|Discussion in 'All Categories' started by kadhim - Nov 28th, 2012 11:26 am.|
|I need highly selective vagotomy.How to go about it please?|
re: Vagotomy by Dr M K Gupta - Dec 1st, 2012 12:00 pm
Dr M K Gupta
Nowadays the indication of vagotomy is less due to new highly effective proton pum inhibitors. The surgeon in highly selective vagotomy will make about 4-5 small incisions in your abdomen. A port is inserted into one of the slits, and carbon dioxide gas inflates the abdomen. This process allows the surgeon to see inside of your abdomen more easily. A laparoscope is usually inserted through another port. The laparoscope looks like a telescope with a light and camera on the end so the surgeon can see inside the abdomen. For highly selective vagotomy surgical instruments are placed in the other small openings and used to cut the vagal nerves, up near the diaphragm where the nerves enter the abdomen. After the vagal nerves have been cut in highly selective vagotomy, the outlet to your stomach will be opened up (the pyloroplasty) to prevent blockage later on. After this surgery of highly selective vagotomy has been accomplished, the carbon dioxide is released out of the abdomen through the slits, and then these sites are closed with sutures or staples, or glue-like bandage and steri-strips.
Before this surgery you should come to our hospital for full examination and we will make it sure you need this surgery or not and you are fit for this surgery.
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