Judul : Teknik Operasi Oesophagotomy, Oesophagostomy, dan Oesophagectomy pada Hewan (Bedah Sistem Digesti)
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Teknik Operasi Oesophagotomy, Oesophagostomy, dan Oesophagectomy pada Hewan (Bedah Sistem Digesti)
The esophagus is a muscular tube from the hypopharynx (cervical 6) to the gravida (thoracic 11) 23-25 cm long in adults and has the function of feeding pregnant women from the pharynx.
Sensation of the esophagus in the trachea Menjadi 3 Bagian Yeto neck, chest and abdomen. The esophagus begins at the dorsal cricoid cartilage of the pharynx, then passes through the trachea into the chest cavity and ends in the stomach. Each part of the carotid artery is very close to the carotid artery.
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| Position of the esophagus |
Esophagectomy Adalah Suatu Kejado Operasi Pengangkatan Bagian.
Technical access is carried out through 4 incisions: transthoracic, Ivor-Lewis (melalu sella iga ke-5), three-hole esophagectomy (inci kesil di dada dan gast) and transhiatal (pada middle-tomach). The operation is performed under general anesthesia and endoscopy.
Esophagogastroduodenoscopy is necessary to diagnose esophagitis. During the examination, a biopsy of the mucous membrane is taken.
Summary of Reception System
The digestive system is a system of organs that consume food, energy and nutrients mencernanya mendija, rectal process serta maskar sisa tersebut melalui. Digestive system Antara Sato Hewan Dingan Yang Linea Berbida Beda.
Specifically, the digestive system breaks down food, breaks it down into smaller nutrients, delivers the molecule to the bloodstream, and then adds the food to the body.
The digestive system is a continuous channel lined with muscles. The digestive system is fed by food and it is divided into a small part which contains the part leading to the blood vessels.
And the organs included are: Mouth, Pharynx, Esophagus, Mouth, Oss Hals and the American Kiss. Give usus be sar makanan akan from luar from luar Tubuh melalui intestines.
As for the additional digestive organs that help the digestive system perform its function, these are: the teeth and tongue are located in the mouth, and the digestive system and digestive gland are attached to the window. Kelenjar Exedinition Akan Product Sakret Yang Aberkach Dalam Pemekahan Bahan Makanan.
Summary of Beid's system
pedah digestive system of justice pedah yang kodana bada basian (animal) yang yang mibirina ngorado or bada digestive system fruit. Among other technical operations, the article discusses esophagotomy and esophagectomy.
Preparing for the operation
A patient
Pasien yang akan akan kejaman operasi esophagotomy dapat dipuaasakan selama 12 jam sebelum operasi dengan tujaan untuk megudikan muntah akibat dari give anesthesia and juga untuk mengosongkan esophagus agar tidak terkontamsida saata.
device
Peralatan yang diwana dalam sarikaran ini adalah scale, needle holder, towel clip, razor, jarem, needle, drape, tampon, benang operasi (colored silk kulitdan for dalam body).
Bahan
The composition of the components used includes the preparation of the drug, that is, atropine. Anesthetics, especially xylazine and ketamine, can anesthetize animals with local anesthesia during surgery. Alcohol 70%, physiological sodium chloride, buffer and buffer.
Sterilization can be done in a plastic-free autoclave with 70% alcohol.
Alat Yang Diwana Adalah Meja Bedah, saliva 2 ml, scale, needle holder, anatomical tweezers, Alice's tweezers, sheet, swab, catching plate, tangan sarong, stethoscope and thermometer.
Ingredients used: alcohol 70%, iodine tincture 3%, physiological sodium chloride, pharmaceutical anesthetic (atropine sulfate), pharmaceutical anesthetic (ketamine and xylazine), Penang Katgot Chromic Dan Nylon.
Before the operation
Before performing the operation, the instruments used for sterilization must be used first. The alcohol has a distillate content of 70%. Use an anesthetic.
esophagotomy
Esophagectomy is a surgical operation through the meninges on the wall of the esophagus to open the lumen of the esophagus. Indicasi tahirida bila dapatarat obstruction of the esophagus atau untuk maskar benda asing. Tempat operesi dapat besiktas dengan kara palpasi untuk belikasi letak sumbatan esophagus oleh adania Benda asing.
Depending on the type of esophagectomy, a longitudinal or transverse esophagectomy may be performed. A long incision proportional to the needs of the throat, the incision should be made in the healthy part.
A. Technical procedure of the esophagus
- Anesthesia during the operation is carried out under general anesthesia. Before the operation, the animal must first be prepared, then the skin must be prepared for sterilization. Selteh Teranestesi Hewan Di Bangakan Pada Pozi Dosall sleeps (Hewan Kessel) and Dibaringen Kesaka Kanan (Kiss Hewan).
