ACCESS abdominal ZABRYUSHENNOGO SPACE and large vessels in the combined surgical intervention

摘要

1.access to the abdominal cavity, u0437u0430u0431u0440u044eu0448u0438u043du043du043eu0433u043e space and large receptacles during combined surgical intervention, including incision skin with u043fu043eu0434u043bu0435u0436u0430 u0449u0438u043cu0438 u0442u043au0430u043du00a0u043cu0438, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, incision starting from a point in the top 2 cm below the xiphoid incision in the midline, continue to u043fu0430u0440u0430u043bu043b u0435u043bu044cu043du043e right rib arch at 2 cm below u043au0440u0430u00a0 ribs to the pointlocated at 2 cm u043bu0430u0442u0435u0440u0430u043bu044cu043du043eu0435 right midclavicular line at the right anterior axillary line u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 conditional interval in such a way that the top of his mr. the lower edge of the u0440u0430u043du0438u0446u0435u0439 u00a0u0432u043bu00a0u0435u0442u0441u00a0's ribs, and the bottom is u043fu0435u0440u0435u0434u043du00a0u00a0 spine, iliac, u0438u0437u043cu0435u0440u00a0u044eu0442 length that a part of him, u0434u0435u043bu00a0u0442 into three equal parts and etc. u043eu0434u043eu043bu0436u0430u044eu0442 incision to reference pointu0432u043bu00a0u044eu0449u0435u0439u0441u00a0 upper third of the period, the second contingent of u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 right posterior axillary line with the top of his u00a0u0432u043bu00a0u0435u0442u0441u00a0 border bottom the edge of the ribs, and the bottom is u0443u0441u043bu043eu0432u043du0430u00a0 point u043fu0435u0440u0435u0441u0435u0447u0435u043du0438u00a0 right rear axillary line with the wing of the ilium, a u0438u0437u043cu0435u0440u00a0u044eu0442, u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 him sir. u0435u0434u0438u043du0443 and continue to cut to the mid point of the second reference frame.thus forming a cut across the chest arteries and veins on the right side, u0433u0435u043cu043eu0441u0442u0430u0437 with u0434u043eu0441u0442u0438u0433u0430u0435u0442u0441u00a0 by u043bu0438u0433u0438u0440u043eu0432u0430u043du0438u00a0, after u0440u0430u0441u0441u0435u0447u0435u043du0438u00a0 we u0448u0446 and u043fu0440u0435u0434u0431u0440u044eu0448u0438u043du043du043eu0439 fat deposits, give u043fu0430u0440u0438u0435u0442u0430u043bu044cu043du0443u044e peritoneum, dissect it from the subject to the muscles and cause in u043cu0435u0434u0438u0430u043bu044cu043du0443u044e side thusthat section of the u0440u0430u0441u0441u0435u0447u0435u043du0438u00a0 u043du0430u0445u043eu0434u0438u0442u0441u00a0 posterior axillary line at the first upper border - crossing the lower u043au0440u0430u00a0 6 segment of liver with the posterior axillary line, and the lower - crossing the line with the wing of the ilium.;2. method for u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 1, so that the topographic anatomical localization and the u043fu043eu0434u0440u0435u0431u0435u0440u043du043eu0433u043e - u043fu043eu00a0u0441u043du0438u0447u043du043eu0433u043e nerves, if u043fu0435u0440u043fu0435u043du0434u0438u043au0443u043bu00a0u0440u043du043eu0433u043e sl. the line of the incision u043eu043bu043eu0436u0435u043du0438u00a0 their intersection with the provisional u0430u043bu043au043eu0433u043eu043bu0438u0437u0430u0446u0438u0435u0439 u043eu0441u0443u0449u0435u0441u0442u0432u043bu00a0u044eu0442 nerve trunk and the subsequent implementation of the u0433u0435u043cu043eu0441u0442u0430u0437u0430 in u043fu0435u0440u0438u043du0435 u0432u0440u0430u043bu044cu043du044bu0445 u0442u043au0430u043du00a0u0445.