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Surgicot Procedures including Minimol Access Procedures

Position the electrosurgical tlnit. Following draping, the scrub person-passes off the camera cab1e, Iight cord, and Silastic tubing' The circulatoi adjusts insufflator; first low flow (between 5 and 7 mm Hg), then higher flow according to surgeon's directions. C"onnect and turn on the light source and white balance camera. The circulator turns on the VCR, if requested' The circulator rechecks the position of the monitors to see that they can be easily viewed.

Chopler l0 Gostrointestinol Surgery

The.circulatbr conects all remaining items: irrigation system, suction tubing, and electrosurgical cord' -

atiitttttoments (nondisposable) may be flash-steril-

ized. -Souf. scope(s) and cord(s) in Steris solution after thorough cleansing' Turriroom and overhead lights out during the proceao""; t"""" one light on for the scrub person' Lights will U" tri"""a ott *guL when the procedure is comp]eted'. V""ifv with the blood bank that the blood ordered is

ESOPT{AGOSCOPY

Definition
Endoscopic visualization of the esophagus. f,liscusslon

available.

esophagitis (noting reflux), hiatal hernia, strictures, md varices; to remove tissues or secretions for study; frrdirect therapeutic manipulations such as removal of rbreign body, injection or coagulation ofvarices, or inmtion of a plastic prosthesis to relieve strictures. Flexihle,fiberoptic esophagoscopy is most often performed fo the gastrointestinal (GI) laboratory. Most often dirgnostic procedures are performed employing a flexible ffieroptic scope in the gastrointestinal laboratory ralher than in the operating room.

Esophagoseopy is performed to diagnbse malignancies,

Rocedure lAe surgeon applies topical anesthesia (usually

The head of the table is lowered. The patient,s head is held by an assistant, and it is raised or lowered

qraV)

nssed (the neck will be extended). _ the entire esophagus including the esophagogastric imction and proximal stomach may be examined. Ma-

es the eldoscopist directs until the esophagoscope is

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