Plants. Therefore, it is the key to strictly implement the operation procedures of tumor-free technology during operation. In recent years, our hospital has strengthened the management in this field.
And organize everyone to learn, so that everyone can deeply understand the significance of this aspect, strictly implement the tumor-free technology in their work, and carry out this technology.
Extension and improvement, postoperative follow-up, no adverse consequences caused by improper surgical cooperation. The following is the operation of tumor-free technology in our hospital.
Methods It was introduced for clinical reference.
1 operation method
1? 1 The protection of surgical incision is mainly to prevent cancer cells from being implanted into the incision. The commonly used method in clinic is to put a disposable sterile protective towel on the abdomen.
At the surgical incision, after cutting the peritoneum, sew a peritoneal protective towel or two large gauze pads on the peritoneum on both sides of the incision, and then open the incision with an abdominal retractor.
However, if there are many ascites and hematocele in the abdominal cavity, the protective towel can penetrate, otherwise improper operation will cause the spread and planting of cancer cells. To prevent this.
The phenomenon occurred, the department introduced the abdominal protection device, which is made of polyethylene, non-toxic, tasteless, transparent, and the opening diameter is about 25 cm.
The annular mould with telescopic elasticity can be compressed into a rectangle and put into the abdominal cavity, and then restored to a ring shape, so that the operating field forms a dense shape.
The closed plastic film protection zone can effectively control the extravasation of liquid in the abdominal cavity, thus protecting the peritoneum from pollution and causing tumor implantation.
The elephant happened.
1? 2 surgical operation should follow the requirements. When conducting body cavity exploration, the movement should be gentle to prevent the fluid in the body cavity from overflowing. Replace it after detection.
Gloves, because touching and squeezing tumors, will increase cancer cells falling off into abdominal cavity and planting. Therefore, intraoperative exploration should be carried out according to the principle of "from far to far".
In close order, the liver, spleen, pelvic cavity, abdominal aorta, peripheral lymph nodes and both ends of the tumor were explored first. Finally, explore the primary tumor and the involved organs.
1? 3 Management of surgical instruments Before the operation, fully prepare the instruments according to the surgical requirements, wash your hands on the stage 10 ~ 20 min in advance, and press the instruments.
Put it in the program. Set up a relatively sterile area, a semi-sterile area and a bacterial area. After tumor resection, place all instruments that have been in contact with the tumor.
There is a bacterial area, that is, the "tumor area", which cannot be repeated.
Authors: 13600 1 operating room of Siping cancer hospital, Jilin province.
Use twice to avoid bringing tumor cells on the instrument into other tissues. If rapid pathology is performed before radical surgery, two sets of instruments should be prepared.
Mechanically, first take pathology with a small set of instruments, and then do radical surgery with a large set of instruments after the diagnosis of pathology. Wipe with normal saline gauze at any time during operation cooperation.
There is blood on the instrument. You can use 0 in special circumstances. 5% iodophor therapeutic instrument.
1? 4 The application of electrosurgical excision procedure is an effective measure to kill tumor cells. In order to effectively apply the electrosurgical excision procedure, two preparations should be made during the operation.
An electrotome should be replaced after tumor resection to reduce pollution and the sustainable use of electrotome.
1? 5 Treatment of tumor specimens The tumor specimens and lymph nodes cut by the surgeon shall not be directly contacted by the instrument nurses, but shall be handed over through the arc plate.
After tumor resection, clean around the incision, replace the gauze, gauze pad, gloves, sewing needle and other items that have come into contact with the tumor, and replace another set of cleaning tools.
Clean sterile instruments and dressings.
1? 6 Application of irrigation solution Choosing different irrigation solutions according to the operation needs can prevent tumor residues and kill tumor cells. Strict suppression
When preparing washing liquid as required, such as iodophor water, fluorouracil and other anticancer drugs, attention should be paid to the selection of diluents and containers, which must be used.
Spare, do not use, so as not to cause the proliferation of tumor cells, and the instrument nurses should strictly control during the operation.
2 effect observation
After several years of follow-up investigation of patients undergoing tumor surgery, no tumor cells were implanted due to improper operation, including
The quality of tumor surgery has been effectively improved, and the cooperation of operating room has been highly recognized by clinicians and highly trusted by surgical patients.
3 abstract
Due to air pollution, fast pace of life, irregular diet and other reasons, the incidence of cancer in China is getting higher and higher.
In America. And there is a trend of getting younger and younger. In order to effectively reduce and control local recurrence and distant metastasis after radical resection of tumor, therefore,
It is very important to improve the rehabilitation quality of patients, prolong the life span of radical surgery and improve the quality of life of patients.
To be sure, this kind of technical operation needs us to explore and improve constantly in our work to make it more humanized. So, let's use this technology
With the continuous spread, development and progress, tumor-free technology has become an important operating procedure equivalent to aseptic technology in tumor surgery.