METHOD OF PREPARATION FOR omentum transplantation simultaneously TWO lower limb critical ischemia

摘要

method of training a large u0441u0430u043bu044cu043du0438u043au0430 u0434u043bu00a0 his u043eu0434u043du043eu043cu043eu043cu0435u043du0442u043du043eu0439 transplantation at the two lower limbs, with critical ischemia, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, mobilization of pain u0448u043eu0433u043e u0441u0430u043bu044cu043du0438u043au0430 start with short branches u043fu0435u0440u0435u0441u0435u0447u0435u043du0438u00a0 gastrointestinal u0441u0430u043bu044cu043du0438u043au043eu0432u043eu0439 arteries in big obliquity of stomach, omentum cut further from a colon. u0448u043au0438 and its u0431u0440u044bu0436u0435u0439u043au0438,u043fu0440u0435u0446u0438u0437u0438u043eu043du043du043e u0432u044bu0434u0435u043bu00a0u044eu0442 left and right gastro u0441u0430u043bu044cu043du0438u043au043eu0432u044bu0435 arteries and veins in u043fu0440u043eu0442u00a0u0436u0435u043du0438u0438 not less than 10 mm, u043eu0440u0438u0435u043du0442u0438u0440u0443u00a0u0441u044c on u0430u043du0433u0438u043eu0430u0440u0445u0438u0442u0435u043au0442u043eu043du0438u043au0443 large u0441u0430u043bu044cu043du0438u043au0430 u0432u044bu043au0440u0430 u0438u0432u0430u044eu0442 has two flap and u0440u0430u0437u0434u0435u043bu00a0u044eu0442 their sharp by into two equal parts, so that each flap with blood supply from a gastrointestinal u0441u0430u043bu044cu043du0438u043au043eu0432u043eu0439 u0430u0440u0442u0435u0440u0438 and, further, crossed by the vascular legincluding the left gastro u0441u0430u043bu044cu043du0438u043au043eu0432u0443u044e artery and vein of u0441u0430u043bu044cu043du0438u043au0430 and u0430u0443u0442u043eu0442u0440u0430u043du0441u043fu043bu0430u043du0442u0430u0442, u043fu0438u0442u0430u044eu0449u0438u0439u0441u00a0 of this vascular beam, moving from the u043fu043eu043bu043eu0441u0442 and at the u0444u043eu0440u043cu0438u0440u043eu0432u0430u043du0438u00a0 u043cu0438u043au0440u043eu0441u043eu0441u0443u0434u0438u0441u0442u044bu0445 u0430u043du0430u0441u0442u043eu043cu043eu0437u043eu0432 - the lower third of the thigh, u0434u0440u0443u0433u0430u00a0 part u0441u0430u043bu044cu043du0438u043au0430 u043eu0441u0442u0430u0435u0442u0441u00a0 in the abdominal cavity with u043au0440u043eu0432u043eu0441u043du0430u0431u0436u0435u043du0438u0435u043c of right gastro - u0430u043bu044cu043du0438u043au043eu0432u043eu0439 arteries and veins.which temporarily u0433u0435u0440u043cu0435u0442u0438u0437u0438u0440u0443u044eu0442 overlaid stitches in the wound, moved an omental flap placed in the field of u043fu043eu0434u043au043eu043bu0435u043du043du043eu0439 u00a0u043cu043au0438 u043cu0435u0436u043cu044bu0448u0435u0447u043du043e and form the u043cu0438u043au0440u043eu0430u043du0430u0441u0442 u043eu043cu043eu0437 between gastrointestinal u0441u0430u043bu044cu043du0438u043au043eu0432u043eu0439 vein and the femoral vein in the lower third of the thigh, then form the u043cu0438u043au0440u043eu0430u043du0430u0441u0442u043eu043cu043eu0437 between an artery and u043fu043eu0432u0435u0440u0445u043du043eu0441u0442u043d u0441u0430u043bu044cu043du0438u043au043eu0432u043eu0439 oh, the femoral artery, after u0444u043eu0440u043cu0438u0440u043eu0432u0430u043du0438u00a0 u043cu0438u043au0440u043eu0430u043du0430u0441u0442u043eu043cu043eu0437u043eu0432,u0432u043au043bu044eu0447u0435u043du0438u00a0 them into the bloodstream and careful u0433u0435u043cu043eu0441u0442u0430u0437u0430 tissue u0441u0430u043bu044cu043du0438u043au0430 u0432u044bu043fu043eu043bu043du00a0u044eu0442 final stowage u0430u0443u0442u043eu0442u0440u0430u043du0441u043fu043bu0430u043du0442u0430u0442u0430 on lower limb wounds on the thigh and lower leg not u0437u0430u0448u0438u0432u0430u044eu0442, protect wet napkin with antiseptic, make skin sutures with u043bu0430u043fu0430u0440u0430u0442u043eu043cu043du043eu0439 wounds, crossing a vascular bundle, including the right u0436u0435u043bu0443 u0434u043eu0447u043du043e - u0441u0430u043bu044cu043du0438u043au043eu0432u0443u044e artery and vein, feeding the second part of the u0430u0443u0442u043eu0442u0440u0430u043du0441u043fu043bu0430u043du0442u0430u0442u0430,and move from the abdomen to the u0444u043eu0440u043cu0438u0440u043eu0432u0430u043du0438u00a0 u043cu0438u043au0440u043eu0441u043eu0441u0443u0434u0438u0441u0442u044bu0445 u0430u043du0430u0441u0442u043eu043cu043eu0437u043eu0432 - the bottom third of the other hip, surgery continues to u0434u0432u0443u043cu00a0 teams of surgeons: first u0430u00a0 combing the omentum and forms a u043cu0438u043au0440u043eu0441u043eu0441u0443u0434u0438u0441u0442u044bu0435 u0430u043du0430u0441u0442u043eu043cu043eu0437u044b similarly u043au043eu043du0442u0440u043bu0430u0442u0435u0440u0430u043bu044cu043du043eu0439 limbs, u0432u0442u043eu0440u0430u00a0 brigade u043fu043eu0441u043bu043eu0439u043du043e u0443u0448u0438u0432u0430u0435u0442 abdomen surgery complete the application for u043fu043eu0434u043au043eu0436u043du0443u044e u043au043bu0435u0442u0447u0430u0442u043au0443 sutures and the skin.without u0443u0448u0438u0432u0430u043du0438u00a0 fascia at both lower u043au043eu043du0435u0447u043du043eu0441u0442u00a0u0445.