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abdominal pain.
Comment(s):
in Lancet 1989 Nov 4;2(8671):1102-3
Address: Pontefract Health Authority, Ackton Hospital.
UI: 90013693 1. SOME MECHANISMS OF PAIN ORIGINATING IN THE ABDOMEN inflammation of the parietal peritoneum
2. Obstruction of hollow viscera
3. Vascular disturbances
4
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uses drainage tubes like tubes or sumps.
Lastly,
the most basic reason to object use of a latex drainage tube is that making a stab about 1~2cm at the abdominal walls is needed. Because surgeon have to insert a drainage tube into abdominal walls by incising, external bacteria can follow the drainag
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Abdominal Dressing
Ⓐ소독시기
Ⓑ소독범위
Ⓒ소독방법
⑶abdominal wall incsion
Ⓐ횡복벽 절개
Ⓑ종복벽 절개
Ⓒ반복절개 주의사항
⑷Wound closure
Ⓐperitoneal closure
Ⓑrectus muscle approximation
Ⓒfascial closure
Ⓓsubcutaneou
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ery & cystic duct를 찾아 ligation한다.
② Ligation이 끝나면 liver로부터 GB를 bovie를 이용 떼낸다. 담낭 동맥과 담낭관은 결찰되고, GB는 제거한다.
5) Rt lobe dissection
① Falcifoam ligament를 abdominal wall과 liver로부터 분리 후 복막과 횡격막으로부터 Rt lobe을
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myopectineal orifice의 aponeurotic close
② defective transversalis fascia의 replacement
3. 수술목적
herniia orifice의 폐쇄 myopectineal orifice를 통한 peritoneal protrusion의 교정
- lst : at the sac and its contents
- 2nd : at the defect in the delimiting structure(abdominal wall)
1) sac with a narr
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