GENERAL & FAMILY MEDICINE

Laparoscopic Cholecystectomy

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Laparoscopic Cholecystectomy

■  In atypical cases, a hepatobiliary iminodiacetic acid (HIDA) cholescintigraphy scan may be used to demonstrate obstruction of the cystic duct, which definitively diagnoses cholecystitis. Filling of the gallbladder during a…

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Inguinal Hernia: Open Approaches

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Inguinal Hernia: Open Approaches

■  Using electrocautery, the soft tissue is dissected to the superficial epigastric vessels, which are ligated. The dissection is then carried down through Camper’s fascia and the more fibrous Scarpa’s fascia….

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Feeding Jejunostomy

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Feeding Jejunostomy

Incision ■  If the open J-tube placement is being done as a stand-alone operation, the incision should be centered in the midline at the level of the LOT. ■  The supraumbilical vertical…

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Minimally Invasive Esophagectomy

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Minimally Invasive Esophagectomy

Mary T. Hawn DEFINITION ■  The incidence of esophageal cancer, especially adenocarcinoma, has increased dramatically over the past decades. This phenomenon is secondary to the increasing incidence of obesity contributing to…

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Redo Fundoplication

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Redo Fundoplication

■  The 360-degree fundoplication (Nissen fundoplication) is the most popular of the various fundoplication techniques. ■  Although fundoplication, when done by an experienced surgeon, results in control of GERD and significant improvement…

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Gastrostomy

Feb 6, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Gastrostomy

■  Ensure that the sight is at least 2 to 3 cm from the left costal margin for patient comfort. ■  Mark the spot with a marking pen or press the needleless…

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