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医疗器械翻译(12)

发表时间:2019-1-23  浏览次数:191  
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原文:
1  Starting at the middle of the arthrotomy, pass a #2 Quill™ PDO through the capsular layer until the transition point of the Quill™ is reached. With a simple running stitch, run the proximal arm of the Quill™ to the proximal end of the arthrotomy. Pull the Quill™ to approximate the tissue; avoid over-tightening. Assure that proper patella position is achieved. At the end of the wound, take a few back-stitches for security or double-back to the middle of the arthrotomy for extra security. Finish by cutting the end of the Quill™ flush with the tissue. Repeat the process with the distal arm. Upon closure of the capsule, cycle the knee to confirm a secure closure. The Quill™ will further cinch and tighten during this maneuver.

2  Depending on the patient’s adiposity, the intermediate subcutaneous layer can be approximated with a #0 or 2-0 PDO Quill™. In the deeper area of the fat, care is taken to enter and exit at the same level on both sides of the wound.

3  A 3-0 Quill™ MONODERM™ is used to close the subcuticular layer. Start at the center of the wound. With each Quill™ arm, work in a sinusoidal fashion, towards each end of the wound. With the second arm, work distally. Ensure the closure with a back-stitch by taking the last bite 2 cm beyond the end of the wound, then cut the remaining material flush with the skin. Finally the surgeon can finish with an optional cynaoacrylate closure and/or staples, depending on the surgeon’s preference.

译文:
1. 自伤口中央开始,将一根2号Quill™ PDO缝线穿过荚膜层,直至到达缝线转换点。简单穿针,使得Quill™缝线近端到达伤口近端。拉动缝线,以实现组织合拢,避免组织过紧。缝合时,确保髌骨位置与其解剖学位置相符。在伤口末端做几次回针实施固定,也可通过向伤口中心原路折回缝合的方式加以固定。 随后切断缝线末端。 在伤口远端重复上述操作。 一旦关节囊闭合,扭动膝关节确保是否准确缝合。该操作过程中,Quill™缝线会进一步拉紧。

2.根据患者肥胖程度不同,可选用0号或2号PDO Quill™缝线实施皮下层缝合。在实施深层脂肪组织穿针时,需谨慎操作,确保缝线针入口与出口位于伤口两侧的同一水平。

3.选用3-0Quill™ MONODERM™缝线实施皮下缝合。自伤口中央穿针。缝线以正弦曲线的方式穿针,直至缝线两端到达伤口两侧末端。缝线两端分别位于伤口两侧。回针至自伤口末端2cm处,确保伤口闭合,然后切断与皮肤齐平的缝线端。最后,医师可选用氰基丙烯酸酯伤口胶粘剂或钩环处理伤口(具体以医师选择为准)。

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