Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks) - Hallo sahabat Fish Media Article, Pada Artikel yang anda baca kali ini dengan judul Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks), kami telah mempersiapkan artikel ini dengan baik untuk anda baca dan ambil informasi didalamnya. mudah-mudahan isi postingan Artikel Bedah Veteriner, yang kami tulis ini dapat anda pahami. baiklah, selamat membaca.

Judul : Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks)
link : Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks)

Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks)

approval

Hernia protusi/penonjolan isi jonggi melalui defec atau bagian lemah dari dinding jongi, serta from luarnia organ kirken teretut melalu lubang atau selah menjug jongi lain (born/acquired). There are several key points in hernias: Mangel/Bajian Yang Le Hag Dinding Jongi, Kantung Hernia, EC Hernia, and Annular Hernia (Rahman, 2010).

Example diaphragmatic hernia

Diaphragmatic hernia by Pada Kuching

Example diaphragmatic hernia

Hernias include Dari Sinsi, EC Dan Cantonal Hernias. Hernia ring adla suatu lubang pada cantong tempat isi hernia masuk from dalam cantong. Cincin bu dapat disebakan oleh trauma (Seperti pada hernia ventralis), congenital (Seperti pada hernia umbilikalis) or atau rupapa bagian distal dari suatu chanalani (seperti pada inguinalis lateralis) (Tjahjadi, 2009).

Diagnosis is by examination and palpation of abdominal distension with hernia and annular rupture, but ultrasonography is used to confirm the diagnosis (Photo Long 1999).

Bu diaphragm diaphragm sering berada di shock avitaminosis megudaing, karena itu, tanda tanda klinis mukya membranous mucosa includes fart or cyanosis, tachypnea, tachycardia or oliguria. Cardiac arrhythmias are common and associated with serious illnesses.

Sometimes the clinic depends on the body part affected and may be related to digestion, breathing or the cardiovascular system. Caddy is the most common hernia of the Menlama body. The condition is often associated with closure of the hydrothorax of Young's tendon. However, any organ can rupture, including the kidney (Katic et al, 2007).

An anesthetic needle enables an injection. Inhalation anesthesia should be used to maintain anesthesia. Ventilasi presan ossitive intermittent inspirasi yang tingi harus divandi jika mukya.

But after the animal is placed on its back, the body moves from abdomen to chest, and high pressure may be required to achieve ventilation. Penting untuk bekumena bahwa dengan kompresi parah paru-paru, ruhnuh alveole and bronchiole and junga dapat dikompresi bronchi.

In this case, the airway system experiences high ventilation pressure, especially bronchial breathing. After opening the mouth, the air can expand, the air pressure should be reduced immediately, and the air will slowly expand.

Again, avoid swelling. Combating nitric oxide - diaphragmatic hernia. Obata-obata seperti Methylprednisolone can be helpful in recurrent inflammation of the chronic diaphragm.

Managemen niri yang ameanten sangat pantang panda pasien decompromikan resapran. Paska operati, pass harus mapu untuk menembel napas dalam-dalam lampa, namun pasien yang mayakiat akan menembel napas sepat dan dangkal.

Block epidurals, intercostal nerves, local stitches, and intravenous opioids with non-irritating combinations.

Before the operation

Necessary tools for dissection Scalpel blade #10, Metzenbaum scissors, Adson-Forex, Gelpy retractor, needle holder, absorbent sutures, butterfly catheter and needle (20 ml) Contoh pada kucing. Cephalosporin (20 mg/kg sc iv) and dexamethasone (0.5 mg/kg sc iv) are indicated for infectious infections with diaphragmatic ruptures etc.

In addition, it is administered intravenously at a dose of 0.4 mg/kg. Oxygen is given via an ETT (endotracheal tube) and isoflurane anesthesia. Either the animal is pre-anesthetized with anthropine sulfate at a dose of 0.04 mg/kg body weight after 10 minutes and then anesthetized with 2% xylazine and then 1 mg/kg body weight with 10% ketamine at a dose of 10 mg/kg im while by monitoring the patient's heart rate to respiration before surgery.

