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首页> 外文期刊>International braz j urol >Percutaneous renal surgery: new model for learning and training
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Percutaneous renal surgery: new model for learning and training

机译:经皮肾手术:学习和培训的新模式

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INTRODUCTION: Aiming at promoting and facilitating learning and training in percutaneous renal surgery, we have created an easy to assemble, reproducible and cheap laboratory model. The model was built using pig kidney, foam layer, plastic catheter, linen or cotton holding sutures, and wide scotch tape. SURGICAL TECHNIQUE: The kidney with catheterized ureter is fixed and involved in a foam layer. It stays hidden, and is visible only through radioscopy. This model is positioned and fixed to a radiological table in such a way that it simulates the patient’s lumbar region. After that, contrast medium is injected through the ureter, and the urinary system is examined through radioscopy. All percutaneous maneuvers can be accomplished, from the puncture, tract dilation, insertion of Amplatz sheath, and introduction of nephroscope, allowing lithotripsy and endopielotomy, as well as other types of percutaneous surgeries. COMMENTS: The great advantage of this model is its easy construction, by using very cheap and widely available material. Foam can be several times washed and reused. After treatment, the model can be immediately open, and a critical analysis can be made, being then possible to verify if the place of renal puncture was well chosen, if dilation was correctly accomplished, and if the collecting system has been preserved. Therefore, this model can represent a great advance for the learning and training in percutaneous surgery.
机译:简介:旨在促进经皮肾手术的学习和培训,我们创造了易于组装,可重复和廉价的实验室模型。该模型采用猪肾,泡沫层,塑料导管,亚麻织物或棉花缝合,宽透明胶带。手术技术:具有导管输尿管的肾脏固定并涉及泡沫层。它保持隐藏,只能通过放射镜检查可见。该模型定位并固定到放射性表,以这样的方式模拟患者的腰部区域。之后,通过输尿管注射造影剂,通过放射检查检查泌尿系统。所有经皮操纵可以从穿刺,散,插入放大器护套,以及引入肾镜诊断,允许碎石术和内孔,以及其他类型的经皮手术。评论:通过使用非常便宜和广泛的材料的良好结构,这一型号的良好优势是其简单的结构。泡沫可能是几次洗涤和重复使用。治疗后,模型可以立即打开,并且可以进行临界分析,然后可以验证肾穿刺的位置是否选择了很好的选择,如果正确完成扩张,并且如果收集系统已被保留。因此,该模型可以代表经常手术中的学习和培训的大力进步。

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