Right Hemicolectomy Case Study

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Register to read the introduction… Hopefully it will heal on its own spontaneously. Consequently we placed a 19-French Round Blake drain in the right lower quadrant and brought it out to the left lower quadrant 5mm port site. It was secured to the skin using a Vicryl suture.
The pneumoperitoneum was then desufflated. The fascia of the umbilical port site was then closed with a 2-0 Vicryl that had been previously placed. All the wounds were anesthetized with 0.5% Marcaine solution. The wounds were copiously irrigated. Skin peges? approximated using 4-0 monochryl. The wounds were then dressed with Betadine spray and Steri-Strips. A drain sponge was placed around the drain. The Foley catheter was removed. The patient was awakened, extubated and taken to PAR in stable condition as having tolerated the procedure well. No complications were observed.
DISPOSITION: 1. The patient will be transferred to the floor.
2. He will be kept at least
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DIAGNOSTIC LAB/IMAGING: DATA ON ADMISSION: Lab results at the time of admission showed a WBC count of 13. CT Scan done in the ED, revealed an acute appendicitis with phlegmon.
HOSPITAL COURSE: This 46-year-old Caucasion gentleman presented to the ED with a 3-day history of abdominal pain. However, over the past 24 hours it had radiated and migrated to the right lower quadrant, causing a significant amount of anorexia with some guarding. With an elevated White Blood Cell Count of 13 and a CT Scan consistent with appendicitis, the patient was taken to the operating room where he underwent a laparoscopic appendectomy. They revealed perforation of the appendix with a phlegmon. The appendix was removed in total with an intact stable line. A drain was placed in the right lower quadrant due to the phlegmonous

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