Operation Identify the Role and Term Paper

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For a fifty-seven-year-old man with a fairly unremarkable past medical history, surgery was recommended. Also, performing the surgery could have a positive impact upon his diverticulosis, urinary hesitation, Gerd, BPH (benign prostrate hyperplasia, or enlarged prostate) and mild anemia. A surgery to correct the inguinal hernia had been successfully performed in 1998 without incident, as did the patient's other surgeries, including his varicose vein stripping done in 1987 and eye surgery in 1995.

During an inguinal hernia repair procedure, first, the surgeon makes an incision and separates the muscle and tissues to expose the hernia sac. The sac is cut open and the contents are replaced into the abdomen, the neck of the hernia sac is tied, and the muscles and tissues are sutured. During a laparoscopic procedure the procedure is performed through tiny incisions, using an instrument with a camera attached and a video monitor to guide the repair. When the surgery involves reinforcing the weakened area with steel mesh, the repair is called hernioplasty (Culvert 2004). The piece of plastic mesh is used to reinforce the defect in the abdominal wall (Goverman, 2007).

Outline postoperative care for a client whose procedure you observed.

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The patient returned with a large dressing over the surgical site, which was supposed remain in place for a day or two. It was suggested to the patient that a corset or another form of non-invasive support was used as needed during the recovery period to support weakened muscles. The primary potential complications of this procedure are infection and abscess formation at the site of the surgery. Although "postoperative testicular volume and blood flow measurements" usually show no significant change from preoperative levels in hernia patients, and "sexual disorders attributed to inguinal pain were significantly reduced following surgery," 10 -14% of male hernia patients complain of postoperative limitation of sexual activity following surgery, including pain and loss of sensation (Walling 2001). There also may be frequent urges to urinate on the part of the patient.

One potential 'social' complication was the patient's lack of fluency in English. Although not an insurmountable barrier, given that the postoperative orders could be translated into the patient's native Portuguese, it was an important reminder that it is not merely enough that patients are dispensed with the correct orders, and that these orders are comprehensible to.....

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