http___mednotess.com_hr_pages_1424088_1.xml
1.1 2.1 3.1 4.1 5.1 6.1 7.1 7.2 7.3 8.1 8.2 8.3 8.4 8.5 9.1 9.2 9.3 9.4 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8
Cystography Urology / / August 12, 2017 Urological surgery (method of operation) bladder wall sutured with extra- and intraperitoneal ruptures. horizontal position of the patient, sometimes give the Trendelenburg position. course of operations. Whatever the nature of the gap (extra- or intraperitoneal) operation starts with laparotomy, which is accessed from the section drawn from the symphysis pubis to the navel. After opening the peritoneum produce an audit of the abdominal cavity. intraperitoneal rupture of the bladder urine after extraction from the abdominal cavity of the intestine is removed upwards. Peritoneum adjacent to the bladder, capture clips Mikulic and cut after peeling it blunt the tip of the bladder. After cutting off the peritoneum bladder is defective on the rear wall to the heart is removed. The edges of the defect is sutured peritoneum continuous catgut suture, a large cloth is removed the peritoneum to the upper edge of the wound. At the top of the bladder wall, and it is opened to the cavity of the bladder is int epitsistostomiey operation ends. Drainage tube inserted through an incision in the bladder apex. The wound was sutured in layers. To drain tube located in the tissue paravezikalnoy immediately after surgery connect active aspiration system. If rupture of the urinary, bladder extraperitoneal, is focusing on the peritoneum, release the top of the bladder, and it is applied provisionally seams. The bladder is opened between the two previously imposed taped and produce an audit of the walls of the bladder from the inside, as usual paravezikalnaya fiber from the gap is infiltrated. After determining the size of the defect produce mobilization of the bladder wall by rupture. This necrotic changes in tissue must be removed. Outside on the bladder defect impose bunk nodal catgut sutures №4. If you want to make an audit of the abdominal cavity. To sum this place drainage tube of sufficient diameter for the subsequent active suction. The operation ends epitsistostomiey.
1.1 2.1 3.1 4.1 5.1 6.1 7.1 7.2 8.1 9.1 10.1
cystography Urologija / / August 12, 2017 urološki kirurški zahvat (način rada) mjehura zid sašivena s izvansveučilišnih i intraperitonealne pukne. horizontalni položaj pacijenta, ponekad se dobije Trendelenburg položaj. tijek operacije. Bez obzira na prirodu jaza (ekstra- ili u trbušnu šupljinu) Operacija počinje s laparotomije, do koje se iz sekcije izvući iz symphysis pubis do pupka.Nakon otvaranja peritoneum proizvode reviziju trbušne šupljine. intraperitonealnim rupture mokraćnog mjehura nakon vađenja iz trbušne šupljine crijeva ukloni gore.Peritoneum susjedstvu mjehura, hvatanje klipovi Mikulić i izrezati nakon pilinga to tupim vrhom mjehura.Nakon odsijecanje peritoneum mjehur je u kvaru na stražnji zid do srca ukloni.Rubovi defekta sašiven je peritoneum kontinuirano žica šav, velika tkanina je uklonjen peritoneum do gornjeg ruba rane.Na vrhu zida mokraćnog mjehura, a to se otvara šupljinu mjehura uvodi prstom da klizi uzduž stražnje stijenke mjehura;kako je određeno veličinom defekta.Na defekta zida mokraćnog mjehura nametnut epitsistostomiey operacija završava.Odvodnja cijev umetnuta kroz rez na vrhu mjehura.Rana je sašivena u slojevima.Za odvod cijev koja se nalazi u tkivu paravezikalnoy odmah nakon operacije spojiti aktivni aspiracija sustav. Ako rupture mokraćnog mjehura, extraperitoneal, fokusira se na peritoneum, puštanje na vrhu mjehura, a privremeno se primjenjuje šavova.Mjehur je otvoren između dva ranije izrečene snimao i proizvoditi reviziju zidovima mjehura iznutra, kao i obično paravezikalnaya vlakna iz otvora se infiltrirali.Nakon određivanja veličine mobilizaciju mana proizvode zida mjehura od rupture.Ovaj nekrotične promjene na tkivu moraju biti uklonjeni.Vani na mane mjehura nametnuti kreveta čvorne žica šavovima №4.Ako želite napraviti reviziju trbušne šupljine.Da zaključimo ovo mjesto drenaže dovoljnog promjera za sljedeću aktivnu sukciju.Operacija završava epitsistostomiey.