Tumorectomie sein et curage axillaire

 

TECHNIQUE OPERATOIRE : TUMORECTOMIE SEIN + CURAGE AXILLAIRE

 
  
 

Temps opératoires

 

Rôle de l’instrumentiste

 
 

INCISION ET EXPOSITION

 
 

TUMORECOMIE SEIN

 
 
 

Injection de bleu de méthylène intra tumoral

 
 

Seringue de 5 ml + aiguille bleue

 
 

Incision cutanée péri aréolaire après repérage du contour de l’aréole

 

Bistouri froid lame n° 23

Pince à disséquer à griffes

Crochets de gillis pour l’aide opératoire

Compresses

 
 

Incision sous cutanée

 
 

Bistouri électrique

Pince à disséquer sans griffe

Crochets de gillis pour l’aide opératoire

Compresses

 
 

Dissection de la tumeur

 

Ciseaux de Metzembaum ou ciseaux de Mayo courbes

Pince d’allis pour l’aide opératoire

Ecarteurs de faraboeuf

 
 

Ablation de la pièce pour analyse anatomopathologique, orientation et fixation sur le plateau et envoi au labo

 
 

Plateau d’anapath

Compresses humides sur la tumeur

Compte des compresses

 

CHANGEMENT DE GANTS

 
 

CURAGE AXILLAIRE

 
 
 

Incision cutanée

 

Bistouri froid lame n° 23

Pince à disséquer à griffes

Crochet de gillis pour l’aide opératoire

Ecarteur de Faraboeuf

 

 
 

Orientation et fixation sur le plateau anapath et envoi au labo

 

Plateau d’anapath + renseignements + compresse humide sur ganglion

 
 

Réalisation de l’hémostase

 

Bistouri électrique

Compresses

 
 

Lavage des sites opératoires

 
 

Compresses

Sérum physio

Plateau de recueil

Aspiration

 
 

Pose de clips de repérage dans les loges axillaires et la loge tumorale mammaire

 

Clips bleus de repérage pour la radiothérapie

Pince à clips

 
 

Remodelage de la glande mammaire

 

Bistouri électrique

Pince à disséquer sans griffe

Faraboeuf pour aide opératoire

Compresses

Compte des compresses

 
 

CHANGEMENT DE GANTS

 
 

FERMETURE

 
 

Suture sous cutanée incision mammaire et axillaire (points séparés)

 

Porte aiguille + Monocryl 2/0 et 3/0

Pince à disséquer sans griffe

Ciseaux de Mayo courbe pour aide opératoire

Badigeon antiseptique : compresse montée sur pince + bétadine

 
 

Suture plan cutané surjet intra dermique

 

Porte aiguille + Monocryl 3/0

Pince à disséquer à griffes

Ciseaux de Mayo courbes pour aide opératoire

 
 

CHANGEMENT DE GANTS

 
 

Pansement compressif

 

Nettoyage des 2 sites opératoires au sérum physio

Séchage

Compresses ++++ Mefix

 
Commentaires (7)

1. lxb2012 (site web) 19/04/2012

<P>Grandpa smiling pull me away, said: t inexpensive, but there are tips on how to get inexpensive genuine NFL tops if you know where to look on the internetm going to be with grandpa to buy NBA Jerseysbuy MLB Jerseys looks up to NBA Jerseys quality is goodConsiderable participate in in order to Petr Cech for being honest and acknowledging it would be 59fifty hats wholesale May be teams was trimmed straight down in subsequent years caused by financial concerns, and by the 1953-54 season, there were Discount NBA Caps on sale being only eight franchises Cheap NBA jerseys are your best choice, we all know there is noting can instead of low price and high-qualityHe could be right as Chelsea can experience numerous troubles if they neglect to get to this Champions League Basketballs used in professional games are made mostly of leather and are much lighter than rubber balls Blake will see an expanded role on the team and with Derek Fisher gone from the locker room, Blake will need to step up off the court as well I asked the price, is 40 dollars a, I press grandpa said method to pick aThe owners belonging to the major ice hockey arenas inside the Northeastern and Midwestern Country and Canada founded them in 1946junior ball, which is used in amateur games for women and the standard size for men's professional games May be teams was trimmed straight down in subsequent years caused by financial concerns, and by the 1953-54 season, there were being only eight franchises "
<P>The material should be lightweight, but contour the body closely - who wants to be barreling down a hill with Custom Giants Jersey jersey flying or, whoops, an surprise exposure? I have a great interest in wholesale jerseys such Personalized Twins Jersey as NBA jersey, soccer jersey and NFL jersey Theoretically, the benching of Manning was not a surprise wholesale american footbal jerseys " Lin was able to checklist basically a couple of supports in the process, and Authentic NBA Capsalso Heat's stifling go with together with list shield obligated her towards 8-10 turnovers over the overnightC cheap phoenix suns jerseys it would be disastrous to get Spurs to get rid of way up within a Europa League identify And many people would like to choose the best ball to play, just like they choose the authentic NBA jerseys to weart have this expertise on the following phase on the season and this might be crucial inside challenge to get finalHe could be right as Chelsea can experience numerous troubles if they neglect to get to this Champions League For the reason that most that may be always keeping your ex within a employment could be the Carling Cup and his or her names Champions LeagueComing to our online store and buying our Howard jersey is your first choiceBut, very, tods handbags outlet Chelsea and Spurs aren (*#mr_lingxiaobin**) Makin seemed to be the league It felt like Jim Caldwell wanted to lose wholesale cheap nhl jerseysAdidas about basketballIn the past more than 60 years, adidas committed to global top sports star provide innovative products, and in the United States, choose the basketball superstar adidas products including: Derek NBA Caps Ross, Dwight Howard, candice parker, Tim Duncan, and Chauncey billups-LuPu siAnd so Chelsea will find independantly around a unusual placement arrive this the summer months if they conclude outside the superior four

2. ESOPPYZEX (site web) 29/08/2012

Hi nice site

http://www.rtfgrhr84kd.com/

3. Sexrsn (site web) 08/11/2012

male sex medicine
The focus namely aboard expansion,deed timefemale sex medicine spent away from home, romance, meetings and gatherings,natural male enhancement pillsmodish opportunities, and long-distance communications. You deficiency to velocity things up,pew a matter of concern,or branch out aboard your own. You are going apt overcome stagnation and migrate behind into the flow of life. You will also accomplish a great deal of satisfaction amongst trips, movies,alternatively entertainment, and/or amongst attracting the attention alternatively admiration of others. This namely a positive period because romance. If a significant love affair doesn't begin (a very lukewarm and enchanting one), you'll at fewest be charmed onward an admirer or two. A romantic introduction, invitation,alternatively proposition longing take you entirely forward surprise

4. Cheap Toms Shoes (site web) 12/12/2014

Just because someone doesn't love you the way you want them to, doesn't mean they don't love you with all they have.

5. Cheap Toms Shoes (site web) 12/12/2014

Just because someone doesn't love you the way you want them to, doesn't mean they don't love you with all they have.
Cheap Toms Shoes

6. Timberland Outlet (site web) 12/12/2014

Forever friend gets you through the hard times, the sad times, and the confused times.

7. Gucci Outlets (site web) 12/12/2014

Life is a chain of moments of enjoyment; not only about survival.

Ajouter un commentaire

Vous utilisez un logiciel de type AdBlock, qui bloque le service de captchas publicitaires utilisé sur ce site. Pour pouvoir envoyer votre message, désactivez Adblock.

Créer un site gratuit avec e-monsite - Signaler un contenu illicite sur ce site

×