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LAPAROTOMIA
PARIETORAFIA
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Definitie:
Procedura chirurgicala care presupune
incizarea peretelui abdominal pentru a
castiga acces in interiorul cavitatii
abdominale.
= celiotomie
gr. lapara – abdomen, tome – tăietură
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• Tipuri de incizii:
–Verticale –Oblice
–Transversale
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• Pregatiri preoperatorii:
–Placa electocauterului
( !Nu in zonele cu implanturi metalice !) – Indepartarea parului
– Aseptizarea tegumentului pacientului
– Asezarea campurilor
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• Principii: – acces;
– delabrari minime;
– prelungita la nevoie;
– refacere;
– să afecteze cât mai puţin rezistenţa
peretelui (liniile Langer);
– cicatrice supla
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• Incizii verticale
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• Incizii oblice
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• Incizii transversale
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• Tehnica:
1. Incizia tegumentului si
a tesutului gras subcutanat
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• Tehnica:2. Incizia liniei albe
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• Tehnica:3. Incizia peritoneului
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• Definitie:
Refacerea (pe cat posibil anatomica) aperetelui abdominal dupa o laparotomie.
Alb la alb, rosu la rosu !!!
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• Principii:
– Anatomia
–Rezistenta
–Cat mai putin ischemianta
–Sa nu fie in tensiune
• Modalitati:
–Monoplan vs. multiplan
–Fire separate vs. surget –Fir resorbabil vs. fir neresorbabil
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• Tehnica - peritoneul
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• Tehnica – linia alba
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• Tehnica – multiplan
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