首页> 外国专利> METHOD OF TREATMENT OF ARTERIAL ISCHEMIA OF THE LOWER EXTREMITIES AT THE DISTAL BY TYPE OF LAPAROSCOPIC RETROPERITONEAL LUMBAR SYMPATHECTOMY

METHOD OF TREATMENT OF ARTERIAL ISCHEMIA OF THE LOWER EXTREMITIES AT THE DISTAL BY TYPE OF LAPAROSCOPIC RETROPERITONEAL LUMBAR SYMPATHECTOMY

机译:腹腔镜下腹膜腰椎交浅型分型治疗远端下肢动脉缺血的方法

摘要

FIELD: medicine.SUBSTANCE: triangulation retroperitoneal access in the form as close as possible to the sympathetic trunk, containing 2, 3 and 4 ganglion. To this end the initial access point is selected in the middle of the segment posterior axillary line, limited 12th rib and iliac crest. Points manipulators input is selected as a point located at a distance of 2-3 cm from the ends of the segment mid-axillary line, a limited margin of the 12th rib and the iliac crest. At the same time on the operating table, which includes headache, back and leg section, the patient is laid on its side with tilt back at an angle of 50-70° to the back section, placing a cushion under his lumbar region and lowering the head and foot section to achieve the greatest distance between the iliac crest of the patient and his 12th rib. Veress needle is introduced vertically downwards through the external and internal oblique and transverse abdominal muscles, carbon dioxide is injected in a volume of at least 1.5 l, preferably 1.5-2.0 l, maintaining the pressure of 12-15 mm Hg. Workspace form bounded above the peritoneum, preperitoneal fiber, ureter and, if the right of access, inferior vena cava, while the left access - infrarenal aorta, below the square loin muscle and psoas major muscle, from the sides, with access rights, the left kidney and perirenal fiber, the right iliac crest and the iliac muscle at the left access, on the sides - the left iliac crest and the iliac muscle, the right kidney and perirenal fiber.EFFECT: method allows to increase the quality of care by reducing the morbidity and duration of surgery and improve the usability of it.1 cl, 3 dwg, 1 ex
机译:领域:药物。物质:腹膜后三角通路尽可能靠近交感神经干,包含2、3和4个神经节。为此,在后腋线段的中间,有限的第十二肋骨和顶处选择初始进入点。选择点操纵器输入作为距段中腋线末端,第十二肋骨的有限边缘和的距离为2-3 cm的点。同时,在包括头痛,背部和腿部在内的手术台上,患者侧卧,并向后倾斜50-70°,将垫子放在腰部下方并放下头部和脚部,以使患者的rest和他的第12根肋骨之间的距离最大。 Veress针通过内外斜肌和腹内肌垂直向下引入,二氧化碳的注入量至少为1.5 L,最好为1.5-2.0 L,并保持12-15 mm Hg的压力。工作空间的形式位于腹膜,腹膜前纤维,输尿管上方,如果有进入权限,则位于下腔静脉上方,而从左侧进入的位置-肾下主动脉,位于方腰肌和腰大肌下方,从侧面具有进入权限,左侧肾脏和肾周围纤维,右侧骨和左侧通道处的muscle肌-两侧-左侧kidney骨和the肌,右侧肾脏和肾周围纤维。效果:该方法可通过以下方法提高护理质量减少手术的发病率和持续时间,提高其可用性。1cl,3 dwg,1 ex

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