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This Concept Map, created with IHMC CmapTools, has information related to: FINAL - Lab Seven- Intestinal Resection, Anastomosis and Rectal Prolapse, Pre-Operative Considerations Includes 1. Preoperative fluid resuscitation 2. Preoperative antibiotic prophylaxis 3. Placement of nasogastric tube and indwelling urinary catheter 4. Venous thromboembolism prophylaxis, Post-Operative Procedures Such as Follow Up Care, Intra-Operative Procedures includes Foriegn Body Removal, These procedures would be necessary when there is mechanical obstruction, severe infection or necrosis, neoplasia, and perforation., Considerations Such As Contraindications, Intestinal Resection, Anastomosis & Rectal Prolapse Correction (mouse over) Begins with Pre- Operative Considerations, Considerations Such As Reasons for Failure, Contraindications Include Intestinal anastomosis is contraindicated in conditions where there is high risk of anastomotic leak, such as in the following conditions: 1.Severe sepsis 2. Poor nutritional status like severe hypoalbuminemia malignancy (multiple peritoneal and serosal deposits, ascites) 3. Disseminated malignancy (multple peritoneal and serosal deposits, ascities 4.Viability of bowel in doubt 5.Fecal contamination or frank peritonitis 6.An unhealthy bowel condition precludes primary anastomosis., Client education for Intestinal resection & anastomosis, Intra-Operative Procedures includes Rectal Prolapse Repair (mouse over), Intestinal Resection, Anastomosis & Rectal Prolapse Correction (mouse over) involves Intra-Operative Procedures, These procedures would be necessary when there is submucosal swelling protruding through the anus, or parts of the rectum or descending colon protruding from anus., Reasons for Failure Would Include 1. Failure to treat primary cause of the prolapse 2. Failure to manage straining after surgery 3.Poor technique, Client Education: 1) Intestinal resection & Anastomosis 2) Rectal prolapse is part of Follow Up Care, Pre-Operative Considerations Includes Gathering Required Instruments: 1. Doyen (Pean) Intestinal Forceps, Intestinal Resection, Anastomosis & Rectal Prolapse Correction (mouse over) also involves Post-Operative Procedures, Complications Include 1.Anastomotic leak 2.Bleeding 3.Wound infection 4.Anastomotic stricture 5.Prolonged functional ileus 6. Dihiscence 7. Peritonitis from leakage 8. Short bowel syndrome, Pre-Operative Considerations Includes Initial Exam iclusive of both 1) Distance Exam 2) Physical Exam, Considerations Such As Complications, Client education for Rectal prolapse