Aortic-aneurysm-graft-Operationscript

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Last edited Michael edwards 10.30 30 08 2012

WELCOME TO MISS STELLA VIG, CONSULTANT VASCULAR SURGEON, CROYDON UNIVERSITY HOSPITAL, LONDON

WELCOME TO THE SURGICAL SAFETY ASSESSOR, WORLD HEALTH ORGANISATION. PLEASE SEE SECTION 1.00


AORTIC ANEURYSM GRAFT


A PANTOGEN OPERATION SCRIPT


BY ROBIN KNOX AND MICHAEL EDWARDS


NO INFORMATION IN THIS SCRIPT SHOULD BE USED WITHOUT BEING APPROVED BY A FULLY TRAINED PRACTISING SURGEON


Contents

ACKNOWLEDGEMENT

THIS SCRIPT COVERS:

THIS SCRIPT DOES NOT COVER:

OVERVIEW OF GRAFT OPERATION

ANATOMY REVIEW

PATHOLOGY REVIEW

SUTURING REVIEW

SYNTHETIC GRAFT REVIEW

CLINICAL PRESENTATION

CASE SELECTION

OPERATION CHOICES

LAY OUT OF OPERATION SECTIONS AND STEPS

SECTION 1.00 - WORK UP AND WHO SAFE SURGERY CHECK LISTS SIGN IN AND TIME OUT

SECTION 2.00 - OPERATION PLAN

SECTION 3.00 - PRELIMINARIES

SECTION 4.00 - PREPARING THE ABDOMEN

SECTION 5.00 - OPENING THE ABDOMEN (TRANSVERSE INCISION)

SECTION 6.00 - OPENING THE ABDOMEN (MIDLINE INCISION)

SECTION 7.00 - EXPLORING THE ABDOMINAL CAVITY

SECTION 8.00 - ASSESSING THE ANEURYSM

SECTION 9.00 - CONTROLLING THE UPPER END OF THE ANEURYSM

SECTION 10.00 - CONTROLLING THE LOWER END OF THE ANEURYSM

SECTION 11.00 - OPENING THE ANEURYSM

SECTION 12.00 - CHECKING THE ILIAC ARTERIES

SECTION 13.00 - CHOOSING A STRAIGHT OR Y GRAFT

SECTION 14.00 - DISSECTING OUT THE FEMORAL ARTERIES

SECTION 15.00 - MAKING THE VASCULAR TUNNELS

SECTION 16.00 - CHOOSING A TRANSECTION OR INLAY TECHNIQUE FOR ANASTOMOSIS

SECTION 17.00 - CUTTING THE GRAFT

SECTION 18.00 - UPPER ANASTOMOSIS WITH AORTIC TRANSECTION

SECTION 19.00 - UPPER ANASTOMOSIS WITH INLAY TECHNIQUE

SECTION 20.00 - LOWER ANASTOMOSIS WITH AORTIC TRANSECTION

SECTION 21.00 - LOWER ANASTOMOSIS WITH INLAY TECHNIQUE

SECTION 22.00 - LOWER ANASTOMOSIS WITH BIFEMORAL GRAFTS

SECTION 23.00 - CHECKING HAEMOSTASIS

SECTION 24.00 - CLOSING THE ABDOMEN

SECTION 25.00 - FINAL TOUCHES AND WHO SAFE SURGERY CHECKLIST SIGN OUT

SECTION 26.00 - FEMORAL EMBOLECTOMY

SECTION 27.00 - EQUIPMENT AND MATERIALS FOR AORTIC ANEURYSM GRAFTING

END OF OPERATION.

File:Aortic-aneurysm-graft-Operationscript.pdf

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