maybe...eh?

Operative Note.

Perioperative Procedures

Perioperative Findings

Intussusception noted at rectal area.
Easily reducible intra operative.
Cauliflower ulcerated rectal tumour noted which was not circumferential.
No ascites fluid noted in the peritonal cavity. Liver palpated, no nodule felt.

Operative Procedures.

i) Access:
- Lower midline

ii) Procedure:

- Pt on supine position and under GA.
- Area clean and draped.
- Lower midline incision.
- Peritoneal cavity entered in layer.
- Findings noted as above.
- The small intestines are walled off and a self-retaining retractor
is inserted into the wound.
- The peritoneum is divided anterior to the rectum at the level of
the base of the cervix.
- After the peritoneal attachments have all been divided, and the
rectum is freed both posteriorly and anteriorly.
- The inferior mesenteric artery is ligated as it arises from the aorta.
- Inferior mesenteric vein is divided.
- Demartel clamped at proximal part and divided between the clamps.
- Distal segment is mobilised and cut using linear cutter size 60.
- Rectal wash done from elow using Povidone iodine.
Hemostasis secured and end to end anastomosis done using circular stapler size 29.
- Proximal and distal doughnut checked.
- Anastomosis site reinforced as its serosal layer with safil 3/0.
- Insufflation test done with negative finding.
- Passive drain inserted at the pelvic region.
- Rectus closed with loop dafilon 1/0.
- Skin closed with stapler.

iii) Specimens sent:
1. Low anterior resection specimen
2. Apical lymph node
3. Mesenteric and mesorectal lymph node (>11 nodes)
4. Proximal doughnut
5. Distal doughnut

NBM

IVD 2.5l/24 hour
Monitor BP/PR/RR hourly then 4 hourly if stable
O2 3l/min with Spo2 monitoring 4 hourly
IV augmentin 1.2g tds
Analgesic - PCA morphine
Flatus tube and abdominal drain chart
Chest physio and deep breathing exercise
Wi D3
Stapler removal D7
To get gastrograffin enema at POD5 - POD7
___________________________________________

I can't decipher any of these medical geeks wordplay. But reckon it's a good sign. Gotta have Doctor Rocky decipher them for me. Yeah, his straightforwardness is a tad brutal but at least he's not one to give false hope.

The important thing is Ma is recuperating and responding well post operation. And her nervous smiles pre-operation was replaced by more radiant ones. She's always been a strong lady and reckon this is not the time she's gonna go soft. She's always been a fighter. And this is a fight she intends to win.

Thank you O God, The Merciful and The Compassionate. We'll always accept what is planned for us. The good with gladness and some. The bad with redha and open heart. For this life is always for You O God, The Merciful and The Compassionate.