61295574-TEHNICI-CHIRURGICALE.ppt
Transcript of 61295574-TEHNICI-CHIRURGICALE.ppt
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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TEHNICI
CHIRURGICALE(Chirurgie operatoare)Curs anul IV
Med. VeterinaraAn uni !"#"$!"##
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INTERVEN%II CHIRURGICALE
&N REGIUNEA 'CULAROperaţia în: - plăgile pleoapelor -coloboma palpebrală -anchiloblefaron -simblefaron
-blefarofimoza -entropion -ectropion -encantisExtirparea pleoapei a treiaExtirparea dermoidului
Enucleerea globului ocular Evisceraţia cavităţii orbitareEvisceraţia globului ocular şi protezarea oculară la câineExtracţia cristalinului
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'peratia in plagile
pleoapelor Instruentar * pt in+i,ie si suturi Conten-ie * de+uit sau patrupodal/ Aneste,ie * nar+o,/0 NLA sau
tran+hili,are 1i lo+a2 tron+ular Tehni+a +hirurgi+al/ 3 ii4ere 1i
sutura onoplan/ sau ieta2at/0priul pun+t se apli+/ pe arginealier/ a pleoapei .
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'pera-ia 5n +olooa
palperal/ 6e7orarea arginii palperale
prin lipsa unei por-iuni +are
odi4+/ 7anta palperal/.
8e 7a+e autoplastie +utanat/ dup/e9tirparea -esutului +i+atri+ial.
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'pera-ia 5n an:ilole7aron ;leoapele r/<n sudate 5ntre ele.
Este 4,iologi+ sau do<ndit0 par-ial
sau total . 8e reali,ea,/ separarea
pleoapelor pe +ale +hirurgi+al/ 1i
se suturea,/ u+oasa+on2un+tial/ la piele 5n pun+teseparate.
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'pera-ia 5n sile7aron Mu+oasa +on2un+tial/ ular/
este sudat/ la +ea palperal/.
;oate s/ +oe9iste +uan:ilole7aronul.
8e 5n+ear+/ desprinderea+hirurgi+al/ su i+ros+op
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'per. 5n =LE>AR'>IM'?Mi+1orarea 7antei palperale
poate s/ 4e uni sau ilateral/.
6a+/ se aso+ia,/ +u i+ro7taliaare prognosti+ gra. 8e 7a+e +antotoie urat/ de
sutura onoplan/ 5n pun+teseparate .
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'pera-ia 5n ENTR';I'N Ras7r<ngerea pleoapei spre
gloul o+ular produ+e irita-ia
+orneii prin +opresiune.
8e repo,i-ionea,/ pleoapa printrataent +hirurgi+al.
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'pera-ia 5n ECTR';I'N Ras7r<ngerea pleoapei spre
e9terior este urat/ de 9ero,a 1i
apoi de +on2un+tiit/ gra/.
Trataentul este +hirurgi+al 1i+onst/ 5n readu+erea pleoapei 5npo,i-ie anatoi+/ .
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E9tirparea pleoapei a treia Modi4+/rile hipertro4+e ale
pleoapei a treia se tratea,/ prin
ala-ia a+esteia. E9+i,ia in+oplet/ este urat/
de re+idi/. ;.o. se apli+/ unguente o7tali+e
+u antiioti+e 1i antiin@aatoare.
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TAR8'RA>IA
Repre,int/ 5n+hiderea proi,oriesau peranent/ a 7antei
palperale prin sutur/. T.proi,orie * $par-ial/ $total/
T.peranent/ $ne+esit/e9tirparea arginilor tarsale .
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'pera-ia 5n ENCANTI8
8e e9tirp/ +arun+ulul la+rialhipertro4at dup/ identi4+area
pun+telor la+riale.
Heosta,a se asigur/ prin
taponaent sauele+tro+oagulare
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E9tirparea 6ERM'I6ULUI
>ora-iune piloas/ +ongenit.lo+ali,at/ pe +ornee0 s+ler/ sau pe
u+oasa +on2. palperal/0 e9ist<nd1i 7ore i9te.
8e e9tirp/ printr$o i1+aretangent/ a laei isturiului sau 5nstraturi su++esie
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E9tirparea gloului o+ular
Indicaţii * pl/gi penetrante0+orpi str/ini0 pano7talie0 aulsie.
;ro+edee * $ +u an:ilole7aron
$ 7/r/ an:ilole7aron
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Enu+leerea gloului o+ular7/r/ an:ilole7aron
in+i,ia u+oasei +on2. la nielulliului s+lero$+orneean.
de+olarea +on2un+tiei ulare. se ioili,ea,/ gloul o+ular prin
tendonul . oli+ e9tern se desprind u1+hii la inser-ie0 1i
apoi dreptul post. 1i n. opti+ +u7oar7e+a. Heosta,a0 printaponaent.
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Enu+leerea gloului o+ular+u an:ilole7aron $6ep/rtarea pleoapelor +u !$ 4re
tra+toare
$In+i,ia pleoapelor la "0B + de argine( nuai pielea 1i tarsul) $6e+olarea +on2un+tiei palperale $8e+-ionarea u1+hilor +u 7oar7e+a $6eta1area gloului o+ular prin torsiune $E9tirparea glandei la+riale $8utura arginilor pleoapelor
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EVI8CERA%IA CAVIT%II'R=ITARE
&ndep/rtarea gloului o+ular 5preun/ +u ane9ele sale . 8e
re+oand/ 5n tuori aligne aleo+hiului pano7talie supurati/0 +une+ro,e 5ntinse retroulare. 8e
e9tirp/ glanda la+rial/ 1i se+hiuretea,/ +aitatea oritar/.
