Fecalito - Surgical intervention

The surgical intervention begins as such after the anesthesia doctor has done his job correctly and the patient is already under general anesthesia, it is there where the rest of the team must start to act.

Already the operating room must be previously equipped with the necessary materials for the intervention. Here I will name some of them; probes (Foley and Nelaton) gauze and sterile gloves, sterile pads, 0.9% physiological solution. In the event of an emergency, medications such as adrenaline or also known as epinephrine are required.

Those who are responsible for equipping the operating room correctly are both instrumentalist and circulating nurses.

The general surgeon will begin to make the incision after the aseptic and antiseptic measures have been correctly performed in the patient and the surgical fields have been placed (this is done to prevent the spread of pathogens and thus prevent infections).

The incision that will be made will be longitudinal. This incision is made throughout the midline, following the sagittal plane of the abdomen, the incision ascends to the xiphoid appendages and descends to the pubic symphysis. You go through various layers until you reach the organs. An incision should be made in the skin, subcutaneous cell tissue, muscle, peritoneum (parietal and visceral) until finally reaching the desired organ, in this case the small intestine.

The surgeon and having the desired organ in an exposed manner will begin to make constant pressure until the feces leave the anus and the problem of the fecalito can be solved. Finally, the suture will be performed, this will require the last surgical time known as synthesis, and finally the patient will be cured.

It is important within the surgical area to keep calm in situations of clean-contaminated interventions, since the minimum error can lead to contamination of the patient's abdominal cavity, which is why you should always act calmly despite the pressure that It may exist at the moment.

In spite of being an extremely simple intervention, it is important to maintain aseptic and antiseptic norms in order to avoid future complications in the patient, such as an infection. In the same way, after performing the surgical intervention, it is important to explain to the patient that they should keep absolute rest due to the type of incision that has been made, since if it is exerted too much pressure it can end in an evisceration; that is, the viscera (organs in the abdominal cavity) can go outside the body, making this a very serious complication.