surgical forceps for modified radical or simple mastectomy - mariana branco & shruti agrawal

7/23/2019 Surgical Forceps for Modified Radical or Simple Mastectomy - Mariana Branco & Shruti Agrawal

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ώ # Og|cmh ~z|d~~2 ϊ # ^`dm| ~z|d~~2 Z # Zg|~fgo/

N/ [|glhdc~ ~ghydj

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YF / NGOND[ZTMH ^GHTZFGO

Gt| {|g{g~dj ~ghtzfgo gi z d ig|nd{~ dc{hgv~ z d

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gi ig|nd{~ `m~ z`|dd {m|z~5 z`d qg|bfoa doj z`d ~`miz moj

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[m|mcdz|fn </; \ moj Bdv^`gz \ i|gc Ifat|d =: zg <;/ Z`d

omh yd|~fgo gi z`d fo~z|tcdoz f~ |d{|d~dozdj fo Ifat|d <;/

M/ Qg|bfoa doj~

Qd mfc mz ~ghyfoa z`d |~z zqg {|glhdc~ ~zmzdj mlgyd

lv {|gyfjfoa fz hm|ad moj nt|ydj |mz d| z`mo ~cmhh moj mz

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qg|bfoa doj~ gi z`d odq jdyfnd f~ afydo ldhgq5

Momzgcv gi z`d qg|bfoa doj~5 Dmn` gi z`d qg|bfoa doj~

f~ ngc{g~dj gi z`d zqg hmvd|~ (Ifat|d =<& # ~zmfohd~~ ~zddh hmvd|

moj {hm~zfn hmvd|/ ^zddh hmvd| f~ j|mqo jf|dnzhv i|gc z`d ~`miz

q`fhd z`d {hm~zfn hmvd| f~ fo ig|c gi jdzmn`mlhd {mj~ gyd| z`d

~zmfohd~~ ~zddh hmvd|~/ Fz f~ gohv z`f~ {hm~zfn z`mz f~ fo ngozmnz

qfz` dfz`d| ~fjd gi z`d ~bfo q`fhd ~zddh et~z ig|c~ z`d ~nmiighj/

Z`d {hm~zfn {mj~ m|d jf~{g~mlhd moj ct~z ld |d{hmndj mizd| m

~t|ad|v/

Ifat|d =<5 Jdzmfhdj yfdq gi z`d qg|bfoa doj~/

^`m{d gi z`d qg|bfoa doj~5 Z`d zqg qg|bfoa doj~ m|d

nt|ydj mhgoa z`d hgoafztjfomh jf|dnzfgo moj z`d nt|ymzt|d ig|

lgz` f~ fo z`d ~mcd jf|dnzfgo q`fn` f~ {d|{dojfnthm| zg z`df|

~t|imnd (Ifat|d =>&/ Z`d doj qfz` z`d ~`m|{ ngozmnz ~t|imnd

(food| ~t|imnd& f~ ngoydp zg z`d food| ~fjd gi z`d ~bfo q`fhd z`d

doj qfz` z`d mz|mtcmzfn ngozmnz ~fjd (gtzd| ~t|imnd& f~ ngonmyd

zg z`d gtzd| ~fjd gi z`d ~bfo/ Z`t~ q`do z`d ~bfo m{ f~ hfizdj

moj `dhj lv z`d~d nhmc{~ z`d qg|bfoa doj~ `myd z`d ~mcd

nt|ymzt|d m~ z`d hfizdj ~bfo/ Z`d zqg m{~ gi z`d qg|bfoa doj~

qgthj ig|c nt{~ ~mojqfn`foa z`d ~bfo m{ ldzqddo z`dc/

^t|imnd m|dm gi z`d qg|bfoa doj~5 Gt| ~bfo f~ yd|v dhm~zfn

~g fz oddj~ m hm|ad ig|nd zg `ghj z`d ~bfo m{/ Z`d l|dm~z ~bfom{ tojd| qg|b f~ gi }tfzd m hm|ad m|dm/ Z`d ~t|imnd m|dm gi

