c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Appendicostomy: 7

A D V E R T I S E M E N T

   
 

A leak test is performed by filling a syringe with saline, connecting it to the feeding tube and raising the fluid level 30cm above the cecum (the bowel is occluded proximally and distally). The feeding tube is removed; if leakage of NS is found, additional length is added to the cecal wrap.      

Notes:

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Appendicostomy: 8

A D V E R T I S E M E N T

   
 

The opening in the umbilicus is then created by everting the umbilicus and making a V-shaped incision, with the apex of the V at the deepest part of the umbilicus.       

Notes:

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Appendicostomy: 9

A D V E R T I S E M E N T

   
 

The incision flap is turned back. 5-0 chromic sutures are placed in the four quadrants with the needles left on.       

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This page was last modified on 5/7/1999.