Thursday, February 10, 2011

Pediatric Surgery part 2

Pediatric surgery doesn't stop from coming in, sabi nga ni Dr. D, "parang nalaman ng buong Pilipinas na umuwi na si Dr. L kaya nagsisidagsaan ang mga kakaibang pediatric condition sa hospital."

Anyways, because of my double off status, I'm expecting to be placed on a heaviest case for the day and true enough I was placed as a scrub nurse in another pediatric surgery: Kasai Surgery or Hepatoportoenterostomy.
KASAI SURGERY/ HEPATOPORTOENTEROSTOMY

Kasai Surgery is performed on infants diagnosed to have a biliary atresia, which is a condition where the bile is not able to drain normally from the small bile ducts within the liver into the larger bile ducts that connect to the gall bladder and small intestine.
To perform the Kasai procedure, surgeons first carefully remove the damaged ducts outside of the liver. They use a small segment of the patient's own intestine to replace the ducts at the spot where bile is expected to drain. This segment not only connects to the liver, but also connects to the rest of the intestine. The Y-shaped passageway formed by the Kasai procedure allows bile to flow from the liver into the intestine. (source: Kasai Surgery)
Unfortunately, the surgeon decided not to proceed in doing the procedure after the IOC showed negative result. Even though I wanted to assist in this one of a kind operation it is still a good thing that we didn't proceed for the sake of the baby. She's only two months old and revealing that she don't have a biliary atresia is very lucky. Syempre mas okay na ok ung baby kesa naman mag-scrub ako sa kakaibang procedure, patient first ika nga.

No comments:

Post a Comment