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Surgical Instrumentation Program: Training Surgical Planning IQX-FT-003-BUC
Surgical Instrumentation Program: Training Surgical Planning IQX-FT-003-BUC
Surgical Instrumentation Program: Training Surgical Planning IQX-FT-003-BUC
3084061
MYOCARDICAL REVASCULARIZATION
1. PLANNING STAGE:
THE IRRIGATION OF THE HEART IS MAINLY IRRIGATED BY TWO BRANCHES OF THE ASCENDING
AORTA, THEY ARE CALLED THE RIGHT AND LEFT CORONARY ARTERIES, THESE TWO BRANCHES
IRRIGATE THE MYOCARDIUM AND THE EPICARDIUM
RIGHT CORONARY ARTERY, ARISES FROM THE CORONARY SINUS AND DIRECTED THROUGH THE
ATRIOVENTRICULAR GROUCH, IS DIVIDED INTO THE RIGHT POSTERIOR DESCENDING ARTERY AND
MARGINAL ARTERY
SURGICAL INSTRUMENTATION PROGRAM
LEFT CORONARY ARTERY, THIS BRANCH ARISES FROM THE CORONARY SINUS AND EMERGES
BETWEEN THE AORTA ARTERY AND THE PULMONARY TRUNK, THE BRANCHES OF THIS ARTERY ARE
THE LEFT ANTERIOR DESCENDING ARTERY AND THE LEFT CIRCUMFLEX ARTERY
SAPHENOUS
THE GREAT SAPHENON VEIN IS LOCATED MEDIALLY IN THE LOWER LIMB AND THE SAPHENA PARVA
LATERALLY IN THE LEG, THE DEEP VEINS HAVE THE SAME NAMES AS THE ARTERIES, THERE ARE TWO
SURGICAL INSTRUMENTATION PROGRAM
FIBULAR VEINS, TWO ANTERIOR TIBIAL AND TWO POSTERIOR TIBIAL, THESE OUTLET OF THE POPLITEA
MAMMARY ARTERY
The internal thoracic artery (ITA), also called the internal mammary artery (IMA), is a descending collateral
branch of the prescalenic portion of the subclavian artery (AS).
PATHOLOGY
SURGICAL INSTRUMENTATION PROGRAM
SUTURES AND
INSTRUMENTAL DEVICES SOLUTIONS
NEEDLES
-INTRA-AORTIC -ACIFLEX 5
PUNCH
-PACEMAKER WIRE 0
-CO2 GUIDA AND
TUBE
-TORUNDAS
-COMPRESSES
-GLOVES
BONE WAX
- CAIMAN CABLES
PACEMAKER
-ARTERIAL CANNULA
-VENOUS CANNULA
-OCTOPUS
-STARFISH
SURGICAL INSTRUMENTATION PROGRAM
2. ORGANIZATION STAGE:
-ROCHESTER FORCEPS
- FIELD CLAMPS
-KOCHER FORCEPS
-GAZE
SURGICAL INSTRUMENTATION PROGRAM
1. SURGEON
2. INSTRUMENTATOR
SURGICAL INSTRUMENTATION PROGRAM
3. ASSISTANT SURGEON
5.PERFUSIONIST
6. ANESTHESIOLOGIST
7. CIRCULATING NURSE
8. MAY TABLE
9. RESERVATION TABLE
3. EXECUTION STAGE:
SURGICAL INSTRUMENTATION PROGRAM
GENERAL
b) Incision (write the type of approach and the name of the incision):
c) Surgical Process (Describe the main steps of the surgical medical technique with the instruments to be used).
