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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
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[Preoperative marking options].

Alexandra Saur1, Hans-Martin Häfner2

  • 1Universitäts-Hautklinik, Liebermeisterstr. 25, 72076, Tübingen, Deutschland. alexandra.saur@med.uni-tuebingen.de.

Dermatologie (Heidelberg, Germany)
|March 10, 2023
PubMed
Summary
This summary is machine-generated.

Dermatologic surgery requires precise skin markings for procedures like tumor excision and lymph node mapping. This study reviews various marking options, highlighting cost-effective and skin-compatible choices for both pre-operative and intra-operative use.

Keywords:
Dermatologic surgical proceduresEosinPatient bloodPermanent markersSurgical marking pens

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Area of Science:

  • Dermatologic Surgery
  • Surgical Marking Techniques

Context:

  • Preoperative and intraoperative marking are crucial in dermatosurgery for defining surgical sites.
  • Accurate marking aids in procedures such as tumor excision, vein identification, and sentinel lymph node localization.

Purpose:

  • To review and compare various marking agents used in dermatologic surgery.
  • To identify cost-effective and skin-compatible alternatives to expensive marking pens.

Summary:

  • Available marking options include surgical pens, xanthene dyes, autologous blood, and permanent markers.
  • Permanent markers and non-sterile pens are suitable for preoperative marking, with permanent markers being reusable and inexpensive.
  • Sterile surgical pens, autologous blood, and eosin are recommended for intraoperative marking, with eosin noted for its affordability and good skin compatibility.

Impact:

  • Provides a comprehensive overview of marking techniques for dermatologic surgeons.
  • Highlights economical and safe alternatives for surgical site demarcation, potentially reducing costs and improving patient outcomes.