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EVI8CERA%IA GL'=ULUI'CULAR
Este urat/ de prote,areintras+leral/0 din otie esteti+e.
;rote,a o+ular/ este din sili+on0 +uun guler din tantal0 este steril/ 1i
7oarte ine tolerat/.
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TIM;II ';ERAT'RI $Cantotoia 1i dep/rtarea pleoapelor $In+i,ia +orneii +ir+ular la a,/ $8e 5ndep/rtea,/ +orneea 1i +on-inutul
gloului o+ular. $8e +hiuretea,/ +oroida 1i retina $8e uple +aitatea s+leral/ +u +olagen
pentru heosta,/ $8e de+olea,/ +on2un+tia ular/0 B
5n 2urul ori4+iului s+leral $8e e9+i,ea,/ o por-iune de 7or/
inelar/ din s+ler/
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$8e introdu+e prote,a 1i sepo,i-ionea,/ +ore+t.
$8e suturea,/ prote,a la s+ler/ $8e suturea,/ +on2un+tia la
prote,/
Trataentul p.o. lo+al 1i general0+u antiioti+e 1i antiin@aatoare
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ETRAC%IA CRI8TALINULUI
IN6ICA%II 3 +atara+ta atur/0ilateral/0la +<ine0 lu9a-ia
anterioar/ a +ristalinului.
MET'6E $ E. intra+apsular/
$ E. e9tra+apsular/
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Extracţia intracapsulară acristalinului
#$ asepti,area u+oasei +on2un+tiale!$ +antotoia$ in+i,ia +on2un+tiei ulare superioareD$ de+olarea u+oasei +on2. ulare
B$ des+hiderea +aerei ant. 5n sei+er+$ 49area +ristalinului +u un a+0 transs+lerF$ e9pul,area +ristalinului prins 5n ans/
$ sutura pl/gii s+lerale 1i a u+oasei+on2un+tiale in+i,ate
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E t ţi t l ă
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Extracţia extracapsulară acristalinului este +ondi-ionat/ deintegritatea 7un+-ional/ a +ristaloidei1i perite introd. unui +ristalinarti4+ial $ +antotoie larg/
$ +heratotonie sau s+lerotoie $ se+-ionarea +ristaloidei anterioare $ e9pul,area 1i e9tra+-ia +ristalinului
$ iride+toie par-ial/ $ sutura pl/gii
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6EC'RNAREA
6e+ornarea i-eilorAputarea +oarnelor la tineret6e+ornarea oinelor adulte
$aputarea sipl/ a +oarnelor $aputarea +oarnelor +u e9+i,ia ureletului $aputarea +oarnelor +u autoplastie +utanat/ $aputarea +oarnelor prin +onstri+-ie elasti+/
Aputarea +oarnelor la oi 1i +apre
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6EC'RNAREA VI%EIL'R
# $ Cauteri,area ugurelui+ornual +u i2loa+e +hii+e
! $ Cauteri,are teri+/
3 E9+i,ia ugurilor +ornuali
Cauterizare chimică :
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Cauterizare chimică :
$ =a,e +austi+e ( Na'H0 'H )
$ A+i,i ( +roi+0 a,oti+0 arseniostri+lora+eti+ ) $ 8/ruri ( sali+ilat de sodiu0 nitrat
de argint0 tri+lorura de antioniu ). 8e apli+/ prin s+ari4+are0in2e+tare0 adi2onare0 plasturi0
unguente +austi+e.
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Cauterizarea termică se poate
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Cauterizarea termică se poateapli+a 1i la i-eii +are nu au 7ost
de+orna-i prin +auteri,are +hii+/ 5n pria s/pt/<n/ de ia-/.
8e +auteri,ea,/ ugurele +ornualprin ai ulte apli+a-ii aleele+tro+auterului pe teguent 7/r/
a le,a osul ;laga se +i+atri,ea,/ su +rust/
5n $D s/pt/<ni
6e+ornarea i-eilor prin e9+i,ia
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6e+ornarea i-eilor prin e9+i,iaugurilor +ornuali se poate 7a+e
p<n/ la <rsta de #$ luni0 5n7un+-ie de ras/ MET'6E
$ Roerts $ =arnes $ E9+i,ia +u isturiul
AM;UTAREA C'ARNEL'R LA
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AM;UTAREA C'ARNEL'R LA TINERETUL TAURIN
8e 7a+e e9tirparea de la a,/p<n/ la <rsta de $ luni0 +u
7er/str/ul sau +u +le1tele deaputa-ie0 preg/tite 5n +ondi-ii deasepsie.
8inusul +ornual nu este 7orat
Cl t t t
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Cle1te pentru aputarea+oarnelor la tineretul taurin
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6EC'RNAREA ='VINEL'R
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6EC'RNAREA ='VINEL'RA6ULTE
MET'6E $ Aputarea sipl/ a +oarnelor
$ Aputarea +u e9+i,ia ureletului $ Aputarea +u autoplastie+utanat/
$ 6e+ornarea prin +onstri+-ieelasti+/
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AM;UTAREA C'ARNEL'R LA
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AM;UTAREA C'ARNEL'R LARUMEGT'ARELE MICI
Metodele sunt ase/n/toare +u+ele de la oine
8inusul 7rontal este larg des+his1i a2unge p<n/ la 2u/tatea+ornului. ;eri+olul sinu,itelor este aiare de+<t la taurine 1i se ipun/suri suplientare .
