www.public4you.fora.pl

njlpkhgea

Laparoscopic peritoneal lavage in the principles and methods of drainage

. 1.3 rinse, rinse position when attracted to attract needed changing position is recognized, but exactly how is not exactly the same transformation. Some people think that first flush operation is required to adjust to the lower area, so that fluid does not flow to other parts of the abdominal cavity; However, due to the interference of the greater omentum and the intestine will also move to the lower, will become flush and attract more difficult. In addition, the flush before changing the position, you need to wash the blood, bile flow than the lower part, which makes washing can not, or were forced to re-adjust the flush position, extending the operation time. Our approach is to first wash the substance of local need, as much as possible to attract clean, then rinse to keep the original position, to attract, maintain the suction end position is not fixed, will be adjusted to position the opposite direction, to be the opposite direction of the flow and the surgical The fluid return, they can be accurately attract clean,[link widoczny dla zalogowanych], thus saving operating time, ensure the flushing effect. 3.2 3.2.1 peritoneal drainage peritoneal drainage tube surgery in the choice of flushing, attracting,[link widoczny dla zalogowanych], if taking into account the guts to leak, leaky gut, and then bleeding may be incomplete or attract, you need to place the shunt. The thickness of abdominal drainage is critical, if small diameter, drainage lumen side hole and easily after clot, necrotic tissue and surrounding omentum blocked. Xu Peng and other practice is more than 1cm Pan diameter pipe, hose, or one-time infusion tube (diameter 0.3 ~ 0.4cm). Our approach is to use thick latex tube, inner diameter of 1.0cm, and in the abdominal cavity in different directions on the cut end of the 3 to 4 side holes can be avoided to maximize the side holes and lumen drainage tube was blocked. In addition, after application of negative pressure suction to attract the ball to break, even if the surrounding tissue clogging the lumen and side hole drainage, will ease soon, so that drainage can be more effective. 3.2.2 abdominal drainage tube placed into the abdominal drainage tube must be the lowest, LC into the small retinal hole, IA into the pelvic cavity, the drainage can be fully. In addition, the drainage tube can not be distorted or discount. Because space in the abdominal cavity abdominal gas under normal conditions is very different,[link widoczny dla zalogowanych], so the drainage tube placed in the air after a good belly lift to slow the pneumoperitoneum, laparoscopic drainage tube to observe whether there is too long even in the abdominal cavity distortions, and timely adjustments. 3.3 Irrigation Drainage master the principles and methods of statistics in this group,[link widoczny dla zalogowanych], showing irrigation drainage group the operation time and postoperative irrigation group than simply exhaust the time and did not rinse was significantly longer. But as long as accurately grasp the attraction, rinse, drain, and avoiding unnecessary flushing; master attract, flushing, and drainage ways, you can minimize the operation time, as much as possible to avoid bile leakage, recurrent bleeding,[link widoczny dla zalogowanych], abdominal effusions complications.