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病历翻译—手术过程

发布者:鑫达医学翻译 发布时间:2013-05-26 8:50:52 阅读:

原文:

麻醉成功后,患者取平卧位,常规消毒铺巾,取原下腹部横切口,长约14cm,切除原手术疤痕,在皮下组织与腹直肌前鞘间向切口上下方游离显露腹白线,纵行切开腹白线,钝性分开两侧腹直肌,见有肠管与腹前壁粘连,予钝锐性结合分离粘连肠管,进一步探查发现腹膜后有一肿块,大小约14x12x8cm,向下侵入盆腔,向前侵入小肠系膜,边界不清,质硬,固定,请普外科陈双教授会诊手术,向右侧延长切口2cm,沿切口向右侧切开部分腹直肌前鞘及腹直肌,取腹膜后大约为2x1x1cm组织块送冰冻病检,进一步游离与盆壁粘连的回肠,由于部分粘连致密,游离过程中有一段长约8cm肠出现破损,无明显肠内容物泄露,切除破损段回肠,将回肠两断端连续全程缝合,恢复肠道连续性,并作浆肌层内翻缝合,缝合肠系膜裂口。

译文:

After anesthesia, the patient was in a prostrate position. Routine disinfection was performed. A transverse incision (14 cm in length) was made on the lower abdomen. Original surgical scar was ablated. Linea alba abdominus was exposed along the incision between the subcutaneous tissue and anterior sheath of rectus abdominis, then cut the incision length wise. Bilateral rectus abdominis were separated using blunt dissection. Adhesion of intestinal canal and anterior abdominal wall was observed. Adhesive intestinal canal was separated using blunt dissection combined with sharp dissection. A tumor mass (14×12×8 cm) was observed behind the peritoneum, which invaded to cavitas pelvis and the mesentery of small intestine. The tumor mass was hard in texture and fixed in position. The boundary of the tumor mass was obscure. Professor Shuang Chen of Department of General Surgery participated in the consultation during the surgery. For the surgery, an extension (about 2cm) was made to the incision to the right direction. Partial anterior sheath of rectus abdominis and rectus abdominis were cut along the incision to the right direction. A tissue lump (2×1×1cm in size) was collected behind the peritoneum, and was frozen for pathological examination. The ileum was separated from the pelvic wall. A segment (8 cm) of the ileum was impaired during the isolation because of the partial compact adhesion. No obvious leak of intestinal contents was observed. Subsequently, the impaired ileum segment was ablated. Then, the ileum was sutured by continuous suture. After that, the continuity of intestinal tract was recovered. Subsequently, inverting suture for the seromuscular layer was performed to suture the mesentery rift.

 

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