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首页> 外国专利> METHOD FOR EXECUTING PARACETACABULAR RESECTIONS WITH HANDCAP ENDOPROTHETISM IN PATIENTS WITH TUMOR PELVIS

METHOD FOR EXECUTING PARACETACABULAR RESECTIONS WITH HANDCAP ENDOPROTHETISM IN PATIENTS WITH TUMOR PELVIS

机译：伴有骨盆肿瘤患者的HANDICAP内窥镜内窥镜切除术行突切除术的方法

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FIELD: medicine.SUBSTANCE: operation begins with a "rear" surgical approach, which is performed in the gluteal region on the side of the lesion. The skin is cut along the gluteal fold, from its beginnings up laterally proximally to the outer border of the gluteal region, further the hypodermis and the underlying fascia are cut, the greater gluteus muscle is mobilized, the course of the sciatic nerve is found at the bottom of the large gluteal muscle, the large gluteus muscle is dissected proximally along the course of the sciatic nerve projection, and then the sciatic nerve is mobilized along its length and relegated to the side. The tumour is mobilized from the surrounding soft tissues, dissecting the middle and small gluteal muscles, and optionally adductors portions - semimembranosus muscle and semitendinosus muscle. After mobilization of the sciatic nerve and the soft tissue component of the tumour, the wound is sutured layer by layer without drains. The patient is turned to his back, performing ileo-inguinal access, from which para-acetabular resection is performed and an acetabulum endoprosthesis is installed.EFFECT: method allows to expand the indications for organ-preserving surgical treatment in patients with acetabular tumour.3 dwg
机译：领域：医学领域：手术从“后方”手术入路开始，该手术在病变侧的臀区域进行。从臀肌的皱褶处开始切开皮肤，从臀肌的近端开始，一直到臀肌外侧边界切开，进一步切开皮下组织和下面的筋膜，动员更大的臀肌，在此发现坐骨神经在大臀肌的底部，沿着坐骨神经投射的过程向近侧解剖大臀肌，然后沿着其长度动员坐骨神经并移到一侧。肿瘤从周围的软组织中动员，解剖中，小臀肌以及可选的内收肌部分-半膜肌和半腱肌。坐骨神经和肿瘤的软组织成分动员后，将伤口逐层缝合而无引流管。病人转过身来，进行回肠手术，然后进行髋臼旁切除，并安装髋臼假体。效果：该方法可以扩大髋臼肿瘤患者器官保留手术治疗的适应症。3 dwg

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