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Laparoscopic Surgery Case Study

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Laparoscopic CRC Surgery Advanced variety of tools and treatment options are available to cure colorectal cancer, or at least enable CRC patients to cope with its complications and improve their life quality.1 Depending on the CRC stage, the patient situation, and the oncologist experience, the treatment choice is determined.1 Oncologists prefer surgical options with the premature CRC stages.1 Surgery is also preferred with metastasis unless the cancer has metastasized to more than one position of the body.2 Surgical options comprise laparoscopic surgery, robotic surgery and open surgery.3 Laparoscopic surgery and robotic surgery are highly advanced and the preferable ones since they are associated with minimal rates of morbidity and mortality.3,4 …show more content…

The surgeon, the patient, the operation area, and the instruments are the most important aspects that are needed to be well prepared before starting the operation. The surgeon must be experienced since laparoscopic surgery operation demanding a high level of knowledge and accuracy.1 Also, experienced surgeon is ready to confront and solve unexpected problems that might interrupt the surgery.1 In addition, the surgeon is recommended to be mentally and physically relaxed in order to overcome the effort of the operation and be able to communicate with the patient's fear skillfully.6 Patients are advised to be aware of their diet and their overall health before the surgery.7 Elderly and pregnant patients are at risk of undergoing the surgery, so they are under the determination of the oncologist.6,7 In contrast, obesity is not a barrier of laparoscopic surgery choice for CRC patients. Both the operation room and the instruments must be sterilized and well organized to boost the surgery fluency.6, …show more content…

Postoperative recovery program includes oral feeding, early ambulation, and regular laxative administration. Intraoperative elements may be main determinants to obtain successful postoperative recovery of laparoscopic surgery.8 Naturally, after laparoscopic surgery, patients suffer affordable pains and muscle cramps.8 The postoperative period and the wound healing do not exceed four days.1,8 However, postoperative complications are possible in some cases.8 Complications include bleeding that requires reoperation, bladder injury and small bowel injury which need repairing intraoperatively.8 These complications are associated with multiple risk factors such as proximal colon cancer, side-to-side anastomosis, longer operation time, and longer resected specimen

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Defendant Ethicon Endo-Surgery, Inc. (“EES”) hereby files this Memorandum of Law in Support of its Motion to Exclude Dr. J. Kevin Croston’s Marketing and Manufacturing Opinions. In support thereof, EES would respectfully show the Court the following: I. BACKGROUND AND SUMMARY Plaintiff Susan Webb filed this product liability suit against EES seeking damages for injuries sustained on July 29, 2009, as a result of an allegedly defective TX60B surgical stapler (“TX stapler”) used during a surgery to remove Plaintiff’s gastroesophageal tumor. The TX stapler is designed, manufactured, and marketed by EES. It is designed to cut and seal tissue by placing titanium staples on each side of the cut line. Plaintiff alleges that when Dr. William

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Evaluation Team Marcia Durity, Durity LLC will oversee the study and aid the general physicians, family medicine physicians, internists and gastroenterologist at each doctor’s group office and Ambulatory Surgical Centers in Coral Springs, FL and Parkland, FL to implement this evaluation. Data Collection Management The following data will be collected: patient age, gender, socio-economic status, and patient preference for either the CT colonography or the colonoscopy procedure or willing to undergo a procedure that you did not prefer. This is evaluated on the Likert questionnaire by addressing feelings about several issues such as the process for cleansing the bowel, light exposure to radiation, risk of internal injury, sedation use, inserting devices within the body, embarrassment, noninvasive, pain, discomfort, comfortable, bloating, cramping, waiting times before and during the procedure, convenience, and the ability to drive and return to work after the procedure. First and foremost, the office manager, the HIT technician and Ambulatory Surgical Center Staff must have Microsoft EXCELsoftware on their computer 6 months before the beginning of the study.

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Surgical technology is a profession meant for people who don’t visualize their selves working in front of a computer, spending their whole day with paper works or waiting for the time to pass. This line of work suits well for those individuals who are hungry for action. It is a career made for the brave, the fast and the people who consider themselves as OCDs.  Surgical technologists are the “worker bees” of the operating room.

