分类: Delphi
2011-12-30 15:13:00
关键词:fmgzz111230
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Different patients, the character of the abdominal wall is the different, so a Tummy Tuck operation requirements are different, such as the abdominal wall, abdominal wall or the abdominal wall angioplasty, etc. Tummy Tuck general main correct the following three aspects malformation: too much skin, the accumulation of fat and relax muscles, through to the skin excision, subcutaneous fat suction and rectus sheath folding suture, so that patients get devoted to the abdomen is satisfied with the result.
Indications and contraindications: due to the reasons such as the aging and pregnancy, abdominal skin often form, the skin flabby and crack, subcutaneous fat too thick and abdominal muscle relaxation, Tummy Tuck it is also the indications, and abdominal wall scar, umbilical hernia can also be Tummy Tuck, etc. Tummy Tuck asked the patient majority of good physically, but if not, the FeiYuanXing with control of the heart and vascular hemorrhagic, metabolic disease, had better not do Tummy Tuck, pregnant again the plans or serious pathological obese patients, also is the Tummy Tuck relative contraindication disease.
Complications and prevention: common complications including hematomas, serum is swollen, skin flap necrosis, wound healing, burst or extension of umbilical position, abnormal scar, etc. Prevention methods: mainly preoperative reasonable design, separating clear, stop bleeding, liposuction thoroughly when dermal attention to protection of the blood vessel nets, skin excision quantity moderate, incision DuiGe accurately and carefully and postoperative suture moderate compression bandage, etc.; Serious complications is mainly deep vein thrombosis, pulmonary embolism and fat embolism, although very low incidence is easy to deadly, therefore, it is necessary to take some preventive measures, such as intraoperative use lower limb massage device, the conventional subcutaneous low molecular weight heparin injection, postoperative given plenty of blood volume, ethanol input and early activities. In addition, quit smoking, preoperative control high blood pressure, diabetes and reduce weight is also reduce potential complications method.
Preoperative preparation: first to patients with a detailed history, medication history, ask for necessary medical examination, physical examination, laboratory examination and electrocardiogram inspection, and seriously preoperative conversation, content including preoperative and postoperative could be dangerous if: bleeding, infection, scarring, umbilical position anomalies and umbilical disappear, asymmetry, reoperation, there might even be a fat embolism and even death, and sign the surgery was agreed, and detailed understanding of surgery patients with expectations, confessed postoperative recovery process, thus obtains the fully cooperate patients. And the choice of anesthesia incision surgical incision choice: historically speaking, Tummy Tuck the cut has a lot of kinds, including the shape, the shape and the form.
Tummy Tuck surgical method: the satisfaction, press preoperative design of cut cut line and skin shallow fascia, of the deep fascia, shallow, and then in the hierarchy separation, shallow artery ligation abdominal wall, up to the sword axon, down to pubic symphysis, at complete stop bleeding, complete separation dissection, tightening the abdominal wall, with the extra skin and subcutaneous tissue, the position of the umbilical positioning, layered cut suture (skin also can use intradermal suture without having to take out stitches), buy the negative pressure drainage, postoperative moderate compression bandage, 7 days after take out stitches.
Tummy Tuck after surgical nursing: may need for weeks or months time to let you feel and change to return to their own past. If you have a best before the operation of the physical condition, strong abdominal muscle, then abdominal plastic surgery after the recovery rate will be quicker. Some people can be in two weeks to go back to work, and others who need three, all around the time to rest and recover. Exercise will help your wound healing faster. Even those who never done exercise people should also start to exercise, so as to reduce the swelling and the possibility of blood clots, harmonic muscle. But, and intense exercise should avoid, until you can easily finish.
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