SU426655A1 - METHOD FOR CARRYING OUT OPERATIONS ON BODIES - Google Patents

Description

This invention relates to the field of veterinary medicine.

A known procedure for performing operations on the organs of the thoracic cavity, including preoperative treatment of the skin surface, dissection of the skin with the underlying soft tissues, subperiosteal resection of the rib and carrying out the necessary surgical procedures | Their manipulations on the organs of the operated cavity.

The known method has a disadvantage - during this operation, pneumothorax occurs.

In order to exclude pneumothorax during the operation, the area of operation is pre-isolated from the environment by means of a chamber, hermetically attached to the animal's body, in which instruments are placed and where they can be inserted without disturbing the impermeability of the surgeon's hand, create a reduced pressure in it, and from this camera.

In this case, the hermetic attachment of the chamber to the body of the animal is carried out by fibrinous adhesions with temporary implantation of the walls of the chamber into the body of the animal.

The proposed method is carried out as follows.

At the first stage of the operation, the animal is fixed in the right lateral position with the left thoracic limb held forward.

The field of operation is prepared in the left chest wall within the lower and middle third of 6--8 ribs according to the usual rules of surgery. For anesthesia of the tissues of the operated area, conduction anesthesia is applied according to the generally accepted method.

After dissection of the skin and underlying soft tissues, subcutaneous resection of 7 ribs 15–18 cm long is carried out, and the edges of the skin wound are separated along with the adjacent subcutaneous muscle (within 3–5 cm around the circumference of the wound). A transition device is inserted into the operative wound, which in the next stage of the operation is connected to the insulated vessel from which the operation is performed.

A transitional device, made in the form of a flange with a stopper and a lid, is reinforced in the surgical wound by pinching the corners of the wound and by addition of sutures through the special opening of the outer edge of the device. This completes the first stage of the operation. The animal is on a normal diet. For prophylactic and therapeutic purposes, antibiotics of a wide spectrum of action are administered.

The second stage of the operation is carried out in 2–3 days, when, due to the fibrous exudation of the wound, the transitional device is sealed to the edge of the wound.

The animal is fixed in the position of one hundred to the lid of the operating table or any other barrier.

Repeated preparation of the operative floor consists in the fact that the edges of the operated wound are treated according to the rules of surgery, and the protruding parts of the transitional device are treated: with a disinfecting solution and cleaned from exudate clots.

A transparent chamber with sealing elastic sleeves for the surgeon’s hand and sleeves for pumping out air and supplying treatment solutions, having a capacity for collecting waste fluids and storing surgical instruments, is attached to the transition device, air is pumped out of the chamber and cosmetically-Pleura dissection is made along with periosteum for the entire length of the wound.

After carrying out the necessary procedures in the chest cavity (revision of the pleural cavity, removal of inflammatory exudate, homogeneous bodies and cryctofibrin, separation of adhesions, irrigation of the pleural cavity with therapeutic solutions, etc.), the drainage tube of the transitional device for sanitation pleural cavity. in the postoperative period. The pleural cavity is sutured. The adapter is closed with a stopper, the chamber is removed after discharge, and the adapter is closed with a lid.

For 3-6 days (depending on the state of the pathological process), the third ethane operation is performed in the pleural cavity. After removal of sutures, the adapter is removed from the wound. The toilet is wound and its edges are stitched.

When the treatment is tightened and it is necessary to reorganize the pleural cavity after suturing, the drainage tube is left in the surgical wound and fixed with stitches of the skin suture. The drainage tube is removed after completion of treatment.

Such a method of performing operations on the organs of the thoracic cavity reduces trauma and eliminates the possibility of pneumothorax.

Subject invention

Claims (2)

1. A method of performing operations on the organs of the thoracic cavity, including preoperative treatment of the skin surface, dissection of the skin with underlying soft tissues, subperiosteal resection of the rib and carrying out the necessary surgical manipulations on the organs of the operated cavity, in order to exclude pneumothorax during the operation, the area of operation is pre-isolated from the environment by means of a chamber, hermetically attached to the body of the animal, in which the instruments are placed and where they can be introduced without Sheni tightness surgeon hand, create a reduced pressure therein, and all surgical techniques carried out from this chamber. 2. The method according to claim 1, stating that repiMeTn4Hoe attaching the camera to the body of the jynotum is carried out by fibrinous adhesions with temporary implantation of the chamber walls into the body of the ICT.