Hartmann’s operation Health Dictionary

Hartmann’s Operation: From 1 Different Sources


a method of reconstruction after surgical removal of the distal colon and proximal rectum, in which the rectal stump is closed off and the divided end of the colon is brought out as a *colostomy. The technique allows for a second operation to join up the bowel ends and obviates the need for a stoma. It is often used temporarily where primary anastomosis is unsafe (e.g. in cases of perforated *diverticular disease) or permanently as a palliative procedure (e.g. for unresectable colonic cancer). [H. Hartmann (1860–1952), French surgeon]
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Bypass Operation

A technique by which narrowing or blockage of an artery (see ARTERIES), vein (see VEINS) or a section of the gastrointestinal tract is bypassed using surgery. Arterial blockages – usually caused by ATHEROSCLEROSIS – in the carotid, coronary or iliofemoral arteries are bypassed utilising sections of artery or vein taken from elsewhere in the patient. Tumour growths in the intestines are sometimes too large to remove and can be bypassed by linking up those parts of the intestines on each side of the growth.... bypass operation

Operation

A surgical procedure using instruments – or sometimes just the hands; for example, when manipulating a joint or setting a simple fracture. Operations range from simple removal of a small skin lesion under local anaesthetic to a major event such as transplanting a heart which takes several hours and involves many doctors, nurses and technical sta?. Increasingly, operations are done on an outpatient or day-bed basis, thus enabling many more patients to be treated than was the case 25 years ago, and permitting them to resume a normal life – often within 24 hours. (See also SURGERY; MINIMALLY INVASIVE SURGERY (MIS).)... operation

Whipple’s Operation

A type of pancreatectomy in which the head of the pancreas and the loop of the duodenum are surgically removed.

whipworm infestation Small, cylindrical whip-like worms, 2.5–5 cm long, that live in the human large intestine. Infestation occurs worldwide but is most common in the tropics. Light infestation causes no symptoms; heavy infestation can cause abdominal pain, diarrhoea, and, sometimes, anaemia, since a small amount of the host’s blood is consumed every day.

Diagnosis is through the identification of whipworm eggs in the faeces. Treatment is with anthelmintic drugs, such as mebendazole. A heavy infestation may require more than 1 course of treatment. whitehead A very common type of skin blemish (see milia).... whipple’s operation

Hartmann’s Solution

A solution commonly used as a means of ?uid replacement in dehydrated patients (see also DEHYDRATION). Each litre contains 3·1 grams of sodium lactate, 6 grams of sodium chloride, 0·4 grams of potassium chloride, and 0·7 grams of calcium chloride.... hartmann’s solution

Operation- Qualification

documented verification that the system or sub system performs as intended throughout all anticipated operating ranges... operation- qualification

Hip Replacement Operation

Athroplasty. Success rate: high. Commonest indication: osteo- arthritis of hip. A lesser risk of sepsis occurs in first operation than in subsequent ones. Infection is suspected when acetabular loosening is present in conjunction with femoral loosening. Echinacea is the key remedy for combatting infection and for enhancing the patient’s resistance. Comfrey root promotes healing of bone tissue. St John’s Wort gives partial relief in post-operative pain. Horsetail is a source of readily absorbable iron and calcium. For slow healing, a liver agent (Fringe Tree) may be indicated. Alternatives. Teas. Comfrey leaves, Calendula, St John’s Wort, Gotu Kola, Plantain.

Tablets/capsules. St John’s Wort.

Formula. Comfrey root 2; St John’s Wort 1; Echinacea 2; trace of Cayenne (Capsicum). Dose – Powders: 750mg (three 00 capsules or half a teaspoon). Liquid Extracts: 1-2 teaspoons. Tinctures: 1-3 teaspoons. Effect is enhanced when doses are taken in cup of Comfrey herb tea. Other agents to promote renewal of tissue. Slippery Elm bark, Fenugreek seeds, Wild Yam, Carragheen Moss.

Discomfort from a scar. Aloe Vera gel, Calendula, Comfrey or Chickweed cream or ointment. See: CASTOR OIL PACK.

Diet. High protein, oily fish or fish oils.

Supplements. Vitamin C: 3-6g daily. Calcium ascorbate, Zinc. Magnesium. Cod Liver oil for Vitamins A and D; 2 teaspoons daily.

Note: Where titanium alloy implants are used for this operation serum levels of the metal are likely to show up higher than normal. Raised serum titanium has been linked with lung cancer, osteoporosis, and platelet suppression. A New Zealand study has found deaths from cancer were significantly higher in patients having had a metal hip replacement. See: CHELATION.

Comfrey. Potential benefit far outweighs possible risk. ... hip replacement operation

Billroth’s Operation

A type of partial gastrectomy in which the lower part of the stomach is removed. Once used as a surgical treatment for peptic ulcers, it has now largely been replaced by treatment with antibiotic drugs.... billroth’s operation

Bypass Operations

Procedures to bypass the blockage or narrowing of an artery or vein or any part of the digestive system. Arteries can become blocked or narrowed in atherosclerosis. Obstructions can be bypassed using sections of healthy artery or vein from elsewhere in the body or using synthetic tubing. Veins are bypassed most often in patients with diseases of the liver that cause portal hypertension and bleeding oesophageal varices. This kind of bypass is called a shunt. Intestinal bypasses are employed most commonly in patients with cancer in which tumour growth is too extensive to be removed. An obstructed bile duct can be bypassed by constructing a new opening into the digestive tract. (See also coronary artery bypass.)... bypass operations

Short Sight, Operations For

See LASIK; photorefractive keratectomy; keratotomy, radial.... short sight, operations for

Commando Operation

a major operation performed to remove a malignant tumour from the head and neck. Extensive dissection, often involving the face, is followed by reconstruction to restore function and cosmetic acceptability.... commando operation

Hartmann’s Pouch

a saclike dilatation of the gall-bladder wall near its outlet; it is a common site for finding *gallstones. [R. Hartmann (1831–93), German anatomist]... hartmann’s pouch

Hartmann’s Solution

a *physiological solution used for infusion into the circulation. In addition to essential ions, it also contains glucose. [A. F. Hartmann (1898–1964), US paediatrician]... hartmann’s solution

Heller’s Operation

see achalasia. [E. Heller (1877–1964), Austrian pathologist]... heller’s operation

Keller’s Operation

an operation for *hallux valgus (see also bunion) or *hallux rigidus that involves an excision *arthroplasty of the metatarsophalangeal joint, at the base of the big toe. The toe will be slightly shorter and floppy, but usually this improves alignment and range of movement. [W. L. Keller (1874–1959), US surgeon]... keller’s operation

Magpi Operation

meatal advancement and glanuloplasty operation: a simple surgical procedure designed to correct minor to moderate degrees of coronal or subcoronal *hypospadias. This single-stage operation corrects any associated minor degrees of *chordee and transfers the urethral opening to the glans, allowing normal urination.... magpi operation

Mayo Operation

an overlapping repair of an umbilical hernia. [W. J. Mayo (1861–1939), US surgeon]... mayo operation

Nesbit’s Operation

an operation devised to surgically straighten a congenitally curved penis but now more frequently employed to correct the penile curvature caused by *Peyronie’s disease. The procedure can often result in penile shortening. [R. M. Nesbit (20th century), US surgeon]... nesbit’s operation

Pena Operation

a recommended surgical treatment of congenital anal malformation.... pena operation

Ramstedt’s Operation

see pyloromyotomy. [W. C. Ramstedt (1867–1963), German surgeon]... ramstedt’s operation



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