SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

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STUDENT NAME: CODE: PRACTICE

LEVEL: III /IV
ANDREA VALENTINA VILLAMIZAR BLANCO 01200021056

TEACHER'S NAME: Lidy Higuera PRACTICE STAGE: ICB NOTE:

SPECIALTY: CX SURGEON: DATE:

CARDIOVASCULAR 11/AUGUST/2023

NAME OF PATIENT: MEDICAL HISTORY NUMBER: PATIENT AGE:

JOHAN SEBASTIAN DELGADO 109659519 6 YEARS OLD

SURGICAL PROCEDURE TO PERFORM:

AORTIC COARCTATION CORRECTION

SURGICAL INSTRUMENTATION PROCESS

1. PLANNING STAGE:

1.1. Surgical Objective: (Make description)

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Coarctation of the aorta is a birth defect in which part of the aorta, the tube that carries oxygenated blood to the
body, is narrower than usual.

The narrowing, or coarctation, blocks the normal flow of blood to the body. This can reverse flow to the left
ventricle of the heart, making the muscles in this ventricle work harder to move blood out of the heart. Because
narrowing of the aorta is usually found after the arteries branch to the upper part of the body, coarctation in this
part can cause normal or high blood pressure and blood pulsations in the head and arms, and pressure low
blood pressure and weak pulse in the legs and lower body.

1.2. Anatomy and physiology: (Make graph and description).

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Aorta:

Origin: left ventricle

Branches: ascending aorta:

Left and right coronary arteries

aortic arch:
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brachiocephalic trunk

left common carotid artery

left subclavian artery

descending thoracic aorta:

Visceral branches: pericardial, bronchial, esophageal, mediastinal arteries

Parietal branches: intercostal, subcostal, and superior phrenic arteries

descending abdominal aorta:

Anterior group: celiac trunk, superior and inferior mesenteric arteries

Lateral group: adrenal, renal, gonadal arteries (testicular in men, ovarian in women)

Dorsal group: inferior phrenic, lumbar, and median sacral arteries

Terminal branches: left and right common iliac arteries.

Irrigation: Whole body

1.3. Check list:

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MEDICAL EQUIPMENT/ DRUGS AND

DEVICES SUTURES AND SOLUTIONS
INSTRUMENTAL
NEEDLES

-Chest equipment -Compresses -Precut silk -Saline solution

-Satinsky clamps -Gauze -Polypropylene 5/0 and

6/0
-Ligaclip clamp -Aseptosyringe
-Silk 3/0
-Intercostal retractor -Electrosurgical
-Polyglactin 910 0, 2/0
-Pathology bottle and 3/0
-Vassel loops -Ti-cron 2/0
-Gloves

-50cc syringe

-Handlebars

-Clips 100 and 200

-nelaton probe

-Scalpel blade 11-15

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2. ORGANIZATION STAGE:

a. Arrangement of May tables and reservation (make scheme).

1. Water holder2. Vascular clamps3. Satinsky Clamps4. Sutures5. Clothes package6. Gloves7. Chest team8.
Aseptosyringe9. Pathology Jar10. Handlebars11. Electrosurgical12. Suction rubber13.Clips14. probe
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1. Mosquito Clamp2. Curved Kelly forceps3. Cystic clamp4. Scalpel handle #7 5. May scissors6. Metzembaum
scissors7. Farabeuf separators8. Vascular Dissections9. Seen Miller Retractor10. Scalpel Blades #15-1111.
Precut silk12. Plastic Coke13. Gauze
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2.2. Patient position (Name and graphic):

Lateral decubitus
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2.3. Location of the Surgical Team (make a graph):

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3. EXECUTION STAGE:

a) Anesthesia (write the type of anesthesia):

General

b) Incision (write the type of approach and the name of the incision):

intercostal incision
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c) Surgical Process (Describe the main steps of the surgical medical technique with the instruments to be used).

Balloon angioplasty is a procedure that uses a thin, flexible tube, called a catheter, which is inserted into a blood vessel
and directed into the aorta. When the catheter reaches the narrowed area of the aorta, the balloon at the tip is inflated
to widen the blood vessel. Sometimes a mesh-covered tube (stent) is inserted to keep the blood vessel open. The stent is
most often used to initially widen the aorta or to widen it again if it narrows again after surgery. During the operation to
correct coarctation of the aorta, the narrowed part is removed and the aorta is reconstructed or patched to allow blood
to flow normally through it.
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WEEKLY REPORT FORMAT OF TRAINING PRACTICE

SURGERY ASSISTANCE RECORD FORM - TRAINING PRACTICE IQX-FT-024-UDES

STUDENT SIGNATURE: TEACHING SIGNATURE: __________________________