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Шариков устроил потоп в квартире профессора. Собачье сердце

Шариков устроил потоп в квартире профессора. Собачье сердце

Channel: Лучшие эпизоды

Шариков ловит кошек. Собачье сердце

Шариков ловит кошек. Собачье сердце

Channel: Лучшие эпизоды

Тромбоз вен нижних конечностей. Чем лечить и когда оперировать?

Тромбоз вен нижних конечностей. Чем лечить и когда оперировать?

Channel: Dr.Charyev

Хирургия для чайников. Кровоснабжение толстого кишечника.

Хирургия для чайников. Кровоснабжение толстого кишечника.

Channel: Dr.Charyev

врач VS врач (или откуда берутся жалобы)

врач VS врач (или откуда берутся жалобы)

Channel: Dr.Charyev

#хирургия

#операция

#анатомияжелудка

#кровоснабжениежелудка

00:00:00

friends Good day, it’s true that for

00:00:04

you it may be daytime there, it may

00:00:06

be for some strange people who have

00:00:08

nothing to do in the morning, it’s morning I’m

00:00:11

now in the middle of the night, my colleagues and I are

00:00:15

on emergency duty. And just

00:00:18

recently we went to the staff room and at night to the

00:00:21

pause between trips to the

00:00:23

emergency room and trips to the operating room. We recorded a short

00:00:26

video for you. Together with our

00:00:29

fellow residents, and even

00:00:32

in our today’s recording, the

00:00:35

professor, the head of the department of general

00:00:37

surgery of our medical academy, participated and we

00:00:40

talked about the blood supply to the stomach.

00:00:43

It would seem that everything is simple, you take the

00:00:46

Internet Or you take some book

00:00:48

you Well, for example, for example,

00:00:52

here I show you a picture of

00:00:53

the blood supply to the stomach, you look and

00:00:56

everything is clear to you, but there is one moment when you

00:00:59

look at this picture like this,

00:01:02

just like an ordinary picture and for no

00:01:05

reason - this is one thing and it is

00:01:08

quite difficult to remember, but when you have worked

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with organs, when you have been in the

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operating room, when you work as a

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surgeon and this picture is

00:01:18

transferred to your work and to your

00:01:22

abdominal cavity for your operation, it is

00:01:25

very important and very important for you It’s well

00:01:27

remembered, so let’s

00:01:30

go together again and repeat the

00:01:33

blood supply to the upper abdominal

00:01:36

cavity and the blood supply to those organs

00:01:39

that exist there, and this is very important

00:01:42

because we already talked to you when we

00:01:44

looked at the blood supply to the intestines, if the

00:01:47

surgeon does not have all the arteries that are

00:01:51

in the brain in In the lower upper

00:01:54

extremities, some small branches

00:01:56

must be known in the abdominal cavity.

00:02:00

Especially if this is an abdominal surgeon, an

00:02:02

emergency surgeon, he must know every

00:02:04

artery, every branch, where it passes, and

00:02:07

this is very, very important. Let’s go with our

00:02:10

colleagues and remember everything. And then you

00:02:13

will open your textbooks again Look at

00:02:16

these pictures, I think that it will be

00:02:18

quite useful for you, [ __ ] off,

00:02:33

you’re little

00:02:39

when they don’t say something.

00:02:56

You know anatomy, you know, they

00:02:58

taught you in this

00:03:01

clinic where you were, well, there are skulls, well,

00:03:05

great,

00:03:09

the stomach,

00:03:13

we’ll bring it all to the next video,

00:03:15

which there will be a big 12

00:03:18

finger

00:03:21

duodenum pancreas,

00:03:23

roughly speaking That's how the part

00:03:41

is supplied with blood from the

00:03:44

upper one, just leave it here,

00:03:48

let's say the

00:03:53

penis and the trunk are divided,

00:03:57

you know everything, give it at least one chance

00:04:02

Well, at least one hotel

00:04:07

in Russian, let's

00:04:11

start the right way, left gastric artery the

00:04:14

next trunk departs, well, it is divided into two

00:04:18

branches, that is, someone calls one branch

00:04:21

there, descending from the left gastric

00:04:23

artery, ascending, someone writes that this is a

00:04:26

map, you don’t care, it’s often the left

00:04:28

gastric artery itself, that is, it went

00:04:30

along the veins to the left manual artery like this

00:04:33

then the

00:04:37

splenic splenic artery goes

00:04:39

there behind the stomach like this and

00:04:44

goes to the spleen, then

00:04:54

it gives a branch to the

00:04:58

hepatic artery itself. It

00:05:03

went like this for

00:05:07

12, it is

00:05:16

divided into pancreatic supera and

00:05:20

gastroexton, and so the

00:05:23

right gastric artery leaves somewhere from here and it

00:05:26

stomates the left gastric artery

00:05:29

along lesser curvature, that is, they form the so-

00:05:31

called arch of this one, let's

00:05:34

go further. This is the artery, as we

00:05:36

call it, the

00:05:37

duodenal

00:05:49

gastroduodenalis, what is it

00:05:51

further divided into? Here it passes behind the wall of the intestine

00:05:59

here, and the

00:06:03

right gastric somersault went along the

00:06:07

large one, they live like this further with us 5

00:06:10

arteries

00:06:11

Where do we get the left gastric omentum from?

