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Careful attention should be paid to every steps of enterostomy operation in order to prevent the complications of stoma. These include the incision of skin, hypodermis, fascia and peritoneum, fixation of bowel around the stoma aperture, the size and shape of stoma, and the supportive tube in loop ostomy.
要求术者用心做好造口手术的每个细节,包括造口皮肤切口、皮下、筋膜、腹膜等的切开和造口肠管之间的缝合固定,造口的大小和形状,以及襻式造口所用的支撑管,以达到预防造口并发症的目的。
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Firstly,all patients have been excided the upper ductus choledochus,the liver gross duct,left right liver duct besides one centimeter of liver duct that lies upwards the hepatolith.Secondly, we have sutured the excided bile duct, which has been shaped acetabuliform,lifted one part of jejunums,intered non-port one subcuneously,and then inosculated gall with enteron by Roux-en-Y way.Lastly,we have partly excised the ill liver in regular way.Results 26 ones have been follow-up for 1~10 years.The rate is 81 percents,average for 6 years.
32例肝内胆管结石均接受皮下盲袢型胆肠吻合术,其中结石位于右肝7例(22%),左肝9例(28%),两肝均有16例(50%);结石合并肝胆管狭窄24例(75%),全部病例均切开胆总管上部、肝总管、左右肝管,并切开肝内胆管狭窄部以上1cm肝管,将切开的胆管做必要的缝合,形成碟状,取一段空肠上提,盲袢埋置皮下,再做胆肠Roux-en-Y吻合,病肝做规则性肝部分切除术。
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CO2. In fact, if the scars being treated are superficial,subcision can probably be circumvented altogether.
事实上,如果治疗是比较浅的痘疤,则同时可进行皮下切开术。
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Levator plication procedure:提肛肌折迭术
肛门重建或整形术以S形蒂状移植 Anal reconstruction or anoplasty with S-pedicle... | 提肛肌折迭术 Levator plication procedure | 复杂性皮下瘘管切开术或切除术 Fistulotomy or fistulectomy,complicated, subcu...
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hypodermatoclysis:皮下灌注术
hypodermalstrand 皮下束 | hypodermatoclysis 皮下灌注术 | hypodermatomy 皮下切开术
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hypodermatomy:皮下切开术
hypodermatoclysis 皮下灌注术 | hypodermatomy 皮下切开术 | hypodermia 皮下组织