Showing posts with label surgical procedures. Show all posts
Showing posts with label surgical procedures. Show all posts

Sunday, 17 March 2019

Transplantation

Types

  • Cell transplantation
  • Cold Ischaemia
  • Organ transplantation
  • Replantation
  • Tissue and Organ harvesting
  • Tissue transplantation
  • transplantation, Autologous
  • transplantation, Heterologous
  • transplantation, Heterotopic
  • transplantation, Homologous
  • Warm ischaemia

Sunday, 27 January 2019

[Vascular surgery] Procedures

Introduction to vascular surgery

Procedures

 

Investigations

  • Intravascular ultrasound
  • Carotid ultrasonography
    • Carotid duplex
  • Digital subtraction angiography
    • Cerebral angiography
  • Venography
  • Impedance phlebography

Removal of foreign bodies

  • Vascular snare

Aneurysm repair

  • Endovascular aneurysm repair (EVAR)
  • Open surgery

Revascularisation

  • Thrombectomy 
  • Angioplasty
    • Percutaneous transluminal angioplasty (PTA)
    • Stenting
  • Endarterectomy
    • Carotid artery
    • Femoral artery 
  • Laser endarterectomy
  • Atherectomy 
  • Vascular bypass
    • Femoral popliteral bypass surgery

Chronic venous disease

  • Vein stripping
  • Ambulatory phlebectomy
  • Sclerotherapy
  • Laser ablation

Endovascular surgery vs open surgery


Endovascular procedures are superior to open surgical procedures in several ways: the risk of infection is lower, the trauma inflicted to the overlying tissues is minimal. Studies have shown that in the short-term, endovascular repair of abdominal aortic aneurysm confers signficantly better patient mortality than open surgical repair.

However, endovascular surgery is a younger field than open surgery, and there are several trade-offs, including reduced visibility. Long-term patient mortality is significantly better in patients treated with open surgical repair, than in patients treated with endovascular repair. The increased mortality associated with endovascular repair is largely attributable to secondary aneurysm sac rupture.

[Urology] Procedures

General urinary tract investigations

Bladder

Prostate

Vas deferens

  • Vasectomy 
  • Vasovasostomy (vas deferens to vas deferens) 
  • Vasoepididymostomy (epididymis to vas deferens connection)

Urethra

  • Urinary catheterisation
  • Retrograde urethrogram
  • Urethrotomy
  • Urethroplasty
  • Urethral bulking injections (gynaecology)

Penis

  • Penile plethysmography (PPG)
  • Penile prosthesis
  • Penectomy

Foreskin and frenulum

  • Preputioplasty
  • Superincision
  • Circumcision
  • Frenuloplasty of prepuce of penis

Testicles 

  • Orchiopexy
  • Orchidectomy (Gonadectomy)

[Obstetrics and gynaecology] Procedures

Introduction to obstetrics and gynaecology

Procedures

 

Gynaecology

Contraception

  • IUD insertion
  • Tubal ligation

Cervical dysplasia

  • Papanicolaou smear collection
  • Colposcopy
  • Cervical conisation
    • Loop electrical excision procedure

 Haemorrhagia 

  • Endometrial ablation
  • Uterine artery embolisation 

Miscarriage / abortion

  • Vacuum aspiration

 Infertility

  • Hysterosalpingogram (HSG)

Investigations

  • Hysteroscopy
  • Falloposcopy
  • Endometrial biopsy

Removal of growths or entire organs

  • Cervicectomy
  • Salpingectomy
  • Oophorectomy 
  • Salpingoophorectomy 
  • Uterine myomectomy
  • Hysterectomy 
  • Pelvic exenteration 

 

Obstetrics

Prenatal diagnostics

Prenatal intervention

  • External cephalic version 
  • Fetal surgery

Perinatal intervention

  • Induction
    • Amniotomy (artificial rupture of membranes)
    • Episiotomy (perineotomy) 
    • Symphysiotomy
    • Vacuum extraction
    • Forceps extraction 
  • Dystocia management
  • C-section (Caesarean section) 

Postnatal intervention

  • Manual placenta removal  
  • B-Lynch suture

Saturday, 26 January 2019

Transurethral resection of the prostate

Also known as TURP.