00:06:43

moment 12 the

00:06:49

duodenum is supplied with blood from below than

00:06:53

from where

00:06:54

from the upper artery we have the superior

00:06:56

mesenteric artery coming exactly from us the

00:06:59

black trunk has moved away we have the aorta going below and the

00:07:03

superior mesenteric artery departs from it, it seems to

00:07:06

bend over the descending

00:07:09

branch of the 12 intestine and the inferior pancreatitis departs from it.

00:07:23

this is important to us This is important These

00:07:26

hotels are important But these arteries We have

00:07:28

almost never seen what we are

00:07:30

leading up to,

00:07:32

if we have a deep ulcer located

00:07:36

in this place Here this is the

00:07:40

pyloric zone this is the bulb of the 12th intestine the

00:07:43

posterior wall is a large ulcer it will

00:07:46

bleed from a powerful vessel that

00:07:48

is located right in the bottom of this ulcer,

00:07:50

therefore, it is

00:07:52

very difficult to restore bleeding there, and not only is

00:07:54

ligation of all these arteries

00:07:56

that I say there, they lead to nothing

00:07:58

because well, from here there is

00:08:01

another stamosis and from here there is more one

00:08:03

machine, that is, this zone It is

00:08:04

stomatized from all sides And therefore

00:08:06

this is the most difficult

00:08:08

localization for surgeons in case of some kind of

00:08:11

tonal bleeding, okay

00:08:15

Which artery out of all of these

00:08:18

can’t be ligated,

00:08:22

now even the professor, we have a

00:08:24

professor there, is removing it. Turn it around by yourself

00:08:28

head of the department of surgery in general, which

00:08:32

artery cannot be ligated out of all the

00:08:34

ones we have drawn, there is some kind of

00:08:37

extreme situation, if something

00:08:39

happened, just extreme

00:08:41

extreme, some kind of injury,

00:08:43

some kind of injury, some kind of straight rupture, the art and they

00:08:45

brought it to you and brought you the most important thing, you

00:08:48

entered the stomach that you can’t bandage it like that

00:08:52

Upper

00:08:56

Consent That is, everything except the upper

00:09:00

one can be bandaged more lightly It’s possible even

00:09:03

if you bandage the prison barrel

00:09:06

The maximum that we can see Well there, well, the

00:09:10

headlights from the spleen Let it be the stomach,

00:09:12

nothing will happen to the liver, nothing

00:09:14

will happen to the maybe the gall

00:09:17

bladder will be gangrene of the gallbladder

00:09:19

Well, again, the gallbladder is

00:09:22

operatively so the left gastric right

00:09:25

gastric gastric omental artery

00:09:27

everything can be ligated absolutely the stomach

00:09:29

will not stop supplying blood

00:09:31

somehow this beast is supplied with blood

00:09:34

anyway from some of these here

00:09:36

we will get all of this Why to the next video

00:09:39

that will be dedicated to this kind of

00:09:42

tongue of the stomach

00:09:48

we looked at. And I will say that our

00:09:52

guys are residents and our students, they

00:09:54

answered quite well and they are

00:09:58

savvy in this matter, so this will

00:10:00

be for you young colleagues. If you are

00:10:03

watching all this, young doctors,

00:10:05

medical students academies,

00:10:08

this will be an incentive for you to once

00:10:10

again pick up a book, go

00:10:12

somewhere on the Internet and watch it all,

00:10:14

and As you yourself understand, this

00:10:17

video is not entirely for nothing, because in

00:10:21

one of the following videos we

00:10:24

will look at the operation on

00:10:27

the stomach and quite bloody and

00:10:29

ugly And this video will be

00:10:32

useful to you And with that I say goodbye to you today for now

00:10:35

Until we meet again

Description:

Продолжим серию наших мини роликов по анатомии. Сегодня у нас желудок. Для тех кто хочет продолжать общаться помимо комментов к роликам добрая разрешенная тележенька https://t.me/DrCharyev И ВК для тех, кто хочет операцию себе сделать https://vk.com/public211374689 Ну и для самых общительных наша ссылка на ТЕЛЕГРАММ ЧАТ https://t.me/+V9rDkwEsJptjOWRi

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