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Apendicectomía laparoscópica - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Apendicectomía laparoscópica - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: La extraccin del apndice, llamada apendicectomía, se realiza cuando se sospecha que hay apendicitis. Algunos sntomas y signos comunes de la apendicitis son dolor en la parte inferior derecha del abdomen, fiebre y recuento de glbulos blancos elevado, lo que por lo general ocurre cuando hay una obstruccin entre el apndice y el intestino. Esto produce infecciones , hinchazn y distensin. Si no se elimina el apndice, puede provocar una perforacin o ruptura, las que son de riesgo vital. El tratamiento ms comn para la apendicitis es una apendicectoma, que casi siempre se lleva a cabo con carcter de urgencia. Las tcnicas laparoscpicas requieren solo pequeas incisiones o heridas punzantes. Para ingresar en el abdomen, el cirujano har una pequea incisin cerca del ombligo, conocida como un puerto umbilical, con un tubo llamado trocar. A continuacin, se bombea gas a travs de este puerto para inflar el abdomen y que su contenido pueda ser visto ms fcilmente. A continuacin, el cirujano inserta un laparoscopio a travs de este puerto. El laparoscopio es un tubo delgado con una cmara diminuta en su extremo que proyecta imgenes en un monitor para guiar el trabajo del cirujano. Con el laparoscopio, el cirujano examinar las imgenes del apndice en el monitor para confirmar si est rojo e hinchado. Si se debe extraer el apndice, se crean puertos adicionales. El cirujano pasar instrumentos quirrgicos a travs de los dems puertos para tomar el apndice. Se utiliza otro instrumento para separar el apndice del intestino y cerrar los extremos con grapas. El apndice se coloca en una bolsa de muestras y se retira a travs de uno de los puertos. Al final del procedimiento, se retiran el laparoscopio y los instrumentos quirrgicos. Se deja puesta una vlvula de puerto durante un corto periodo de tiempo para permitir que todo el dixido de carbono salga del abdomen. Las incisiones se cierran con suturas seguido de adhesivo para piel o cinta de cierre para piel. Si el apndice no se puede extraer por va laparoscpica, el cirujano debe cambiar a un procedimiento abierto. Las razones para cambiar a un procedimiento abierto incluyen infeccin o absceso extensos, apndice perforado, lo que significa que tiene un agujero, obesidad, tejido cicatricial denso de una una ciruga abdominal previa, dificultad para ver los rganos con el laparoscopio y problemas de sangrado durante la operacin. La apendicectoma abierta se realiza directamente a travs de una incisin abdominal un poco ms grande por encima del apndice o a travs de una incisin en la lnea media inferior segn sea necesario. El cirujano liga el apndice con suturas y lo extirpa. Luego la incisin se cierra con suturas o grapas.

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What attorneys say about MLA and The Doe Report:
"I have found that the personalized medical illustrations prepared by Medical Legal Art have been very accurate and helpful. The medical doctors, both treating physicians and expert witnesses, have commented on the accuracy and professionalism of the medical illustrations. Most importantly, your prompt service and attention upon even short notice has been tremendous. I can certainly say that the medical illustrations prepared by Medical Legal Art have assisted us in bringing cases to a successful resolution."

Paul L. Redfearn
The Redfearn Law Firm, P.C.
Kansas City, MO

"Medical illustrations are essential evidence in personal injury litigation and MLA is simply the best I've found at producing high-quality illustrations. Your illustrators are not only first-class artists, but creative and responsive. Your turn around time is as good as it gets. My clients have won over $60 million in jury verdicts and I can't recall a case which did not include one of your exhibits. On behalf of those clients, thanks and keep up the great work!"

Kenneth J. Allen
Allen Law Firm
Valparaiso, IN
www.kenallenlaw.com

"I thought you might want to know that after we sent a copy of your illustration to the defendants, with a copy to the insurance company, they increased their offer by an additional million dollars and the case was settled for $1,900,000.00.

I appreciate your help!"

O. Fayrell Furr, Jr.
Furr, Henshaw & Ohanesian
Myrtle Beach, SC
www.scmedicalmalpractice.com

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY













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