July 14 - 18 2025
---- Operated ----
- SICU9; M/76; S07EM11
Open conversion small bowel resection and anastomosis ๐ฌ
Dx; right inguinal hernia with small bowel strangulation
pre-OP septic shock with norepinephrine, vasopressin and epinephrine
- SICU11; F/90; S07C12
Laparoscopic cholecystectomy ๐ฌ
severe inflammation
- 824; M/29; S07A20
Single incision laparoscopic appendectomy ๐ฌ
- 817; M/78; S07A19
Laparoscopic appendix and cecum resection ๐ฌ
(appendectomy and cecectomy)
pre-OP CT; appendicitis with cecal perforation
-925; M/77; S07C11
Laparoscopic cholecystectomy ๐ฌ
- 825; M/74; S07EM09
Laparoscopic stomach primary repair ๐ฌ
Dx; gastric ulcer perforation
- 902; M/52; S07EM08
Laparoscopic small bowel and colon resection and anastomosis ๐ฌ
(ileocecectomy)
pre-OP Dx; small bowel obstruction d/t distal ileum bezoar
post-OP Dx; conglomerated terminal ileum and adhesion induced
small bowel obstruction
CD II; post-operative small bowel obstruction
- 902; M/22; S07EM07
Open conversion small bowel resection and anastomosis ๐ฌ
Dx; small bowel mesenteric abscess and multiple small bowel stricture
Hx; underlying Crohn's disease
pre-OP CT; intra-abdominal abscess and multiple small bowel stricture
CD II; post-operative small bowel obstruction
- 817; M/68; S07EM06
Open gallbladder resection ๐ฌ
(completion cholecystectomy)
Dx; bile peritonitis d/t bile leakage after laparoscopic cholecystectomy
Hx; GB cancer T2b after cholecystectomy
CD IIIa; ERBD via ERCP
f/u CT; bile peritonitis, huge peri-hepatic bile collection
CD IIIa; re-ERBD via ERCP
CD IIIa; PCD for bile drainage
- 902; M/67; S07EL01
Open conversion small bowel resection and anastomosis ๐ฌ
Dx; adhesive small bowel obstruction, non-responsive to non-operative management
Hx; lung cancer stage IV
recent left hip replacement d/t metastasis
CD IIIb; re-OP; S07EM10
Wound debridement and primary repair ๐ฌ
Dx; deep surgical site infection and fascia dehiscence
left hip surgical reduction co-op d/t hip displacement
negative pressure wound therapy
- 824; M/66; S07EM05
Open colon resection and end-colostomy ๐ฌ
(Hartmann's procedure)
Dx; sigmoid colon perforation
CD IVb; respiratory failure, AKI, deep surgical site infection and dehiscence, fragile colostomy
re-OP; S07EL02
Colostomy revision, wound debridement and primary repair ๐ฌ
Dx; deep surgical site infection and fascia dehiscence
negative pressure wound therapy
- 903; F/44; S07EM03
(splenectomy)
Dx; splenic rupture and hemoperitoneum
Hx; non-trauma (sliding hx 1mo)
pre-OP hemorrhagic shock
CD IIIa; PCD d/t splenic bed fluid collection of old hemorrhage
---- NOM ----
- 710; F/63 NOM
Dx; peri-cecal abscess
s/p SILA, POD#19 re-adm
CD IIIa; PCD for abscess drainage
- 823; F/69 NOM
Dx; appendagitis
s/p NOM of sigmoid diverticulitis with abscess, s/p PCD
- 902; M/37 NOM
Dx; celiac axis, SMA and left common iliac artery dissection
Tx; anticoagulation(IV unfractionated heparin), conversion to antipletalet
therapy(po clopidogrel) and frequent diet with low volume
๋๊ธ ์์:
๋๊ธ ์ฐ๊ธฐ