z`d qg|bfoa doj~ gi z`d {|g{g~dj jd~fao f~ hm|ad| z`mo z`d

ngoydozfgomh ig|nd{~ zg jf~z|fltzd z`d ig|nd gyd| m hm|ad| m|dm

gi ~bfo moj z`t~ |djtnfoa z`d {|d~~t|d mz mhh z`d {gfoz~/ Z`d

~fud gi z`d qg|bfoa m|dm~ f~ m{{|gpfcmzdhv :/4nc/

Fozd|imnd qfz` z`d ~bfo5 Qd `myd ngond{ztmhfudj igt| zv{d~

gi {hm~zfn hmvd|~ z`mz nmo ld zzdj go z`d nhmc{~ jd{dojfoa

go z`d mcgtoz gi a|f{ oddjdj/ Z`dv ym|v i|gc dmn` gz d|

fo zd|c~ gi z`df| ~t|imnd m|n`fzdnzt|d/ Z`d ~t|adgo f~ i|dd zg



Ifat|d =>5 I|goz yfdq gi z`d ig|nd{~/

t~d jfiid|doz zv{d~ gi {mj~ go z`d zqg doj~ mz z`d ~mcd zfcd/

Ighhgqfoa m|d z`d zv{d~ gi ~t|imnd~5

Zv{d =5 ^cggz` ~t|imnd m~ ~`gqo fo Ifat|d =: q`fn`

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Zv{d <5 If~ #l|t~` hfbd ~t|imnd/ Fz `m~ oddjhd#hfbd

{|gz|t~fgo~ q`fn` m|d ogz {d|{dojfnthm| zg z`d ~t|imnd/ ^tn`

m hmvd| f~ t~dith ig| a|f{{foa qfz` z`d food| ~fjd gi z`d ~bfo/

Zv{d >5 Z`|dmjdj ~t|imnd qfz` z|mo~yd|~d z`|dmj~ ~z|dzn`foa

i|gc god doj zg z`d gz`d|/

Zv{d :5 ^t|imnd qfz` jf~n|dzd ~cmhh |gtoj lmhh~ ~nmzzd|dj

mhh gyd| fz/ Z`d~d lmhh~ ogz gohv qgthj p fozg z`d a|ggyd~ gi

z`d food| ~fjd gi z`d ~bfo mhgoa qfz` |djtnfoa i|fnzfgo qfz`

z`d gtzd| ~bfo ltz mh~g fon|dm~d lhggj nf|nthmzfgo go z`d gtzd|

~t|imnd/ Z`d lmhh~ cmv mh~g `myd jfiid|doz jda|dd~ gi z`fnbod~~

`fa` moj {gfozdj ~`m{d~/

Z`d qg|bfoa m|dm~ (ogq |did||dj m~ `dmj~& qd|d z do

jd~faodj zg ld jf~{g~mlhd moj cmjd gi {hm~zfn g| hmzdp bfoj

gi cmzd|fmh moj qfz` jfiid|doz zdpzt|d~ moj jda|dd~/ Fo gz`d|

qg|j~ ngo~fjd|foa z`d zv{d gi ~t|ad|v moj ~bfo z`d ~t|adgo

nmo n`gg~d ldzqddo m ~`m|{d| moj cg|d mz|mtcmzfn ~`m{d

gi z`d `dmj~/ Z`d zzfoa cdz`gj ldzqddo z`d `dmj~ moj z`dqg|bfoa m|dm~ gi z`d ig|nd{~ f~ m ngccgo Z#~`m{d ~hf{ zzfoa

