20160920 腹腔鏡手術 許教授
------------
Age 18-25 sex
cord tumor
Age 55-65
epithelial tumor
------------
Mucinous
tumor不太會破
臉盆 30 cm
剪刀 25 cm
------------
惡性指標
- Postmenopausal
- Big
- Fast
------------
Ovary
IP; infundibulopelvic ligament (suspensory ligament of the ovary)
It
contains the ovarian artery, vein, and nerve
plexus, and lymphatic vessels.
Ovary
ligament(also called the utero-ovarian ligament or
proper ovarian ligament) is a fibrous ligament that connects the ovary to the
lateral surface of the uterus.
cardinal ligament
(or Mackenrodt's ligament,[1] lateral
cervical ligament, or transverse cervical
ligament[2]) is a major
ligament of the uterus. It is located at the base of the broad
ligament of the uterus. There are a pair of cardinal ligaments in the
female human body.
Uterine
artery
------------
傳統myoma手術myomectomy (surgery to remove uterine
fibroids – also called leiomyomas)
- Cut
- Invitation
- Suture
- Morcellation
------------
approximately a
0.09~0.1% risk of an unexpected leiomyosarcoma.After
morcellation 64% of such cases may develop disseminated disease which is of
particular concern because of the considerable mortality of leiomyosarcoma.
Johnson
& Johnson subsequently suspended sale of its morcellators until the role of
morcellation "is redefined by the FDA and the medical community," 2014
哈佛麻醉科教授做子宮手術，後來造成sarcoma轉移，Johnson & Johnson賠800萬美金
------------
In situ
morcellation
挖一個洞之後，子宮自己把白色的fibroid推出來
------------
外面很多開假的myomectomy
只拿小的myoma，手術時間很快
或是拿了大的，但是沒有縫合，因為外面很多不會腹腔鏡縫合技術
因此之後懷孕可能造成子宮破掉，以前就連續發生三起，都是同一家醫院做的
------------
新疆烏魯木齊24縣道
------------
惠X診所院長 陳醫師 前三重院區院長
------------
Cervical
cancer
Radiation
cystitis, proctitis
------------
2003 SARS 點值1.05
------------
全民健康保險醫療費用協定委員會
全數決
------------
陳教授 病人翻臉如翻書
------------
OSCE
Wound
- Pink
- Red
- Yellow flap
- Green pseudomonas
- Black necrosis
------------
Pap smear
95% alcohol
------------
Murphy side
hole
Macintosh blade 3
------------
Murphy Endotracheal Tube
The “Murphy eye” is the
eponymous name for a hole on the side of most endotracheal tubes (ETTs) that
functions as a vent, and prevents the complete obstruction of the patient’s
airway, should the primary distal opening of an ETT become occluded.
Dr. Francis J. Murphy
(1900-1972)
沒有留言:
張貼留言
歡迎指教