Heller myotomy

Anatomy

The entry into the stomach is called the cardia. This is where the lower oesophageal sphincter sits.

 

Indications

  • Oesophageal achalasia: failure of the lower oesophageal sphincter to relax and allow passage of oesophageal contents into the stomach.

 

Procedure

The muscles of the cardia are cut (myotomy). This allows easier entry into the stomach.
The loss of cardia function can result in post-operative GORD.
Often an anterior (Dor) fundoplication is performed, to reduce reflux.
Complete (Nissen) fundoplication should not be performed due to the absent peristalsis in achalsia.

[Orthopaedic surgery] Procedures

Articles

     

    Top 25 most common procedures:

    1. Knee arthroscopy and meniscectomy
    2. Shoulder arthroscopy and decompression
    3. Carpal tunnel release
    4. Knee arthroscopy and chondroplasty
    5. Removal of support implant
    6. Knee arthroscopy and anterior cruciate ligament reconstruction
    7. Knee replacement
    8. Repair of femoral neck fracture
    9. Repair of trochanteric fracture
    10. Debridement of skin/muscle/bone/fracture
    11. Knee arthroscopy repair of both menisci
    12. Hip replacement
    13. Shoulder arthroscopy/distal clavicle excision
    14. Repair of rotator cuff tendon
    15. Repair fracture of radius (bone)/ulna
    16. Laminectomy
    17. Repair of ankle fracture (bimalleolar type)
    18. Shoulder arthroscopy and debridement
    19. Lumbar spinal fusion
    20. Repair fracture of the distal part of radius
    21. Low back intervertebral disc surgery
    22. Incise finger tendon sheath
    23. Repair of ankle fracture (fibula)
    24. Repair of femoral shaft fracture
    25. Repair of trochanteric fracture

    Oesophagectomy

    This refers to surgical removal of the oesophagus.


    Indications

    Nissen fundoplication

    Also known as complete fundoplication.

    This is a surgical procedure which can treat cases of gastro-oesophageal reflux disease.
    The fundus of the stomach is wrapped around the lower oesophagus to increase resistance to reflux of gastric contents.

    Tonsillectomy

    This refers to surgical removal of the palatine tonsils.

    Roux-en-Y anastomosis

    Appendectomy

    This refers to surgical removal of the vermiform appendix. This structure is a blind end attached to the cecum.


    Gastrectomy

    This refers to surgical removal of the stomach.
    Can involve Roux-en-Y anastomosis.

     

    Indications

    Cholecystectomy

    This refers to surgical removal of the gallbladder.

    Sunday, 20 January 2019

    Replacement arthroplasty

    Also known as joint replacement.

     

    Indications

    • Severe join dysfunction
    • Severe joint pain

     

    Relevant diseases

     

    Complications

    • Prosthetic joint infection
    • Chronic pain (common but relatively mild)

    Suprapubic cystostomy

    Also known as suprapubic catheterisation.

    Endoscopy

    Endo- = inside
    -scopy = look

    This is a minimally invasive surgical procedures which uses an instrument called an endoscope to look inside the body. 

     

    Types

    • Arthroscopy
    • Bronchoscopy
    • Colonoscopy
    • Cystoscopy
    • Endoscopic retrograde cholangiopancreatography (ERCP)
    • Enteroscopy
    • Hysteroscopy
    • Laparoscopy
    • Laryngoscopy
    • Oesophagogastroduodenoscopy (OGD)
    • Sigmoidoscopy 

    Transjugular Intrahepatic Portosystemic Shunt

    Also known as TIPSS

    This helps to reduce portal hypertension and therefore variceal bleeding. 

    TIPSS may worsen hepatic encephalopathy as it allows blood containing nitrogenous waste to bypass the liver entirely and return to the brain.


    Enterectomy

    Also known as bowel resection. 

     

    Types

    • duodenectomy  
    • jejunectomy  
    • ileectomy  
    • colectomy

    Pyloromyotomy

    Also called Ramstedt’s operation.
    The muscle around the pylorus of the stomach is divided.

     

    Indications