B.

Surgical Management Name of Procedure Circumsicion Date Performed Brief Description May 22, 2013 -circumcision (from Latin circumcidere, meaning "to cut around") is the surgical removal of the foreskin (prepuce) from the human penis. In a typical procedure, the foreskin is opened and then separated from the glans after inspection. The circumcision device (if used) is placed, and then the foreskin is removed. Topical or locally injected anesthesia may be used to reduce pain and physiologic stress Indication/Purpose -circumcision in infant boys is performed for social, medical, cultural, or religious reasons. Once a routine operation urged by pediatricians and obstetricians for newborns in the middle of the twentieth century, circumcision has become an elective option that parents make for their sons on an individual basis. Families who practice Judaism or Islam may select to have their sons circumcised as a religious practice. Others may elect circumcision for medical reasons. -Parents may choose circumcision because they believe the surgery protects against infections of the urinary tract and the foreskin, prevents cancer , lowers the risk of getting sexually transmitted diseases , and Clients response to the operation The patient complained of pain in his genitals. This is normal for a patient who had undergone Circumsicion.

prevents phimosis (a tightening of the foreskin that may close the opening of the penis).

Prior: Always check to see if the informed consent has been given and that a signed form documents it. Prepare the Instruments to be used During The nurse supports the child during placement of a local anesthesia by the doctor The nurse assists the child to the supine position on the O.R table Ensure that a sterile genital preparation with Betadine is performed and a sterile drape is provided After: The nurse cleans the incision site and prepare it with a sterile gauze The nurse assists the child to stand and wear clothes. The child can go home after the procedure

Name of Procedure inguinal exploration with Orchidopexy

Date Performed Brief Description May 22, 2013 -Inguinal exploration is a procedure done for hernia repair -a procedure in which a surgeon fastens an undescended testicle inside the scrotum. It is done most often in male infants or very young children to correct cryptorchidism, which is the medical term for undescended testicles. -Orchidopexy is most often done to treat testicular torsion, which is a urologic emergency resulting from the testicle's twisting around the spermatic cord and losing its blood supply. -Other names for orchiopexy include orchidopexy, inguinal orchiopexy, repair of

Indication/Purpose -To prevent the development of an inguinal hernia. -To minimize the risk of infertility. Adult males with cryptorchidism typically have lower sperm counts and produce sperm of poorer quality than men with normal testicles.

Clients response to the operation The patient complained of pain in the inguinal area. This is normal for a patient who had undergone inguinal exploration.

undescended testicle, cryptorchidism repair, and testicular torsion repair.

Prior:

Always check to see if the informed consent has been given and that a signed form documents it. Ask the child when was the slast time he had anything to eat or drink. Ensure that an intravenous fluid is in place Ensure that laboratory studies ordered are completed Instruction about the surgery itself includes informing the patient or relatives about what will be done during the surgery, and how long the procedure is expected to take

During The nurse assists the woman to the supine position on the O.R table Ensure that a sterile inguinal are is prepared with Betadine Put a sterile drape After: The nurse transfers the child from the operative suite to the PACU Ensures connection of monitoring devices that will record the electrocardiogram, blood pressure, pulse, and oxygen saturation of the blood After surgery, you will be given nutrition through an IV until you are able to eat and drink. Monitor vital signs and pulse oximetry reading every 5 minutes until the readings are stable, and then 15 to 30 minutes until the patient has met predetermined criteria