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An Indiana pouch is a surgically-created urinary diversion used to create a way for the body to store and eliminate urine for patients who have had their urinary bladders removed as a result of bladder cancer, pelvic exenteration, bladder exstrophy or who are not continent due to a congenital, neurogenic bladder.
A suprapubic cystostomy or suprapubic catheter (SPC) [1] (also known as a vesicostomy or epicystostomy) is a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow.
Stenosis: Stenosis of the channel occurs when it becomes narrower, making it difficult to pass a catheter. [11] Additional surgery may be required to ensure the safe insertion of a catheter. [11] If the bladder cannot be emptied via the urethra and the catheter cannot enter the channel, it is a medical emergency. [5]
At this time the surgical team will perform testing to determine if the anesthesia has taken effect. Upon satisfactory finding(s), a suprapubic catheter (with drainage system) will be inserted into the urinary bladder (to create urinary diversion during the procedure), and the chosen procedure will then be initiated. [3]
During long-term use, the catheter may be left in place all the time, or a patient may be instructed on a procedure for placing a catheter just long enough to empty the bladder and then removing it (known as intermittent self-catheterization). Patients undergoing major surgery are often catheterized and may remain so for some time. The patient ...
Arthroscopic surgery. Minimally invasive procedures were pioneered by interventional radiologists who had first introduced angioplasty and the catheter-delivered stent.Many other minimally invasive procedures have followed where images of all parts of the body can be obtained and used to direct interventional instruments by way of catheters (needles and fine tubes), so that many conditions ...
for epidural catheter insertion Spinal needle: used for puncturing the spinal canal for injection of medications in spinal anaesthesia: Epidural catheter: used to administer medications into the epidural space Syringe: to inject medications Mucus sucker: to aspirate any fluid specially mucus from the respiratory passage Variable performance devices
to record the electrical activity of the heart over a period of time [1] Enema equipment: to inject fluid into the lower bowel for several purposes, most frequently for relieving constipation: Endoscope: to look inside the gastrointestinal tract, used mainly in surgery or by surgical consultants External cardioverter / Defibrillator