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    Esophagomyotomy

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    SamVelasco
    The document describes a surgical procedure called an esophagomyotomy performed on March 19, 2021. The procedure involves making small incisions in the esophagus muscles to relieve pressure and allow easier food passage. The patient's symptoms were relieved with no side effects. Nursing responsibilities before, during, and after the procedure include verifying orders, providing privacy, monitoring vitals and symptoms, teaching the patient about wound care and a post-op diet. The goal of the procedure is to treat esophageal achalasia by releasing stiffened muscles in the lower esophagus.

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    © All Rights Reserved
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    Esophagomyotomy

    Uploaded by

    SamVelasco
    63 views3 pages
    The document describes a surgical procedure called an esophagomyotomy performed on March 19, 2021. The procedure involves making small incisions in the esophagus muscles to relieve pressure and allow easier food passage. The patient's symptoms were relieved with no side effects. Nursing responsibilities before, during, and after the procedure include verifying orders, providing privacy, monitoring vitals and symptoms, teaching the patient about wound care and a post-op diet. The goal of the procedure is to treat esophageal achalasia by releasing stiffened muscles in the lower esophagus.

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    The document describes a surgical procedure called an esophagomyotomy performed on March 19, 2021. The procedure involves making small incisions in the esophagus muscles to relieve pressure and allow easier food passage. The patient's symptoms were relieved with no side effects. Nursing responsibilities before, during, and after the procedure include verifying orders, providing privacy, monitoring vitals and symptoms, teaching the patient about wound care and a post-op diet. The goal of the procedure is to treat esophageal achalasia by releasing stiffened muscles in the lower esophagus.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    63 views3 pages

    Esophagomyotomy

    Uploaded by

    SamVelasco
    The document describes a surgical procedure called an esophagomyotomy performed on March 19, 2021. The procedure involves making small incisions in the esophagus muscles to relieve pressure and allow easier food passage. The patient's symptoms were relieved with no side effects. Nursing responsibilities before, during, and after the procedure include verifying orders, providing privacy, monitoring vitals and symptoms, teaching the patient about wound care and a post-op diet. The goal of the procedure is to treat esophageal achalasia by releasing stiffened muscles in the lower esophagus.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Surgical Managment

    Surgical Procedure Date Performed General Description and Client’s Response Nursing Responsibilities
    Purpose
    Esophagomyotomy Date: March 19, 2021 Heller myotomy works ● This released Prior:
    by making a series of certain muscles ● Verify
    small incisions in in order to allow physician’s order
    stiffened muscle tissue food and liquids .
    in your lower esophagus. to be easily and ● Identify the
    This helps relieve comfortably client.
    pressure on the ring of transferred from ● Provide privacy
    muscles that control the the mouth, for the patient,
    movement of food and through the and explain the
    liquids into your esophagus, and entire procedure.
    to the stomach. ● Do not take any
    stomach (lower
    esophageal sphincter). medications that
    ● Patient’s thin the blood,
    As a "gold standard"
    symptoms were such as aspirin or
    treatment for achalasia,
    relieved. ibuprofen, one
    most patients who have
    Heller myotomy week prior to
    ● No side effects surgery
    experience permanent experienced.
    symptom relief. ● Make sure that
    the patient is on a
    Laparoscopic Heller liquid diet before
    myotomy has proved an undergoing
    effective treatment for surgery.
    esophageal achalasia, with
    good or excellent results in During:
    90% of patients. ● Place the patient
    in a semi
    fowler’s position
    to avoid the
    gastric juice from
    overflowing and
    to prevent
    irritation of the
    esophagus and
    the wound.

    After:
    ● Monitor any
    signs of
    infection.
    ● Monitor VS
    ● Monitor I and O
    ● Document
    pertinent data.
    ● Instruct patient to
    avoid spicy
    foods, caffeine
    and any
    carbonated
    drinks.
    ● Instruct patient to
    sleep on the
    opposite side of
    the incision site.
    ● Instruct patient to
    avoid lifting for
    two to four
    weeks to allow
    the incisions in
    the abdomen to
    heal.
    ● Health Teaching:
    Teach patient
    about wound
    dressing and vital
    signs taking.

    ● Evaluate client’s
    knowledge about
    condition.

    Reference:

    Farlex. (n.d.). esophagomyotomy. The Free Dictionary. https://medical-dictionary.thefreedictionary.com/esophagomyotomy.


    Heller Myotomy. (n.d.). Retrieved from https://medstarwashington.org/our-services/thoracic-surgery/treatments/heller-myotomy/
    Esophagus Myotomy. (n.d.). Retrieved from https://www.sciencedirect.com/topics/medicine-and-dentistry/esophagus-myotomy

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