hernia tapp
TRANSCRIPT
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HERNIOPLASTIA INGUINAL LAPAROSCOPICA TRANSPERITONEAL
( TAPP )
DR. J. HORACIO CASTILLO SANCHEZ
CIRUJANO MILITAR
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INTRODUCCION:
COLECISTECTOMIA .: 700 000 CASOS POR AÑO EN E.E.U.U.
HERNIOPLASTIAS. : 500 MIL CASOS POR AÑO
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OBJETIVO:
-REDUCIR LA TASA DE RECIDIVAS.
-DISMINUIR LA MORBILIDAD P.O.
-REANUDAR ACTIVIDADES CON PRONTITUD.
-ASPECTO ESTETICO.
-DISMINUIR GASTOS POR INCAPACIDAD
LABORAL.
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HISTORIA:
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-TRIANGULO DE
HESSELBACH
- ORIFICIO FEMORAL
-- HERNIA DIRECTA
-- HERNIA INDIRECTA
-- HERNIA FEMORAL
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VISTA POSTERIOR
- MISMAS REFERENCIAS
- TRIANGULO DEL
HORROR.
- TRINGULO DEL
DOLOR.
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- ORIFICIO MIOPECTINEO DE FRUCHAUD.
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-LIGAMENTO
INGUINAL.
- LIGAMENTO
LACUNAR.
- LIGAMENTO DE
COOPER.
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CLASIFICACION DE HERNIAS :
CLINICA: DIRECTAS E INDIRECTAS.
DE GILBERT: TIPOS 1 AL 5.
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PERSISTENCIA DEL CONDUCTO PERITONEO VAGINAL.
EN ADULTO : HERNIA DIRECTA
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HERNIA INGUINAL DIRECTA
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HERNIA INGUINAL INDIRECTA
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HERNIA INCARCERADA
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REPARACION CLASICA DE HERNIA DE MC VAY, CON INSICION RELAJANTE EN MUSCULO RECTO ANTERIOR.
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PERMEABILIDAD DEL ANILLO INGUINAL INTERNO.
CIERRE DEL TECHO DEL CONDUCTO.
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COLOCACION DE LA MALLA DE MALEX COBRE EL TECHO DEL CONDUCTO.
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VISTA LATERAL ESQUEMATICA DE LA COLOCACION DE LA MALLA DE MARLEX.
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FUNDAMENTO ANATOMICO DE LA COLOCACION PREPERITONEAL DE LA MALLA.
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- GER R. THE MANAGEMENT OF CERTAIN ABDOMINAL HERNIAS BY INTRAABDOMINAL CLOSURE OF THE SAC.
ANN R. COLL ENGL. 64:342,1982.
- GER R, MONROEK, DUVIVIER, ET EL.: MANAGEMENT OF INDIRECT INGUINAL HERNIAS BY LAPAROSCOPIC CLOSURE OF THE NECK OF THE SAC. AM. J. SURG.159:370,1990.
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CONSIDERACIONES TECNICAS:
- ANESTESIA.
- ANATOMIA ( CONOCIMIENTOS ).
- TAPP O TEP.
- TIPO DE MALLA.
- TECNICA DE FIJACION.
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TECNICA: DECUBITO
NEUMOPERITONEO
TROCARS
LAPAROSCOPIA
DISECCION PERITONEAL
DISECCION DEL SACO
EXPOSICION DE ESTRUCTURAS
MALLA, FIJACION , CIERRE.
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- COLOCACION DE TROCARS.
- FIJACION DE LA MALLA CON GRAPAS.
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HERNIA INGUINAL INDIRECTA IZQ.
ORIFICIO INGUINAL PROFUNDO.
LIGAMENTO UMBILICAL LATERAL.
VASOS EPIGASTRICOS INFERIORES.
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LIGAMENTO DE COOPER.
VASOS EPIGASTRICOS INFERIORES
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HERNIOPLASTIA INGUINAL LAPAROSCOPICA CON COLOCACION DE MALLA DE POLIPROPILENO.
VIDEO: