Cirugia torax Flashcards

1
Q

Limite de la pared toracica

A

Limite ventral = ESTERNON (10)
Limites laterales = COSTILLAS (13)
Limite dorsal = COLUMNA
Limite ventral = DIAFRAGMA

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2
Q

Por donde pasan las arterias a nivel de la costillas

A

-> Cara Caudal a las costillas

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3
Q

2 abordaje para la toracotomia

A
  • Toracotomia intercostal (I/D)

- Toracotomia esternal

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4
Q

De que lado operamos corazon y grande ductus

A

Izquierdo

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5
Q

2 Separador automatico

A
  • Finochieto

- Weitlaner -> + pequeno

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6
Q

Tecnica menos dolorosa en abordaje lateral al torax

A

Abordaje lateral al tórax - ELEVACION DEL DORSAL ANCHO

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7
Q

Sentido de corte esternebra

A

cranial -> caudal

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8
Q

DEF: torax flotante-fail chest

A

Rotura de varias costilla que provoca que una

parte del torax se mueve de maner anormal

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9
Q

DEF: FRACTURAS CONMINUTA O RESECCIONES COSTALES

A

quitar una parte de las costillas

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10
Q

DEF: Perforaciones-desgarro tejido blando

A

Perforacion de los tejidos entre
las costillas SIN afeccion de las
mismas

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11
Q

DEF: Pectus excavatus

A

= malformacion del esternon y vertebras que produce un
estrechamiento de la cavidad torasica que puede ptovocar
compresion de visceras

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12
Q

Neumotorax =

A

aire

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13
Q

Hemotorax =

A

sangre

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14
Q

Quilotorax =

A

Linfa

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15
Q

Piotorax =

A

Pus

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16
Q

Biliotorax=

A

Bilis

17
Q

DEF = occupacion espacio pleural

A

Algo entre la pleura parietal y visceral

18
Q

Tratamiento occupacion espacio pleural

A
  • Toracocentesis entra oblicuo por la cara CR (8 EIC encima union intercostal)
  • Drenaje toracico (10° EIC DERECHO y 8 EIC IZ)
  • Lavado toracico
19
Q

Fijacion del drenaje

A
  • Sutura en sandalia romana

* Fijación adicional con alas

20
Q

Tratamiento quilotorax

A

1) Pinchar azul de metileno en un ganglio abdominal para colorar el conducto torasico
2) ligar con suturas NO resorbibles + hemoclips