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【2871】where to put

Well, how did this little girl do it?

When we arrived at the head and neck that everyone was worried about before, the place where the three-dimensional space gap was the most challenging paragraph should be the most test of the doctor. I only remember that Xie didn’t seem to have done a straight bend before.

What are the pre-bending points for the straight strip? There are no mastoid processes and subclavian relay points.

A thrilling scene that a large group of people was worried about, but after a while, I found that nothing had happened.

The improved loom continues to move forward steadily, and the diverter pipe passes through the neck steadily.

Dr. Wang's whole look was left with "Ahhhhh".

"It's really—" Dr. Jin couldn't hold back his words, and he couldn't understand them well like everyone else. It was really strange. After watching the whole way, the chief surgeon Xie was very sure of the entire step of the penetration strip. Since the sad neck could be easily penetrated, why should we open a relay mouth under the xiphoid process?

It is really possible to ask her to make zero relay. She used to be suspicious, but now she fully believes that the main swordsman has the ability to do miracles.

Regarding this question, you need to ask professional teachers.

Not just asking about neurosurgery.

After all, if you even need to ask general surgery for the steps of putting the shunt tube into the abdomen, you may ask for advice on general surgery.

"Is the one who is out of the liver and gallbladder coming?" Wei Tianlang turned around and looked.

It is logical that Tao Zhijie's Buddha should come. Tao Zhijie stared at him when he was in the second internship of the U.S. Foreign Affairs Office.

"It seems that the extrahepatobiliary surgery is not over yet," someone replied.

The ones outside the liver and gallbladder did not come.

The people on the scene can only make analysis by themselves.

"Is this patient a hepatomegaly?"

"I remember neurosurgery's end of the shunt can be placed in the liver."

There are many big shots on the scene, and their speaking skills are not the technical level that primary school students are talking about.

I will mention here that the end of this abdominal shunt tube has been mentioned before that it should be placed in the abdominal cavity for cerebrospinal fluid to be absorbed. The peritoneum that absorbs cerebrospinal fluid is actually the peritoneum.

What is the peritoneum? It was mentioned during the internship of Puwai Er in the liver and gallbladder. The key point in this operation is that the peritoneum moves from the pelvic wall to the surface of the organ and the surface of the organ. Among them, the large omentum is a double-layer peritoneum hanging in the large stomach and the proximal duodenum like an apron. It has great mobility and is filled with peritoneal fluid. This is the most likely place to be trapped to death at the end of the shunt tube. Therefore, the doctor's operation is to avoid the large omentum as much as possible.

Where can I put it if I avoid the large omentum? Maybe you can choose to put the end of the shunt tube into the small omentum. The small omentum has much lower mobility than the large omentum and will not move the end of the shunt tube back and forth and ends of the shunt tube to death. The small omentum is the liver and gastric ligament and the liver duofegus ligament.

For this reason, some doctors will make a central abdomen incision or a paracentric incision under the xiphoid process to expose the left lobe of the liver, place the end of the abdominal catheter of the shunt tube on the septum of the liver and sew the catheter on the round liver ligament to prevent it from falling off, so that they will not be trapped by the omentum.

The big guys were talking about it, thinking that this main surgeon wanted to put the diversion tube in the liver.

This possibility is very low. Because it is usually the first choice for non-neurosurgeons to place it here. This is because the absorption of the peritoneal tissue is stronger than the lower part. Clinically, upper abdominal inflammation and postoperative patients often take a semi-recumbent position.
Chapter completed!
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