I-Laparotomy ye-Pfannenstil

I-laparotomy ye-Pfannenstil isetshenziselwa kabanzi ekungeneleleni okusebenzayo ezithombeni zofuzo. Ukufinyelela nge-Pfannenstil kusho isigaba esiphambanweni esifundeni sephanga le-suprapubic. Kulesi simo, umcengezi uhambisana nomugqa we "bikini" futhi ngaleyo ndlela awubonakali.

Izigaba eziyisisekelo

Nge-laparotomy ngokusho kukaPfannenstil lezi zenzo ezilandelayo zenziwa:

1. Sika isikhumba ngendlela ehamba phambili. Ukufakwa kwe-Pfannenstiel kwenziwa cishe ngo-3 cm ngaphezu kokuxhumeka kwamathambo ashicilelwe. Ubude bungaba ngu-11 cm. Ngesikhathi esifanayo, le nkhomba ixhomeke kakhulu kumzimba womuntu wesifazane nangomthamo wokungenela okuzayo okuzayo.
2. I-aponeurosis inqunywa eceleni komugqa ophakathi kwesisu.
3. Badiliza ama-muscle fibers.
4. Sika i-peritoneum.
5. Nweba ukufinyelela ngokudonsa izindwangu zokusika ezinamathuluzi akhethekile.
6. Amalokhi emathumbu ayavalwa nge-napkins, ukuze angalimazi.
7. Ngenxa yalokho, ukuchithwa kahle kwesisu esiswini e-Pfannenstil kunika ukubuka konke okuhle futhi kufinyelele ekuhloleni kwangaphakathi kwesifazane.
8. Ngemva kokwenza izinqubo zokuhlinza, zonke izicubu zigciniwe ngokucwenga.

Ngaphandle kokungabikho kweziphambeko zezimonyo ngemuva kokuhlinzwa, isenzakalo esingajwayelekile lapho i-postialative hernias nayo isici.

Kuyadingeka nini ukufaka ukufinyelela ku-Pfannenstil?

Uma izinqubo zokuhlinzwa ze-laparoscopic zingenakwenzeka, ukufinyelela kwe-laparotomic kuyasetshenziswa. Ngokuyinhloko, isigaba se-cearean sisetshenziselwa ngokusho kwePfannenstil, futhi emva kokulethwa kulokhu kufinyelela, isikhathi se-postoperative sinciphile. Izinkomba zokusebenza kwe-Pfannenstil nazo ziyi-myoma ye-uterine, ukungenelela kwesibindi.

Ngemuva kokusebenza

Okokuqala, udinga i-analgesia enhle. Uma kunesidingo, hamba izidakamizwa zokulwa ne-antibacterial. Esikhathini se- postoperative emva kwe-laparotomy U-Pfannenstil uvunyelwe ukuba ahlale phansi amahora ambalwa emva kokungenelela. Ekupheleni kosuku lokuqala ungavuka ngosizo, kodwa ngokuqapha.

Ku-puerperas, kubalulekile ukuqala ukubeletha ngokushesha ngangokunokwenzeka. Ngosuku lokuqala alukhuthazwa ukuba udle, ungaphuza amanzi kuphela. Ngosuku lwesibili, ukudla okukhanyayo, okuphansi kunamafutha avunyelwe. Kodwa ngosuku lwesithathu, kufanele ubuyele ekudleni okugcwele, okudingekayo kumama onesihlengikazi.

Abasebenzi bezokwelapha nsuku zonke baveza ukugqoka isilonda esilandelayo. Ngaphansi kwezimo ezihle, impahla ye-suture isusiwe ekupheleni kwesonto lokuqala.