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TRE;ANA%II
Trepana-ia sinusurilor parana,ale Trepana-ia +ait/-ilor na,ale 'pera-ia 5n +enuro,/
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SINUSUL FRONTL
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S USU O
La +aaline * $ +opartientul superior $ aele +opartiente
$ +opertientul in7erior
La taurine
La +arniore
SINUSUL !"ILR
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SINUSUL !"ILR
La +aaline *
$ Copartientul superior $ Cop. in7erior $ Aele +opartiente
Tehni+a operatorie * $ In+i,ia +utanat/ 1i periost $ 6e+olarea periostului
$ Trepana-ia osului $ Ea+uarea +on-inutului 1i sutura+utanat/ da+/ este +a,ul
TRE;ANA%IA CAVIT%IL'R
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TRE;ANA%IA CAVIT%IL'RNA?ALE
$Indi+a-ii $Instruentar
$Lo+ de ele+-ie $Tehni+a operatorie In+i,ie longitudinal/0 paralel/ +u liniaedian/0 se de+olea,/ periostul0 se 7a+!$ trepana-ii. La +al 1i 5n dreptulin+i,urii na,o$a9ilare
Trepana-ia +a. na,ale la
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Trepana-ia +a. na,ale la+al Trepana-ia sinusurilor
la a+/
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';ERA%IA &N CENUR'?
$ Indi+a-ii$ Lo+ali,are * $ loul 7rontal
$ eis7erele +ererale $ loul o++ipital $ +ereelul
$ Instruentar0 aneste,ie0+onten-ie0 lo+ de ele+-ie0 tehni+/operatorie.
$ In+i,ie +utanat/
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In+i,ie +utanat/$ Trepana-ie +ranian/
$ In+i,ie duraater$ E9plorarea asei +ererale$ Identi4+area e,i+ulei$ E9tragerea e,i+ulei$ Asanarea +ait/-ii ( are+olina0lugol0 et+. )$ 8utura +utanat/0antiioti+oterapie postoperator.
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Crani#t#mia prin decal#tare
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$ In+i,ia pielii 1i a 7as+iei
$ In+i,ie 1i de+olare periost $ 8e+-ionarea +alotei +raniene +u7re,a
$ 8e in+i,ea,/ duraater $ 8e e9trage e,i+ula $ 8e rea1ea,/ 1i se 49ea,/ osul
$ 8e suturea,/ periostul $ 8e suturea,/ pielea
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A;LICAREA INELULUI
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NA?AL LA TAUR
$ Conten-ie$ Aneste,ie
$ Instruentar $ Tehni+/ $ etoda >lessa $ per7orare +u isturiul
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CHIRURGIA =UC'$MAIL'$
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>ACIAL 'pera-ia 5n ti+ul suptului la oine Aputarea +io+ului 'pera-ia 5n +histul saliar sulingual E9tirparea +histului saliar suandiular 'pera-ia 5n litia,a saliar/ 'pera-ia 5n 4stula saliar/ Re,e+-ia +ol-ilor Nielarea neregularita-ilor dentare E9tra+-iile dentare
';ERA%IA &N TICUL
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%8U;TULUI LA ='VINE
Ape9e+toia par-ial/ * $ =erthet ( LJ 5ntors )
$ 8Kenson ( V ) Ape9e+toia total/$ Tador 1i Aalon ( oli+/ )
Radoir ( laouri longitudinale ) =olte 1i +ol. ( laouri transersale ) ;un+te de 7o+ penetrante
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AM;UTAREA CI'CULUI
Indi+a-iiConten-ie
Tehni+a * $ u1oar/ $ # din ala super. $ oderat/ $ ! sup 1i # in7.
$ seer/ ! din aele ale tenţie la hem#stază $
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';ERA%IA &N CHI8TUL
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8ALIVAR 8U=LINGUAL
Indi+a-ii Aneste,ie Conten-ie Instruentar
Tehni+a operatorie
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';ERATIA &N CHI8TUL
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GLAN6EI
8U=MAN6I=ULARE 6iagnosti+ Instruentar Aneste,ie Conten-ie
Tehni+a +hirurgi+al/
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';ER. &N LITIA?A
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8ALIVAR
6iagnosti+ 3 e9. radiologi+ Aneste,ie Conten-ie Instruentar
Tehni+a operatorie
';ER. &N >I8TULA
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8ALIVAR
Lo+ali,are * $ +al $ +<ine
Tehni+a *
$ Crearea unei 4stule u+ale
$ Ligatura +analului 8tenon
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RE?EC%IA C'L%IL'R Indi+a-ii Instruentar
Aneste,ie Conten-ie Tehni+a operatorie * $ la +al
$ la taurine $ la por+ine
$ Nielarea neregularit/-ilor dentare
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ETRAC%IILE 6ENTARE Indi+a-ii Instruentar
Aneste,ie Conten-ie Tehni+a operatorie *
$ E9tragerea dintelui prin aulsie$ E9tr. dintelui prin respingere
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';ERA%II ;E URECHI
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';ERA%II ;E URECHI
Aputarea pailionului ure+hii Re,e+-ia peretelui lateral al
+ondu+tului auditi e9tern 'pera-ia 5n otheato
AM;UTAREA ;AV.URECHIL'R
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URECHIL'R Indi+a-ii Instruentar
Aneste,ie Conten-ie Tehni+a operatorie
$ 8tailirea 7orei $ Heosta,a $ Trataent postoperator
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TRATAMENTTUL C'M;LICA%IIL'R &N';ER 6E AM;UTARE A URECHIL'R
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';ER. 6E AM;UTARE A URECHIL'R
Ci+atri+ea retra+til/
Redresarea ure+hii +/,ute * $ spre planul edian $ spre e9terior
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RE?EC%IA ;ERETELUILATERAL AL C'N6 AU6ITIV
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LATERAL AL C'N6. AU6ITIV
ETERN Indi+a-ii Instruentar
Aneste,ie Conten-ie Tehni+a operatorie0 etode *
$ Hin, $ ?epp $ 8,eligoKs:i0 Onn$Pones
Re,e+-ia peretelui lateralal +ondu+tului auditi
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al +ondu+tului auditi
e9tern
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Re,e+-ia per. lat. et.%inz Re, per lat et
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%inz Re,. per. lat. et.
