heart123
Guest
Laparoscopic placement of a peritoneal dialysis catheter( Flex-Neck Classic , 2 cuffs adult standard coiled- MeritMedical)
49324 is what i have anything else ??? THANKS SO MUCH
After induction of general endotracheal anesthesia, the abdomen was prepped and draped in standard surgical fashion. Attention was turned to the left upper quadrant where a 5 mm port was placed under vision with the cvamera in; The abdomen was insuflated with CO2 and the head of the bed was lowered.
The right lateral transverse incison was made over the rectus abdominus and dissection through the anterior layer of the muscle fascia was made: the Luke guide assembly is placed with the tip of the metal spear towards the pelvis with a 45 angle . The metal piece is then removed and the expandable sheath is left in place, secured with a clamp . Serial dialtion of the tract is made with lubrified dilators. The stylette is placed in saline and into the catheter and the catheter with the stylette inside is placed through the expandable sheath, all under vision towards the pelvis, taking care to maintain the curve of the catheter. The stylette is removed and the first cuff is advanced in the muscle with the help of the implantor tool. The tunellor tool is then used to tunel the catheter and the second , distal cuff in the sq. The position of the tip of the catheter is checked and then the abdomen is deflated.
49324 is what i have anything else ??? THANKS SO MUCH
After induction of general endotracheal anesthesia, the abdomen was prepped and draped in standard surgical fashion. Attention was turned to the left upper quadrant where a 5 mm port was placed under vision with the cvamera in; The abdomen was insuflated with CO2 and the head of the bed was lowered.
The right lateral transverse incison was made over the rectus abdominus and dissection through the anterior layer of the muscle fascia was made: the Luke guide assembly is placed with the tip of the metal spear towards the pelvis with a 45 angle . The metal piece is then removed and the expandable sheath is left in place, secured with a clamp . Serial dialtion of the tract is made with lubrified dilators. The stylette is placed in saline and into the catheter and the catheter with the stylette inside is placed through the expandable sheath, all under vision towards the pelvis, taking care to maintain the curve of the catheter. The stylette is removed and the first cuff is advanced in the muscle with the help of the implantor tool. The tunellor tool is then used to tunel the catheter and the second , distal cuff in the sq. The position of the tip of the catheter is checked and then the abdomen is deflated.