肠缝合

The biggest area was 18cm×13cm,and the smallest was 4.5cm×10cm.there were 6 cases osteomyelitis with bone exposure,4 cases muscle tendonexposure.donor-area direct suture or plant skin.resultsall flaps survived,several cases flap were fat and clumsy and need make them thin in second intention.conclusionthe clinical result of repairing soft tissue defects in lower part of shank, the foot, with antidromic island flap providing blood supply by suralis nerver is reliable.the operation is sinple, without sacrifice of major arteries, low infection to foot, convenient for application.

其中骨髓炎骨外露6例，肌腱外露4例。供区直接缝合或植中厚皮片。结果：术后皮瓣完全成活，个别病例术后较臃肿，待二期将皮瓣修薄。结论：应用腓肠神经营养血管逆行岛状皮瓣修复小腿中下段及足部创面的临床效果可靠，手术操作简便，不牺牲小腿主要血管神经，对足部影响较小，便于推广开展。

Peritoneum was sutured in one puncture hole and was not sutured in ...

结果 左下腹切口的肠粘连率为66.67％，右下腹腹腔镜穿刺孔粘连率为4.17％，其中不缝合腹膜的为8.3％，缝合腹膜的为0。

The anastomosis site had smooth serosa and scar membrane in gross and were substituted by regenerative fibrous tissue.

可降解吻合环应用于肠切除、肠吻合在动物实验中是安全有效的，且优于线缝合组。

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。

Methods First, to lengthen Achilles tendon by using the slipping prolengthening or aponeurotomy of inversion "V" type on gastrocnemicus muscle, then split tibialis posterior and long peroneal muscle tendon respectively, and finally, make a suture with weaving prosthesis subcutaneously on the lateral dorsum of feet.

先行跟腱滑动延长或腓肠肌腱膜倒&V&形切开，然后行胫骨后肌腱及腓骨长肌腱分别对半剖开，并将前者外侧半与后者内侧半在足背前外方皮下编织缝合。

ETHODS: The gastrocnemius bundle branch and soleus muscle bundle branch of the right achilles tendon were sutured after surface skin and subcutaneous tissue discission. The gastrocnemius bundle branch was transected at 2 cm above calcaneal bone insertion and a 2-cm silicone tube was applied to separate the site of suture using 5-0 modified Kessler method. The site of suture was treated with nothing in silicone tube as the blank control group. In other three groups, the site of suture was treated with 100, 50, 10 ng VEGF in silicone tube at the operation day and 7, 14, 21 days post-operation.

切开家兔右侧跟腱表面皮肤、皮下组织，钝性分离跟腱的腓肠肌束支和比目鱼肌束支，于跟骨止点上方约2 cm处横行切断跟腱腓肠肌束支，将2 cm长硅胶管套入一侧断端，5-0缝合线改良Kessler法缝合跟腱，缝合后将硅胶管覆盖跟腱缝合处，空白组硅胶管内不加药，其他3组于手术当日及术后第7，14，21天往硅胶管内加入血管内皮生长因子100，50，10 ng。

Methods Emergency treatment should be quickly, 0.1%adrenalin hydrochloride gauze was used to oppress the lacerative position, aseptic gauze was used to tamp in order to further compression hemostasis, or used catgut to suture the lacerated vagina. For the blood loss was more, we established the venous transfusion quickly, observed vital signs and vaginal bleeding situation, kept perineum cleanly and dry, prevented infection, strengthened psychological nursing and health guidance.

应急处理应及时迅速，采用将浸有0.1%盐酸肾上腺素纱布压迫裂伤部位，填塞无菌纱条进一步压迫止血，或采用肠线缝合裂伤的阴道，出血量较多者，迅速建立静脉通道，监测生命体征及阴道流血情况，保持会阴清洁、干燥，防止感染，加强心理护理和健康指导。

AIM: To prevent postoperative pancreatic leakage by applying modified Child pancreaticojejunostomy in pancraticoduodenectomy patients due to severe pancreaticoduodenal injury.

目的：采用改良Child胰肠吻合对胰肠吻合缝合技术进行改进，对严重的胰头、十二指肠损伤患者急诊行胰十二指肠切除术，预防胰漏发生。

The biggest skin defect was 14 cm x 20 cm in size. Skin defects were repaired with flaps, myocutaneous flaps, free skin grafts and suturations. There were 4 gastronomies flaps, 6 latissimus flaps, 2 tensor fascia lata myocutaneous flaps, 1 transverse recuts abdominis myocutaneous flap, 5 plantaris medialis flaps, 3 random flaps, 12 free skin grafts and 5 suturings.

采用 7种不同类型的皮瓣、肌皮瓣、游离植皮和手术后直接缝合等方法进行修复，其中腓肠肌皮瓣 4例，背阔肌皮瓣6例，阔筋膜张肌皮瓣 2例，腹直肌皮瓣1例，足底内侧皮瓣 5例，邻近皮瓣3例，游离大块植皮1 2例，肿瘤切除后直接缝合5例。

With 4-0 subcuticular suture.

4－0肠线缝合皮下组织，4－0皮内缝合皮肤。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。