The supine Dimeja Opera Dengan is placed. A gauze pad is placed on the cat to focus its eyes on the surgical site.

technical procedure

A. Technical works by Sekara Um

cara 1

1. Sayatan bilayat blayat online alba dari xiphoid process sampai from the navel. The retractor is then placed in the rectus abdominis muscle. Sebuah saitan sekara hati - hati menfasilitasi paparan dari diaphragm and organ dalam perut. The falciform ligament is the target of a torn Minguaq component.
2. hernia hernia. This can usually be easily accomplished by gently pulling. Ditahan limpa dan hati yan rupu dan should be treated with caution. Untuk hernia tereduksi (Terlalu Kecil, Dari sincin relative hernia, lubang diperbesar dengan inci, perut radial derivations).
3. Gerniorafiya Dolikan, dimuliou pada aspect yan back palisade dan omsandang bagian perut, menggunakan pol kahitan near and benang yan dapat persembar. Use a long-handled needle made from a strong mesh. When separated from the ribs, the membrane and ribs must be sewn together.
4. The peritoneum is filled with saline to clean the peritoneum. Kebokoran besar ditut dungan kahitan terputus udayhan.
5. Membangun kembali pentagan negative intrathoracic dengan thoracentesis melalui diaphragm menggunakan catheter kupu-kupu dan/atau jarum suntik.
6. All parts of the body are carefully examined
7. Remove the remaining urine with a catheter and insert the needle from cup to cup. Dikelurkan Udara Dari Jongi Torak Pada Ast Dinkan Kampulanan Atau Dapat Dhianukan Chest Tube Untuk Maskar Udaranya. Dilakukan Sikaran Pada abdominal body and Dilakukan Kumpulan Jongi.
8. Tutup celotomy dengan beang perishable, monofilament bahan kahitan dalam, pola Continuous sederah.

cara 2

1. The supine position extends the technical laparotomy beyond the abdominal cavity.
2. Penayatan is performed on the white line of the abdomen (median) 3-5 cm from the back of the navel. Scalpel Lapihan kulit disyat menggunakan.
3. The length of the sayatan is 2-3 cm layer subcutis dipreparir kemidan dijepit menggunakan alis forceps bersama kulit.
4. Penjepitan Deccan Pada Masing-Masing Ujung Saitan.
5. Lubang dilebarkan menggunakan blunt scissors. Ring fracture dicari dan tepi kedua belah cincin di lakukan debridement sebelum di cahit, then organs yang keluar dari cincin tersebut reassembled and antibiotic Penstrep sekara sekara tropical received into the abdominal cavity.
6. Ujung tepi sayatan di lakukan debridemant and disemprotkan H2O2 3%, peritoneum dijahit menggunakan jarum bundar, dengan pola satikat plain discontinuous mengunakan silk 3/0.
7. Ujung-Ujung otot stomach dijahit menggunakan jarum bundar dengan pola satikat light continuity dengan menggunakan benang cat intestine chrome 3/0.
8. Kulit and sub-cutis dijahit menggunakan jarum tresagan dengan dengan pola cahitan dengan beng nylon with a bow. After discharge, the chest tube is closed or a chest tube can be used .

device monitoring

Dorsal laparotomy along the posterior midline of the white paw

Lubang dilebarkan menggunakan blunt scissors

Follow the fans

The ring break is removed and only removed when the second ring is set

organ-organ yang keluar dari tsinqing short putang kembali dan jongi stomach beribi antibiotic penstrep sekara tropical

Tears of Perbaikan Pada Chinchin

Membrane maintenance - continuous welding

After discharge, the chest tube is closed or a chest tube can be used .

.

