The appropriate surgical procedure for correcting a gastric perforation depends on the location and cause of the injury. The simplest method for surgical repair of a gastric perforation caused by a peptic ulcer is to oversew the perforation and tack it down with a piece of omentum to seal the hole, this is called an omental patch. This course reviews the steps of completing the procedure while also reviewing potential complications. The perioperative process and recommended interventions for managing the patient undergoing this procedure will also be discussed.
The goal of this course is to provide CSTs with information about gastric perforation repair with omental patch surgery and potential complications.
The appropriate surgical procedure for correcting a gastric perforation depends on the location and cause of the injury. The simplest method for surgical repair of a gastric perforation caused by a peptic ulcer is to oversew the perforation and tack it down with a piece of omentum to seal the hole, this is called an omental patch. This course reviews the steps of completing the procedure while also reviewing potential complications. The perioperative process and recommended interventions for managing the patient undergoing this procedure will also be discussed. The goal of this course is to provide CSTs with information about gastric perforation repair with omental patch surgery and potential complications.
This course is approved for surgical techs from 09/01/2021 to 08/31/2024.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Gastric Perforation
Background of the Omental Patch Procedure
Anatomy and Physiology
Etiology of Gastric Perforation
Diagnosis
Preprocedural Planning
Indications
Contraindications
Review
Summary
Section 3: Intraoperative Care
Repair Approach
Surgical Intervention
Instrumentation, Equipment, & Supplies
Procedure Steps
Review
Summary
Section 4: Procedural Considerations
Enhanced Recovery After Surgery (ERAS)
Postoperative Complications
Review
Summary
Section 5: Clinical Vignette
Case Study
Section 6: Conclusion
Course Summary
Course Contributor(s)
References
Brandy is an accomplished nursing professional with expertise in the perioperative setting. She graduated summa cum laude with a Bachelor of Science in Nursing degree from Capella University. She has developed skills to become versatile in both the circulator and scrub roles for a variety of surgical specialties. She fulfilled numerous nursing leadership responsibilities as the Surgical Services Clinical Educator and Periop 101 instructor. As an educator, she was an active member of several committees tasked with creating a safe and efficient environment that promotes optimal patient outcomes. Additionally, she has experience as an inpatient surgical nurse in roles including charge nurse, admission/discharge facilitator, 24-hour short-stay operations, and preceptor. Disclosure: Brandy Verton, BSN, RN, CNOR has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.Staff Writer: Rhiannon Winsor, Ed.D, MBA, CST, CRCST
Rhiannon Winsor is a subject matter expert in the field of surgical technology and higher education. She has an associate degree in Surgical Technology, a bachelor’s degree in Business and Marketing, a master's degree in Business Administration (MBA), and a doctorate in Education with an emphasis in teaching and learning in higher education. She is a certified surgical technologist (CST) and a certified registered sterile processing technician (CRCST). She has 24 years of experience in the field of surgical technology, in which 12 of those years have been spent teaching in and managing surgical technology programs. She has working knowledge in the areas of orthopedics, general, obstetrics, gynecology, plastics, podiatry, sports medicine, neurology, genitourinary, peripheral vascular, ENT, maxillofacial and laparoscopic surgery. Disclosure: Rhiannon Winsor, Ed.D, MBA, CST, CRCST has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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