Dos santos claudio, tecnica quirurgica
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Transcript of Dos santos claudio, tecnica quirurgica
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COLECISTECTOMIA
Dos Santos, ClaudioDe Menezes, ThiagoDe lima, WagnerAraujo Neto MarvioPany Vitor
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Semiologia
Dolor Hip. der / Epigástrio
Signo de Murphy (+)Fiebre 38° / 38.5°Nausea y vomito 70 -80%Leucocitosis >12.000
ultrasonografía (ecografía)
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Indicaciones LAPAROSCÓPICA Y ABIERTA
Conversion de laparoscopia a abierta
- edad >60 - colecistitis aguda e antecedencia cirurgia alta - Cirujano poco experiente - anatomia aberrante - Hérnia Gigante - rotura da vesicula e salida de contenido hacia
cavidad abdominal
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TECNICA ABIERTA
Ampicilina/sulbactan + Gentamicina
1° Anestesia General Balanceada – Posicion Supina
2° Asepsia y Antisepsia ( epigastrio y ambos hip , pubica
3° Campos Esteril ( lado area de incision)
4° Incision ( bisturi Hoja 20 mango N°4)
5° Separado Farabeuf , incision Peritoneo Tijera Metzenbaum
Y 2 Pinzas Kelly – hemostasis
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Finalizar
Succionar sangre em cavidadVerificar se no hay Hemorragia o Restos de Bilis
-Sintesis
Material reabsorbible ( vircril 4-0)
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COLECISTECTOMIA LAPAROSCOPICA
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Antibiotico Terapia Pre-operatorio
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1º Trocar
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PASSO 1: Expondo o Ducto Císt ico e Artéria Císt ica
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PASSO 2: Dissecando o Ducto Cístico e Artéria Cística
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PASSO 3 e 4: Clipando e Cortando o Ducto Cístico e Artéria
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PASSO 5: Dissecando o Leito Hepático
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Sintesis Vicryl o Poliglactina 910
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PASSO 6: Extraindo a Vesícula
Sintesis Vicryl 4-0
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Nunca se olvide, atras de un medico hay un abogado...
Gracias..