220 Section 2 * Roccules and Ration of Surped Sectroduct Case Study 4 Donchea, 362 year-old morbidly obee diabetic has acute abdominal pain and appendicitis is suspecied The patient is scheduled for a laparoscope appendectoraty. Upon entry, the surgeon rais that the appender has nupvared and the surgeon decides to go open. The appendix was that if the wound showed no signs of infesof the wound have been left open. The surgeon told the put will return to the surgeon’s office later for removal tion th free doys they would finish the closure. The patil of the skin stiches at their positoperative vial. For a laparoscopic surgery, you had thought the usel what is the difference between intracceporeal and ing the appendix. What would the surgeoe have used During the surgical procedure, the surgeon grasps the appendix for removal. The mescappendix is clamped with hemostate, inclesed, and a stick tie is used to prevent bleeding. The surgeon then asks for a suture. Why would the surgeon use a parsestring satch at the base of the appendix? What type of nocdle will the submere require? Aher the caltures are completed, the surgeon decides to irrigate. Why? That is the wound classification? “Why did the surgeon leave the wound partially open and insert a penrose drain? In iss present condition, by what method is the wound expected to beal from the bottom up? When is is expected that the surgeon will possibly close the wound if third-intention healing is utilined How will the surgeon determine if Dorothea’s wound may be closed?
[Answered]: 220 Section 2 * Roccules and Ration of Surped…
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