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FACULTAD DE MEDICINA

UNIVERSIDADPARTICULAR DE

CHICLAYO

ALUMNA:

LARIOSVILLANUEVA,

CIRUGA BASICA I:

HEMATOMARETROPERITONEAL Dr. OSCAR

VELASCO DVELASQUEZ

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HEMATOMARETROPERITO

NEAL

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INTRODUCCINCada vez que un Cirujano enera! e"#!ora un a$do%en &rau%'&*a +ea (errado o a$ier&o) * +e en(uen&ra #ara +u +or#re+a) o rea!idad e+#er'ndo!o (on un ,-e%a&o%a re&ro#eri&one.in(!u*endo en e+&e &/r%ino aque!!o+ ,-e%a&o%a+, que +on a&odo ,#ro#eri&onea!e+,) a nive! de !a (avidad #/!vi(a0 /! +e en1re

a una de !a+ de(i+ione+ %'+ di12(i!e+ de &o%ar) e+ de(ir3 +i e"#!oo no e+e ,-e%a&o%a,4 La rea!idad e+ que e+&e &e%a -a +ido) !o e#ro$a$!e%en&e +e5uir' +iendo (on&rover+ia!) *a que +ie%#re +edi(-o que !a %a*or2a de e+&o+ ,-e%a&o%a+, e+ %ejor e"#!orar!o+ e+#e(ia!%en&e +i e! #eri&oneo #arie&a! o #/!vi(o ein&a(&o #ue+&o que +i +e -a(e #odr2a re+u!&ar #eor #ara e! #a(ie

a! #rovo('r+e!e una (o%#!i(a(i6n * a&ro5/ni(a inde+eada) * -a+&a #odr2a re+u!&ar +iendo una de(i+i6n 1a&a!4

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OBJETIVOS De8nir He%a&o%a Re&ro#eri&onea!4

Iden&i8(ar !o+ &i#o+ de He%a&o%a+ re&ro#eri&onea+e57n +u u$i(a(i6n4

De&er%inar e! %anejo 1ren&e a un -e%a&ore&ro#eri&onea!4

Iden&i8(ar !a+ %ani1e+&a(ione+ (!2ni(a+ de -e%a&o%a re&ro#eri&onea!4

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ANATOMA DEL

RETROPERITONEO E+ e! e+#a(io que -a* en&re !a (avidad#eri&onea! * !a #ared #o+&erior de! (uer#o4

E! dia1ra5%a +irve (o%o !2%i&e +u#erior) * !o+%7+(u!o+ e!evadore+ de !a #e!vi+ de!i%i&ane! !2%i&e in1erior4

E! !i%i&e an&erior e+&' 1or%ado #or !a #ared#o+&erior de! #eri&oneo #arie&a! * #ore+#a(io+ que -a* en&re !a+ (a#a+ de !o+%e+en&erio+ d! in&e+&ino de!5ado * 5rue+o4

E! !2%i&e #o+&erior e+&' 1or%ado #or !a(o!u%na ver&e$ra!) e! #+oa+ * e! %u+(u!o(uadrado !u%$ar) * !a+ #or(ione+ &endino+a+de !o+ %7+(u!o+ a$do%ina!e+ &ran+ver+a!e+4

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RGANOS DEL

RETROPERITONEO

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N:E! -e%a&o%a re&ro#eri&onea! e+#on&'neo .HRE0 e+ uen1er%edad rara) que +e de8ne (o%o e! -e%a&o%a re&ro#eri&oneo o de! %e+en&erio que o(urre +in -i+&ore(ien&e de &rau%a) &ra&a%ien&o an&i(oa5u!an&e

en1er%edad va+(u!ar4Se !o -a dividido en3

H4 re&ro#eri&onea! &rau%'&i(o4

H4 re&ro#eri&onea! a &rau%'&i(o .S2ndro%e 9under!i(-04

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CLASIFICACINRETROPERITONEAL:

He%a&o%a+re&ro#eri&onea!e+ (en&ra!e+ *%edia!e+4

He%a&o%a+re&ro#eri&onea!e+ en e!:an(o4

He%a&o%a+re&ro#eri&onea!e+ #/!vi(o+4

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RETROPERITONEAL

TRAUMTICO

La (au+a %'+ (o%7n de -e%orra5ia re&ro#eri&oneauna 1ra(&ura #/!vi(a) .;

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En o&ro+ (a+o+) de+#u/+ de a!5una+ -ora+ o$+erva (o!ora(i6n en !o+ :an(o+ #or -e%orra5

re&ro#eri&onea! .+i5no de re* Turner0 o Si5no Cu!!en que e+ !a equi%o+i+ #eriu%$i!i(a! qindi(ador de -e%orra5ia re&ro#eri&onea!4

La di+%inu(i6n #ro5re+iva de !a -e%o5!o$ina *-e%a&o(ri&o e+ una a!&era(i6n (on+&an&e * en @