수술실 케이스, Myomectomy(자궁근종절제술), 수술과정, 수술 중 간호, 회복실 간호, 합병증, 간호중재

소개글

"수술실 케이스, Myomectomy(자궁근종절제술), 수술과정, 수술 중 간호, 회복실 간호, 합병증, 간호중재"에 대한 내용입니다.

목차

(1) 수술환자 기본사항
(2) 수술정보
(3) 회복실 간호

참고문헌

본문내용

수술기구 및 장비(그림 포함)
- Morcellator(조직세절기)
용도 : 복강경 수술에서 큰 덩어리나 조직 등을 작게 나누어서 제거하기 위함
특징 : 분쇄 과정에서 조각이 뱃속에 잔류할 수도 있음(malignant 의심될 때는 비닐 주머니를 이용하여 조각이 잔류하지 않도록 함)

수술 과정(그림 포함)
- 수술 시작 AM 11:00, 수술 종료 AM 12:05
<Procedure Summary>
1. patient was placed on the op. table with lithotomy position
2. routine sterile preparation and drape was done as usual method
3. uterus was admitted to prove 6cm, cervix was dilated up to Hegar No. 8, the uterine elevator was inserted as usual method
4. incision was made at the lower rim of the umbilicus and then Veress needle was inserted, after inflation of abdomen with CO2 gas, a trochar was inserted at the site
5. after insertion of telescope, another trochars were inserted at the lower abdomen as usual method
6. incision of myoma surface of uterine Rt. post. area was done by endoshears
7. myomectomy was done by endoshear and crow forceps
8. bleeding point was controlled by bipolar forceps
9. seperated uterine post wall margin was approximated by Monofix & Vicryl 1-0

참고 자료

박정숙, 박경순, 서인주, 송미숙, 유명란, 이지현, 이혜란, 임경희, 조명옥, 최은희 and 황선영. (2018). 성인간호학. 현문사.
Tanos V., Berry K. E., Frist M., Campo R. and DeWilde R. L. (2018). Prevention and Management of Complications in Laparoscopic Myomectomy. BioMed research international, 8250952.