&#nes
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';ERA%II ;E C'L'ANAVERTE=RAL
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VERTE=RAL
Aputa-ia +o,ii 'pera-ia 5n hernia de dis+ Rahi+ente,a
$r. +eri+al/ $r. loar/ la rueg. 1i +aaline
$r. la +arniore
AM;UTAREA C'?II
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AM;UTAREA C'?II
Indi+a-ii Aneste,ie
Conten-ie Tehni+a operatorie *
$ la iei 1i la pur+ei
$ la +<ini $ la +al
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';ERA%IA &N HERNIA 6E6I8C
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6I8C
Indi+a-ii Lo+ de ele+-ie
Aneste,ie Conten-ie
Tehni+a operatorie
In+i,ia +utanat/ 1i a 7as+iei 6e+olarea us+ulaturii dorsale
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6e+olarea us+ulaturii dorsale
Indep/rtarea pro+. spinoase 1iarti+ul.
6e4nitiarea heosta,ei E9tirparea -esutului dis+al Re7a+erea planurilor anatoi+e prin
sutur/ Terapie antiin@aatorie 1i
antiin7e+-ioas/
Rahi+ente,a
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Rahi+ente,a
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';ERA%II ;E REGIUNEAGQTULUI
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GQTULUI Eso7agotoia Ingluiotoia Traheotoia
$Traheotoia de urgen-/$T. proi,orie$T.peranent/
'pera-ia de a7oni,are la +<ine
Ligatura 1i re,e+-ia enei 2ugulare 'pera-ia 5n edeul +e7ei 'pera-ia 5n @egonul +e7ei
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E8'>AG'T'MIA
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E8'>AG'T'MIA
Indi+a-ii Lo+ de ele+-ie
Aneste,ie Conten-ie Instruentar Tehni+a operatorie
In+i,ia pielii 1i a pielosului 6ila+erarea -es. +on2. 1i i,olarea
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- 2 1
eso7agului In+i,ia longitud. a eso7. E9tr. +. str/in 1i a saliei a+uulate
Toaleta riguroas/ 8utura ieta2at/ a eso7agului 8utura +utanat/ su dren ;reenirea +opli+a-iilor p.o.
INGLUVI'T'MIA
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INGLUVI'T'MIA
Indi+a-ii Instruentar
Aneste,ie Tehni+a operatorie *
$ in+i,ia straturilor anatoi+e
$ Ea+uarea +on-inutului $ 8utura
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TRAHE'T'MIA;R'VI?'RIE
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;R'VI?'RIE
Indi+a-ii Instruentar
Aneste,ie Conten-ie Tehni+a operatorie *
$ re,. total/ a p. ant. a ! inele $ re,. partial/ a ! inele al/turate
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TRAHE'T'MIA;ERMANENT
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;ERMANENT
Indi+a-ii Aneste,ia 1i +onten-ia
Tehni+a operatorie * $ et. +lasi+/ $ et. Vos:resens:i
A++idente 1i +opli+a-ii 5ntraheotoie
#. Traheotoia proi,orie !.Traheostoa
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Traheostoa
';ERA%IA 6E A>'NI?ARELA CQINE
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LA CQINE
Indi+a-ii Metode *
Re,. n. laringieni +raniali Corde+toia $ +. prin a++es u+al
$ pro+edeul translaringian
LIGATURA VENEIPUGULARE
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PUGULARE
Urgen-/ +hirurgi+al/ Indi+a-ii
Instruentar Tehni+a operatorie *
$ ligatura +oplet/
$ ligatura par-ial/ $ sutura 5n+ol/+it/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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RE?EC%IA VENEIPUGULARE
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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PUGULARE
Indi+a-ii Aneste,ie
Conten-ie Instruentar Tehni+a operatorie *
$ etoda +lasi+/ $ et. Ceotare
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ERA%IA &N E6EMULCE>EI
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Aneste,ie
Conten-ie Tehni+a operatorie Trataent postoperator
';ERA%IA &N >LEGM'NULCE>EI
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Aneste,ie
Instruentar Tehni+a operatorie Trataent postoperator
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ERA%II ;E REGIUNEA T'RACAL
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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'per. 5n @egonul grea/nului la+al
Tora+o+ente,a ;eri+ardo+ente,a ;un+-ia +ordului
Tora+otoia ;eri+ardotoia la oine
';ERA%IA &N >LEGM'NULGREA=ANULUI LA CAL
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Aneste,ie
Conten-ie Instruentar Tehni+a operatorie Trataent postoperator
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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T'RAC'CENTE?A
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Instruentar
Aneste,ie Conten-ie $ oine Lo+ de ele+-ie * $ +aaline
$ +arniore Tehni+a +hirurgi+al/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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;ERICAR6'CENTE?A
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Lo+ de ele+-ie $ la +al
$ la oine Instruentar Aneste,ie Conten-ie Tehni+/
CAR6'CENTE?A
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Lo+ de ele+-ie *
$ la +aaline $ la oine0 oine 1i por+ine $ la +<ine 1i pisi+/ Tehni+/
T'RAC'T'MIA
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Instruentar
Aneste,ie Conten-ie Tehni+a operatorie
$ T. inter+ostal/ $ T. +u re,e+-ie de +oast/
