Loop Big
Loop Big Colostomy Defunctioning Loop Surgery in India at Affordable Cost-India Colostomy Defunctioning Loop Surgery The bowel is a tube of intestine which runs from the stomach to the back...
Loop Big
Colostomy Defunctioning Loop Surgery in India at Affordable Cost-IndiaColostomy Defunctioning Loop Surgery
The bowel is a tube of intestine which runs from the stomach to the back passage. It is much longer than the inside of your belly (tummy). It fits in by coiling up in loops. The upper part of the bowel is called the small bowel. It joins the lower part of the bowel (the colon) just to the right of the waistline. This is where the appendix pouches out from the colon. The colon runs up to the right ribs and loops across the upper part of the belly. Then it passes down the left side to run backwards into the pelvis towards the back passage, where it is called the rectum. Your lower colon and rectum are diseased. You need to have a bypass operation to keep the waste away from the diseased part. A loop of colon is brought out onto the skin so that the waste runs into a special bag stuck over the opening. This is the colostomy. Often the diseased part can be taken out later, when the bowel has recovered from infection or being overstretched by a blockage. Then the colostomy can be closed off....
The OperationYou will have a general anaesthetic, and will be asleep for the whole operation. A cut is made in the skin 25 cm (10 inches) long. The colon is freed inside your tummy. A loop of colon is brought out and stitched to the skin. The opening of the bowel is covered with a special bag. The original wound is closed up. Sometimes, if the colon is free enough, a colostomy can be made without the first big wound. This is a bonus for you. You should plan to leave hospital 2 weeks or so after the operation....
Any AlternativesLeaving things as they are is risky. A blocked lower colon is a life-threatening condition. You must have a bypass operation. it is not safe for you to have the diseased bowel taken out now. Drug and x-ray treatment are not helpful by themselves... Before The OperationStop smoking and try to get your weight down if you are overweight. If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital's advice about taking the pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to hospital, take you home, and look after you for the first week after the operation...
Please log on to : Colostomy Defunctioning Loop Surgery Please log on to : minimal access surgery We Care Core Values "We have a very simple business model that keeps you as the centre." Having the industry's most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent. About the Author Welcome to World Class Treatment and Surgery by We Care Health Services, India. E-mail us on : info@indiahospitaltour.com Contact Center Tel. : (+91) 9029304141 The surgery and medical treatments offered by We Care Health Services at JCI Accredited / ISO Certified Hospitals are vast and varied; ranging from Heart Surgery in India, Cardiology to Cardio Thoracic surgery, Total Knee / Hip / Ankle / Shoulder Joint Replacement Surgery in India including ACL reconstruction Surgery to Birmingham Hip Resurfacing Surgery in India , Spine Surgery in India like Discectomy / Laminectomy Surgery, Cervical Decompression to Anterior / Posterior Spinal Fusion Surgery in India, Chemotherapy, Radiotherapy, Cancer surgery, Sterotactic Radiotherapy, Autologous / Allogenic Bone Marrow Transplant Surgery to Breast Cancer treatments, Near relative Kidney Transplant Surgery to Dialysis and Kidney Biopsy, Low Cost Liver Transplants Surgery, Hysterectomy (Vaginal / Abdominal) to Ovarian Cystectomy, Hernia repair Surgery to Cholecystectomy, Advanced Neurosurgery in India, Bariatric surgery, Gastric Bypass Surgery in India, Eye Surgery in India, Cornea Transplant, Cataract Surgery to LASIK Eye care Surgery, IVF, ICSI, Egg Donor to Surrogacy, Minimally Invasive surgery or Laparoscopic Surgery to Cochlear Implants, Breast Lift / Tummy Tuck, Face Lift to Low Cost Rhinoplasty Cosmetic Surgery, multi specialty Hospitals in India offering first world treatments with board certified highly qualified medical consultants in attendance at third world prices.. |
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Geothermal Slinky Loop Construction
Slinky loops are used in horizontal closed loop system. The name "slinky loops" comes from the shape that is created when the tubing is tied into concentric coil. The purpose of this procedure is to make the long lengths of pipe more manageable during installation and to be able to construct a consistent heat exchanger in a given amount of space. Not all horizontal closed loop systems are constructed in the slinky method, some just lay out the pipe in a down and back layout.
A slinky is most easily constructed by using a jig made out of plywood with edges to contain the tubing. Measured marks can be drawn onto the jig to give you a reference point for sizing the overlap (pitch) of the slinky as you build it. It will take three people to most effectively build a slink. One will do the tying, one will feed the coils to the one doing the tying, and one will pull the slinky along out the back of the jig as it is built. It will take three people approx. 20 min to build a slinky once they are up and rolling.
The first step is to determine how long of a slinky you need to build based on the loop field design. A chart that shows the lengths of slinky coils based on tube length, pitch of coils, and diameter of coils can be found here. A length of tubing will be pulled off the roll that is the needed length to be the return from the very end of the coil back to where the manifold will be; this portion will be straight. Once this is pulled off the coil you can begin tying the tubing into loops.
The first loop will be tied into whatever diameter you made the jig (36" is good). The second loop will be laid over the first loop by whatever pitch is needed to make your total length work. For example if you have a 36" coil with a 18" pitch you would lay each coil approximately half over the one in front of it. It your length called for 36" loops with 36" pitch you would not overlap them at all but simply place each loop end to end as you tie the coil. Plastic zip ties are the preferred product for tying the loops.
When you get near the end be sure to leave enough left untied to make it back to the manifold location. The first part of the coil that was left uncoiled can now be tied along the coil as it makes it's way back to the "front" of the coil. Both ends should now be close to equal distance from the loops and both at the front of the coil where you will build the manifold. Tape the ends of the pipe to keep dirt out if they don't already have caps.
The final step is rolling the slinky into a donut roll which will actually resemble more of a giant birds nest but will in fact be fairly manageable and transportable. Simply start at the "end" (not the "front" where the lines are) and roll the thing up. Try to keep it as in line as possible when rolling it up.
The slinky is now ready for transport. It will take two people to carry it due to both weight and shape. It can be transported in a truck of trailer to the job site if you built it elsewhere. Once onsite carry it to the trench or pit where it will spend its life and unroll it. If it is going in a trench I would suggest unrolling it besides the trench at the top and then with several people throw it into the trench. Be sure that the coil lays flat in the bottom of the trench but be careful if entering trenches that could collapse. The safer way would be to use a long pole to situate the slinky as needed.
When bedding the loop field be sure the fill material is sufficient to provide good contact with the pipe without leaving air gaps and be sure that big rocks are not dropped on the pipe. In rocky soil screening the soil and bedding the pipe in two feet of fines is recommended. After proper bedding the tubing the rest of the back filling can be done and the area compacted.
For more on this subject as well as anything else that has to do with geothermal heating and cooling, go to GeothermalHelp.com
About the Author
GeothermalHelp.com is your online resource and community for everything having to do with geothermal heating (aka ground source heat pumps, geoexchange, etc.). We have a large database of information about anything having to do with geothermal, including ground loops, costs, tax credit issues, maintenance, and much more. We also provide product reviews for the new products entering the industry. There is also a large directory of installers and other geothermal professionals throughout the United States and Canada. Have a question? Shout it on our forum and get expert advise from qualified professionals around the country.