Penjahitan dengan single catgut continuous subcutaneous, subcutaneous

b. Account Technique Operasi Pada Cusing

The procedure for treating a diaphragmatic hernia includes:

1. Hewan Dbarinkan Diatas Meja Operici Dengan Kepalis Supen and Kepala Kuising Deposikan Kerah Cranial Meja Operici. Meja Operasi Dimiringkan 30-400 Dengan Tujan Untuk Seguri Gravitasi Allama Hod Pada Jongi Torak.
2. Kucing pasangankan rupa laksata lactate wrestler (LR) 10 ml/kg/s. This opera welcomes you.
3. Hernia repair surgery is performed from the abdominal line to the removal of the abdominal cavity in the middle of the abdomen (from the xiphoid process to the pubic bone) through the diaphragm. If necessary, additional surgery is performed through the sternum using a crutch.
4. After opening the abdominal cavity, the leakage of the diaphragm is observed and then assessed.
5. Abdominal organs (such as the heart, liver, and intestines) that enter the chest cavity return to the seminal region, which is a normal organ. If perlekatan pada ding torak organ is present, chair lakukan pasian dengan domana sexy tumpul untuk medarikan teriadan perlekatan pada ding torak
6. Gunakan Sponge or Pads for Laparotomy Yang Telah Dibasahi Dengan Salin Hangat. The heart is then pulled out of the intestine and into the tail.
7. If the hernia is chronic, the diaphragm must be cleaned before closing.
8. After correcting the position, the diaphragm is sutured with absorbable sutures (Dexon, Vickerley) or non-absorbable monofilament (Proline 3/0) with a continuous suture. If the membrane detaches from the upper rib, this occurs continuously between the membrane and the rib in order to increase the resistance of the membrane.
9. Kahitan pada semadah intercostal di lacukan dengan menggunakan beng polyglactin 960 dengan pola jaritan terputus.
10. Pengeluran stroke dari jongi chest dinkan pada saat dnkangna kapantu atau dapat pula dibantu dengan penganangan chest drainage. Thoracosynthesis is performed by inserting a cannula into the chest cavity through the chest diaphragm in three ways and inserting a needle to achieve negative pressure.

An incision is made in the middle part of the abdomen.

Penutupan Perupa Pengabungan Tulang Rusuk Denga Pola Kahitan Mutura

Diaphragm Jan Sobek (Tanda Panah)

The diaphragm has been restored.

versus. Technical reconstruction

In addition to the traditional technique, there is an alternative method of treating diaphragmatic hernia. Namun Merupakan proseu yang sulit keta hernia parah yang tadari. Through additional Seperti graft (artificial support), pedicle graft and free diaphragm dapat pasang di graft.

Technical agreement A high-level convention allows the use of the technique. Mortality during the first 24 hours of surgical treatment is 33%.

The material used for technical devices must meet the following requirements: safe, disease-resistant, non-brickable, non-reactive, easy to handle and cheap.

Polypropylene fabric (synthetic) is used for rehabilitation work. Ini Adah Mesh Non-Diserap, Leathersee Border Yang Dijahit.

Hal ini dtolerani dengan baik oleh inang. However, polypropylene fabric does not have the same quality as the fabric it replaces. Complications such as ostium infection, intestinal fistula, mesh detachment after failed maintenance have been reported.

Polypropylene mesh or silicone layer with synthetic layer, epoxy patch, polylactic acid (PLGA) mesh, polytetrafluoroethylene mesh and polyethylene mesh. Use artificial diaphragm transplant or artificial diaphragm transplant. Kerugiannya mild Tehadap infection, menginduksi benda asing reaction, deformitas dinding Dada dan Mahal.

Variant lainnya adalah dengan ilber contohnya yaitu sama Small Intestinal Submucosal Transplantation (PSIS). PSIS consists of a natural collagen matrix with a natural growth factor. However, damage can be damaged menebal yang akan ole penebalan jinjal dan herdy serta dapat kemanikan chronic inflammation dengan tissue granulation and calcification.

Free Lainnya Adalah Graft Autologous Fascia Lata Graft Dari Class Graft ini Adala memeliki kuslatan tarikan the high hapir seperti

Demikianlah Artikel Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks)

Sekianlah artikel Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks) kali ini, mudah-mudahan bisa memberi manfaat untuk anda semua. baiklah, sampai jumpa di postingan artikel lainnya.

Anda sekarang membaca artikel Teknik Operasi Hernia Diaphragmatica pada Hewan (Bedah Thoraks) dengan alamat link https://www.kingfish-media.com/2022/08/teknik-operasi-hernia-diaphragmatica.html

Tweet

Rian SEO

Blogger yang senang mempelajari hal-hal baru seputar Blog, SEO dan Bisnis Online.

Subscribe to receive free email updates: