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DR. MELENDEZ: Catch that bleeder, please. DR. REZNICK: Let's hope he doesn't breed

The Good Doctor

Clearing laps. ♪♪ I will hold the repairedsegment in place whileyou run the bowel for me....

The Good Doctor • S01E18 • 2017

DR. MELENDEZ:Catch that bleeder, please. DR. REZNICK:Let's hopehe doesn't breed. What?He isn't an idiot? DR. MELENDEZ:We have healthy bowelattached to healthy bowel. Let's close him up. Dr. Melendez?The trauma S.O.D. is askingfor you in O.R. number 2. We gotan emergency thoracotomy. DR. MELENDEZ:Who can give me theremaining steps for closing? DR. REZNICK: Cut anchoringsutures, clear laps,and reposition the bowel. Remove clamps fromthe duodenal resection site, keeping clearof the underlying aorta, close the fasciausing a looped O monofilament, close the dermal layer,then re-approximate the skin. SHAUN:Also, you need to ensureno omentum is caught in thefascial suture line. DR. MELENDEZ: Close him up. Murphy, you're lead. ♪♪ SHAUN: Clearing laps. ♪♪ I will hold the repairedsegment in place whileyou run the bowel for me. ♪♪

Full Transcript

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MONITOR BEEPING

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DR MELENDEZ Catch that bleeder please

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DR REZNICK Let's hope he doesn't breed

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What He isn't an idiot

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DR MELENDEZ We have healthy bowel attached to healthy bowel

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Let's close him up

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Dr Melendez The trauma S O D is asking for you in O R number 2

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We got an emergency thoracotomy

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DR MELENDEZ Who can give me the remaining steps for closing

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DR REZNICK Cut anchoring sutures clear laps and reposition the bowel

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Remove clamps from the duodenal resection site

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keeping clear of the underlying aorta

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close the fascia using a looped O monofilament

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close the dermal layer then re approximate the skin

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SHAUN Also you need to ensure no omentum is caught

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in the fascial suture line

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DR MELENDEZ Close him up

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Murphy you're lead

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SHAUN Clearing laps

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I will hold the repaired segment in place while you run the bowel for me

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أمسك بهذا النازف من فضلك لنأمل أنه لا يتكاثر

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ماذا أوليس أحمقا

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لدينا أمعاء صحيحة متصلة بأمعاء صحيحة لنغلق جرحه

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د ميلنديز

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طبيب الصدمات يسأل عنك في غرفة عمليات رقم 2

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لدينا جراحة بضع صدر طارئة

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من بوسعه إعطائي الخطوات المتبقية للإغلاق

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قطع قطب التثبيت وإزالة المناشف وإعادة وضع الأمعاء بمكانها

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إزالة المشبك من موضع استئصال الإثنى عشر

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الابتعاد عن الشريان الأورطي الواقع أسفلها

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إغلاق اللفافة باستخدام خيط أحادي حلقي

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إغلاق الطبقة الجلدية ومن ثم إعادة توصيل أنسجة الجلد

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أيضا تحتاجين للتأكد أن غشاء الأمعاء ليس عالقا في خط التقطيب اللفافي

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أغلقي جرحه مورفي أنت المسؤول

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جاري إزالة المناشف

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سأمسك بالجزء الذي تم إصلاحه في مكانه

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بينما تديرين الأمعاء لي

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请堵住出血点希望他不要繁殖

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怎么他难道不是个傻蛋吗

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他的消化道修补好了开始缝合吧

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梅伦德斯医生

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创伤科呼叫你去二号手术室

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有一台紧急开胸手术

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谁能告诉我余下的缝合步骤有什么

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剪断锚定缝线清理周边区域并将消化道归位

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从十二指肠切除处移除夹钳

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不要遮挡下方主动脉

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用环形单纤维线缝合筋膜

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缝合真皮层对表皮实行近接疗法

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而且你要确保没有任何网膜卡在筋膜缝合线之中

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缝合吧墨菲你主刀

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清理周边区域

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你们检查消化道的时候

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我会让修补好的部分保持原位

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Find bløderen Lad os håbe han ikke yngler

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Hvad er han ikke idiot

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Vi har sund tarm på sund tarm Lad os sy ham sammen

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Dr Melendez

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Patienten i operationsstue to har brug for dig

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Vi har en thorakotomi

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Hvem kan give mig de sidste trin til lukke

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Klippe de fastgørende sting frigøre området og genindsætte tarmen

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Fjerne klemmerne fra det duodenale resektionssted

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holde det frit for den underliggende aorta

