Esophageal and cardiac anastomotic leakage prevention: a report of 130 cases


Turn to right front, right rear, or transferred to prepare home different views. Our three square Fu to do,moncler jacken, the key lf you want to properly sew Taiwan Nepalese insurance r with a needle We l wife can step experience · l06 · turn to the right front is better, said exposed as a dangerous triangle. Under direct vision. On stomach clamp Qi 90 + less than 9O was lip sudden, more than 90 poor blood supply. The stomach was the mouth should removal of some sticky feed r-free mucosal eversion adverse consistent. Such as the aortic arch anastomosis. The stomach should be fully free to pyloric vestibule, finished base loose. Up to pleura. The first layer, 3-pin to the suture to be as high as possible set - truly bow to avoid the bow or bow before the lateral anastomosis. Anastomosis of a population of about 2. scm placed on the greater curvature side of the first layer of sutures 3cm-port vertical crosses the center line of Big Bend. The infection is also a said one to coincide IXl fistula. Said this anastomosis to remain sterile, to prevent pollution. Cut Henan specimens consistent with exhaustion stomach Ha esophageal contents through the tube. Anastomosis to anastomotic around conventional r 】 Bromogeramine tampons or 75 alcohol sponge eraser. To maintain a sterile barrier layer anastomosis is completed with a large number of normal saline chest, and then scarf approach esophageal sets of people around the stomach 2.5em. The suture should be avoided seam wear f mouth fo7 / the I994 year 13 transcript leather 2. No matter bow under the arch anastomosis available esophageal anastomosis after both sides of the pleura and stomach layer fixed needle,moncler, This will not only consistent with the cavity of the mouth and noon membrane to separate the fork can be fixed noon stomach, reduce anastomosis IXl tension, protection consistent IXl, reduce fistula. Advance in the separation of the gastric fundus leave a gastrosplenic ligament, or omentum, when the anastomosis is completed, this block of tissue coverage such as towel on the anastomotic Fixed section in the vicinity of the needle, as a protective to coincide IXl. Or coverage with pedicled pleural piece to coincide IXl also reduce or prevent the occurrence of anastomotic leakage. Anastomosis anastomotic can not tension, the remote can not have obstruction. It must be pointed out, fully exposed cut IXl is a necessary condition for consistent, consistent with the bow encounter exposure to difference, can cut up a rib or ashamed Xu Ministry of anastomosis. Cardia, esophageal cancer patients age too, poor general condition. Before surgery should be fully prepared. Postoperative blood noon, empyema, chylothorax, pulmonary atelectasis,ugg italia, etc. can be increased to coincide IXl atrophy, should pay attention to the prevention and treatment. The meaning Township} a decisive surgical treatment of congenital club foot by Zhang Phi, Gansu Province People's Hospital orthopedic malaccensis: one child the amount of hospital since 1987,north face uk, early disposable surgical treatment of congenital club foot, made the Han satisfactory results. Are as follows. 1.1 General information of the clinical data of this group of 25 cases (34 feet). Male l6 voltage, down 9 female, male t F = 1.8 · 1. Nine cases of left, right side down, bilateral nine cases. The youngest patient was in June, the largest 5-year-old. Are under the age of 3 down, 1 to 2 years of age l5 down z-~ 3 years in 5 cases, 3 to 5 years of age down. 1.2 hand seeking methods used Achilles tendon to subcutaneously cut or extend the plus tibialis anterior muscle relocation surgery, and 34 foot. In 2o its foot in the same time for plantar fasciotomy. Two cases of older patients. Solid varus heavier deformity fixed at the same time ashamed cuboid osteotomy. 1.2.1 extend the Achilles tendon: the 25 down patients. 3 {only enough for Achilles tendon lengthening surgery. Two ways: ① jump tendon subcutaneous cut method: 2 years of age suffering from a few, most of this group were treated with this method} @ Achilles tendon gliding sign long France: generally do not need suture for more than 2 years old children, cut off with the plot, the distal cut Achilles tendon medial half of the proximal cut Achilles tendon lateral Carbon. Half to eliminate the contracture caused half of the Achilles tendon medial varus solid cable. 1.2.2 The relocation of the tibialis anterior muscle, the 25 down 34 feet of the tibialis anterior muscle relocation surgery, will shift the tibialis anterior muscle are attached to the third cuneiform, and Bun-nell France wire fixed. Postoperative treatment: more Village pad, long small boat cast immobilization in flexion 30, ankle dorsiflexion 1o. . Valgus foot before the outreach 2N after removal of stitches, and continue to use long leg cast after discharge and then fixed for 4 weeks, remove the wire, after wearing homemade waist shoes weight gradually. 1.3 Treatment outcome in this group follow-up 20 down 28 feet. Follow-up time is minimum of 3 months. Maximum of five years, an average of 3.5 years. Never too much the number of patients with normal foot shape, no calcaneal varus and forefoot adduction deformity, are well able to overcome the normal gait, there are two inverted children still remain mild varus and forefoot received. Discussion 2.1 Etiology and pathological changes Horseshoe foot is the foot of the most common congenital malformations,north face jackets, love the storm is still unknown, that the disease is genetic, mechanical trapped screen. Early suffering from a few lame change minor and easy to technology moving correction, if not resolved muscle Ping Street, with the title deformity will continue to develop. Children Station