SURGICAL INSTRUMENTATION PROGRAM
PROCESS INSTRUMENTAL
THE BEGINNING IS GIVEN BY PERFORMING THE SCALPEL HANDLE #3 HB #15
EXTRACTION OF THE GRAFT FROM THE EXTERNAL METZEMBAUM'S SCISSORS
SAPHENON VEIN OF THE LEFT LEG AND CLOSURE OF SENT MILLER SPACER
BLOOD LEAKS AND PERMEABILITY IS PERFORMED PRE-CUT SILK 4/0
CLIPS LT 100 AND 200
POLYGLATIN 910 2/0
MONOCRYL 3/0
THE STERNOTOMY IS BEGINNING ALWAYS PRESERVING SCALPEL HANDLE #3 HB #15
HEMOSTASIS THE STERNAL MEDULLA IS COATED WITH ELECTRIC SCALPER
BONE WAX TO PRESERVE THE HEMOSTASIS OF THE FARABEUF SEPARATOR
STERNAL AND IN TURN THE GRAFT OF THE MAMMARY RECIPROCATING SAW
ARTERY IS PREPARED BONE WAX
CLIPS LET 100
THE PERICARDIUM IS INCIDED, HEMOSTASIS AND CLAWLESS DISSECTION
FIXATION OF THE PERICARDIUM IS PERFORMED TO SILK 0 WITH NEEDLE
EXPOSE THE HEART ADEQUATELY AND THE FINOCCHETO NEEDLE HOLDER
OR THE BREAST RETRACTOR IS PLACED VASCULAR DISSECTION
MAY SCISSORS
FINOCHETO SEPARATOR
THE POINTS OF THE TOBACCO BAG OF THE AORTA ARE POLYESTER 2/0
MADE IN THE VENAS CAVA AND THE TOURNIQUETS ARE NEEDLE HOLDER
PLACED THROUGH THREADS AND LEAVE IT REPAIRED VASCULAR DISSECTION
AND AFTER THIS, AN ARTERIOTOMY AND VENOTOMY ARE KELLY CLAMP
PERFORMED TO PERFORM THE FIXATION OF THE MAY SCISSORS
CORRESPONDING CANNULAS AND FIX THEM THREAD GROUND
ANTERORETROGRADE SCISSORS
TOURNIQUETS
SURGICAL INSTRUMENTATION PROGRAM
THE CONNECTION OF THE TUBES AND THE CANNULAS OF EXTRACORPOREAL CIRCULATION SYSTEM
THE EXTRACORPOREAL CIRCULATION MACHINE IS MADE
WHEN THE HEART ENTERS THE PUMP, THE SAPHENONAL POLESTEER 2/0
GRAFT IS PLACED. IN THIS CASE, REPAIR OF THE RIGHT POLYPROPYLENE 7/0
CORONARY ARTERY, THE POSTERIOR DESCENDING MAY SCISSORS
ARTERY, AND THE RIGHT CORONARY ARTERY CASTROVIEJO NEEDLE HOLDER
ANASTOMOSIS OF THE MAMMARY ARTERY IS MADE IN FRAZIER CANNULA WITH CO2
THE CIRCUMFLEX ARTERY FINE DISSECTION OR VASCULAR FORCEPS
PERMEABILITY AND ANASTOMOSIS ARE VERIFIED AND PACEMAKER WIRE
THE HEART OF THE PUMP IS REMOVED AND THE PLEUROVAC
EXTRACORPOREAL CIRCULATION CANNULAS ARE VASCULAR DISSECTION
REMOVED AND THE PACEMAKER WIRE AND CHEST TUBE WET COMPRESS
ARE PLACED PERICARDIAL CANNULA
THE STERNAL IS SUTURED, HEMOSTASIS IS CHECKED AND SURGICAL WIRE 5
THE RESPECTIVE PLANS TCS AND SKIN ARE SUTURED ROCHESTER
POLYGLACTIN 910
MONOCRYL 3/0
NEEDLE HOLDER
CLAW DISSECTION
MAY SCISSORS
WIRE CUTTER
SURGICAL INSTRUMENTATION PROGRAM
CONTROL DE CAMBIOS
FECHA DE
VERSIÓN DESCRIPCIÓN DEL CAMBIO RESPONSABLE
APROBACIÓN
Lizeth Guiza
Coordinadora de Prácticas