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;ERICAR6'T'MIA LA='VINE
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Instruentar
Conten-ie Aneste,ie Tehni+a operatorie *
$ re,e+-ia de +oast/ $ tora+o+ente,a
$ in+i,ia 7as+iei endotora+i+e $ e9plorarea +ait/-ii tora+i+e
peri+ardope9ia
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ peri+ardope9ia $ in+i,ia peri+ardului $ laa2ul +ait/-ii peri+ardi+e $ peri+ardora4a $ des7a+erea pe9iei $ sutura pl/gii tora+ale
;eri+ardotoia 7/r/ pneuotora9
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ERA%II ;E A=6'MEN
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Laparotoia Laparotoia edian/ entral/
Laparotoia paraedian/ entral/ Laparotoia entro$lateral/ Laparotoia prin @an+ Laparotoia prin a++es pelin
LA;AR'T'MIA
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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8e ipun +ondi-ii spe+iale * $ dieta preoperatorie
$ asepsie seer/ $ aneste,ia +u rela9are us+ular/ $ lo+ul de ele+-ie
$ ariea pl/gii adoinale $ heosta,a
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ rit alert0 7/r/ pau,e $ trauatis ini
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ ue+tarea is+erelor e9puse $ ligaturi 2udi+ioase
Instruentar Conten-ie Aneste,ie Tehni+a operatorie se alege 5n
7un+-ie de s+op.
Clasi4+are * L. edian/ entral/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ prepuian/ $ preoili+al/ $ oili+al/
L. paraedian/ entral/ L. entro$lateral/ L. lateral/ ( 5n @an+ )
$ 5n 7osa paraloar/
$ retro+ostal/ $ in te1itura @an+ului
L. inguinal/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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g L. prin a++es pelin
$ pe +ale aginal/ $ parare+tal/
L. transers/ $ prepuian/ $ oili+al/
$ 9i7oidian/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ERATII IN HERNIILEA=6'MINALE
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'pera-ia in herniile oili+ale 'peratia 5n hernia entro$lateral/ 'pera-ia 5n hernia inguinal/
$hernia inginal/ la +/-ea $h. ing$s+rotal/ +roni+/ la ier $h. ing$s+rotal/ a+ut/ la ar/sar
'per. 5n hernia perianal/ 'per. 5n hernia dia7ragati+/
Elemente c#nstituti'e ale uneihernii a(d#minale
#. inelul herniar
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!. sa+ul herniar . +on-inutul sa+ului herniar
6enuirea herniilor Alegerea pro+edeului operator
Tehni+a +hirurgi+al/
';ERA%IA &N HERNIA'M=ILICAL
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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H.o. redu+tiil/ +u sa+ i+ H.o. neredu+tiil/ +u sa+ i+
H.o. +u inel i+ 1i sa+ are H.o. +u inel are H.o. neredu+tiil/ +u sa+ are
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';ERA%IA &N HERNIAVENTR'LATERAL
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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6es+riere Lo+ de ele+-ie
Aneste,ie Conten-ie Tehni+a operatorie
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ERA%IA &N HERNIAINGUINAL LA C%EA
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Aneste,ie
Conten-ie Instruentar Tehni+a operatorie *
$ in+i,ie $ i,olarea sa+ului herniar
$ e9ainarea +on-inutului $ repunerea is+erelor $ torsionarea sa+ului herniar
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ ligatura sa+ului la a,/ $ re,e+-ia sa+ului
$ an+orarea ontului$ ridi+area pensei heostati+e
$ 5n+hiderea +oplet/ a inelului
$ sutura +utanat/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ER. &N HERNIA INGUIN'$8CR'TAL CR'NIC LA
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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VIER Indi+a-ii Lo+ de ele+-ie
Aneste,ie Conten-ie Instruentar
Tehni+a operatorie * $ in+i,ia sa+ului herniar
$ i,olarea sa+ului herniar $ ea+uarea li+hidelor transa,ate $ repunerea is+erelor
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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p $ ligatura sa+ului herniar $ re,e+-ia sa+ului herniar
$ an+orarea ontului $ 5n+hiderea +oplet/ a re1ei $ sutura pl/gii +utanate
';ERA%IA &N HERNIAINGUIN'$8CR'TAL ACUT
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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LA CAL 6es+riere0 +lasi4+are * $ strangularea elasti+/
$ strang. prin a+. at. 7e+ale $ strang retrograd/ Tehni+a operatorie *
$ In+i,ia +utanat/ $ i,olarea sa+ului herniar
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ eri4+area iailit/-ii anseiintestinale $ deridarea traie+tului inguinal
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ re,e+-ia intest. da+/ este +a,ul $ torsiunea sa+ului herniar $ ligatura 1i an+orarea sa+ului $ e9+i,ia sa+ului herniar +u testi+ulul $ sutura peretelui adoinal $ sutura la piele 5n pun+te separate
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ER. &N HERNIA;ERIANAL
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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6es+riere Aneste,ie
Conten-ie Lo+ de ele+-ie Tehni+a operatorie *
$ oturarea ori4+iului anal
$ in+i,ia +utanat/ 5n ar+ de +er+ $ e9tirparea 7ora-iunilorpatologi+e
