Thoracotomy Customization for Thoracoscopy Instruments Thoracotomy Dissecting Grasper
1 Introduction:
If you are looking for minimally invasive surgery medical instruments with good quality, competitive price and reliable service. Wanhe medcal is manufaturing these for you. We provide general and professional laparoscopic instruments with CE, FDA approved.
2 Specifications
1 Adopt optimum quality stainless steel material
2 Corrosion resistant
3 Tough construction
4 Light weight and easy operation
Package detail: | Poly bag and special shockproof paper box. |
Delivery detail: | By air |
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Rehabilitation suggestions for patients after laparoscopic surgery can be comprehensively considered from multiple aspects, including wound care, dietary adjustment, body position management, activities and exercise, psychological support, etc. The following are detailed rehabilitation suggestions:
Wound care:
Dressings should be changed in time after surgery to keep the wound clean and dry. Pay attention to whether there is local redness, swelling, exudation, etc., and deal with them in time.
For long wounds that need to be sutured, dressings should be changed in time after surgery, and the wound surface should be kept clean and dry to prevent infection.
Diet adjustment:
Resume diet as soon as possible after surgery, start with semi-liquid food, such as porridge, and then gradually transition to normal diet.
Eat more nutritious foods, avoid irritating foods, and do not smoke or drink.
Body position management:
Use a supine position without a pillow, let the patient's head tilt to one side, and avoid oral secretions or vomit flowing into the trachea, causing suffocation.
After surgery, you can adopt a semi-sitting position to relax the abdomen and relieve wound pain.
Activities and exercise:
Early postoperative activities are beneficial to increase the patient's lung capacity and reduce lung complications; improve blood circulation, prevent deep vein thrombosis; and promote gastrointestinal peristalsis recovery.
Appropriate exercise and walking are conducive to the recovery of intestinal function and exhaust. After exhaust, you can eat a semi-liquid diet to improve the body's immunity.
Psychological support:
Anxiety and depression may occur after surgery, and psychological support and pain management should be given. Analgesics can be used if necessary.
Other precautions:
Observe vital signs, such as heart rate, blood pressure, etc., and deal with abnormal conditions in a timely manner.
Pay attention to shoulder and back pain, which is normal. You can take oxygen appropriately to promote carbon dioxide absorption.
No intercourse within 1 month after surgery to avoid retrograde infection and aggravate the condition.
The above comprehensive measures can help patients who have undergone laparoscopic surgery recover faster.
The best practices for wound care after laparoscopic surgery include the following aspects:
Keep the wound dry: You can take a bath three days after surgery, but you need to pay attention to keep the wound dry and avoid water entering the wound to prevent infection.
Observe vital signs: After surgery, you should closely observe whether vital signs such as blood pressure, heart rate, respiratory rate, oxygen saturation and body temperature are normal. If you find that your heart rate is fast or your blood pressure is low, you should inform the doctor and nurse in time, and check whether there is bleeding or infection in the abdominal cavity.
Incision care: After surgery, a band-aid is generally used to cover the incision. Except for the drainage tube wound, other incisions do not need to be changed. However, you need to closely observe whether the incision has bleeding or exudation. If there is any abnormality, you should report it to the doctor in time.
Early activity: Although the patient may feel tired and uncomfortable, early activity is essential to promote recovery. It is generally recommended to start some daily activities within seven days after the stitches are removed.
Bed rest: After surgery, you should rest in bed under the supervision of medical staff and avoid any activities that may cause abdominal muscle strain and contraction.
Diet management: You can only drink a small amount of water on the first day after surgery to avoid vomiting caused by excessive drinking. As the recovery situation gradually improves, you can gradually increase the amount of food.
Posture adjustment: In the early postoperative period, it is recommended that patients lie flat without pillow within 3 hours after surgery. Maintaining this posture helps reduce the tension of the abdominal incision and promote recovery.
The specific suggestions and recommended foods for postoperative dietary adjustment are as follows:
Small meals, light and easy to digest: Eat as soon as possible after surgery, adopt small meals, control the amount of each meal to 100-150 ml, and the number of meals per day can be adjusted to 7-8 times. In the early stage, it is recommended to eat warm, soft and easily digestible food, avoid overcold, overscalding food, and irritating and fried food.
High-protein food: After surgery, you should consume a moderate amount of high-protein food, such as eggs, milk, lean meat, fish and shrimp, etc. These foods can promote wound healing, increase human immunity, and are very helpful in fighting infection.
Foods rich in vitamins and minerals: Pay attention to supplementing foods rich in vitamin A, vitamin C, iron and zinc, such as lean meat, pork liver, fish, egg yolk, pig blood, carrots, red sweet potatoes, mangoes, peppers, persimmons, cauliflower, green peppers, oranges, grapes, tomatoes, kelp, seaweed, etc.
Vegetables and fruits: Increase vegetable intake. It is recommended to eat vegetables rich in dietary fiber and vitamins such as spinach, carrots, broccoli, etc.; eat fruits in moderation, such as bananas, apples, oranges, etc., which will help the body recover.
Low-fat dairy products: Choose low-fat dairy products, such as skim milk, yogurt, etc., to provide the body with enough calcium and protein.
Full liquid residue-free diet: At the beginning, you can take a small amount of full liquid residue-free diet orally, such as various fish soups, broths, etc., to promote appetite recovery.
Avoid a single diet: Don't just drink soup without meat. Although you can supplement a small amount of protein and vitamins through broth in the early stage after surgery, you should also eat some solid food appropriately.