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Lukke fasciaen med et O'formet monofilament

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Lukke det dermale lag og revurdere huden

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Og man skal sikre at tarmnettet ikke sidder fast i fascialsyningen

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Sy ham sammen Murphy du fører an

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Frigør området

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Jeg holder det reparerede segment på plads

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mens du styrer tarmen for mig

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Pak die bloeding alsjeblieft Hopelijk krijgt hij geen kinderen

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Wat is hij geen sukkel

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We hebben gezonde darm aan gezonde darm vastgemaakt We naaien hem dicht

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Dr Melendez

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Het traumateam vraagt naar je in OK nummer twee

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We hebben een noodthoracotomie

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Wie kan me de overgebleven stappen geven om af te ronden

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Snij de hechtankers los verwijder gaasjes en herplaats de darm

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Klemmen verwijderen van de duodenale resectieplaats

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bij de onderliggende aorta vandaan blijven

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Sluit het bindweefsel met gebruik van gelust monofilament

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Sluit de huidlaag dan de huid hechten

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En verzeker dat het omentum majus niet wordt meegenomen bij het hechten

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Maak hem maar dicht Murphy jij leidt

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Gaasjes verwijderen

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Ik hou het herstelde deel op zijn plek

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terwijl jullie de darm nalopen

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Nappaa se Toivotaan ettei hän lisäänny

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Mitä eikö hän sinusta ole idiootti

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Terve suoli Suljetaan leikkaushaava

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Tri Melendez

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Traumaosastolta pyydettiin sinua leikkaussaliin numero kaksi

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Meillä on kiireinen torakotomia

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Kuka käy läpi loput sulkemisvaiheet

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Leikataan tikit ja asetellaan suoli paikoilleen

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Poistetaan puristimet pohjukaissuolen resektioalueelta

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ei kosketa alla olevaan aorttaan

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Suljetaan peitinkalvo monofilamenttilangalla

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Suljetaan ihokerros ja yhdistetään iho uudelleen

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Pitää myös varmistaa ettei vatsakalvoa päädy ompelukohtaan

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Sulkekaa leikkaushaava Murphy johdat työtä

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Puhdistamme alueen

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Pidän korjattua aluetta paikoillaan

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kun hoidatte suolen

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Coupez le fil

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Espérons qu'il ne se reproduise pas

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C'est un crétin

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Intestins réséqués

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On referme

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Dr Melendez on vous demande au bloc 2

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Thoracotomie en urgence

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Les étapes de la fermeture

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Couper les sutures

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repositionner l'intestin

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retirer les clamps sans léser l'aorte sous jacente

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refermer le derme puis l'épiderme en rapprochant les berges

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Mais aussi

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vérifier qu'on n'a pas suturé l'épiploon avec les fascias

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Refermez

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Murphy vous dirigez

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Je retire les compresses

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Je vais immobiliser

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la section suturée inspectez le reste de l'intestin

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Nehmen Sie den Aderlasser bitte Hoffentlich kriegt er keine Kinder

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Was ist er kein Idiot

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Gesunder Darm ist mit gesundem Darm verbunden Nähen wir ihn zu

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Dr Melendez

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Sie werden in OP zwei gebraucht

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Wir haben eine dringende Thorakotomie

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Wer kann mir sagen was noch erledigt werden muss

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Die Ankernähte abschneiden säubern und den Darm positionieren

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Die Klammern von der duodenalen Resektionsstelle entfernen

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auf die darunterliegende Aorta achten

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Das Bindegewebe mit einem Einzelfaden schließen

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Die Dermis schließen dann die Haut wieder angleichen

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Man muss auch sichergehen dass sich kein Omentum in der Naht verfängt

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Machen Sie ihn zu Murphy Sie übernehmen die Leitung

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Säubere die Falten

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Ich halte den reparierten Bereich an der richtigen Stelle

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während du den Darm positionierst

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עצור את הדימום שם בבקשה בואו נקווה שהוא לא יתרבה

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מה הוא לא אידיוט

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מעי בריא צמוד למעי בריא בואו נסגור אותו

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ד ר מלנדז

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צוות הטראומה מבקש שתגיע לחדר ניתוח מספר שתיים

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יש לנו מקרה חירום של נקז צידרי

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מי יכול לומר לי את הצעדים שנותרו לסגירה

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לחתוך תפרי גיבוי להוציא חוצצים ולהחזיר את המעיים למקומם

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להוציא מלחציים מאזור הסרת התריסריון

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לשמור מרחק מאבי העורקים שעובר מתחת

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לסגור את הרקמה באמצעות לולאת או סינתטית

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לתפור את שכבת העור ואז לסדר מחדש את העור

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כמו כן צריך לוודא שקרום המעי לא נתפס בקו התפר

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תסגרו אותו מרפי תוביל

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להוציא חוצצים

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אני אחזיק במקום את האיבר המטופל

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בזמן שאתן תזיזו את המעיים עבורי

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Tolong ambil pembuluh darah itu Semoga dia tak berkembang biak

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Apa dia bukan orang bodoh

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Bowel sehat sudah terpasang pada bowel sehat Ayo kita tutup dia

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Dokter Melendez

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SOD trauma memintamu ke ruang operasi nomor dua

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Ada darurat torakotomi

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Siapa yang bisa melakukan sisa langkah penutupannya

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Potong benang bersihkan area lalu letakkan kembali bowelnya

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Ambil penjepit dari area sayatan usus dua belas jari

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jangan sampai terkena aorta di bawahnya

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Tutup fascia dengan benang monofilamen satu helai

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Tutup lapisan dermal lalu kembalikan kulitnya

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Juga pastikan tak ada omentum tersangkut di garis jahitan fascia

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Tutup dia Murphy kau memimpin

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Membersihkan area

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Aku akan menahan segmen yang diperbaiki tetap di tempatnya

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sementara kau periksa bowelnya untukku

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Fermiamo l'emorragia Speriamo non si riproduca

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Cosa non è un idiota

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L'intestino è sano richiudiamolo

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Dottor Melendez

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Traumatologia la vuole nella sala operatoria numero due

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Abbiamo una toracotomia d'emergenza

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Chi può dirmi i passi successivi per la chiusura

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Tagliare le ancore di sutura pulire e riposizionare l'intestino

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Rimuovere le pinze dalla resezione duodenale

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lontano dall'aorta sottostante

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Chiudere la fascia usando un monofilamento circolare

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Chiudere lo strato dermico e sistemare la pelle

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Assicuratevi che non sia rimasto omento nella linea di sutura fasciale

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Chiudetelo Murphy guida tu

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Procediamo

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Rimetto il segmento riparato in sede

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mentre tu tiri l'intestino

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그 혈관 잡아 넌 자식 낳지 마라

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멍청이잖아

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건강한 장끼리 연결했어 봉합하지

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멜렌데스 선생님

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외상팀이 2번 수술실로 와달랍니다

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응급 개흉술이에요

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봉합 절차를 말해볼 사람

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고정용 봉합사 자르고 도구 정리하고 장을 원위치하고

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십이지장 절개 부위의 죔쇠 제거하고

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밑의 대동맥 정리하고

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고리 단일섬유로 근막을 닫고

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피층을 닫고 피부를 원래대로 합니다

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또한 그물막이 근막 봉합사에 걸리지 않게 합니다

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봉합해 머피 네가 맡아

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도구 정리합니다

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치료한 부분을 잡고 있을 테니

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장을 확인해주십시오

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Fiks den blødningen La oss håpe han ikke formerer seg

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Hva er han ikke en idiot

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Vi har frisk tarm festet til frisk tarm Vi lukker

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Dr Melendez

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Traumelegen spør etter deg på operasjonsstue to

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Vi har en akutt torakotomi

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Hvem kan si meg trinnene for lukking

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Klipp festesuturer fjern folder og omplasser tarmen

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Fjern klemmer fra reseksjonsstedet på tolvfingertarmen

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og hold avstand fra den underliggende aorta

00:00:24.398 --> 00:00:26.275

Lukke muskelhinnen med en monafilament

00:00:26.442 --> 00:00:29.403

Luke lærhudlaget og tilpass huden

00:00:30.362 --> 00:00:35.284

Du må også sørge for at tarmnett ikke setter seg fast i suturlinjen

00:00:36.577 --> 00:00:39.622

Lukk ham Murphy du tar ledelsen

00:00:43.626 --> 00:00:44.096

Fjerner kompresser

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Jeg holder det reparerte segmentet på plass

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mens dere går gjennom tarmen

00:00:01.000 --> 00:00:04.753

Zatamuj krwawienie Oby nie miał potomstwa

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Przecież to kretyn

00:00:08.257 --> 00:00:11.343

Połączyliśmy zdrowe jelita Można zaszywać

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Doktorze Melendez

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Urazowy prosi do sali numer dwa

