Вы находитесь на странице: 1из 3

Ateneo de Zamboanga University

College of Nursing Nursing Skills Output (NSO) Report No. 15 ABDOMINAL LAPAROTOMY Description: Abdominal Laparotomy is a surgical procedure that allows a surgeon to look inside the abdominal cavity. Materials/Equipment Needed: Procedure: 1. A catheter (a small flexible tube) is inserted through the urethra into the bladder. An additional tube may be passed through the nostril and into the stomach to remove intestinal contents (N-G tube). The skin of the abdomen is cleansed, and sterile drapes are applied 2. A small incision is made above or below the navel to allow the insertion of a trocar (essentially a tube extending from inside the abdomen to the outside),which allows passage of a video camera 3. Prior to insertion of trocar, a needle is inserted into the incision and carbon dioxide gas is injected to elevate abdominal wall and thereby create a greater space to work in Knife handles Scissors Forceps Retractor Suture materials General anesthesia

4. After an adequate amount of gas is instilled, 5.


The laparoscope is inserted, and the organs of the pelvis and abdomen are examined. Additional small incisions are made for instruments that allow the surgeon to move the abdominal organs, cut tissue, suture, and staple structures to safely and effectively perform the necessary procedure.

6. Following the examination, the laparoscope is then removed, the incisions are
closed with sutures, and bandages are applied. Depending upon the operation performed, a drain may be left through one of the incisions to allow for removal of accumulated fluid.

Diagram/Illustration

NURSING RESPONSIBILITIES
Before Procedure Check that all documentation,preop procedures and other orders are completed Check the surgical informed consent form Advise NPO post midnight for 8hours Prepare the clients clothing for the operation and remove or advise to leave valuable to at home Allow ample free for question, refer unanswered question to the proper person(surgeon) Encouraging communication Involved family provides support Explain the routines expected before, during and after surgery

During Procedure Drape the patient The position assumed is supine sets up the sterile field Drapes the patient Hands sterile instrument/ equipments to the surgeon and assistant Together with the circulating nurse maintain accurate count of sponges, sharps, instruments

References: http://www.scribd.com/doc/44899864/Basic-Laparotomy-Instruments http://www.scribd.com/doc/49145978/EXPLORATORY-LAPAROTOMY

March 14, 2011 Date Initials Sarajan, Aleeya S. BSNIII-D

Lorna De Bien, RN Clinical Instructors

Вам также может понравиться