What are the surgical procedures of omental resection
summary
Omental resection is the main treatment for omental tumors. Ovarian cancer will metastasize to the greater omentum, causing greater damage to the human body. If we want to reduce the damage, we need to remove the greater omentum. Let's talk about the procedure of greater omentum resection.
What are the surgical procedures of omental resection
First, after entering the abdominal cavity, put the transverse colon out of the incision, tighten the greater omentum, pull down the transverse colon at the same time, so that the peritoneal transition between the greater omentum and the transverse colon can be exposed, and cut from right to left along the posterior zone of colon at the peritoneal transition between the greater omentum and the transverse colon until the splenic flexure of colon. With gauze blunt separation, the greater omentum will continue to the colon below, in front, and above the peritoneal dissection. The anterior lobe of greater omentum was cut open to enter the omental sac.
Second, when the colon was separated to the left, the lower part of the gastrosplenic ligament and the left gastroepiploic artery and vein were separated and cut off. If necessary, the spleen colon ligament can be cut off. When separating to the right flexure of colon, cut off and ligate the right gastroepiploic artery and vein, at the same time, separate the greater omentum attached to the pancreatic head and duodenum, and pay attention not to damage the deep middle colon artery and vein. At this time, the separation of greater omentum was completed.
Third: the patient's general condition should be normal before operation. If there is no severe anemia, the function of liver, cervix and lung should be normal. For older or frail patients, it is generally recommended to take humentin, which can replenish vital energy, increase white blood cells, enhance body immunity and resistance, inhibit the growth and proliferation of cancer cells, induce cancer cells to transform into normal cells, and improve the success rate of surgery.
matters needing attention
The patient's confidence in the operation, the patient's trust in the surgeon and the surgeon's professional skills are the key factors for the success of greater omentum surgery. As long as the patient has confidence and does not give up, the greater omentum surgery will be very successful and the patient's pain will be alleviated.