00:00:14.093 --> 00:00:16.515

Mamy nagłą torakotomię

00:00:16.599 --> 00:00:18.517

Kto poda kolejne kroki

00:00:18.601 --> 00:00:20.853

Przycięcie mocowania szwów usunięcie tamponów ustawienie jelita

00:00:20.936 --> 00:00:22.771

Usunięcie zacisków z dwunastnicy

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ostrożne postępowanie z tętnicą

00:00:24.398 --> 00:00:26.275

Zaszycie powięzi nicią jednowłóknową

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Zamknięcie i ułożenie skóry

00:00:30.362 --> 00:00:35.284

Trzeba też uważać żeby szwy nie złapały jamy otrzewnowej

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Zaszywamy Murphy prowadzisz

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Usuwamy tampony

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Przytrzymam naprawiony segment

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a wy puścicie jelito

00:00:01.000 --> 00:00:04.753

Vamos achar a hemorragia Vamos rezar para ele não procriar

00:00:06.547 --> 00:00:08.173

O que ele não é um idiota

00:00:08.257 --> 00:00:11.343

Temos intestino saudável ligado a intestino saudável Vamos fechar

00:00:11.427 --> 00:00:12.595

Dr Melendez

00:00:12.678 --> 00:00:14.847

O trauma está solicitando sua presença na sala de cirurgia dois

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Temos uma toracotomia de emergência

00:00:16.599 --> 00:00:18.517

Quem pode dizer os passos finais para fechar

00:00:18.601 --> 00:00:20.853

Cortar as suturas âncora limpar as dobras e reposicionar

00:00:20.936 --> 00:00:22.771

Remover os grampos do local de ressecção duodenal

00:00:22.855 --> 00:00:24.273

mantendo longe da aorta subjacente

00:00:24.398 --> 00:00:26.275

Fechar a fáscia usando o monofilamento com laço tipo O

00:00:26.442 --> 00:00:29.403

Fechar a camada dermal depois suturar novamente a pele

00:00:30.362 --> 00:00:35.284

E precisa verificar se o omento não ficou preso na sutura

00:00:36.577 --> 00:00:39.622

Fechem no Murphy você lidera

00:00:43.626 --> 00:00:44.096

Limpando as dobras

00:00:47.755 --> 00:00:50.466

Vou manter o segmento corrigido no lugar

00:00:50.591 --> 00:00:53.886

enquanto verifica todo o intestino para mim

00:00:01.000 --> 00:00:04.753

Остановите кровь Надеюсь у него не будет детей

00:00:06.547 --> 00:00:08.173

Что Разве он не идиот

00:00:08.257 --> 00:00:11.343

Кишечный анастомоз наложен Зашиваем

00:00:11.427 --> 00:00:12.595

Доктор Мелендес

00:00:12.678 --> 00:00:14.847

Детская травма вызывает в операционную номер два

00:00:14.093 --> 00:00:16.515

Экстренная торакотомия

00:00:16.599 --> 00:00:18.517

Кто назовет оставшиеся шаги

00:00:18.601 --> 00:00:20.853

Якорные швы ревизия репозиция кишки

00:00:20.936 --> 00:00:22.771

Убрать зажимы с места резекции

00:00:22.855 --> 00:00:24.273

держась подальше от аорты

00:00:24.398 --> 00:00:26.275

Ушить фасцию монофиламентной нитью

00:00:26.442 --> 00:00:29.403

Ушить дерму затем сблизить кожу

00:00:30.362 --> 00:00:35.284

Еще нужно убедиться что сальник не попал в фасциальный шов

00:00:36.577 --> 00:00:39.622

Зашивайте Мерфи за главного

00:00:43.626 --> 00:00:44.096

Ревизия

00:00:47.755 --> 00:00:50.466

Я буду удерживать восстановленный сегмент

00:00:50.591 --> 00:00:53.886

а вы пройдите по ходу кишки

00:00:01.000 --> 00:00:04.754

Paren esa hemorragia por favor Esperemos que no tenga hijos

00:00:06.547 --> 00:00:08.009

Qué acaso no es un imbécil

00:00:08.716 --> 00:00:11.385

Tenemos intestino sano unido a intestino sano Vamos a cerrarlo

00:00:11.469 --> 00:00:12.595

Doctor Melendez

00:00:12.678 --> 00:00:14.889

Los de Cirugía Traumatológica le llaman al quirófano número dos

00:00:14.972 --> 00:00:16.515

Hay una toracotomía de emergencia

00:00:16.891 --> 00:00:18.517

Quién sabe los pasos que faltan en el cierre

00:00:18.601 --> 00:00:20.853

Cortar suturas de anclaje quitar gasas y reposicionar intestino

00:00:20.937 --> 00:00:22.772

Retirar pinzas de la zona de resección duodenal

00:00:22.855 --> 00:00:24.273

sin tocar la aorta subyacente

00:00:24.398 --> 00:00:26.317

Cerrar la fascia usando un lazo de monofilamento

00:00:26.442 --> 00:00:28.235

Cerrar la capa dérmica y volver a aproximar la piel

00:00:30.363 --> 00:00:35.326

Y hay que asegurarse de que no hay omentum atrapado en la línea de sutura fascial