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ repunerea is+erelor herniate $ oturarea re1ei peline prinsutur/ eta2at/0 +u 4r re,istent
ATEN%IE la glanda perianal/ $ se elierea,/ anusul
6a+/ s$a e9tirpat prostata0 se7a+e 1i +astrarea
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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';ERA%IA &N HERNIA6IA>RAGMATIC
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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6es+riere0 indi+a-ii Lo+ de ele+-ie Aneste,ie Conten-ie Instruentar
Tehni+a operatorie $ a++es ado. $ a++es trans+ostal
';ERA%II ;E VI8CERELEA=6'MINALE
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Ruenotoia la oine Reti+ulotoia Gastrotoia la +arniore Aoasotoia la oine 'pera-ia 5n dislo+area aoasului Enterotoia Entere+toia 'pera-ia 5n inagina-ie intestinal/
RUMEN'T'MIA LA ='VINE
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Instruentar
Aneste,ie +onten-ie Lo+ de ele+-ie Tehni+a operatorie *
$ laparotoia 5n @an+ $ e9plorarea +a. adoinale
$ e9teriori,area ruenului 5n plaga $ ruenope9ia $ in+i,ia ruenului
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ 49area arginilor pl/gii ruenale $ introdu+erea unui an1on 5n plag/ $ ea+uarea +on-inutului ruinal
$ e9plorarea +ait/-ii ruinale$ e9tragerea +orpilor str/ini din re-ea
$ toaleta pl/gii ruinale
$ ruenora4a
5ndep/rtarea pe9iei ruinale sutura peretelui adoinal
$ sutura onoplan/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ sutura ieta2at/ $ sutura trieta2at/
Trataent postoperator
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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RETICUL'T'MIA
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Instruentar
Conten-ie Aneste,ie Lo+ de ele+-ie
Tehni+a operatorie * $ re,e+tia +oastei a S$a
$ laparotoia trans+ostal/ $ in+i,ia epiploonului $ e9teriori,area re-elei
i l i
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ reti+ulope9ia $ des+hiderea re-elei $ apli+area penselor 5n T $ ea+uarea +on-inutului $ e9tragerea +orpilor str/ini
$ toaleta 1i sutura pl/gilor re-elei0epiploonului 1i a peretelui adoinal
GA8TR'T'MIA LACARNIV'RE
di ii
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Lo+ de ele+tie
Aneste,ie Conten-ie Tehni+a operatorie *
$ laparotoia $ deplasarea epiploonului
$ prinderea +orpului str/in $ in+i,ia stoa+ului $ e9tragerea +. str/in din stoa+
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ asepti,area pl/gii stoa+ale $ sutura pl/gii stoa+ale
$ a1e,area is+erelor $ sutura peretelui adoinal
Trataent postoperator
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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A='MA8'T'MIA LA 'VINE
I di -ii
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Instruentar
Aneste,ie Conten-ie Lo+ de ele+-ie
Tehni+a operatorie
';ERA%IA &N 6I8L'CAREAA='MA8ULUI ;E 8TQNGA
I di -ii i l -i i
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii 1i s+opul opera-iei Lo+ de ele+-ie
Instruentar Aneste,ie Conten-ie
Tehni+a operatorie *
6es+hiderea +ait/-ii adoinale 5n @an+ul stang
E l
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Ea+uarea ga,elor Repunerea aoasului 'entope9ie sau aoasope9ie &n+hiderea peretelui adoinal
prin sutura trieta2ata
Laparotoie paraedian/entral/
Ad l i 5 i-i
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Adu+erea aoasului 5n po,i-ieanatoi+/
'entope9ia 8utura peretelui adoinal
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';ERA%IA &N 6I8L'CAREAA='MA8ULUI &N 6REA;TA
6 i
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6es+riere Lo+ de ele+-ie Aneste,ie Conten-ie Tehni+a operatorie 3 ase/n/toare
+u pre+edenta dar este o urgen-/
+hirurgi+al/
ENTER'T'MIA
I di -ii
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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Indi+a-ii Lo+ de ele+-ie * $ +arniore
$ rueg/toare $ +aaline
Instruentar
Aneste,ie Conten-ie
Tehni+a operatorie *$ laparotoia$ e9teriori,area ansei a7e+tate
oprirea tran itului intestinal
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ oprirea tran,itului intestinal$ enterotoia$ e9tragerea +orpului str/in
$ toaleta pl/gii$ enterora4a$ 5n+hiderea peretelui adoinal
Trataent postoperator
ENTERECT'MIA
Indi+a-ii
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Indi+a-ii Re,e+-ia intestinal/ Enteroanastoo,a *
$ terino$terinal/ $ latero$lateral/
$ terino$lateral/
RE?EC%IA INTE8TINULUI
$ laparotoiaidenti4+area ansei
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ identi4+area ansei$ e9ainarea iailit/-ii ansei
$ ligatura aselor e,enteri+e$ se+-ionarea e,enterului $ oprirea tran,itului intestinal
$ se+-ionarea intestinului
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';ERA%IA &N INVAGINA%IEINTE8TINAL
6es+riere
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6es+riere Lo+ de ele+-ie Aneste,ie Conten-ie Instruentar
Tehni+a operatorie
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';ERA%II ;E RECT I ANU8
'pera-ii 5n anoaliile ano$re+tale
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'pera-ii 5n anoaliile ano re+tale
'pera-ia de e9tirpare a glandelorperianale la +<ine
'pera-ia 5n prolapsul re+tal
