Title: Comprehensive Management of Laparoscopic Hernia Repair
Slide 1: Title
Title: Comprehensive Management of Laparoscopic Hernia Repair
Presenter: [Assessment 2; Presentation (Case Study)]
Slide 2: Patient Profile
Patient A: 82-year-old male
BMI: 38, Smoker, SpO2: 97%
Heart Rate: 82 bpm
Blood Pressure: 150/80
Allergies: Seasonal allergy (common cold in winter)
Social Factors: Lives alone, limited social support.
Comorbidities: Hypertension, Type 2 Diabetes Mellitus
Current Medications: Amlodipine OD, Metformin and Vildagliptin BD
Slide 3: Key Symptoms/Diagnosis/Investigations
Key Symptoms: Persistent abdominal pain, bloating
Diagnosis: Umbilical hernia confirmed via physical examination and ultrasound
Investigations: Abdominal ultrasound showing herniated tissue
Slide 4: Anaesthetic Type & Surgery Performed
Anaesthetic Type: General Anaesthesia, intubated with ETT size 8Surgery Performed: Laparoscopic Hernia Repair
Slide 5: Major Anaesthetic & Surgical Risks
Anaesthetic Risks: Respiratory depression, post-operative nausea, vomiting, and intestine obstruction
Surgical Risks: Bleeding, infection, injury to surrounding structures.
Slide 6: Improvement in Quality of Life
Alleviates pain, discomfort, and risk of complications associated with the hernia.
Facilitates faster recovery and earlier return to daily activities.
Slide 7: Description of Surgical Intervention
Making small incisions in the abdominal wall
Inserting laparoscope and surgical instruments
Repositioning herniated tissue and placing a mesh to reinforce the weakened area.
Slide 8: Position for Surgery & Risks Mitigation
Position: Supine position with legs elevated
Risks Mitigation: Proper padding, regular position changes
Slide 9: Patient Warming & Intraoperative Hazards
Patient Warming: Forced air warming by bay huger.
Intraoperative Hazards: Perforation of bowel, injury to blood vessels
Slide 10: Intraoperative Care Plan
Continuous monitoring of vital signs
Administration of antibiotics prophylactically
Haemorrhage mitigation using electrocautery and meticulous haemostasis techniques.
Slide 11: Prevention of Surgical Site Infections & Sutures/Wound Closure
Prevention: Strict adherence to aseptic technique, prophylactic antibiotics
Closure: Absorbable sutures for deep tissue, adhesive strips for skin
Slide 12: Dressing/Drains/Wound Catheters
Dressing: Sterile dressing applied, no drains or catheters necessary
Slide 13: Post-op Instructions & Significant Events
Instructions: Limit heavy lifting, monitor for signs of infection, adhere to pain management regimen
Events: None reported during surgery; patient tolerated procedure well
Slide 14: Conclusion
Conclusion: Comprehensive management of laparoscopic hernia repair improves patient outcomes and quality of life post-surgery
Slide 15: Q&A
Questions and Answers
Note: Each slide should contain concise bullet points or key phrases, complemented by relevant visuals or diagrams. The presentation should aim to provide a clear overview of the case study while highlighting important aspects of patient care and surgical intervention.
