Preoperative planning
In most instances, no specific treatment is required for the preoperative management of patients undergoing splenectomy. Vaccination against pneumococcus, meningococcus, and H.influenza should be administered preoperatively to reduce the risk of OPSI. Ideally, this should occur more than 10 days prior to splenectomy, but if not done preoperatively, this should be performed
Definition
Cystotomy is a surgical incision into the urinary bladder
Purpose
Removal of cystic and urethral calculi
Identification and biopsy of masses
Repair of ectopic ureters
Evaluation of urinary tract infection resistant to treatment
SURGICAL ANATOMY
Structure
(1) Apex : vertex (cranial portion)
(2) Body (midportion)
(3) Neck : vesicourethral junction (caudal)
(4) Trigo
한다.
상기 환자가 WBC 가 normal range 로 돌아오면 전에 쓰던 만큼 prednisolone을 증량할 수 있겠으나 지금은 infection source를 찾는 것이 급선무다.
PLAN)
diagnostic
1. CBC
2. BUN/ Cr/ Na/ K/ Cl
3. U/A
therapeutic
1. prednisolone
2. ranitidine
3. furosemide
4. spironolactone
5. almagate
6. albumin
7. lasix