(Ifat|d =4&/

Ifat|d =:5 ^`m{d gi z`d `dmj~/

L/ ^`miz moj @mojhd

Z`d ~`miz gi z`d ig|nd{~ f~ ~z|mfa`z ~fcfhm| zg z`g~d gi z`d

Cfhhfo moj gz`d| t~tmh ig|nd{~/ Z`d `mojhd f~ ~fcfhm| zg z`g~d

gi ngoydozfgomh ~nf~~g|~/

Ifat|d =9 moj Ifat|d =1 ~`gq z`d zdn`ofnmh j|mqfoa~ gi z`d

jd~faodj ig|nd{~ moj z`d ~t|imnd m|n`fzdnzt|d~/ Jdd{d| fo~fa`z

gi z`d cdn`mofnmh {|g{d|zfd~ gi gt| ~bfo moj m jdzmfhdj ig|nd

jfma|mc gi z`d ~bfo m{ tojd| zdo~fgo m|d oddjdj zg jd~fao

Ifat|d =45 @gq z`d qg|bfoa doj z~ z`d {hm~zfn `dmj~/

z`d g{zfctc jfcdo~fgo~ gi z`d~d ig|nd{~ q`fn` cfofcfud~ z`d

~z|d~~ go z`d ~bfo moj mh~g dm~d~ z`d cdz`gj gi `ghjfoa z`d

ig|nd{~/ Z`d ngoydozfgomh ~fud gi z`d zgzmh ig|nd{~ ~`gthj ld

ldzqddo =1nc moj <4nc moj ~g qd g{zdj <;nc/ Cg|dgyd|

~fond z`d qg|bfoa doj~ m|d m~vccdz|fn fz qm~ odnd~~m|v zg

nghgt| m ~`miz jfiid|dozhv ~g fz qgthj ld dm~v zg |dngaofud

q`fn` ~`miz (vdhhgq ~`miz& qgthj `mojhd z`d gtzd| {m|z gi z`d

~bfo/

Ifat|d =95 Zdn`ofnmh j|mqfoa ~`gqfoa z`d ~`m{d gi z`d

fo~z|tcdoz/

YFF/ JD^N\F[ZFGO GI Z@D [\GND^^ ZGQM\J^ Z@D

NGOND[ZTMH ^GHTZFGO

Z`d {|gnd~~ gi jdydhg{foa z`d odq jd~fao foyghydj m

z`g|gta` tojd|~zmojfoa gi z`d momzgcv moj ngc{|d~~fyd moj

zdo~fhd ~z|doaz ~ gi z`d ~bfo fo ym|fgt~ jf|dnzfgo~/ If|~z mo

dhmlg|mzd {hmo qm~ cmjd ngozmfofoa z`d cmfo ~zd{~ zgqm|j~

z`d agmh fonhtjfoa5 =& itojmcdozmh |d~dm|n` mlgtz ig|nd{~ <&

{|g{d|zfd~ gi z`d ~bfo >& cmzd|fmh~ moj lfgcmzd|fmh~ :& jd~fao

moj d|agogcfn~ moj 4& itzt|d qg|b moj {|g~{dnz~/

Fo dmn` ~zd{ z`d cdjfnmh ~t|adgo‖~ iddjlmnb qm~ zmbdo

fozg mnngtoz fo g|jd| zg mn`fdyd mo g{zfcmh ~ghtzfgo/ Omcdhvjt|foa z`d cmzd|fmh n`gfnd moj jd~fao {|gnd~~ fz qm~ n|tnfmh

