Digestive_Colectomy_slide11.pdf - Documentation Dissection...

This preview shows page 1 - 2 out of 2 pages.

1 Documentation Dissection Preoperative Diagnosis: Diverticular abscess and colovaginal fistula. Postoperative Diagnosis: Diverticular abscess and colovaginal fistula |1| . Procedure: 1. Hartmann Procedure |2| . 2. Appendectomy |2| . Anesthesia: General endotracheal. Estimated Blood Loss: 100 mL. Specimen: Sigmoid Colon, appendix and segment of intraabdominal tissue |3| . Complications: None. Drains: Blake x 2. Indications: This is a 65-year-old female who had this diverticular abscess that we were trying to treat conservatively. It continued to get worse and she began to complain of stool coming from her vagina. Repeat CT showed enlargement of this and we were forced to operate. I discussed with her that given the fact that this was not prepped and was a rather large abscess with possible stool that we would most likely end up with a colostomy. She indicated understanding. Informed consent was signed. The patient was brought to the operating room and placed on the operating table in the supine position. Following induction of general endotracheal anesthetic, Foley catheter was placed. The abdomen was then sterilely prepped and draped in standard fashion. Following this, a midline incision was made and carried down through subcu tissue |4| . The subcutaneous part of this abscess was entered with purulent material being noted. We continued down to the fascia. The fascia was opened and the superior aspect of the abdomen was rather clean with no involvement. The fascia was normal. However, the inferior aspect inferior to the umbilicus, the fascia was markedly thickened and this very large abscess cavity was entered. There was no definite connection that we would ascertain to the vagina. However, there was an area of the sigmoid colon that was inflamed and that was adjacent to this
Image of page 1

Subscribe to view the full document.

Image of page 2
  • Spring '19
  • NONE
  • Large intestine, Colon, Diverticulitis, Fístula, Appendectomy

{[ snackBarMessage ]}

Get FREE access by uploading your study materials

Upload your study materials now and get free access to over 25 million documents.

Upload now for FREE access Or pay now for instant access
Christopher Reinemann
"Before using Course Hero my grade was at 78%. By the end of the semester my grade was at 90%. I could not have done it without all the class material I found."
— Christopher R., University of Rhode Island '15, Course Hero Intern

Ask a question for free

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern