belstaff milano oaj piy roz lpi

yxfbbiedtj · Wysłany: Sob 4:40, 19 Mar 2011

No visible scars Application Experience of laparoscopic appendectomy

Method, developed to three holes, one hole or two holes. However, with the reduction in the number of puncture holes, more difficult surgery, prolonged operative time, surgical indications relatively narrow, and even complications may increase. I believe that the holes to retain the two operations can be fully carried out the necessary exploration of the abdominal cavity,[link widoczny dla zalogowanych], and can deal with complex situations (such as abdominal adhesiolysis, endoscopic suture knot, etc.). Observed in the umbilical fossa hole selection, in addition to well hidden incision, the result of the umbilical abdominal wall is thin, you can use a more secure set of people under direct vision incision the first puncture. Choice of two operating holes covered in pubic hair at the pubic symphysis, preoperative need to empty the bladder, while in the laparoscopic-guided puncture should be carried out in 30. Upward slope angle lens to facilitate the observation of the abdominal wall structure, a time to clear the display of the bladder peritoneal fold, median umbilical fold, inferior epigastric artery and other important structures to avoid puncture damage caused by the deputy. At the same time the two puncture holes in the abdominal wall should be entered under the artery lateral to avoid too close, resulting in Treatment of appendiceal mesentery using ultrasonic knife. Ultrasonic coagulation knife can be safely broken blood vessels under 5mm in diameter, condensate off the appendix mesentery, attention should be to reduce tissue tension, while using the Severe mesangial edema in the appendix, the organization vulnerable cases, ultrasonic knife clamp should be gentle, carefully observed,[link widoczny dla zalogowanych], with the color change of mesangial increasing clamping force. Root with the appendix snare ligation, the remote can be broken by ultrasonic coagulation knife directly at the same time cut off the appendix, can be inactivated coagulation appendix stump mucosa,[link widoczny dla zalogowanych], distal appendiceal cavity closed, to prevent the inflow of appendiceal pus in peritoneal cavity. The appendix root necrosis, perforation is difficult to ligation, you can use 3-0 absorbable suture line 8 characters, if necessary, the local drainage tube placement. Suture needle suture before the arc should be adjusted to 1 / 4 arc, into the puncture by the umbilical 10mm, suturing operation to seize the line end from 5mm hole out (too much arc suture needle, 5mm puncture can not be removed from). Most of the appendix can not be removed directly from the 5mm hole operation, barely out will increase the chances of infection puncture. After using the transformation of Concealed laparoscopic appendectomy with three holes, so that no visible abdominal scar, cosmetic results are satisfactory,[link widoczny dla zalogowanych], so further reduce the trauma,[link widoczny dla zalogowanych], postoperative pain is more mild, while simple, safe, easy to spread, more in line with the guiding philosophy of minimally invasive surgery .