Percutaneous nephrolithotomy of kidney stones ultr

e707004304 · Wysłany: Śro 1:30, 09 Mar 2011

Percutaneous nephrolithotomy of kidney stones pneumatic operation with ultrasonic lithotripsy

Hydraulic pump infusion flush with the MMC, while negative absorption edge gravel, stone debris will be sucked in vitro. By changing the direction and depth of casing to enter most of the renal calyx. Of ureteropelvic junction obstruction associated with, the use of ureteral resectoscope in the ureteropelvic junction after the lateral wall of the cut, to avoid damage blood vessels and surrounding tissue ectopic J. ③ attention suction pipe intraoperative patency, especially in connection with the machine easily pipe stone debris blocked, leading to ultrasound probe, probe pole fever. ④ stone over, ready F5-7 双 J tube placed along the line. F18 indwelling nephrostomy puncture channel, such as bleeding more fistula can be placed balloon hemostasis. ⑤ surgery to maintain surgical operation area clean, orderly display items, the connection pipe clarity, no wound. ⑥ finishing with things, pay attention to item care to prevent loss. 3.3 device to clean and care after the end of surgery, the surgical instruments were soaked in 5-1Ornjn multi-enzyme solution after gently scrub with a soft brush the joints and cracks, thoroughly washed cavity, cleaning nephrolithotomy, taking forceps when not to protect front-end collision with hard objects, pneumatic lithotripsy can not handle water rinse,[link widoczny dla zalogowanych], only wipe with a wet gauze surface to open the cartridge after the bullet and wipe with a dry cotton swab and re-installed and set of small experience on the protective cap. All items clean, dry with a soft cloth, using suction to the lumen, the water drain fitting joints after applying anti-rust oil to spare. Attention to check whether there is damage to the equipment after problems are discovered in time to report. 4 Discussion 4.1 The use of percutaneous nephrolithotomy with gravel, clear stone systems,[link widoczny dla zalogowanych], high efficiency with gravel, stones less residue,[link widoczny dla zalogowanych], the advantages of short operation time. 4.2 The operation time is short. More complicated preoperative preparations, not only to replace the 2 position, the need to prepare a variety of instruments and equipment, operating room nurses not only to master the operation of the system requirements and operating procedures, while the performance of skilled surgical instruments, the use and operation principle method, and have some troubleshooting capabilities to ensure smooth and successful operation. 4.3 The strict rules to make full equipment items preoperative preparation, so as not to delay surgery. ① proper placement of preoperative location of the precision instruments,[link widoczny dla zalogowanych], straighten out the line, the correct power, routine screening equipment is functioning properly, to avoid intraoperative hectic. ② ready brain surgery two films,[link widoczny dla zalogowanych], the relative affixed to the surgical field and its two sides, so that the outflow of fluid across the membrane, respectively, plastic pipe along one bucket, so to keep the surgical table and the ground dry, clean and conducive to work. ③ placement surgery to have a strong sense of responsibility when the position, both to meet the surgical needs, and pay attention to the patient to reduce respiratory and circulatory disturbances. Prevent accidental damage. ④ items ready to do an open surgical instruments in order to timely conversion to open surgery. 4.4 during the B-positioning, coupled with 75% alcohol alternative agents, both disinfection and avoided the use of coupling agents caused by the adhesion of the surgical field and instrument contamination.