediatrics, is usually performed with the patient under deep sedation in an endoscopy suite or special procedure area….
E Esophageal resection 1. Introduction Esophagectomy is commonly performed for malignant disease of the middle and lower third of the esophagus. It may also be indicated for Barrett’s esophagus (peptic ulcer…
D Colonoscopy 1. Introduction Colonoscopy is used to examine the colon and rectum to diagnose inflammatory bowel disease, including ulcerative colitis and granulomatous colitis. Polyps can be removed through the colonoscope….
