TECNICA DE SHOULDICE EBOOK DOWNLOAD!
La cirugía de la hernia inguinal es una operación quirúrgica para la corrección de una hernia . La técnica de Shouldice es la principal reparación basada en la sutura. Se trata de una reconstrucción de cuatro capas de la fascia transversalis Reparaciones con mallas · Reparaciones de sutura · Reparaciones de tensión. A técnica de Shouldice para o tratamento cirúrgico das hérnias inguinais, apesar dos excelentes resultados descritos na literatura, tem sido pouco difundida em. Introducción. La irrupción de los materiales protésicos en la reparación de los defectos inguinales ha permitido simplificar las técnicas, conseguir una mayor.
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Physical examination should document the hernia, tecnica de shouldice the size and location. A differentiation should be made between an inguinal tecnica de shouldice femoral hernia, based on the position relative to the inguinal ligament.
All patients are counseled regarding weight reduction and exercise regimens, if necessary. An extended waiting period can be used to achieve weight targets; however, if symptoms are significant enough to prevent activities of daily living, a more urgent schedule can be adopted.
Anesthesia Operations at the Shouldice hospital are performed with local anesthesia.
Atlas De Técnicas Cirúrgicas - Courtney M. Townsend, B. Mark Evers - Google Livros
Preoperative sedation, 1 h prior to entering the operating theater, consists of intramuscular meperidine and oral diazepam. The clinical benefits of local anesthesia extend beyond tecnica de shouldice avoidance of a general anesthesia.
It allows the cooperation of the patient to strain upon request to aid in the search for occult hernias. In addition, with a normal abdominal wall muscle tone, the surgeon is able to accurately judge the amount of tension created by the reconstruction.
Further infiltration is also required during various stages of the inguinal dissection.
The Shouldice technique for the treatment of inguinal hernia
The inguinal canal is infiltrated to anesthetize the ilio-inguinal and ilio-hypogastric nerves prior to opening the inguinal canal. The internal oblique, superior to the canal is also infiltrated.
Later, upon mobilization of the spermatic cord, the internal ring, posterior floor and cremasteric muscle are infiltrated tecnica de shouldice anesthetize the genital branch of the genital-femoral nerve, found usually traveling within the cremasteric muscle fibers, the peritoneum of the indirect sac and the vas deferens.
If further conscious sedation is required during the procedure, midazolam and fentanyl can be administered.
SciELO - Scientific Electronic Library Online
General anesthesia is generally not required. We reserve this for operations on multiple recurrent hernias, where local infiltration of scar tissue is unlikely to provide adequate anesthesia.
Inguinal dissection A comprehensive intraoperative examination of the inguinal region is performed in all cases. As the project develops, new journal titles are being added in the library collection.
tecnica de shouldice
Cirugía de la hernia inguinal
The objective of tecnica de shouldice site is to implement an electronic virtual library, providing full access to a collection of serial titles, a collection of issues from individual serial titles, as well as to the full text of articles.
Features easy-to-follow, step-by-step anatomic drawings that clearly depict the full spectrum and breadth of surgical techniques-both open and minimally invasive. Provides step-by-step instructions for each procedure in a highly consistent format that makes applying techniques easy.
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