Thursday, March 10, 2011

How To Build A Small Wooden Swingset




Mary, 51 years
of prov. Bergamo

"live as challenging
daily Sla"

editorial @ Bergamonews

Beautiful Agony Alternative

File di prova

E 'can be downloaded and viewed a small test file to see some of the contents of the book "Tools of the Operating Room.
You can download it from this URL

would be important for me to have your opinion and a review, possibly with an e- mail (borgio3@supereva.it).

Thanks :-)

Wednesday, March 9, 2011

Skin Moles Condition_symptoms

Enucleazione di neoplasia renale

patient about 65 years of medium build, diabetic. exophytic lesion presents the renal surface approximately midway between the two poles of the kidneys.

The project consisted of enucleation surgery, laparotomy, the tumor also involving the kidney fat adjacent to the tumor.

Container
  • Base per interventi chirurgici maggiori
  • Divaricatore Omni Track
  • Strumentario per chirurgia vascolare
Teleria
  • Set per l'allestimento di un campo quadrangolare comprendente l'intera estensione addominale ed i fianchi della paziente
Fili di Sutura e Lame
  • Lama da 20 per la laparotomia e da 10 per l'eventuale resezione della neoplasia
  • Intrecciato, riassorbibile USP 1 per chiusura laparotomia
  • Monofilamento, assorbibile, atraumatico USP 3/0 con ago 26 mm. per sutura della braccia renale a fini emostatici
  • Filo per il fissaggio del drenaggio
  • Prolene 4/0 August 22 to suture vascular
Garrison
  • full vacuum
bed and supine positions
  • right arm abducted to arterial and venous access
  • bladder catheterization, CVC and SNG to be removed at the end of intervention
  • Description of
  1. engraving xipho sottombelicale
  2. -positioning retractor OmniTract (four valve wall plus a wide spatula to displacement of the coil ileal and spleen) in a single block
  3. mobilization of the spleen, the splenic flexure of the colon and the pancreatic tail (Mattox maneuver) with Ligasure, bipolar, anatomical long, pad mounted and clamp ring
  4. palpation of the lesion for localization
  5. Opening of the renal capsule and perirenal fat and creating windows of access to the lesion, with bipolar, long
  6. anatomical engraving with perilesional electric scalpel about 2 cm from the lesion.
  7. Application of hemostatic sutures, and completion of the enucleation of the lesion with electric cautery and bipolar
  8. Careful hemostasis of the renal breccia and application of pressure point on the edges of the excision
  9. washing the peritoneal cavity with warm saline groundwater
  10. Application of TachoSil (hemostatic) and shrink the gap kidney.
  11. Positioning drainage laminar split into left renal loggia and its mounting
  12. count of instrument and the closure of access garzame
  13. (fascia and muscle)