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Related Concept Videos

Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

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Related Experiment Videos

Stomas and trauma.

David R Welling1, James E Duncan

  • 1Surgery and Anatomy, Uniformed Services University, Bethesda, MD 20814-4799, USA. dwelling@usuhs.mil

Clinics in Colon and Rectal Surgery
|December 17, 2009
PubMed
Summary
This summary is machine-generated.

Surgical treatment for penetrating colon injuries involves a balance between primary repair and diversion. While primary repair is suitable for most injuries, diversion via colostomy or ileostomy remains critical for severe military wounds.

Keywords:
Penetrating colon traumacolostomydamage controlileostomyprimary repair

Related Experiment Videos

Area of Science:

  • Surgical Management
  • Trauma Surgery
  • Colorectal Surgery

Background:

  • Current treatment strategies for penetrating colon injuries are debated.
  • Both civilian and military perspectives influence surgical dogma.
  • The optimal approach for managing these injuries is evolving.

Purpose of the Study:

  • To review the current dogma regarding the treatment of penetrating colon injuries.
  • To discuss the appropriate application of surgical techniques in diverse clinical scenarios.
  • To highlight the decision-making process between repair and diversion.

Main Methods:

  • Review of existing literature and surgical principles.
  • Analysis of treatment outcomes from civilian and military contexts.
  • Discussion of the evolving understanding of penetrating colon injury management.

Main Results:

  • Primary repair is effective for the majority of penetrating colon wounds.
  • Diversion techniques (colostomy, ileostomy) remain essential for severe and devastating injuries, particularly in military settings.
  • Failure of primary repair leading to leakage is associated with high mortality rates.

Conclusions:

  • The decision to perform primary repair versus diversion is a critical surgical art.
  • Knowing when to divert and when to repair is paramount for patient outcomes.
  • Severe penetrating colon injuries, especially in military contexts, may still necessitate diversionary procedures.