보건행정과 학생인데요. 수술지 기록지로 공부를 하는데 해석하기에 아직 많이 부족해서요. 의학사전에 없는 단어와 약어도 있고 사전찾아서 해석하려니 앞뒤가 이상해서 간단한 흐름을 좀 알려주시면 좋겠어요.
수술전 진단명은 SUI 복압성 요실금인데 수술후 진단명은 S/A (이하동문이란 뜻이죠?!)
수술명은 TOT 요실금입니다.
Under spinal anesthesia, a weighted speculum was placed in the wagina, and the labia were retracted laterally with ring retractor.
After saline injection was done, The small sagittal incisions about 1.5com long starting approximately 2m from the outer urethral meatus.
From the incision, vaginal wall was exteriorized & minimal vaginal dissection was done to achieve a tunnel for the passage of the transobturator needle. Sking incision was made in the genitofemoral folds at the level of the clitoris(2cm lat.).
The transobturator needle was introduced vertically in the skin incision crossing the obturator internal membrane and the muscle & the needle was bought to a horizontal position, form behind the ascending ischiopubic ramus, guiding it internally towasrds the urethra with its tip heading the surgeon's index finger in the vaginal incision.
When the guide tip of the needlie out, the tip of the needle trough the perforation in the column of the sling was threaded and transferred through the tunnel previously created by the needle.
This steps was repeated on the other pulled up to bring the mesh in contact with urethra. The sheath removal & closure of the vaginal wound by vicryl 2-0 interrupted suture was done.
The cystoscopy was then done to verify absent bladder and urethral injury. 18Fr. urethral Foley was indwelling c 5cc ballooning and vaginal packing was done.
흐름파악하시라고 다 적었는데 너무 힘드네요..^^ 단어찾았는데 조합이 너무 어렵네요. 간략히(또는 자세히) 좀 알려주세요. 부탁드려요.