Bogleech.com's 2016 Horror Write-off:

SURGERYBOT LOG

Submitted by Hisham Hasan


WELCOME TO SURGERYBOT 5000 V1.3


HOW MAY I HELP YOU?


EMERGENCY PROCEDURE

FOREIGN OBJECT IN COLON


SCANNING

PATIENT: SCIENCE OFF. OLIVER YAMAGUCHI

ID NO: 11622396

AGE: 33

SEX: MALE


SCAN: LARGE FOREIGN OBJECT IN UPPER ASCENDING COLON

L: 32 CM W: 5.6 CM


SCAN SUGGESTS OBJECT DENSE, MULTIPLE CYSTS, EXTENSIVE ARTERIAL SUPPLY

QUERY: TUMOR


PULSE DETECTED

HEARTBEAT DETECTED


QUERY: FETUS/TERATOMA/???


QUERY: ECTOPIC PREGNANCY


OBJECT SIZE/DENSITY RULES OUT LAPROSCOPY



SUGGESTED PROCEDURE: OPEN ABDOMINAL SURGERY

SUGGESTED ANAESTHESIA: EPIDURAL

OK


ANES. APPLIED

V/S OK

STABLE


COMMENCE


CUTANEOUS INCISION


SUBC. INCISION

SPREAD



OK


PERITONIEUM INCISION


ASCENDING COLON LOCATED

OBJECT LOCATED


COLONIC INSCISION

EXPLORE TRACT


ERROR

RESCAN

ERROR

WIDESCAN


OBJECT RELOCATED

TRANSVERSE COLON


REPAIR ASCENDING COLON INCISION

FLUSH ABDOMINAL CAVITY


OPEN EXPLORATORY INCISION


TRANSVERSE COLON LOCALIZED

OBJECT LOCATED


COLONIC INCISION

EXPLORE TRACT


ERROR

RESCAN

ERROR

WIDESCAN


OBJECT RELOCATED

DESCENDING COLON


REPAIR TRANSVERSE COLONIC INCISION

FLUSH ABDOMINAL CAVITY


DESCENDING COLON LOCALIZED

OBJECT LOCATED


COLONIC INCISION

EXPLORE TRACT


ERROR

RESCAN

OBJECT FREE IN ABDOMINAL CAVITY


ERROR

RESCAN

ERROR

WIDESCAN


STOMACH PERFORATED

OBJECT RELOCATED

STOMACH


COMMENCE GENERAL ANAESTHESIA

AIRWAY INSERTED

O2 STARTED

P: 122

V/S OK


COMMENCE



STOMACH LOCALIZED

OBJECT LOCATED

START INCISION ALONG GREATER CURVATURE FROM PERFORATION SITE


ERROR

RESCAN

ERROR

WIDESCAN


DIAPHRAGMEAL RUPTURE

CARDIA RUPTURE

ESOPHAGEAL RUPTURE


HYPOTENSION

TACHYCARDIA

HYPOVOLEMIC SHOCK


INITIATE LIFESAVING MEASURES

COMMENCE TRANSFUSIONS


CALL SURGEON

CALL SURGEON

CALL SURGEON


INITIATE LIFESAVING INTERVENTION


COMMENCE OPEN CHEST SURGERY


THORACATOMY


RIBCAGE FIXED


DELPOY HEMOSTATICS


ESOPHAGEAL REPAIR

ARREST HEMMORHAGE



V/S CRITICAL

RESCAN

PERFORATED HEART

PUNCTURED LT LUNG


INITIATE REPAIR

PRIORITIZE CARDIAC/VASCULAR REPAIR


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

CARDIAC/VASCULAR SYSTEMS


CALL SURGEON

CALL SURGEON

CALL SURGEON



REPAIR

CARDIAC/VASCULAR SYSTEMS


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

CARDIAC/VASCULAR SYSTEMS


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

LT LUNG

VASCULAR


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

LT LUNG

VASCULAR


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

LT LUNG

VASCULAR


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

ESOPHAGUS

VASCULAR


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

ESOPHAGUS

DIAPHRAGM

VASCULAR


CALL SURGEON

CALL SURGEON

CALL SURGEON


REPAIR

ESOPHAGUS

DIAPHRAGM

STOMACH

VASCULAR


CALL SURGEON

CALL SURGEON

CALL SURGEON


V/S STABILIZING


HEART SIZE INCREASED BY 190%


COMMENCE RIBCAGE RESTRUCTURING TO ALLOW CLOSURE


RESTRUCTURING


RIBCAGE CLOSED


REPAIR BODYWALL


REPAIR SKIN


RESCAN

FULLBODY SCAN

OBJECT RELOCATED

CHEST CAVITY

OBJECT ATTACHED TO HEART AND SURROUNDING STRUCTURES


OBJECT SHARES CIRCULATION WITH HEART AND SURROUNDING VESSELS


OBJECT REMOVAL FATAL TO PATIENT


RECOMMENDATION: LEAVE FOREIGN OBJECT IN SITU 

RECOMMEND REVALUATION

REFERRAL TO CARDIAC SURGERY


TRANSFER TO ICU

MONITOR V/S


THANK YOU

WE HOPE YOU GET WELL SOON