The Whipple Procedure

A Whipple procedure, otherwise known as a pancreatectomy, is a major surgery most commonly performed to remove cancerous cells from the pancreas or to remove gallbladder tumors. It's also used to treat duodenal or pancreatic trauma, or acute pancreatitis. A Whipple procedure is different from a typical abdominal operation in a few ways, which makes it more complex and potentially dangerous. So, what exactly is it?


The pancreas is a small structure inside the abdomen that connects the body's two upper chambers, the small intestine and the pancreatic duct. In the pancreatectomy procedure, the pancreatic duct is cut through, thus cutting the body's supply of insulin. Without insulin, cells cannot divide properly, which causes glucose to accumulate. Without glucose, cells die. And without cells, the bloodstream becomes too acidic, causing blood clots. This clotting can cause serious problems, including uncontrolled blood pressure, heart attack, stroke and death.


When a person has a pancreatectomy procedure, the surgeon will usually perform a laparotomy through the abdominal cavity. Laparotomy is an advanced surgical procedure that involves the surgeon inserting a thin flexible tube through the stomach and into the abdominal cavity. This tube is used to create an opening in the abdomen, allowing the surgeon to access the abdominal cavity through a hole that's either made with staples or a laparoscope. The surgeon then uses instruments to make an incision in the abdominal wall.


After the surgery, the patient will usually undergo a procedure known as an anastomosis, which is an advanced laparoscopic surgical technique that allows the surgeon to insert a special instrument into the abdominal cavity. The tool allows the surgeon to create a small hole in the wall of the abdominal cavity, known as an 'astroplasty'. The surgeon will then use a laser to burn the hole in the wall of the abdominal cavity with high heat. After a few hours, the surgeon will be able to see through the hole created by the anastomosis. to the abdominal cavity.


At this point, the surgeon will then insert a small camera to capture images of the abdominal wall and create a digital image file. The patient will have this file saved on a computer and sent electronically for storage. in a hard drive.


These digital images will be used by the surgeon for a number of different reasons. They may be used as reference tools when performing other procedures, such as creating a computerized model of the affected area of the body, or creating a CT scan to create a three-dimensional picture. The patient will also be able to see the results of any surgery done to the abdominal area, including the location of any scar tissue or fluid.


Finally, the images are used during the removal of scar tissue or fluid


As mentioned earlier, the purpose of the Whipple is to remove the pancreatic duct, which is where the majority of the glucose produced by the pancreas is secreted. However, the amount of fluid secreted, as well as other details, depends upon several factors.


The more the fluid secreted, the larger the scar and therefore the more difficult the surgical site to remove, which is why patients who have a smaller scar may undergo a more complicated procedure. If the Whipple doesn't work properly, scarring may result.


Other factors include the type of wound, which may mean that the smaller scar will not be able to heal properly, or, if the wound is very large, it may be difficult to remove completely due to the size of the wound, which may cause the surgical field to be too large for the surgeon to perform the operation. In addition, the wound may also be too difficult to treat at the initial site, so the surgeon may need to travel to another site, which can create additional complications.


Since these complications can arise with any new surgical technique, it is important that the patient consult with their healthcare professional to discuss the risks and benefits of the new procedure. before the procedure.


Due to the complexity of the procedure, it is important to consider the risks and benefits of the procedure, the time it takes to recover, and the patient's recovery time. Patients who are overweight or have other health problems that may affect their recovery time should carefully evaluate the treatment options available. Recommended for overweight treatment ยาลดความอ้วนที่ดีที่สุด pantip 2563. The patient should also have a plan to manage any postoperative complications and to ensure that the procedure is performed safely.




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