Lateral incision after chest surgical incision

Suitable for lung, esophagus, diaphragm, and large blood vessel surgery. Treatment of diseases: primary mediastinal infection secondary mediastinal infection Indication Suitable for lung, esophagus, diaphragm, and large blood vessel surgery. Preoperative preparation 1. According to general nursing routine before general surgery. 2. Guide lung function training to prevent colds and prevent postoperative pulmonary complications. 3, according to the surgical site for skin preparation (1) posterior external incision: the median line of the anterior chest to the posterior spine line, including the underarm, from the horizontal line of the clavicle to the xiphoid. (2) Median incision: the posterior chest to the posterior line to the right posterior line, including bilateral underarms. (3) Three incisions of the esophagus: left neck, right chest (same posterior incision), abdomen (including umbilicus, perineum). (4) chest and abdomen combined incision: left chest (same posterior incision), left upper abdomen. 4. After the patient is sent to the operating room, prepare the monitoring instruments and routine rescue items. Surgical procedure 1. Incision: from the junction of the ribs and costal cartilage, back to the lower 3 to 4 cm below the lower corner of the scapula, ending between the third to fourth thoracic spinous processes and the inner edge of the scapula. Cut the skin and subcutaneous tissue in turn. 2. Cut the deep fascia at the auscultation triangle. The latissimus dorsi and anterior serratus were incised forward with an electric knife, and the trapezius and rhomboid muscle were cut back around the lower corner of the scapula. 3. After determining the rib to be removed, cut the rib membrane. 4. The periosteum of the upper edge of the rib was peeled from the posterior and posterior pelvis by the periosteal stripper, and the periosteum of the lower edge of the rib was peeled from the front to the back, and the deep surface of the periosteum was peeled off with a rib stripper. 5. Cut the ends of the ribs with ribs. 6. First cut a small mouth in the ribbed bed, then cut the ribbed bed into the chest. 7. The rib retractor is lined with a gauze pad, which gradually opens the intercostal space to reveal the chest cavity. 8. After the operation, the drainage tube is placed between the 7th or 8th intercostal space between the posterior line and the midline of the iliac crest. 9. Thick wire sutures the ribbed incision, and the rib cage is closed after the ribs are closed. The last needle in the center of the knife is temporarily left, until the anesthesiologist sucks in the trachea and then lungs and then ligatures. 10. Suture the muscle layer, subcutaneous tissue and skin intermittently.

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