';ER. &N ATRE?IILE AN'$RECTALE
6iagnosti+
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6iagnosti+ $ Iper7orarea anusului $ Atre,ia anusului $ Atre,ia anal/ 1i re+tal/
Trataent +hirurgi+al
ETIR;AREA GLAN6EL'R;ERIANALE LA CQINE
Indi+a-ii
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Indi+a-ii Instruentar Aneste,ie Conten-ie Lo+ de ele+-ie
Tehni+a operatorie
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';ERA%IA IN ;R'LA;8ULRECTAL
6es+riere
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6es+riere Instruentar Aneste,ie Conten-ie Trataent *
$ +onserator $ +hirurgi+al
'pera-ia 5n prolapsul re+tal par-ial
'per. de aputare a re+tului
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$ et. =aer$Muller$ >ri+:
$ et. Grigores+u
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';ERA%II ;E 'M=ILIC
'pera-ia 5n o7aloragie
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'pera-ia 5n o7aloragie
'pera-ia 5n o7alurie
'pera-ia 5n o7aloragie 'pera-ia 5n o7alurie *
$ asigurarea pereailit/-ii
uretrale
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uretrale $ lo+ de ele+-ie $ aneste,ie $ +onten-ie $ instruentar
$ tehni+a operatorie
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';ERA%II ;E A;ARATULGENITAL >EMEL
'arie+toia
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Histerotoia
Histere+toia
'ariohistere+toia
'VARIECT'MIA
'arie+toia la iap/
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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p $ o. prin @an+ $ o. prin +olpotoie
'arie+toia la a+/
$ o. prin @an+ $ o. pe +ale aginal/
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'arie+toia la s+roa7/ Indi+a-ii Lo+ de ele+-ie Instruentar
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Conten-ie Aneste,ie Tehni+a operatorie * $ laparot.
e9plorarea +a. ad. ala-ia o.
st<ng ala-ia o. drept 5n+hiderea pl/gii adoinale
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'arie+toia la +/-ea 1i la pisi+/ Indi+a-ii Instruentar
Lo+ de ele+-ieAneste,ie
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Aneste,ie Conten-ie
Tehni+a operatorie $ prin laparotoie entral/ $ prin laparotoie 5n @an+
A++idente 1i +opli+a-ii
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HI8TER'T'MIA
HI8TER'T'MIA LA VACI di -ii
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Indi+a-ii Instruentar Aneste,ie Tehni+a operatorie
$ h. prin laparot. entrolateral/ $ h. prin @an+
H. prin laparotoie entro$lateral/ $ des+hiderea +a. adoinale $ se deplasea,/ epiploonul
$ se e9plorea,/ +aitatea ad.$ e9teriori,area +ornului uterin
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ e9teriori,area +ornului uterin $ in+i,ia uterului
$ se+-ionarea pla+entei $ e9tragerea 7etusului $ sutura uterului
$ sutura peretelui adoinal
H. la a+/ prin @an+ H. la oaie 1i la +apr/ H. la s+roa7/ H. la +/-ea 1i la pisi+/
l i /
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H. la iap/
A++idente 1i +opli+a-ii 5nhisterotoie
HI8TERECT'MIA
H. adoinal/ la +arniore Indi+a-ii
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Indi+a-ii Instruentar Lo+ de ele+-ie Aneste,ie
Conten-ie Tehni+a operatorie *
$ Laparotoia ed. entr. prepuian/$ E9teriori,area uterului$ Heosta,a
$ 8e+-ionarea oidu+tului$ 6eta1area uterului
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$ 6eta1area uterului$ &n7undarea ontului restant
$ 8utura peretelui adoinal
La +/tea re+oand/
'VARI'HI8TERECT'MIA
HI8TERECT'MIA ;E CALEVAGINAL/
H. prin ligatur/ elasti+/
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H. prin sutur/
H. inguinal/
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CA8TRAREA MA8CULIL'R
C. prin ala-ia testi+ulelor C prin ne+roio,a testi+ulelor
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C. prin ne+roio,a testi+ulelor C. ierilor
C. ar/sarilor C. taurilor C. ere+ilor 1i tapilor
C. la +ine0 +otoi 1i iepuroi C. anialelor +riptorhide
CA8TRAREA ;RIN A=LATIA TE8TICULEL'RC. +u testi+ul a+operit
C. +u testi+ul des+operitC +u e9+i,ia par-ial/ a urselor
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C. +u e9+i,ia par-ial/ a urselor C. +u ala-ia urselor testi+ulare
Asigurarea heosta,ei * $ Angiotripsia $ Ligatura +ordonului testi+ular $ Torsiunea
CA8TRAREA VIERIL'R
C. pur+eilor C ieru1ilor ( D luni )
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C. ieru1ilor ( $D luni ) C. ierilor adul-i
$ +. +u test. a+operit $ +. +u sutura urselor
$ +. prin a++es inguinal
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CA8TRAREA ARM8ARIL'R C. ar/s. 5n po,i-ie +ul+at/ C. ar/s. 5n po,i-ie patrupodal/
CA8TRAREA TAURIL'R
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CA8TRAREA TAURIL'R Metoda =urdi,,o Ala-ia testi+ulelor
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CSTRRE )ER)ECILOR *I +,ILOR Metoda =urdi,,o Ala-ia testi+ulelor C. prin +onstri+-ie elasti+/ la iei
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CA8TRAREA CQINELUI
CA8TRAREA C'T'IULUI
CA8TRAREA LA IE;UR'I
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CA8TRAREA ANIMALEL'RCRI;T'RHI6E
'per. 5n +riptorhidia inguinal/ 'per. 5n +riptorhidia adoinal/.
