quinta-feira, 17 de junho de 2010

Acesso aos vasos fibulares

1-Peridural.
2-Assepsia e anti-sepsia.
3-Paciente em decúbito dorsal e rotação interna da perna.
4-Incisão cutânea longitudinal sobre a projeção da fíbula, subcutâneo e fáscia também incisão longitudinal.
5-Afastamento lateral do músculo fibular longo, exposição da fíbula.
6-Ressecção do segmento da fíbula, abertura do subperióstio visualização dos vasos fibulares.
7-Dissecção, isolamento e cadarçamento proximal e distal da artéria fibular.
8-Durante a dissecção preservação das veias fibulares.

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