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视频链接：（复制下方链接然后搜索即可查看） https://www.dxy.cn/bbs/newweb/pc/post/46220232
机器翻译字幕，仅供参考： [Music] here we have a 41 year old lady [音乐]在这里，我们有一位 41 岁的女士 with a biopsy proven melanoma in situ on the left ， lower leg today under local anaesthetic we will perform a wide local excision 今天在局部麻醉下，活检证实左小腿原位黑色素瘤，我们将进行广泛的局部切除 and repair the defect with a rotation flap 并用旋转皮瓣修复缺损， here the area is being excised down to mid 该区域正在切除至中部 fat the skin and fatty tissue are excised 脂肪 皮肤和脂肪组织被切除 [Music] [音乐 the flap is now incised also down to mid fat ] 皮瓣现在也被切开到中部脂肪 the corner of the flap is rounded using scissors 皮瓣的角落用剪刀弄圆 [Music] the flap is then elevated using a rake [音乐]然后用耙子 and scissors using blunt and sharp dissection 和剪刀用钝和锋利的解剖将皮瓣抬起 [Music] after hemostasis has been achieved [ 音乐]在通过压迫实现止血后， through courtry the tumor defect is sutured with 用 interrupted 3-0 nylon sutures 间断的 3-0 尼龙线缝合肿瘤缺损 interrupted sutures are then placed around the periphery ，然后将间断的缝合线放置在周围， slowly closing the defect 慢慢闭合缺损 [Music] and then the remaining defect is closed [音乐]，然后 with interrupted sutures 用间断的缝合线 the patient has been asked to elevate and rest the leg for at least the next 缝合患者已被缝合的剩余缺损要求至少在接下来的 seven days half the researchers may be removed in 7 天内抬高患肢 10 days and if the wound is healing well the remaining sutures may be removed 10天后伤口愈合良好就可以拆线 thank you very much for watching 非常感谢您的观看
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