External incision before chest surgical incision

Suitable for heart, large blood vessel and anterior mediastinal tumor surgery. Treatment of disease: mediastinal tumor primary mediastinal tumor Indication Suitable for heart, large blood vessel and anterior mediastinal tumor surgery. Preoperative preparation 1. According to general nursing routine before general surgery. 2. Guide lung function training to prevent colds and prevent postoperative pulmonary complications. 3, according to the surgical site for skin preparation (1) posterior external incision: the median line of the anterior chest to the posterior spine line, including the underarm, from the horizontal line of the clavicle to the xiphoid. (2) Median incision: the posterior chest to the posterior line to the right posterior line, including bilateral underarms. (3) Three incisions of the esophagus: left neck, right chest (same posterior incision), abdomen (including umbilicus, perineum). (4) chest and abdomen combined incision: left chest (same posterior incision), left upper abdomen. 4. After the patient is sent to the operating room, prepare the monitoring instruments and routine rescue items. Surgical procedure 1. Incision: Along the 4th or 5th intercostal space from the lateral edge of the sternum to the midline of the iliac crest (the female is incision along the lower edge of the breast). 2. Cut off part of the pectoralis major and anterior serratus and expose the ribs and intercostal space. 3. Cut the intercostal muscle along the center of the intercostal space, cut the pleura and reveal the chest cavity. 4. After the operation, after placing the drainage tube, suture 2 to 3 needles around the upper and lower ribs with a 10 wire. 5. Suture the door in turn.