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'per. 5n +riptorhidia adoinal/.
A++idente 1i +opli+a-ii 5n+astrare la as+uli
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CLA;'NAPUL
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';ERA%II E>ECTUATE;ENTRU '=%INEREA 6EMA8CULI &NCERCT'RI
Va,e+toia
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Va,e+toia Criptorhidia adoinal/ proo+at/ 'pera-ia de s+urtare a penisului la
ier 'pera-ia de deiere a penisului
VA?ECT'MIA LA TAUR I LA=ER=EC
Re,. din +oada epididiului Re,. +an. de7. la origineR di d 7 t
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Re,. din +an. de7erente
CRI;T'RHI6IA A=6'MINAL;R'V'CAT
8CURTAREA ;ENI8ULUI
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';ER. 6E 6EVIERE A ;ENI8ULUI
Metoda Alie$=ashiro Metoda 8hipilo Metoda Roel
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Metoda Roel Metoda 8,o:ol+, Metoda 8i:$Marlot Metoda Addis$Coloo
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';ERA%II ;E A;ARATULUR'GENITAL
Uretrotoia
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Cistotoia la +arniore
Aputarea penisului
URETR'T'MIA Indi+a-ii Lo+ de ele+-ie
$ taurine $ +aaline
7/21/2019 61295574-TEHNICI-CHIRURGICALE.ppt
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$ ere+ 1i -ap
$ +<ine $ +otoi
Uretrotoia is+hiati+/
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URETR'T'MIA LA CQINE
$ U. a,openien/
$ U. pres+rotal/
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CI8T'T'MIA LA CARNIV'RE
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AM;UTAREA ;ENI8ULUI LACAL
Indi+a-ii Instruentar
i
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Aneste,ie Conten-ie Tehni+a +hirurgi+al/ *
+ateteris garou uretrostoa
sutura heostati+/ sede4nitiea,/ heosta,a
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';ERA%II ;E GLAN6AMAMAR
'pera-ia 5n pl/gile aare
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'pera-ia 5n 4stula de lapte
Ala-ia glandei aare
';ERA%IA &N ;LGILE MAMARE';ER. &N >I8TULA 6E LA;TE
;ro+edeul Ool7 Metoda Moussu Metoda Got,e Metoda Eerlein
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Metoda Oilleain Met. =erthelon si Tournut Metoda >rer:ing
A=LA%IA GLAN6EI MAMARE
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';ERA%II ;E MEM=RE
'pera-ia 5n ursita +roni+/ Tenotoia @e9orului pro7und al 7alangelor 'pera-ia 5n in+astelura +/l+<ielor
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'pera-ia 5n in+astelura +/l+<ielor
'pera-ii 5n seie 'pera-ia 5n 2aart +artilaginos 'pera-ia 5n pl/gi podale Aputarea onglonului Aputarea degetului
';ERA%IA &N =UR8ITACR'NIC
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TEN'T'MIA >LE'RULUI;R'>UN6 AL >ALANGEL'R
Indi+a-ii Instruentar Aneste,ie
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Aneste,ie
Conten-ie Lo+ de ele+-ie Tehni+a operatorie * $ in+i,ie
+utanat/ se+-. tendon sutura+ut. ioili,are
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';ERA%IA &N INCA8TELURACLCQIEL'R
Metoda Collin
M t d H h
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Metoda Haa+her
Metoda Poll
'per. 5n in+astelura+/l+<ielor
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';ERA%IA &N 8EIME
'per. 5n seiele super4+iale+oplete$ etoda >is+her
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$ etoda >is+her
$ etoda renurilor diergente $ etoda Messler 'pera-ia 5n seiele pro7unde
+opli+ate
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';ERA%IA &N PAVARTCARTILAGIN'8
8+opul interen-iei Indi+a-ii Instruentar
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Instruentar Aneste,ie Conten-ie Lo+ de ele+-ie Tehni+a operatorie
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Metoda prin a++es +oronar $ 6esliens
Metoda prin a++es parietal $ Muller$>ri+:
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Metoda +u a++es i9t $ =aer $ Roder
$ Eerlein
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';ER. &N ;LGI ;'6ALE
Indi+a-ii Instruentar Lo+ de ele+-ie Conten-ie
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Conten-ie Aneste,ie Tehni+a operatorie *
$ aulsia 7ur+u-ei $ re,e+-ia +u,inetului plantar
$ e,+i,ia aponero,ei plantare
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AM;UTAREA 'NGL'NULUI
Metoda =er+o
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6e,arti+ularea 7alangei a treia
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AM;UTAREA 6EGETULUI LA 'AIE Metoda +lasi+/ Metoda Vl/du-iu
Metoda 8erre
Ap. degetului la por+ine
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Metoda 8aliserg
Ap. degetului la oine
Metoda ;7ei7er
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