SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

IQX-FT-003-BUC
Versión: 1

STUDENT NAME: CODE: PRACTICE

Gissel Camila Jerez Muñoz 01190022026 LEVEL: III

TEACHER'S NAME: PRACTICE STAGE: NOTE:

Yuli calderón Instituto del corazón

SPECIALTY: SURGEON: DATE:

Cardiovascular Dr. Fabian Giraldo 22 septiembre 2022

NAME OF PATIENT: MEDICAL HISTORY NUMBER: PATIENT AGE:

Abelardo Gonzales ruiz 2054825 85 Años
SURGICAL PROCEDURE TO PERFORM:
aortic valve replacement + RVM

SURGICAL INSTRUMENTATION PROCESS

1. PLANNING STAGE:

1.1. Surgical Objective: (Make description)

The goal is to replace the cardiac aortic valve with a mechanical or biological prosthesis, the selection of whic
is determined by considerations related to the frequency of thromboembolism, the need for anticoagulation, th
durability of the prosthesis, the hemodynamic characteristics of the valve, the patient's socioeconomic status,
and preference. of the surgeon

1.2. Anatomy and physiology: (Make graph and description).

 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

IQX-FT-003-BUC
Versión: 1

1.3. Check list:

MEDICAL EQUIPMENT/ DRUGS AND

SUTURES AND
INSTRUMENTAL DEVICES SOLUTIONS
NEEDLES

 extracorporeal  pathology flask  kit ticron 2/0  Saline solution

basket  Scalpel blades  prolene 5/0  heparinized
 coronary basket 15 TF1 solution
 reciprocating saw  Scalpel blades  Prolene 4/0
 perfusion machine 11  ptolene 6/0
 frontlight  Syringe 3cc  Silk 2/0
 Electrosurgical unit  10cc syringe without needle
console  Ruber  Polyglactin 910
 separatorsternal  asept 3/0
 ligaclip forceps  biological  surgical wire 5
 Handlebars aortic valve  pacemaker
 Extracorporeal  dressing thread
basket  Micropore  scalpel blade
 Cardiac  cardioplegia 15
PositionerStarfishe cannula  scalpel blade
d  arterial cannula 11
 Octopus fabric  venous cannula  bone wax
stabilizer  pericardial
 Valve Gauge Set aspirator
 Rotators and testers  vent aspirator
 clothing
package
 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

IQX-FT-003-BUC
Versión: 1

ORGANIZATION STAGE:

Arrangement of May tables and reservation (make scheme).

2.2. Patient position (Name and

graphic):
 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

IQX-FT-003-BUC
Versión: 1

2.3. Location of the Surgical Team (make a graph):

CX IQ

ANES

CX 2

PERFU

2. EXECUTION STAGE:

a) Anesthesia (write the type of anesthesia):

 general anesthesia

b) Incision (write the type of approach and the name of the incision):

 inverted t incision in the thorax and in the lower longitudinal limb

 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

IQX-FT-003-BUC
Versión: 1

c) Surgical Process (Describe the main steps of the surgical medical technique with the
instruments to be used).

1. asepsis and antisepsis of the patient

2. Longitudinal lower limb incision
3. section of the saphenous vein to perform the coronary bypass
4. inverted T-incision over the thorax
5. Performs the cannulation, according to the surgeon's preference, the use of suction
ventilation and retrograde cardioplegia.
6. If the sinus venosus is not cannulated for retrograde perfusion, pass a metal needle to the
surgeon for indirect antegrade cardioplegia (surgeon's choice)
7. Pass the umlaut instruments (scalpel blade 11) and vascular grasping instruments to the
surgeon to incise the aorta, then pass the scissors.
8. Pass the suction cannula of the machine to collect the blood.
9. Pass 4-0 silk for repair of aortic walls
10. Pass vascular grasping forceps and scissors for aortic valve dissection and removal.
11. Note that when the valve is calcified, the surgeon places a medium-moist gauze pad in
the cavity, removes the valve using allix forceps, scissors, and vascular grasping forceps.
12. The surgeon passes the surgeon a 2-0 vascular needle polyester suture with or without
felt (at the surgeon's discretion) of 16mm in each of the posts and respective repair, then
passes the following sutures, taking special care not to repeat the color of the thread, the
change of this sequence will be given by order of the surgeon.
13. Proceed to measure the valve with the sizer approved by the surgeon and confirmed.
14. If the valve to be implanted is biological, wash it according to the valve device washing
protocol
15. Support the surgeon in the passage of the sutures in the valve annulus.
16. After implantation of the medical device, pass the closing suture (4-0 prolene 4-0 round
needle 16 mm with pleat)
17. Perform the completion time steps: patient decannulation, hemostasis review, pericardia
closure, pericardial muscle and fat closure, sternum closure, and skin closure.
18. healing

WEEKLY REPORT FORMAT OF TRAINING PRACTICE

SURGERY ASSISTANCE RECORD FORM - TRAINING PRACTICE IQX-FT-024-UDES

STUDENT SIGNATURE: Gissel Camila Jerez Muñoz TEACHING SIGNATURE: __________________________

CONTROL DE CAMBIOS
 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

IQX-FT-003-BUC
Versión: 1

FECHA DE
VERSIÓN  DESCRIPCIÓN DEL CAMBIO  RESPONSABLE 
APROBACIÓN 

 
Lizeth Guiza
Coordinadora de Prácticas 
00  Versión de Prueba    25/11/2015
 
 
 
Elimina del encabezado la fecha de la  
implementación del formato, según Erika Grandas Ardila 
disposición de la alta dirección consejo
superior.  
Coordinadora de prácticas  
   
01  Eliminación pie de página por 03/08/2022 
modificación en procedimiento control de
documentos y registro.