Prophylactic Salpingectomy Case Study

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

with exploratory laparotomy of the patient, but did not give permission for colonic biopsy, due to the

Client outcome: have surgical area that show evidence of healing no redness, draining, or immobility _______________________________________________________

Best practice guidelines are evidence-based recommendations that assist practitioners with assessment and management of appropriate healthcare (Taylor, 2012). One area that utilizes best practice to ensure excellent patient outcomes is ostomy care. The patient may have an ostomy for a number of reasons. They can be either temporary or permanent and are for patients who have bowel or bladder cancer, inflammatory bowel or diverticular disease, trauma, or perforation of the bowel. For ostomy care, it is important to focus on the areas of pre-operative, post-operative and discharge care (Taylor, 2012).

A study revealed surgical morbidity rates of 7-38%, with mortality varying from 5% to 10%.

The Women’s Place at Texas’s Children’s Hospital, Pavilion for Women is dedicated to women’s reproductive health. Hormonal changes throughout pregnancy as well as post-pregnancy may affect the woman both emotional and physically. The Women’s Place serves as a program to treat the woman and her family at any point during the reproductive cycle. There are many disorders, issues, planning and management that The Women’s Place can assist with, including; Premenstrual dysphoric Disorder (PMDD), pre-pregnancy planning, infertility issues, fetal center and genetic counseling, prenatal care, psychiatric medication management, postpartum care, assistance during reproductive loss and grief and perimenopause and menopause. Although infection and

There were several dependent variables which were significant predictors of complications. First females older than 70 with HTN and renal failure were identified. Second the presence of a venous sheath was found to be an important indicator and finally female gender with a high BMI stood out as well for a higher complication

patients averaged 6.6 days total length of stay. ICU care was needed for only 30.4% of

The assessment includes: Date and time of procedure, name of provider, site of insertion, type of fluid infusing in each lumen, blood

The method of this research was to analyze trends in door-to-ballon time and in hospital mortality using data from over 96,000 patients that had been admitted from July 2005 through July 2009; these patients were admitted for undergoing PCI for ST- segment elevation MI.

We observed 25 complications in women, with 10 (2.5%) in Group 1 and 15 (2.3%) in Group 2 (Table 5). There was no statistically significant difference for any individual complication type or for overall complication rates. Likewise, there was no significant

All patients should undergo risk assessment prior to a non-cardiac surgery. The goal of the assessment is to weigh the pros and cons of the surgery and adjust the timing of the surgery by postponing it if needed. The assessment will reveal any silent, chronic or neglected conditions that need attention and treatment. Physicians use information gained from history, physical examination, and type of surgery to develop initial evaluation of perioperative cardiac risk.

In this study, resident participation in superficial parotidectomy resulted in prolongation of mean operative time by 17%. Similarly, total time in the operating room was increased by 18%. Our results parallel similar findings in urology, orthopedics, general

The Leapfrog Group was formed in 2000 in an effort to bridge the gap between of evidence-based medicine (EBM) and practice (Brooke, Dominici, Makary, & Pronovost, 2009). One EBM practice that Leapfrog has promoted is the use of perioperative beta-blockers during AAA repairs (Brooke, Dominici, Makary, & Pronovost, 2009). A random control trial concluded of the hospitals partaking in the study, 26% reported compliance with routine beta-blocker use after surgery, whereas, 74% reported failure to implement the policy. The study showed a decrease in mortality following open AAA repair was among hospitals that adopted the beta-blocker policy, which was significantly lower than the mortality rate

The topic I chose for this journal review is about a condition called Herlyn-Werner-Wunderlich Syndrome (HWWS) with hematocolpos. Herlyn-Werner-Wunderlich Syndrome represents a type of Müllerian duct and Wolffian structure abnormalities. HWWS, can also be referred to as OHVIRA (Obstructed hemivagina and ipsilateral renal agenesis) syndrome (Karkera, 2015). This condition can represent female genital malformations by: uterus didelphys, unilateral low vaginal obstruction, and ipsilateral renal agenesis with all three of these being secondary to mesonephric duct–induced müllerian anomalies (Karkera, Bendre, Ramchandra, D’souza, 2015). What is hematocolpos? Hematocolpos is a condition in which the vagina fills up with menstrual blood and is usually caused by an imperforate hymen. This journal describes how the use of sonography helped diagnose patients with this congenital disorder.