COMPONENT SEPARATION - Department of Surgery at SUNY ...

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Immediate Concern: Sepsis ‣ Large bore IV ‣ IV fluid resuscitation ‣ Broad - spectrum antibiotics & PPI ‣ Invasive monitoring ‣ Monitor urine output
Clincal Stages of PPU Stage First < 2 hrs Second 2-12 hrs Third > 12 hrs Presentation Abrupt onset abd pain, epigastric generalized Rigidity, RLQ tenderness from drainage of succus Abd distention, fever, hypovolemia, abdominal distention Lee and Sarosi. Surg Clin N Am, 2011
Page 1 and 2: Management of Difficult Perforated
Page 3 and 4: ED Physical Exam ‣ BP 221/123 HR
Page 6 and 7: A Long Prelude to the OR ‣ HD#1:
Page 10 and 11: Exploratory Laparotomy ‣ Drainage
Page 12 and 13: Post - Operative Course ‣ POD#12:
Page 14 and 15: Management of Difficult Perforated
Page 16 and 17: Etiology ‣ Focal mucosal defects
Page 20 and 21: Operative Principle Do only what is
Page 22 and 23: Modified Johnson Classification Bil
Page 24: Types of Vagotomy
Page 27 and 28: Difficult PPU: What to Do?
Page 29 and 30: Thal Serosal Patch Sorour M et al.
Page 31 and 32: Pyloroplasty ‣ Full-thickness inc
Page 33 and 34: Finney Pyloroplasty ‣ Inverted U-
Page 35 and 36: Tube Duodenstomy Lee and Sarosi. Su
Page 38 and 39: Which type of gastric ulcer corresp
Page 40 and 41: Which operation for duodenal ulcer

COMPONENT SEPARATION - Department of Surgery at SUNY ...

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