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Wysłany: Czw 11:53, 10 Mar 2011 Temat postu: Prevention and treatment of incisional hernia _406 |
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Prevention and treatment of incisional hernia
Has little to use. Modern biomedical polymer development and ÷, the synthetic materials such as polyester, polytetrafluoroethylene, polypropylene with woven pieces, shake down knitting wild success of silicon production for clinical use. In particular,[link widoczny dla zalogowanych], with the woven polyester film (Mer [ex) have a tough, flexible Shi, stability, good permeability and biocompatibility l often preferred sealing material. Ding J, in practice I feel great with Merlex four hernia repair plant and other recurrent hernia, surgery to facilitate a high success rate. Good effect. Surgical removal of the hernia sac in the basic approach is the free weekly show good layers of tissue hernia ring, back satisfied that the new content,[link widoczny dla zalogowanych], it will pave the way in intra-abdominal organs omentum hernia ring and ask, will be cut too small to fit through the network of man-made materials Piece superficial surface of the membrane in Datong with no absorption lines to the edge of the peritoneum and the hernia ring surrounding the inner abdominal wall fascia and joint units together, to maintain a certain tension. Material and then made the same size with more than weekly knitting ring around the abdominal hernia and fascial l ~ 15cm A pair of sewing table at the ring if the hernia is not large compared with the surrounding peritoneum peritoneum relaxation can also be stitched closed after the abdominal cavity,[link widoczny dla zalogowanych], with a Zhang appropriate size piece of artificial material reticulocyte hernia in the peritoneal surface and shallow ring around the fascia, muscle and fascia and then sewn together with joint units in the plant units subcutaneous tissue and skin and subcutaneous tissue of man-made material is placed at a small-caliber The suction tube or throw into confusion} silicon skin bow,[link widoczny dla zalogowanych], the other leads to poke holes to prevent subcutaneous fluid, the appropriate pressure bandage. Effective antibiotics to prevent postoperative wound infection and pulmonary complications, and pay attention to the factors that prevent the increase in abdominal pressure. 2 to 4 days after drainage tubes were removed within 3 months is best to use appropriate pressure bandage athletic, well try to avoid intra-abdominal pressure increased physical activity. (Received 199803-30) femoral hernia diagnosis and treatment of Kunming General Hospital of Chengdu Military Region (65 (3032) went to A hernia accounts for the ancient fzj} Shu Yun grab external hernia 5%, j} j} Shu Shu pipe is the anatomy of hernia occurred weak and the t) 185 · medicine, when the internal pressure is willing to increase the perverse elements exist. Chun Yin hernia prone to break narrow. 『『 Research with two to three ff, hard and in particular resilient. Dan Yin hernia formation. Almost easy to incarceration. And quickly developed into a strangulated. After Tiao serious. First, the diagnostic points l Jiang Yin is different from other small pieces complement hernia. Chang Nan discomfort ignorance refuse to teach ignored, especially in obese patients; callus pieces shaped like a hemisphere, leaning on the inguinal ligament below, to expand may also be reflected in the above the inguinal ligament. From the City closer touch from the inguinal ligament-like structure below the f hernia difficult to return to Namibia, the impact being small: move test positive intra-abdominal organs. 2. Strangulated femoral hernia after the clinical manifestations vary: ① painless hernia block. I regret the original shares were areas within the mass in the history of the narrow grave with no or mild pain after the local to the main symptoms of intestinal obstruction in abdominal pain; ④ hernia block pain was local pain, no or only mild to moderate abdominal pain; ⑨ intestinal side wall hernia (Richter). No pain, vomiting, intestinal obstruction and other symptoms = closed, like a hernia is less common differential diagnosis, clinical presentation outside the hernia is different from the general warm, so the error saying a frequent occurrence. There are more to see the next several. Do not need to pay attention to exhausted, 1. Ga oblique inguinal hernia: femoral hernia occurred in middle aged women. Male femoral hernia mistaken for solid rare and inguinal hernia: differential point: that the inner pressure, increased abdominal pressure, the ramp could not cancer, a femoral hernia; Incarcerated in the scrotum when the more oblique hernia, femoral hernia is not in the scrotum. 2. Great saphenous vein nodules: have a mass of oval fossa, lying hidden stand now. Identification points: great saphenous vein in patients with a history of long, finger pressure proximal end of mass, the mass increase of a strong expansion of saphenous vein, visceral negative over law. Femoral hernia the contrary 3. T femoral hernia and colon cancer were mainly in middle-aged patients, Yin obstruction after hernia narrow lines for the cancer often mistakenly saying obstruction. Identification points: more patients with colorectal cancer will have blood, fluid, revolves around it,[link widoczny dla zalogowanych], alternating diarrhea and constipation, history, and anemia, weight loss, fatigue and other systemic changes in circumstances. Femoral hernia not. 4. Of axillary lymphadenitis and cold abscess: femoral hernia incarcerated hernia fixed block, and sometimes misdiagnosed as thigh abscess incision and drainage, leading to intestinal fistula. Identification points: abscess obvious sense of volatility, of the axillary lymph node inflammation of skin death weight, lower limb or perineum are often foci; cold Luo swollen x films can be displayed at the lumbar spine or sacroiliac joint disease. Third, to avoid misdiagnosis Experience 1. Disease patients who have acute Crawford thought possible femoral hernia: a history of more blame with a comprehensive and detailed physical examination is essential in avoiding misdiagnosis of years ago we had admitted a Chi evil old female patient hospitalized because of intestinal obstruction, femoral medial area mass for many years ashamed to tell the doctor, who has not elaborated, physical examination, only pay attention to the abdomen, ignore the small thigh. Obstruction of unknown cause many hospital said. ... To write after the big medical interns, do the whole plant body was found inside the area as hernia blocks have necrotic bowel surgery. Blake has been warning of this profound lesson I Ding J, intestinal obstruction in patients who have to check the thigh conventional buildings. 2. Attention to the implementation of the three magazines satin FDD system, often on the assault hernia
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