The Lagos team led by our manager Mr. Fortune visited Isolo General Hospital on Thursday 24th of June, 2021 to see doctors/ surgeons use our suture in the theatre. The surgeries undergone were two Herniotomy and a Bowel resection on two young boys aged 3 & 4 and an adult woman respectively. The suture used was Oryl 2/0 and Orion team were clothed in our Orion reinforced surgical gowns and face masks. The doctors who performed the surgeries included Dr. Shuaib, Dr Ishola, Dr Fawoyemi.
Hernias are weaknesses or holes in the abdominal wall, they form abnormal protrusions/ inflammation or hernia sacs. A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. Surgery is recommended for some types of hernias to prevent complications like obstruction of the bowel or strangulation of the tissue. Basically, there are two ways to close a hernia: with a suture or by covering it with a plastic net (mesh).
A herniotomy (an open inguinal hernia repair) which doesn’t require any covering with a mesh was done on the two boys. It is the surgical operation of the correction of a hernia by cutting through a band of tissue that constricts it.
The operation was done under general anaesthesia (asleep and pain-free). All surgical instruments were thoroughly sterilized in an autoclave and neatly placed on the theatre table. The patient was placed on the operating table in a supine position with intravenous fluid administered to the patients while being connected to a patient monitor and given oxygen. Routine cleaning and draping was done. A groin crease incision was made (at the lowermost crease in the groin) with a surgical blade. The hernia sac was identified and separated from the vas, and blood vessels to the testis. Hernia contents seen were poured out. The wound was then closed/ stitched with an absorbable suture (Oryl 2/0).
These surgeries were done within 20 minutes.
The second surgery Bowel resection (due to diverticulisis) was done on a adult woman was done within two hours.
Diverticulitis is an inflammatory condition of the colon that is thought to be caused by perforation of one or more of the individual sacs. Diverticulitis typically develops when the pouches that are blocked with waste become inflamed, leading to tears in the bowel wall and infection. A CT scan is generally the best test to diagnose diverticulitis. A surgery is usually required for diverticulisis when:
1. bleeding from the rectum
2. intense pain in the abdomen for a few days or more
3. constipation, diarrhea, or vomiting that lasts longer than a few days
4. blockage in the colon keeping one from passing waste (bowel obstruction)
5. a hole in the colon (perforation)
The two main types of surgery for diverticulitis are:
- Bowel resection with primary anastomosis: In this procedure, the surgeon removes any infected colon (known as a colectomy) and sews together the cut ends of the two healthy pieces from either side of the previously infected area (anastomosis).
- Bowel resection with colostomy: For this procedure, the surgeon performs a colectomy and connects the patient’s bowel through an opening in the abdomen (colostomy). This opening is called a stoma. The surgeon may do a colostomy if there’s too much colon inflammation. Depending upon how well the patient recovers over the next few months, the colostomy may be either temporary or permanent.
Each procedure can be done as an open surgery or laparoscopically:
Open: The surgeon makes a six- to eight-inch cut in the abdomen to open the intestinal area to view.
Laparoscopic: The surgeon makes only small cuts. The surgery is accomplished by placing small cameras and instruments into the body through small tubes (trocars) that are usually less than one centimeter in size.
This particular surgery was a Bowel resection open surgery and was done under general anaesthesia (asleep and pain-free). All surgical instruments were thoroughly sterilized in an autoclave and neatly placed on the theatre table. The patient was placed on the operating table in a supine position with intravenous fluid administered to the patients while being connected to a patient monitor and given oxygen. Routine cleaning and draping was done.
A surgical cut was then made in the middle of the abdomen to enable a better viewing of the instestinal and other organs and a bowel resection was done.
From this surgeries, we could conclude that Orion sutures are of very high quality, needles are sharp enough for all procedures, our suture threads DO NOT CUT and our sutures help the doctor save time in the theatre because it is easy to handle.