bda23054
Networker
Description of Operations
C. Diff colitis
Laparoscopy, cecostomy tube via appendix
Bowel wall edematous but viable
Details:
Consent obtained.
Abd prepped
Hassan technique accessed abd cavity above umbilicus.
Abdomen insuflated.
Bowel appears healthy but edematous
Appendix found and mobilized. Brought up through RLQ port site.
Appendix opened and sutured to skin edge. 12 fr catheter passed into colon. secured to skin with 3-0 nylon. Scope re-inserted, no injuries noted.
Ports removed. Fascia closed with 0 vicryl. Skin closed with 4-0 vicryl, dressing applied.
Counts correct, no complications
Begin vancomycin irrigation in icu.
C. Diff colitis
Laparoscopy, cecostomy tube via appendix
Bowel wall edematous but viable
Details:
Consent obtained.
Abd prepped
Hassan technique accessed abd cavity above umbilicus.
Abdomen insuflated.
Bowel appears healthy but edematous
Appendix found and mobilized. Brought up through RLQ port site.
Appendix opened and sutured to skin edge. 12 fr catheter passed into colon. secured to skin with 3-0 nylon. Scope re-inserted, no injuries noted.
Ports removed. Fascia closed with 0 vicryl. Skin closed with 4-0 vicryl, dressing applied.
Counts correct, no complications
Begin vancomycin irrigation in icu.