PreOp Patient Education
Monday, September 26, 2022

  Your Body
  Medical Record
  Before Surgery
  Your Procedure



Your Procedure

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Now it's time to talk about the actual procedure your doctor has recommended for you.

On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia.
The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made,
... place a sterile drape around the operative site.
After allowing a few minutes for the anesthetic to take effect...
a small incision is made above the umbilicus;
then, a hollow needle will be inserted through the abdominal wall.
And the abdomen will be inflated with carbon dioxide.
An umbilical port is created for the laparoscope.
Four more incisions will be made, with care taken to keep the openings as small as possible.
Once in place, the laparoscope will provide video images,
so the surgeon can insert the instruments used to locate and pull back the liver...
in order to see the upper part of the stomach.
Then, the surgeon cuts away the tissue that connects the liver and the stomach.
Then the surgeon divides and separates the arteries that supply blood to the top of the stomach.
After freeing the stomach from the spleen,
your doctor wraps the upper portion of the stomach around the esophagus and sutures it into place.
A rubber tube is placed in the esophagus to keep the wrap from becoming too tight.
All of the instruments are withdrawn...
the carbon dioxide is allowed to escape...
the muscle layers and other tissues are sewn together and the skin is closed with sutures or staples.
Finally, sterile dressings are applied.

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