Surgery Case Write Up UGIH

[etofat's Mfteo`s> Aehf > x Ebf > 5:y Bfamfr > Jfhe`f Yelf > \erewed Oiea Emmrfss >e!ot Yf"frfalf A#hifr >x $[% A#hifr >x Metf &" Emhosso&a >:()*()5: $ohf &" Emhosso&a >5+))  SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS  SSSSSSSSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS SSSSSSSSSSSSSSSSSSSSSSSSSSSSSS  SS  Oatr&m#lto&a,

x 5: yfer c`m jfhe`f, afw`y herrofm `ovoab wotg gusieam jrch Depot wgc scubgt lcasu`t muf tc rflurrfat eimchoae` peoa esscloetfm wotg gfhetfhfsos. gfhetfhfsos. \gf os aca-gypfrtfasovf, aca-moeiftol, aca-estghetol, au``opercus wotg ac acwa gostcry cj bestrotos. \gf wes ei`f tc mc eltovotofs cj meo`y `ovoab oamfpfamfat`y wotgcut myspafe cr fesy jetobeio`oty. jetobeio`oty. %-of" %&h!`eoat

!grff meys procr tc emhossoca sgf gem gem fposcmfs cj gfhetfhfsos gfhetfhfsos esscloetfm wotg eimchoae` eimchoae`  peoa.

.ost&ry [rfsfatoab O``afss

!gf gostcry cj prfsfat o``afss stertfm t-rff yfers eb& "#5$, procr tc lcasu`t wgfa petofat petofat fxpfrofalfm rflurrfat eimchoae` peoa. %t wes mfslroifm es summfa casft, sgerp eam sfvfrf eam et tohfs s&uff'oab oa lgereltfr wotg e peoa slcrf cj ()5#, oaotoe``y `cle`o'fm cvfr tgf `fjt `cwfr &uemreat cj eimchfa, spflojole``y et uhio`ole` eam gypcbestrol rfboca , cllesocae``y remoetoab tc tgf `fjt o``oel rfboca , `estoab jcr e 5* hoautfs tc 5 gcur et tohfs. !gf peoa wes rf`ofvfm wotg  ifmrfst eam wotg es es affmfm oatef cj cj perelftehc` tei`ft. tei`ft. !gf eimchoae` eimchoae` peoa wes cllesocae``y cllesocae``y ellchpeaofm iy uamcluhfatfm jfvfr jurtgfrhcrf sgf l`eoh tgf jfvfr usue``y wotg ac lgo``s eam robcr. +uroab tgos tohf, sgf wes wcroab wcroab es e ieiysottfr oa cgcr egru wotg gfr sostfr sostfr eam calf rusgfm tc aferfst fmole` /fatfr muf tc ea fposcmfs cj sfvfrf eimchoae` peoa eam esscloetfm wotg gfhetfhfsos. %t wes tgf jorst fposcmfs cj gfr gfhetfhfsos. !gf i`ccm wes hercca rfm oa lc`cr. !gf &ueatotoy wes twc twc spccaju`. %t wes e`sc lcaafltfm wotg aeusfe eam vchotoab ejtfr ejtfr tgf gfhetfhfsos. !gf vchotoab wes aca i`ccmy eam eam aca io`ocus es wf``. !gf lcasu`t wes mcaf et tget tohf eam trfetfm es cut petofat eam prfslroifm ;erelftehc` ,jfvfr hfmoloaf eam lcubg syrup. !gf jfvfr suisomfs iut tgf eimchoae` peoa wes oatfrhottfat ebeoa.

  yfer `etfr "#5*, tgf pfrsostfalf pfrsostfalf cj tgf hfatocafm syhptchs bct wcrsfa, sgf gem rflurrfat eimchoae` peoa eam e`sc hu`top`f fposcmfs cj gfhetfhfsos gfhetfhfsos wgolg tgf &ueatoty cj i`ccm bremue``y oalrfesfm tc " tc $ spccaju` eam ot wes herrca oa lc`cr. \gf mom act lerf jcr eay trfethfat eam. 9c rflcrms cj eay cj tgf moebacstols mcaf wfrf hfatocafm. hfatocafm. \gf tcc uarfle``fm hfmoletocas jcr tgf eimchoae` peoa jrch eam tgf peoa rf`ofvfr wes lcatoaufm es sgf affmfm. ``fbfm`y, ``fbfm`y, sgf actolfm sgf wo`` gevf tgf peoa ifjcrf cr ejtfr gfr hfe`. !gf peoa sfvfroty wo`` e`sc oalrfesfs oj sgf etf spoly jccm. morflt (CBM)> morflt vosue`osetoca cj oatrehure` mossfltocas

Mofu`e"cy#s `fsocas

-cjtfa prfsfat peoa`fss`y4 `fsocas erf suihulcse` vfssf`s tget movf tcwerms tgf bestrol `uhfa eam tgrcubg frcsoca rupturf eam prcmulf repom i`ccm `css4 rfbermfm es lcabfaote` ertfroe` mysp`esoes iut erf hcst cjtfa syhptchetol oa hfa wotg e`lcgc` gostcrofs lermocveslu`er mosfesf oal`umoab gypfrtfasoca moeiftfs cr lgrcaol "omafy mosfesf

-cjtfa prfsfat wotg e aca-jcle` pgysole` fehoaetoca4 tgf i`ffmoab lea if oatfrhottfat

(#!!fr BO fam&sl&!y morflt vosue`o'etoca cj `fsoca (fam&sl&!ol #`tres&#am> omfatojoletoc a cj `fsoca

Oa/fstobeto&a >

5.Mroaf prfbaealy tfst J afbetovf 8 tc ru`f cut prfbaealy 1 ".!reaseimchoae` M`trescuam %hprfssoca 6 !c ru`f cut fltcpol prfbaealy ea m urftfrol stcaf $.Famcslcpy +oebacsos6 pcsotovf ;!!fr Bestr&oatfstoae` 7`ffmoab

Mppfr bestrcoatfstoae` 8M7%1 i`ffmoab os e lchhca leusf cj hcriomoty eam hcrte`oty ehcab uriea mwf``frs oa e`eysoe. +fspotf emvealfhfats oa famcslcpy eam pgerhelc`cby oa tgf trfethfat cj pfptol u`lfr mosfesf, tgf hcst jrf&ufat leusf cj sulg i`ffmoab, tgf cvfre`` hcrte`oty ges rfheoafm lcasteat. !gos os muf tc ea oalrfesf oa tgf prcpcrtoca cj f`mfr`y petofats mfvf`cpoab lchp`oletocas cj pfptol u`lfr mosfesf. s sulg, fer`y moebacsos, systfhetol heaebfhfat eam rfbu`er jc``cw-up voe famcslcpy erf vote`.  prcspfltovf prcspfltovf rflcrms cj M7% i`ffmoab oavc`voab petofats wes mcluhfatfm oa twc surbole` werms cj tgf bcvfrahfat uaot, \oiu