Gradually transition to a nutritionally balanced diet: The postoperative diet should gradually transition from clear liquid food to liquid food, semi-liquid food, soft food, and finally return to normal diet.
Effectively managing the body position after laparoscopic surgery to prevent complications requires comprehensive consideration of multiple factors and measures. Here are some key steps and suggestions:
Modified lateral position: Studies have shown that the modified lateral position (i.e., 90° lateral lying with knees bent) is effective in retroperitoneoscopic surgery in urology, which can reduce patient discomfort and postoperative pain.
Unpillowed supine position: In the early postoperative period, the patient can be kept in the unpillowed supine position, which helps to reduce pneumoperitoneum pressure and promote gas discharge.
Alternating positions: Within 6 hours after surgery, the conventional healthy side position, i.e., 90° lateral lying with knees bent, can be adopted, and then alternated to the supine position every 2 hours to further promote gas discharge and reduce the risk of complications.
Applicable conditions: The supine position is the most common laparoscopic surgical position, especially suitable for cholecystectomy, kidney surgery, etc. The advantages of this position include easy exposure of the surgical area, convenient operation, high patient comfort, less postoperative pain, and easy gas discharge during the operation.
Individual differences:
Adjust the position according to the patient's needs: Due to individual differences in patients and the needs of the operation, some patients can adopt different positions. For example, the traditional lithotomy position in gynecological laparoscopic surgery is a widely used and relatively safe position.
Anesthesia management:
The impact of pneumoperitoneum and position: The anesthesiologist needs to change the patient's position during the operation to meet the needs of the operation, and the intraperitoneal gas should be fully discharged after the operation.
Prevention of complications:
Mastering surgical indications and improving surgical techniques: By mastering surgical indications and improving surgical techniques, complications can be effectively prevented.
Intraoperative monitoring: Intraoperative detection of blood oxygen saturation and arterial blood gas analysis can detect problems early and deal with them in time, such as hyperventilation, inhalation of high-concentration oxygen, and intravenous infusion of 5% sodium bicarbonate.
Standardized operation:
Formulate scientific and systematic operation guidelines: Standardized operation of laparoscopic technology through the formulation of scientific and systematic operation guidelines and implementation of standards is the key to avoiding complications of laparoscopic surgery.
The specific guiding principles for early activities and exercises after laparoscopic surgery mainly include the following aspects:
Postoperative recovery time: Generally, patients can start to resume exercise 2 to 3 days after laparoscopic surgery. For some specific types of surgery, such as gallbladder surgery and appendectomy, patients can even get up earlier to reduce the formation of venous thrombosis.
Early gymnastics: Gymnastics in the early postoperative period can help promote systemic blood circulation and gastrointestinal function recovery and accelerate recovery. Specific exercises include:
Lower limb exercise: flex and extend the left and right knee joints 5 times, and lift both lower limbs 5 times (nurses are required to assist when the upper and lower limbs are difficult).
Turning over exercise: The specific movements are not described in detail, but the importance of turning over is emphasized.
Hand exercise: Make a fist on the side that is not receiving intravenous infusion, and lift it up with force, repeat 5 times; flex and extend the elbow joint 5 times.
Quantitative activity plan: Studies have shown that early implementation of quantitative activity plans after surgery can accelerate the patient's recovery process, guide patients to arrange activities correctly, increase activity, improve sleep treatment, and reduce the incidence of complications.
Daily activity goals: Patients should be actively encouraged to get out of bed and move from the first day after surgery, and complete the daily activity goals. For example, get out of bed and move for 1 to 2 hours on the first day after surgery, and get out of bed and move for 4 to 6 hours every day until discharge.
Collaborative care model: Under the collaborative care model, exercise and rehabilitation training as early as possible can improve the physiological condition of patients after surgery and promote wound healing.
Preoperative preparation: Gastrointestinal preparation is required before laparoscopic surgery to reduce postoperative shoulder pain and gastrointestinal dysfunction, thereby prolonging the patient's hospital stay and increasing the incidence of complications.
The specific guiding principles for early activity and exercise after laparoscopic surgery include determining the postoperative recovery time, implementing early gymnastics, applying quantitative activity plans, setting daily activity goals, and using collaborative care models.
Effective methods of postoperative psychological support and pain management include the following aspects:
Before surgery, doctors and nurses should provide patients with detailed surgical information, including the surgical process, risks and recovery time, etc., to reduce patients' anxiety and depression. After surgery, medical staff should provide timely guidance and support to help patients relieve anxiety and depression.
Appropriate activities and exercises can help patients relieve postoperative pain and anxiety.
The combination of acupoint pressing and psychological counseling for patients after urology surgery can effectively relieve postoperative pain and reduce anxiety and depression. The specific operation is to press the bilateral Zusanli point, Gongsun point and Lieque point, etc., and press each point for 5 minutes.
Supportive psychotherapy is a psychological intervention method that focuses on the emotional needs and emotional support of patients. In the postoperative pain care of lung cancer patients, supportive psychotherapy can meet the emotional needs of patients through listening, understanding and empathy.
Nerve block postoperative analgesia refers to the management and relief of pain through nerve block technology after surgery. This method effectively relieves pain by injecting local anesthetics into specific nerves or nerve plexuses to temporarily lose the ability to transmit pain signals.
Good postoperative pain management should emphasize individualized treatment and develop personalized pain management plans based on the patient's specific situation.
Establishing an in-hospital APS team (Anesthesia Pain Service) with multidisciplinary personnel such as clinical pharmacists, nurses, and physical therapists to jointly participate in postoperative pain management can improve the effectiveness of pain management.
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