Surgical methods:
ENT surgical microscope (ENT Operation microscope,ENT surgery microscope,ENT operating microscope)surgery (ENT microscope) + systemic intravenous anesthesia with oral intubation two separate groups. Palate repair group hiatus surrounding tissue flap constitutes the nasal surface fabric; selection group fusiform cut to take full-thickness skin graft, remove the skin and subcutaneous fat into the dermis tissue; palate repair group will take a good line in the abdomen abdomen leather cover up in the perforation place, and sutured to the surrounding tissue; mask pressurized IODOFORM.
Preoperative preparation
1, two surgical instruments, desk, a soft pillow, two sand bags.
2, the selection group, in addition to preparation practice skin instruments, dressings, but also to keep separate steel rule, with the scale and location of the skin graft crossed Violet (measure), the 11th and the 15th scalpel blades.
Palate repair group In addition to the need to practice cleft palate instruments, dressings, but also to keep separate initiative opening set iodoform gauze, steel rule, electric attract is.
Surgery in cooperation:
1 (the ENT Microscope) ENT surgical microscope (ENT Operation microscope,ENT surgery microscope,ENT operating microscope) surgical personnel, equipment organization, the anesthesiologist and the anesthesia machine is located at the head position of the operating table right side; cleft palate repair group of health care workers in the top of the patient's head position and left; abdomen to take the skin The group of health care workers on both sides of the operating table; the luring placed interval operating table at 30cm.
The patient supine head low, shoulder Xiadian soft pillow, head and neck on both sides fixed set sand bags, hand, foot and with a cloth belt fixed, elastic fit.
ENT surgical microscope (ENT Operation microscope,ENT surgery microscope,ENT operating microscope) surgical cooperation of cleft palate perforation repair (ENT microscope), patient oral topical 0.5% glucose pickling will too tincture disinfection after oral washing with 0.25% acetic acid will be too liquid disinfection; shop towels. Nurses wash their hands collated sterile equipment (ENT microscope)and inventory adrenaline-rich brine small sliver and roving nurses, spare. Patient's mouth built-in active opening, and again poured into a 0.25% chlorhexidine solution 30 ~~ 40ml acetate, its intent is plenty of disinfection. After luring is exhaustion. 0.5% lidocaine injection of adrenaline-rich solution in the corresponding site to participate in a drop of adrenaline manufacturing (10ml solution), then use the blade along the 12th hole in both sides of the incision to the periosteum, cutting edge interval basis hiatus big and small, and the wound depending on size, suture tension minimum criteria. Periosteum screwdriver slack cut, the oral side mucoperiosteal flaps set off perforation surrounding soft tissue plenty of exposed, stripping, ligation of active bleeding points(ENT microscope), with nurses wash their hands adrenaline-rich brine small sliver delivery to the surgical tamponade then, cooperation surgery View lax mucoperiosteal flap degree of and weighed hiatus scale, to convey to the the abdomen selection of doctors. No. 1 silk circular needle (6 × 14) on both sides of mucoperiosteal flip stitch the nasal surface. After abdominal removed to genuine leather pieces transplanted into the recipient area, conceal wounds constitute the oral surface, and then along a fixed four weeks with a small round pin (ENT microscope)No. 1 silk continuous suture. Focus on leather paste the cover to be flat, can not have curling. Teeth with a wire ring ligation, packing iodoform gauze, pressurized fixed.
Narcotic cooperation, nurses, open two venous access, all the way to input anesthesia combined solution, all the way fluid replacement, blood transfusions; Anesthesia was induced by oral intubation and cooperation anesthesiologist.
5, abdominal surgery to take skin cooperation, with 0.5% glucose pickling will too tincture the disinfection abdomen, shop towels. Steel ruler DD good the required the skin grafts scale Violet position. (ENT microscope) ENT surgical microscope (ENT Operation microscope,ENT surgery microscope,ENT operating microscope) surgical patients with a No. 11 blade in the lower abdomen to do a spindle-shaped cut along the subcutaneous fat, full-thickness skin cut. Dressing skin graft with a No. 15 blade, remove the skin and subcutaneous fat layer into the dermal tissue, home saline gauze spare. The patient's abdominal wound practice hemostatic skin of the upper and lower sides match bit after No. 1 silk continuous suture needle with a triangular, practice, bandaged fixed.
Cooperation comprehend:
1, based on (ENT microscope) ENT surgical microscope (ENT Operation microscope,ENT surgery microscope,ENT operating microscope) surgical needs, postural patients to pick a good fit. The bed cloth To leveled, and the patient limbs should be fixed, elastic fit and avoid skin bruised.
2, the majority of such patients undergoing appearance shortcomings as well as fear of reoperation, so before and after the patient entered the operating room, the nurse should pay attention to the emotional kind, affectionate words to eliminate serious thought, to better cooperation anesthesia induced plug tube, guarantee the smooth progress of surgery.
3, strictly perform surgery check criteria, scrub nurse and circulating nurse in the inventory of small gauze and surgical supplies to be together before and after surgery, ENT surgical microscope (ENT Operation microscope,ENT surgery microscope,ENT operating microscope) surgery (ENT microscope) until the prompt (the ENT Microscope) ENT surgical microscope (ENT Operation microscope,ENT surgery microscope,ENT operating microscope) surgery not surgical left in the wound.
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