суббота, 24 января 2009 г.

To work as a knife it is necessary

To work as a knife it is necessary cautiously casually not to wound adrenals and other organs. Further, coming nearer to a backbone, from an aorta and the bottom vena cava, leaving them on a backbone and cutting celiac and mesenteric arteries; a pancreas and the bottom horizontal part of a duodenum. Then, having grasped the left arm the bottom part of a mesentery, it is cautious it up. Now all deduce from a corpse, throw on its right party and dissect stretched bonds of an esophagus with an aorta out of a corpse. Taken thus stack on a dissecting table at the left-from a corpse. If died gastrostomy order pyridium online operation during lifetime has been made, the stomach needs to be taken together with an abdominal wall part where the operational aperture is imposed; at a gastroenterostomy a stomach take together with the loop filed to it, a small bowel, and sometimes and with a mesentery part intestines. EXTRACTION OF GENITOURINARY ORGANS With and and l and it is necessary to examine attentively position of all organs laying in a back part of an abdominal cavity, - kidneys and adrenals, to note them 107 Mutual relation to examine ureters, about l u-lunar bonds celiac or with about l This ~ plexuses-plexus coeliacus (solaris), laying on a forward surface aortas at level from it a celiac artery (a. coeliaca). Further at level II or III lumbar vertebra under the right side of an aorta, having raised it, it is necessary to find the tank (cisterna chyli) which proceeds in a thoracal lymphatic duct.
The tank open with small scissors. Also under the right side of an aorta, but a little bit more low, at level of III lumbar vertebra, it is possible to find out paraganglions. At last, examine the retroperitoneal lymph nodes located on a course of an aorta and the bottom vena cava. Now it is possible on a place scissors in with to to dig an abdominal aorta and the bottom vena cava on a forward surface, the general ileal arteries and veins, femoral arteries and veins, not damaging ureters. From an aorta and the bottom vena cava open renal and epinephral arteries and veins. It is especially possible to recommend this method in cases of a clottage of arteries and veins, their wounds, an aneurysm and so forth At last, start extraction of kidneys, adrenals, ureters and organs of m and l about about and and. For this purpose the left arm reject a right kidney to a backbone and its in parallel external edge, on 1-2 sm , spend a cut of a retroperitoneal fat the big amputating knife taken in a fist so that an edge settled down at the big finger. Continuing to reject a right kidney to a backbone, it to the backbone. Having put a right kidney on the place, the left arm grasp a left kidney and, rejecting it to a backbone, an amputating knife it the same as also right, up to a backbone. Having grasped now the left arm both kidneys with adrenals and raising them, definitively separate from a backbone together with an aorta and the bottom vena cava. 108 Further, having grasped an aorta and the bottom vena cava more low Kidneys together with - ureters and a fat in a fist The left arm and buy ultram 50mg delaying them to itself, from Backbone, gradually approaching to a bifurcation Aortas. Not letting out from the left arm, the amputating knife handle take in a fist of the right arm so, that the knife blade settles down at a little finger, and, holding a knife upright an edge from top to bottom, ileal arteries and veins together with a fat. Continuing to delay to itself and to reject all orga-nokompleks in that and in other party, holding it in the left arm as it is told, organs of a small basin from a sacrum and lateral walls of a small basin, holding a knife blade as it is possible more close to bones. Having separated organs of a small basin behind and from sides, all stack in a corpse on the place and further-arrive variously, in zavi-simosti from a floor of a corpse. At men At first take from a scrotum testicles. For this purpose from the interior of the right inguinal channel dissect a peritoneum and a subperitoneal fat, reach a seed funicle and it. Then the left arm bring the right testicle to an external aperture of the inguinal channel and it is strong it there fix. Thus at an internal aperture of the inguinal channel the camber corresponding to a testicle is shown. Knife the tissues covering a testicle and its vulval cover, and fingers of the left arm push out a testicle, take it in the left arm and, delaying, with a part of a vulval cover and a seed funicle. As arrive and with the left testicle. To pull for a seed funicle at testicle extraction does not follow, in particular at thrombuses of veins of a funicle. At wounds of testicles, fistulas and so forth testicles take not through the inguinal channel, and through a lateral scrototomy, and delete both a vulval cover, and a part of a skin round a fistula. Having allocated testicles, take organs of a small basin. For this purpose do a peritoneum cut closely under pubic bones. Then stupid by or a knife from - 109 . and to at m about in about about a bubble and an urethra with a prostate from associates it, rejecting them in that and in other party and that framing access to a knife. Having bypassed, thus, around all organs of a small basin, grasp their left arm and with force pull to. The amputating knife taken in a fist, make a cross-section the channel below a prostate and, at last, cut a rectum. If the rectum has been well separated from a small basin and strongly involved inside, that, cutting it is deep enough, it is possible to take easily and all anus (anus). For extraction of all the channel at men that is especially important at its diseases and wounds, m. arrive the following about-razo, Having rejected a sexual member on a pubis, an acute scalpel Do a cut of its skin lengthways on a seam from a bridle edge It a flesh to a root of a sexual member and more low on a seam (raphe) Scrotums.

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