00:00:36.577 --> 00:00:39.664

Cerradlo Murphy tú estás al mando

00:00:43.876 --> 00:00:45.999

Quitando gasas

00:00:47.755 --> 00:00:50.466

Mantendré el segmento reparado en su sitio

00:00:50.591 --> 00:00:53.886

mientras vosotras revisáis el intestino

00:00:01.000 --> 00:00:04.753

Ta den där blödaren tack Låt oss hoppas att han inte andas

00:00:06.547 --> 00:00:08.173

Vad då är han inte en idiot

00:00:08.257 --> 00:00:11.343

Vi har frisk mage knuten till frisk tarm Nu stänger vi honom

00:00:11.427 --> 00:00:12.595

Dr Melendez

00:00:12.678 --> 00:00:14.847

SOD behöver dig i operationssalen

00:00:14.093 --> 00:00:16.515

Vi har en akut torakotomi

00:00:16.599 --> 00:00:18.517

Vem kan säga vad som behövs för att avsluta här

00:00:18.601 --> 00:00:20.853

Kapa förankrande suturer suga upp vätska och återpositionera tarmen

00:00:20.936 --> 00:00:22.771

Avlägsna klämmor från resektionen vid tolvfingertarmen

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och se upp med den underliggande aortan

00:00:24.398 --> 00:00:26.275

Stäng fascian med en enfibertråd

00:00:26.442 --> 00:00:29.403

Stäng hudlagret och återapproximera därefter huden

00:00:30.362 --> 00:00:35.284

Du måste även se till att inget bukhinnenät fastnar i suturlinjen

00:00:36.577 --> 00:00:39.622

Stäng honom Murphy du tar täten

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Suger upp vätska

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Jag håller det reparerade segmentet på plats

00:00:50.591 --> 00:00:53.886

medan du går igenom tarmen åt mig

00:00:01.000 --> 00:00:04.753

Şu kanayan damarı tutun lütfen Umalım da soyunu devam ettirmesin

00:00:06.547 --> 00:00:08.173

Ne var Aptalın teki değil mi

00:00:08.257 --> 00:00:11.343

Sağlıklı barsak segmentini sağlıklı bir segmente bağladık Kapatalım

00:00:11.427 --> 00:00:12.595

Dr Melendez

00:00:12.678 --> 00:00:14.847

Travma cerrahı sizi iki numaralı ameliyathaneye istiyor

00:00:14.093 --> 00:00:16.515

Acil bir torakotomimiz var da

00:00:16.599 --> 00:00:18.517

Kim bana kapatmak için kalan adımları sayar

00:00:18.601 --> 00:00:20.853

Tespit sütürlerini al gazlı bezleri çıkar barsağı eski yerine yerleştir

00:00:20.936 --> 00:00:22.771

Alttaki aortayı ayrı tutarak duodenal rezeksiyon bölgesinden

00:00:22.855 --> 00:00:24.273

klempleri çıkar

00:00:24.398 --> 00:00:26.275

Kıvrımlı bir O monofilamentiyle fasyayı kapat

00:00:26.442 --> 00:00:29.403

Deri tabakasını sütüre et ve sonra deriyi yaklaştır

00:00:30.362 --> 00:00:35.284

Ayrıca omentumun da fasyal sütür hattına girdiğine emin olman lazım

00:00:36.577 --> 00:00:39.622

Hastayı kapatın Murphy sen öncülük et

00:00:43.626 --> 00:00:44.096

Gazlı bezleri çıkarıyorum

00:00:47.755 --> 00:00:50.466

Siz benim için barsağı kontrol ederken

00:00:50.591 --> 00:00:53.886

ben tamir edilen segmenti yerinde tutacağım

Available in 19 languages

Duration

60 seconds

Views

23

Timestamp in Movie

00:07:22

Uploaded

Mar 08, 2026

Season

1

Episode

18

Genres

Production

ABC Studios,3AD,Sony Pictures Television,ABC Signature

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Movie Summary

Shaun Murphy, a young surgeon with autism and Savant syndrome, is recruited into the surgical unit of a prestigious hospital.