OperationNotes

General Surgery · Upper GI

Truncal Vagotomy and Pyloroplasty

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Truncal Vagotomy and Pyloroplasty
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]

OPERATION: Truncal Vagotomy and Pyloroplasty (Heineke-Mikulicz)
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV cephalosporin at induction
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine. Urinary catheter. Nasogastric tube.

INDICATION:
Complicated duodenal ulcer disease — [acute haemorrhage / perforation / obstruction / refractory to medical management]. Documented duodenal ulcer confirmed by endoscopy / barium studies. [Emergency: IV access, aggressive fluid resuscitation, NGT decompression completed]. VTE prophylaxis applied.
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