Surgical approach incisions in the abdomen of the newborn, infant and child
Incisiones de abordaje quirúrgico en el abdomen del recién nacido, el lactante y el niño
Resumen:
a) Transversal inc1s10ns for oclusive problems of the newly born are advised. b) Slating incisions can only be performed when you have a right diagnosis, because its range is limited.) If we are forced to perform vertical incitions, the skin incision must not coincide with that of the deeper layers, being these in "Y" or in "Z". d) According to our criteria these principles are absolute for newly born and lactants of less than one year, and they are advisable in first infancy. e) We advise to take into consideration these principles and apply them in metabolic disturbances, catabolizing diseases, cortisone medication or possibility of bowel ileum in se·cond infancy, according to the surgical possibilities of _these ages. We don't object the performance of paramedial incisions to normal grown-up children spécially when the have traumatic disturbances.
a) Aconsejamos las incisiones transversas, en los problemas oclusivos del recién nacido. b) Las oblicuas, sólo pueden ser usadas cuando el diagnóstico es preciso, porqueel campo es limitado. c) En caso de vernos obligados a utilizar incisiones verticales, la de la piel no debe coincidir con la de los planos profundos, siendo éstas en "Y" o en "Z".d) Estos conceptos son absolutos, en nuestra opinión personal, para el recién nacido y el lactante de menos de 1 año y aconsejables en la primera infancia. e) Cuando en la segunda infancia haya trastornos metabólicos, enfermedades catabolizantes, medicación con cortisona o posibilidad de íleo intestinal prolongado, aconsejamos tomar en cuenta estos conceptos y usarlos en los abordajes quirúrgicos de estas edades. Tratándose de niños normales y sobre todo en problemas traumáticos, no tenemos ninguna objeción, en el niño mayor, sobre usar incisiones paramedianas.
2020 | |
cirugía pediátrica cirugía abdominal técnica pediatric surgery abdominal surgery technique |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/1789 | |
Acceso abierto |
Sumario: | a) Transversal inc1s10ns for oclusive problems of the newly born are advised. b) Slating incisions can only be performed when you have a right diagnosis, because its range is limited.) If we are forced to perform vertical incitions, the skin incision must not coincide with that of the deeper layers, being these in "Y" or in "Z". d) According to our criteria these principles are absolute for newly born and lactants of less than one year, and they are advisable in first infancy. e) We advise to take into consideration these principles and apply them in metabolic disturbances, catabolizing diseases, cortisone medication or possibility of bowel ileum in se·cond infancy, according to the surgical possibilities of _these ages. We don't object the performance of paramedial incisions to normal grown-up children spécially when the have traumatic disturbances. |
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