Cure d'éventration

 

technique operatoire

 

Temps opératoires

Rôle de l’instrumentiste

 incision et exposition

 Incision cutanée(reprise de l’ancienne incision avec excision de la cicatrice cutanée)  Bistouri n° 23 + bistouri électriquePince à disséquer à griffeCompressesFarabeuf  

Dissection du plan aponévrotique et libération complète des berges de l’éventration

Instruments longs

Pince à disséquer

Ciseau à disséquerTampon monté

Viscérolyse complète du contenu de l’éventration et de la cavité abdominale

 

Valves

Pince à disséquer

Ciseau à disséquer 

REPARATION

 +/-incision de décharge sur le feuillet antérieur de la gaine du muscle droit  Pince à disséquerbistouri électriqueCiseau à disséquerOmbredane

CHANGE DE GANT

 

Mise en place de la prothèse

Champ de protection 75x75Porte aiguilleProléne 2/0 26Valve malléablePince à disséquée
Fermeture des muscles en avant de la prothèse  
 +/- redon Porte aiguille

Flexidéne 1/35

Redon + bocal

 FERMETURE

Compte des textiles

 

  Fermeture sous-cutanée

Porte aiguille

Pince à disséquée à grillePolysorb 2/0 37 Cx Mayo 
 Badigeon antiseptique

Compresse montée sur pince  + bétadine

 Fermeture cutanée Pince à disséquer à griffes

Agrafe crickets

 Pansement  Nettoyage du site opératoire + séchage

Pansement adhésif

 
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