Difference between revisions of ".NDU2MQ.MjYyMDU"
| Line 20: | Line 20: | ||
<p>2. Open sac. before relieving constric.</p> | <p>2. Open sac. before relieving constric.</p> | ||
<p> Cut up & out at int. ring.</p> | <p> Cut up & out at int. ring.</p> | ||
| − | <p>3 Dissect up sac & tie off as | + | <p>3 Dissect up sac & tie off as high</p> |
<p> as possible.</p> | <p> as possible.</p> | ||
<p> Cov. Sac. <sup>1</sup>Infundib<sup>2 </sup>Cremasteric<sup>3</sup> Intercolum</p> | <p> Cov. Sac. <sup>1</sup>Infundib<sup>2 </sup>Cremasteric<sup>3</sup> Intercolum</p> | ||
| Line 29: | Line 29: | ||
<p> Sinus Tract. Mackechnie</p> | <p> Sinus Tract. Mackechnie</p> | ||
<p> </p> | <p> </p> | ||
| − | <p>Use same system in exam. for intest | + | <p>Use same system in exam. for intest.</p> |
<p>Obstruction.</p> | <p>Obstruction.</p> | ||
| − | <p>1 Lift up Trans. Col &c following up.</p> | + | <p>1" Lift up Trans. Col &c following up.</p> |
<p>For Volvulus, relieve twist then</p> | <p>For Volvulus, relieve twist then</p> | ||
<p>shorten Mesentery.</p> | <p>shorten Mesentery.</p> | ||
<p>Search for Obstruction from</p> | <p>Search for Obstruction from</p> | ||
<p>known points</p></html> | <p>known points</p></html> | ||
Revision as of 12:50, 29 June 2019
<html>Position of Ut. has nothing to do with
pains of Dysmen. 40% women
carry ut. in retro-positions so is
of no import unles tied down by
adhesions.
Inflamed & irritated ovary may give
pain as far down as knee due to
irritation or pressure on Obturator
nerve, as it only goes that far -
differentiate from Sciatica.
====== ======= =======
4. May or may not ligate sac.
5. Mattress sutures planes of Fascia
overlapping.
Not necessary to ligate sac - pay
no attention to Peritoneum.
Inguinal Hernia
1. Cut down to Sac.
2. Open sac. before relieving constric.
Cut up & out at int. ring.
3 Dissect up sac & tie off as high
as possible.
Cov. Sac. 1Infundib2 Cremasteric3 Intercolum
Indirect thru Ing. canal.
Direct thru Hesselbach's Trian. (Internal
to deep Epigast. Art.)
10% Iodoform in Ether for chronic
Sinus Tract. Mackechnie
Use same system in exam. for intest.
Obstruction.
1" Lift up Trans. Col &c following up.
For Volvulus, relieve twist then
shorten Mesentery.
Search for Obstruction from
known points
</html>