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Пошук дав 27 результатів

Розширений пошук

Mykola
22 квітня 2015, 19:01
Форум: Хірургія
Тема: Тактика при тонкокишковій непрохідності
Відповіді: 14
Перегляди: 1073

Re: Тактика при тонкокишковій непрохідності

Працюю протягом 5 років, так що мій досвід не дуже великий. Для тонкокишкової непрохідності важливий анамнез (тобто попередні абдомінальні операції, епізоди непрохідності). Далі, на повітря в товстій кишці я не покладаюся. Повітря може бути присутнім на початку повної непрохідності. Обов'язково став...
Mykola
22 квітня 2015, 19:06
Форум: Хірургія
Тема: ДТП. Травма живота
Відповіді: 10
Перегляди: 833

Re: ДТП. Травма живота

Цікавий випадок. Тактика залежно від стану під час операції. Якщо все погано - мінімальне втручання. Панкреатографія вважаю необхідна. ДПК мабуть краще виключити. ПДР - абсолютно не варіант.
Mykola
22 жовтня 2016, 19:40
Форум: Хірургія
Тема: Що робити з дренажем?
Відповіді: 8
Перегляди: 298

Що робити з дренажем?

Добрий вечір, недавно я оперував чоловіка 50 років з гангренозним холециститом і інфільтратом. На операції виражений запальний процес і інфільтрація, тому вдалося зробити тільки часткову холецистектомію. Міхурова протока ушита з боку просвіту міхура, залишений дренаж на всякий випадок. Все пішло не ...
Mykola
30 квітня 2017, 15:58
Форум: Торакальна хірургія
Тема: Ревізія ножового поранення грудної клітки
Відповіді: 114
Перегляди: 4517

Ревізія ножового поранення грудної клітки

Добрий день, які дії має включати ревізія ножового поранення грудної клітки, якщо на рентгені, ЕКГ, УЗД плевральної порожнини патології немає, загальні аналізи крові, сечі, стан пацієнта без відхилень? Пальцеве, зондове дослідження ясно. Вульнерографія? Розширення раневого каналу? Якісь відмінності ...
Mykola
30 квітня 2017, 21:41
Форум: Торакальна хірургія
Тема: Ревізія ножового поранення грудної клітки
Відповіді: 114
Перегляди: 4517

Re: Ревізія ножового поранення грудної клітки

Darmidon, я не казав, що ПХО не треба робити.

Знайти дно рани - маєте на увазі побачити його візуально?
Mykola
01 травня 2017, 07:38
Форум: Торакальна хірургія
Тема: Ревізія ножового поранення грудної клітки
Відповіді: 114
Перегляди: 4517

Re: Ревізія ножового поранення грудної клітки

Ревізія не на всю глибину рани може закінчитися прикрим випадком, як тут вже написали.
Mykola
30 квітня 2017, 20:24
Форум: Торакальна хірургія
Тема: Ревізія ножового поранення грудної клітки
Відповіді: 114
Перегляди: 4517

Re: Ревізія ножового поранення грудної клітки

( для ПХО можливе розширення каналу) В яких випадках потрібне розширення каналу? у випадках малого розміру рани для ревізії та гемостазу, особливо у хворих з ожирінням. Добре, а якщо поранення якраз у жінки з ожирінням з великими молочними залозами і раневий канал проходить якраз через товщу залози...
Mykola
01 травня 2017, 08:59
Форум: Торакальна хірургія
Тема: Ревізія ножового поранення грудної клітки
Відповіді: 114
Перегляди: 4517

Re: Ревізія ножового поранення грудної клітки

Випадок був наступний, якщо коротко. Повна жінка, при ревізії рани гр. клітини в 4 м/р зліва по сер. ключичній лінії раневий канал йде латерально і вгору, закінчується в клітковині молочної залози, при цьому об'єктивно відхилень від норми немає, по УЗД рідини як в плевр. порожнині, так і в порожнині...
Mykola
31 серпня 2017, 23:10
Форум: Хірургія
Тема: Хто такий суміжний спеціаліст?
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Re: Хто такий суміжний спеціаліст?

Оперуючий хірург.

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