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Incision of abdomenal surgery

What are the pressure symptoms of goiter?
1. Pressure on trachea : dyspnea .
2. Pressure on the esophagus : dysphagia
3. Pressure on recurrent laryngeal N : hoarseness of voice
4. Pressure on carotids : fainting attacks
5. Pressure on internal jugular : black outs which increase on
leaning forward
6. Pressure on sympathetic chain : Horner syndrome

#Sutures الخيوط الجراحية

*Types :
▪️According to absorbance :
I- Absorbable sutures:
A. Natural (e. g Catgut ) .
B. Synthetic( e. g Polyglycolic acid, PDS, Polyglactin, monocryl polyglecapron 25).
II- Non-absorbable sutures:
A. Natural (e. g silk )
B. Synthetic( e. g Nylon, Prolene, PTFE, stabler, adhesive tapes ,stainless-steel)

▪️According to filaments :
A- monofilament sutures
B- multifilament sutures

What are the content of spermatic cord?
Rule of 3
1. 3 covering:
External spermatic fascia
nternal spermatic fascia
Cremastric fascia
2. 3 vessels
Vas deference
Testicular artery
Testicular vein
3. 3 structures
a/Lymph vessels
b/Autonomic nerves
c/Processes vaginalis

ملخصات دائرة الجراحة في اللجنة العلمية للعملي 37b
Ischemia
https://t.me/Surgery_Lab_37B/220
دمحمد عيسى د. عبداللطيف ابوطالب د. فهيم العبسي
https://t.me/Surgery_Lab_37B/232?single
د. محمد الدوبلي د. عبدالعزيز الجعدي
https://t.me/Surgery_Lab_37B/236?single
د. نصر القدسي
https://t.me/Surgery_Lab_37B/238
د.محمد الشهاري
https://t.me/Surgery_Lab_37B/213
د. ياسر عبدالمغني د. ابراهيم النونو د. مأرب المحويتي
https://t.me/Surgery_Lab_37B/203?single
محاضرات لم يسعنا الوقت لكتابتها كمبيوتر
د. عثمان الخزان
https://t.me/Surgery_Lab_37B/206
د.علي المؤيد
https://t.me/Surgery_Lab_37B/404
د.الامين النور
https://t.me/Surgery_Lab_37B/406

Abdominal and back pain
1-Biliary colic and acute cholecystitis
2-Acute pancreatitis
3-Renal and ureteric colic
4-Leaking abdominal aortic aneurysm
5-Posterior duodenal ulcer penetrating into the pancreas
6-Spine diseases with radicular pain that radiates forwards