普通外科技巧(国外英文资料).docVIP

普通外科技巧(国外英文资料) Appendectomy 1 1, even if has a definitive diagnosis preoperatively, anesthesia after a successful still abdominal examination again, more than half of all cases can reach is unusual, can be further confirmed, but also indicate position of appendix. If you touch the mass, at the center of the wheat dot, the tumor is located in the lower part of the body, which is an abscess of the appendix and the iliac peritoneum, about the size of about 5 * 7, and the opening of the abdomen. Above and below the large retinal package, approximately 3 * 6 size, the removal of the appendix and attention to the large retinal cavity. In addition to the peritoneal cavity and posterior appendix, the incision should be applied to the appendix (not upward), which is easy to handle. The upper part of the appendix is an appendage abscess in the lower part of the ileum, which is often large. In the medial direction, the peritoneal adhesion is more than the peritoneum, which is easily combined with pelvic abscess. 3, the incision is chosen, not below, but must be noted, more than two centimeters above the point of the malt, and the external oblique muscle is no longer an aponeurosis, but a piece of meat between two membranes. McIntosh points determine: visual error, feet amount jokes, depend entirely on the tenderness, non-standard parts incision, a simple method for the left thumb in front of iliac spine, the index finger in umbilical and iliac spines on the attachment before in a third, skin is placed in a third, be clear at a glance, the error is very small. Appendectomy 2 The size of the incision is determined by the person, but it is not honorable to prolong the incision in the operation. The length of the incision should not be arbitrary, and should be planned for suture, such as two stitches in a three-centimeter incision, and two needles in two inches, which would make the operation more difficult. 3.5cm and two stitches are not sewn, and the three needles are redundant