Access Methods for operations in the retroperitoneal space in complications of pancreatitis

摘要

a way to access u0434u043bu00a0 operations in u0437u0430u0431u0440u044eu0448u0438u043du043du043eu043c space in u043eu0441u043bu043eu0436u043du0435u043du0438u00a0u0445 pancreatitis, including a preliminary evaluation of the localization, size, structure of purulent n u0435u043au0440u043eu0442u0438u0447u0435u0441u043au043eu0433u043e u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 by way of visual u043au043eu043du0442u0440u043eu043bu00a0, puncture of purulent u043du0435u043au0440u043eu0442u0438u0447u0435u0441u043au043eu0433u043e u0437u0430u0431u0440u044eu0448u0438u043du043du043eu0433u043e u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 under visual control with u043fu043eu0441u043bu0435u0434u0443u044eu0449u0435 in the u0442u0440u043eu0430u043au0430u0440u0430 and u0440u0435u0442u0440u043eu043fu0435u0440u0438u0442u043eu043du0435u043eu0441u043au043eu043fu0438u0435u0439, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 orderafter a preliminary assessment of the localization, size, structure of purulent u043du0435u043au0440u043eu0442u0438u0447u0435u0441u043au043eu0433u043e u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 by computer tomography, choosing the optimum point under the control of computer tomography u0432u043du0435u0431u0440u044eu0448u0438u043du043du043e u043fu0443u043du043au0442u0438u0440u0443u044eu0442 purulent u043du0435u043au0440u043eu0442u0438u0447u0435u0441u043au043eu0435 education needle length of not more than 20 cm and diameter of not more than 1.66 mm with u043cu0430u043du0434u0440u0435u043du043eu043c, after the puncture u043fu043eu043bu043eu0441u0442u043du043eu0433u043e liquid u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 u043cu0430u043du0434u0440u0435u043d of needles u0443u0434u0430u043bu00a0u044eu0442,in the cavity u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 u0432u0432u043eu0434u00a0u0442 u0441u0432u0435u0440u0445u0436u0435u0441u0442u043au0438u0439 conductor with flexible end, after which the patient u0432u044bu0432u043eu0434u00a0u0442 of u0430u043fu0435u0440u0442u0443u0440u044b tomograph, needle u0443u0434u0430u043bu00a0u044eu0442 of u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 rigidly u0444u0438u043au0441u0438 u0440u0443u00a0 conductor, on the screen u0434u0438u0441u043fu043bu0435u00a0 tomograph u0438u0437u043cu0435u0440u00a0u044eu0442 u0440u0430u0441u0441u0442u043eu00a0u043du0438u0435 point puncture on the body surface of the patient to purulent u043du0435u043au0440u043eu0442u0438u0447u0435u0441u043au043eu0433u043e u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 and rigidly u0444u0438u043au0441u0438 u0440u0443u00a0 guideon the conductor u0432u0432u043eu0434u00a0u0442 acuminatum drainage or u0430u043du0433u0438u043eu0433u0440u0430u0444u0438u0447u0435u0441u043au0438u0439 bougie diameter 5 mm measured u0440u0430u0441u0441u0442u043eu00a0u043du0438u0435, then conductor u0443u0434u0430u043bu00a0u044eu0442, drainage (bougie) are to auger u043fu0435u0440u0435u0432u043eu0434u00a0u0442 hem, the patient in the operating room where the drainage (wake up) to the measured depth u0432u0432u043eu0434u00a0u0442 trocar, drainage (bougie) u043cu0435u043du00a0u044eu0442 in laparoscope and u0432u044bu043fu043eu043bu043du00a0u044eu0442 u0440u0435u0442u0440u043eu043fu0435u0440u0438u0442u043eu043du0435 u043eu0441u043au043eu043fu0438u044e or u0432u044bu043fu043eu043bu043du00a0u044eu0442 u043bu044eu043cu0431u043eu0442u043eu043cu0438u044e,u043eu0440u0438u0435u043du0442u0438u0440u0443u00a0u0441u044c when reaching the drainage of purulent u043du0435u043au0440u043eu0442u0438u0447u0435u0441u043au043eu0433u043e u043eu0431u0440u0430u0437u043eu0432u0430u043du0438u00a0 (bougie).