tory burch shoes Hilar intrahepatic bile duct cath

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Built hilar bile duct anastomosis tubes ...

Built at the cut pipe, by the second refers to the organs of the distal anterior wall of the first paragraph insert the mouth kill, wound for a purse sewing table, cooked the first after the second donation of intestinal cancer feast used 328 1991 6, No. 4 Application of the latissimus dorsi flap breast reconstruction report of 10 cases Cancer Research Institute of Shandong Province Jiang Ang Lee Lian Heng Ma Shi Xuetao Kingdom where the cancer is a common evil women good at one of the twentieth l, to improve the quality of life in breast cancer patients to eliminate the circle breast defects in patients with the psychological barriers to domestic and foreign scholars had breast cancer, 3 to 5 years after application of subcutaneous fat filled, silicone Xuan, too omentum, or the application of the abdomen, hips, back and muscle for breast reconstruction with skin defense September 1989 ~ 1990 lO months, we completed the application in the latissimus dorsi flap surgery for breast cancer breast reconstruction in 10 cases the line. Recent satisfactory completion of the appropriate surgical method for breast cancer surgery operation, the affected side of the back edge of Quebec after the start of free muscle Temple back muscles, down to the twelfth rib level, out to the latissimus dorsi muscle fascia, small nodules up to near the humerus Department. Reserved http back blood vessels, nerves and long thoracic nerve will be free on the back Lanna muscle, the back cut into the vicinity of the latissimus dorsi free muscle flap pedicle. Free edge of the flap distal varus, the number of intermittent needle sewing station, papilla for the equivalent of pocket stitching, so that local uplift, stitching designed chest wall in the preoperative surface (with the blush 0 breast symmetry, stitching section. If breast reconstruction require skin grafting,[link widoczny dla zalogowanych], it is desirable 5cm away from the outer edge of the swelling of the skin Zhou full-thickness skin grafts. armpits set g negative pressure flow tube, depending on how many gr flow Chul 2 to 3 after operation without removal of the two Bureau of stitches. after addition to the treatment plan against Temple, the need for ipsilateral shoulder adduction, internal rotation, extension movement,[link widoczny dla zalogowanych], to prevent the latissimus dorsi muscle disuse atrophy. clinical data l3o ~ 39-year-old age of 3, 4O ~ 98 例,> 50 years old in 4 cases. a upper outer quadrant tumor, 6 cases fell within the upper quadrant 2, quadrant and central area within the next i clinical stage I patients with a case of l, Ⅱ of 5 down,[link widoczny dla zalogowanych], Ⅲ in 3 cases unknown l patients (Department of tumor after biopsy). milk http surgical root Yi 5 cases, 4 cases of modified radical mastectomy, extended radical mastectomy l cases. pathologic 8 cases of invasive ductal carcinoma, invasive lobular carcinoma,[link widoczny dla zalogowanych], simple Cancer of the 2 sides, acne-like carcinoma of l cases. recyclable milk Dalai height (supine position the distance from the sternal manubrium)} <8ciDl guillotine, 3 ~ 4cm9 cases. breast reconstruction area} 7 × 8 ~ 10x12cm 1O-month postoperative follow-up the 4 cases, ipsilateral upper extremity function well, breast reconstruction shape, size did not change. on one or the latissimus dorsi flap anatomy ugly, back superficial masseter muscle is back muscle, was fan-shaped. the main function is to make the shoulder Yan section adduction, internal rotation, extension. It screwdriver under the six thoracic and lumbar spinous process, woolen rug in the r crest and the iliac crest, humerus limited to small nodules. blood supply from the axillary artery and vein under the shoulder blade housing issued arteriovenous , selected from the axillary artery and vein Shan asked the distance of about eight latissimus dorsi 25 ~ 40cm, the small blood vessels branching optional back. wide discretion distal muscles'. field this vessel in the situation without injury Qi variation under latissimus dorsi muscle flap blood supply is good. Second, the original style characterized t (1) does not reduce the extent of surgery, not separate incision, the use of self-organization, a complete breast reconstruction. surgery is simple, usually within half an hour to complete. ' 2) Overall satisfaction with breast reconstruction, and good elasticity o (8, does not affect limb function, and the end of school after the treatment. Third, the case selection (1) line of benign breast mastectomy patients in cold, or I, Ⅱ Ⅲ breast cancer and part of the line the same kinds of breast cancer surgery (2) has been in after mastectomy or breast cancer, 8 to 5-year distant metastasis and local recurrence. (8) unaffected non-drape-like large breasts. horses, pay attention to what the top of t (1 ) strictly reduce the surgical group of symptoms of breast cancer without surgery, dissection became ill on the basis of selection. (2) intraoperative dissection carefully thoracodorsal vessels, nerves, without rendering muscle to reverse. If it is found thoracodorsal blood vessel injury or muscle flap poor transport, reconstructive surgery should be abandoned. (3) around the suspected transfer of thoracodorsal artery lymph nodes, should be thoroughly cleaned, and should not be the end of one stage breast reconstruction. The more a reference text. Linzeng Lu, et al. Journal of Surgery l982 · 20l7672. Yang Peiying , et al. Cancer Research lgB3, lO-262.3. Zhu Sheng repair, and so on. the completion of surgery in 1981} 19} 6】 o. just like the common bile duct anastomosis to the line as on the chain, will be built after the camp second refers to the brain wall and bile duct or portal maggot weave for 4 to 6 pin joint platform of plasma muscle fixed place in the hepatic portal area cited BU latex tubes. the sea is no need for the community surgical units lin Ong, a I-II En Kin means fixed on the scanner jr bile duct or portal on J Si group in New Zealand and the operation is very simple, and as long as the mouth of the duodenum infringe seam pockets and reliable platform, the possibility of bile breast atrophy is very small, this group Four down, no intestinal bile Geng.
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