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Many tummy tuck patients could additionally be instructed to use an iced compress. It is important to use your plastic surgeon's recommendations during the body contouring recovery time period to steer clear possible complications, or a protracted recovery period. Though the precise abdominoplasty healing time is

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A laparoscope, a long, thin tube that contains a camera and surgical tools, in inserted through one of the incisions. Using a TV monitor to guide the tools, the surgeon removes the appendix from the colon, sews the remaining hole shut, removes the appendix through one of the incisions, and stitches all the incisions closed. If the surgeon encounters any unusual situation, such as the spread of inflammation, he may determine that it’s necessary to switch to an open appendectomy. For the laparoscopic surgery, the patient is given a general anesthetic and typically remains in the hospital for a shorter period of time than with an open

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Wait Times and Orphan Clients in New Brunswick In New Brunswick the wait times for surgeries are drastic. For a hip replacement surgery you could be waiting up to 470 days which is equivalent to a year and 3 and a half months. For a knee replacement it is 356 days, just under a year. A cataract surgery takes up to 144 days for a waiting period, 5 months. Cardiac bypass surgery wait time is up to 127 days, which is about 4 months.

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I had a lot of support but also a lot of family and friends who were concerned that I was making a mistake. I had to go against my parents wishes because they didn’t want me to go forward with the surgery. The procedure took 3 to 4 hours which is about the normal amount of time it takes. I woke up with minimal pain and four to five laparoscopic incisions. The day of my surgery I could not have any food or drinks, only the fluids I was getting through my IV.

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The hospital has been remarkably successful because of its ability to provide its patients a low cost, quality and quick surgery while administering an unforgettable experience and a comfortable environment to all. From the surgery techniques to the warm environment, the hospital’s success is due to a range of factors. It is physiologically attractive to patients, receiving surgery; they are also able to discuss about the receiving procedure with the previous patients to ultimately alleviate the level of anxieties. Additionally, Shouldice hospital has

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The patients were classified into 2 groups: group A, patients without a history of previous abdominal surgery (n_90);

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Post-surgery psychological counselling Post-operative regular psychological help is extremely crucial for a good outcome of surgery. Clients are encouraged to adhere to regime as new habits are formed. Counselling helps them to adjust their habits, learn self-monitoring, stress management, self-control and dealing with social situations and response to Identify self-image, self-esteem, any sense of loss when they aren’t able to eat the way they used to . Goals, Handling perceptions of others, maintaining changed body, clothes, relationship with food and any emotional issues; anxiety, depression.

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The surgery is associated with many avoidable complications and hence requires a serious and cautious approach .The frequency of bile duct injury remains fairly constant .The seriousness of this complication relates in part of problems of biliary fistula and uncontrolled sepsis and in part to the technical difficulties of successful repair of bile duct injuries. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones unless there are contraindications to the laparoscopic approach. Sometimes a laparoscopic cholecystectomy may be converted to an open cholecystectomy for technical reasons or safety.

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Palliative Care and Surgical Disciplines: Palliation and surgery have a historical association. The word ‘palliative’ was first used by a surgeon, a urologic oncologist, who established the world’s first acute care hospital in-patient palliative care service at the Royal Victoria Hospital in Montreal in 1974 [2]. Surgeons, irrespective of their specialty, encounter a wide spectrum of death and dying in their daily practice – this may be a patient with severe trauma, burn or advanced stage cancer or a critically ill patient in a surgical intensive care unit (SICU); death may occur unexpectedly due to internal catastrophes such as bleedings, ruptures or perforations; occur peri-operatively in a patient with multiple morbidity and chronic diseases;

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LAPAROSCOPIC CHOLECYSTECTOMY Background: Whereas it is true that no operation has been more profoundly affected by the advent of laparoscopy than cholecystectomy has, it is equally true that no procedure has been more instrumental in the laparoscopic age than LC has. LC has rapidly become the procedure of choice for routine GB removal and is currently the most commonly performed major abdominal procedure in western countries (Litwin and Cahan, 2008). A National Institutes of Health consensus statement in 1992 stated that LC provides a safe and effective treatment for most patients with symptomatic gallstones and has become the treatment of choice for many patients.

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