zg tojd|~zmoj z`d ~t|adgo‖~ g{fofgo moj fjdm mlgtz z`d t~mad

gi z`d fo~z|tcdoz~/ Z`d |~z fjdm gi z`d jd~fao qm~ m god#{fdnd

fo~z|tcdoz ltz z`do fz qm~ cgjfdj fozg mo fo~z|tcdoz qfz`

jf~{g~mh `dmj~ m~ cdozfgodj {|dyfgt~hv/ Fo g|jd| zg ithhv

jd~fao z`f~ fo~z|tcdoz fz qgthj ld odnd~~m|v zg mn}tf|d cg|d

foig|cmzfgo mlgtz dyd|v {g~~flhd cmzd|fmh moj {d|ig|c ~gcd

zd~z~ moj ~fcthmzfgo~ qfz |dmh ~bfo fo g|jd| zg {|gednz z`d

ng||dnz jfcdo~fgo~ moj cdn`mofnmh {|g{d|zfd~/



Ifat|d =15 Zdnòfnmh j|mqfoa ~`gqfoa z`d Z#zzfoa moj ~t|imnd

m|n`fzdnzt|d~/

Ifat|d =05 Hmzd|mh yfdq gi z`d ig|nd{~/

Ifomhhv z`f~ fo~z|tcdoz m~ fz qm~ jdydhg{dj moj {|gzgzv{dj

nmo ld {|g{g~dj zg cmov ~t|afnmh fo~z|tcdoz~ ngc{mofd~/ Z`d

cmfo ngc{mofd~ fo z`d cm|bdz gi ~t|afnmh fo~z|tcdoz~ m|d

Nfzdh Ngjcmo Egò~go ) Egò~go Dz`fngo Hf~zd| ^t|afnmh

mcgoa~z cmov/

YFFF/ GTZNGCD GI LGZ@ Z@D ^D^^FGO^ QFZ@ Z@D

CDJFNMH DP[D\Z MOJ DYMHTMZFGO

Z`d cddzfoa~ qfz` J|/ Htf~ L|mong qd|d g|amofudj gyd|m yfjdg ngoid|dond/ Z`d|d qd ~`gqdj `fc z`d zdnòfnmh

j|mqfoa~ gi gt| jd~fao dp{hmfodj fz~ qg|bfoa moj jf~nt~~dj

mlgtz z`d cmzd|fmh~ ig| cmbfoa dpflhd {mj~/ @d qfz `f~

dp{d|fdond dymhtmzdj z`d fjdm moj m{{|dnfmzdj fz m~ m `tad

fc{|gydcdoz/ Ogodz dhd~~ `d ~taad~zdj t~ zg |d~z|fnz z`d

nt|ymzt|d gohv go z`d z|mo~yd|~d jf|dnzfgo moj zg hdmyd fz mz

fo z`d ~dngoj jf|dnzfgo/ @d mh~g m{{|gydj z`d t~d gi {hm~zfn

{mj~ i|gc z`d {gfoz gi yfdq gi jf~foidnzfgo moj ~zd|fhfumzfgo/

@gqdyd| z`d jf~nt~~fgo qfz` `fc hdj t~ zg m ngonht~fgo z`mz

Ifat|d =65 Ifomh cgjdh qfz` zqg nghgt|dj ~`miz~ moj nghgt|dj

`dmj~/

fz f~ {g~~flhd zg `myd jf~{g~mlhd {hm~zfn {mj~ qfz` jfiid|doz

~t|imnd ml|m~fgo~/

@dond z`d omh jd~fao |djtnd~ z`d {|d~~t|d {d|{dojfnthm| zg

z`d ~bfo lv fon|dm~foa z`d ~t|imnd m|dm/ Z`d zg|~fgo f~ |djtndj

lv `myfoa nt|ymzt|d fo z|mo~yd|~d jf|dnzfgo |mz`d| z`mo `myfoa

mz imnd~/ Cg|dgyd| fz {|gyfjd~ m ldzzd| a|f{ qfz` z`d food|

moj z`d gtzd| ~bfo bdd{foa z`d lhggj nf|nthmzfgo fozmnz/

F P/ IFOMH \D^THZ^ MOJ JF^NT^^FGO

Z`d {|glhdc ~taad~zdj qm~ zg jd~fao m {mf| gi ig|nd{~

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surgical forceps for modified radical or simple mastectomy - mariana branco & shruti agrawal

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