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Location: Round Rock, Texas, United States

Thursday, April 06, 2006

Surgeries of the Pancreas and Spleen

Surgeries of the Pancreas and Spleen
Surgical Technology for the Surgical Technologist
Chapter 11
The Pancreas
Four regions
Head
Neck
Body
Tail

Acini
Exocrine
Islets of Langerhans
Endocrine
Blood Supply

Pancreatectomy
Pathology
Cysts
Tumors
Pancreatitis
Inflammatory masses
Whipple
Combination of procedures
Resection
8 steps
Whipple
Reconstruction
3 steps
Pearls of Wisdom
This procedure takes a long time and requires meticulous organization of techniques and instrumentation.
If you listen to the surgeons conversation with his assistant, you will be able to pick up clues as to what he/she may want next.
Watch to see how deep the tissue is that they are working on.
Surgery of the Spleen
Splenectomy
Pathology
Trauma
External
Intraoperative
Abscess
Parasites
Splenomegaly
Spontaneous rupture

Pearls of Wisdom
Splenic trauma usually involves a large amount of bleeding. Visualization may be a problem. Have lots of laps and long clamps such as sarots to clamp the bleeding vessels.
Have long hemoclips and silk ties on long instruments such as tonsil stats or right angles

Reading Assignment for the next Class
ST for the ST
Surgery of the Breast/Thyroid
Pages 457-469
Alexander’s
Thyroid and parathyroid Surgery
Pages 626-633
Starting at Implementation on 626
Breast Surgery
Pages 647-654
Starting at Surgical Interventions on 647

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