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| Minkor Polo Rambut. |
- Pada Hewan Kesil Kikanta Irisan Pada Bagiantengah ventral leher (ventral median line of the cervical spine) Dari larynx from the sternum.
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| The iris of the 5th intestine in the midline of the cervix |
- Strenohyoidus muscle and sternocleidomastoid muscle and kanan dipreparasi secara tumpul sakha katan trachea.
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| Muscular hyoid and sternocleidomastoid kiri and kanan dipreparas |
- It departs from the place of formation of the pharynx and trachea. In the iris, the esophagus is dissected longitudinally and (external organs).
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| The esophagus is formed vertically in the iris. |
- Esophageal dijahit dengan 4-0 dry vine is easy to cut. Musculus tidak perlu dijahit, kulit dijahit dengan beng cikara without drinking is easily stopped.
Lateral thoracotomy. But without unusual complications, it is possible to inoculate the abdominal cavity through a midline laparotomy.
b. Resurrection Process Marketing
Setelah operasai hewan dipuasakan salamat 4-6 salamat, in diberi makanan sekra panderal (sauce) and in diberi magudakan.
Esophagogastroduodenoscopy
Esophagogastrotomy is fundamentally different from esophagotomy, and the difference between them lies in the end result of the operation.
Adjust the esophageal lumen or esophageal feeding tube.
Advantages over using a feeding tube are infusion complications, infection due to dirty catheters, and electrolyte imbalances in the body.
Esophageal tube feeding is preferred because it is easy to install and does not cause complications, and feeding can be performed by the owner.
A. Technical procedure of the esophagus
- There is a process of preparing the animal.
- To gain access to the part to be cut, an incision can be made in the mouth that leads to the throat.
- Esophageal forceps angkat ujungnya Benjolan pada yang yang yang yang akan akan di insisi.
- The operation is done to open the skin and then the esophagus, and depending on the size of the attached tube, it is larger.
- The tube is placed with forceps and then returned to the lamb. Setelah itu tube dapat di fiksasi dengan mengguna bantuan If the bandage or cast does not move.
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| Esophageal applicator tube |
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| Membuat Saitan Kesil Sampai Mengey Furpps Ujung Bagian Kanan |
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| Mimbuka Hailps, Pejang Ujung Chalan Esophagus Distal Power and Mimbuka Stator |
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| Esophageal hemostatic use of Chalana |
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| When properly placed, the end of the Dibengkokkan feeding tube extends from the caudal region to the skull. |
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Pantau peletakan for tube feeding and luka pasca care. Take vitamins and antibacterial drugs intramuscularly.
esophagectomy
An esophagectomy is an operation to remove part or all of the stomach. An indication for surgery is the presence of cancer or swelling in the throat before it spreads to other areas or parts.
Esophagectomy is treated with esophageal atresia, achalasia, or caustic silk.
A. Esophagectomy technique
- Anesthesia during the operation is carried out under general anesthesia. Before the operation, the animal must be prepared.
- Bulu di kukur dan kulit dipulapakan sekara asepsis.
- He lies on his back.
- After two incisions, it reaches the ventral midline of the abdomen or more.
- Strenohyoidus muscle and sternocleidomastoid muscle and kanan dipreparasi secara tumpul sakha katan trachea.
- The throat is located in the airways.
- If the esophagus is found, the next step is to determine the condition of the esophagus, and if the cancer spreads in another condition, the esophagus is interrupted, the condition is a function of the esophagus.
- The upper esophagus is sutured with a simple temporary 4-0 suture, and the upper stomach is sutured to the upper abdominal skin with a simple interrupted suture.
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| Tempat sayatan (refuge) of the esophagus (junction of the esophagus and stomach). |
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| Esophagus tempat sayatan pada (shelter ) |
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esophagus |
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| (a) Saluran dengan sala satu maxitas di regional cervical region ve sutika lain di of the abdominal cavity (B). Penarican Supplement Dari Chalanan and External Dari Lambung Pada Regional Cervical |
b. Resurrection Process Marketing
Setelah operasai hewan dipuasakan salamat 4-6 salamat, in diberi makanan sekra panderal (sauce) and in diberi magudakan.
Link
Cavalcanti, et al, 2005. Fallopian tube fixation with a fixed catheter for analysis.
Physiology of the stomach in dogs. Brazilian Code of Surgery - Volume 20 (5) 2005-405
Werthern, CJ A new technique for inserting esophageal tubes in cats. Department of Small Animal Surgery 1 and Small Animal Internal Medicine, University of Zurich, 8057 Zurich, Switzerland
SHU and Ching-Ling and others. 2009. Case report: Isolation of Aeromonas hydrophilia in a dog with foreign body obstruction of the esophagus. Taiwan Veterinarian J 35 (4): 248-252.
Santos et al. 2009. Esophagectomy and thoracic esophageal replacement in dogs, Acta Cirúrgica Brasileira - Vol. 24(5)
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