{"id":1351,"date":"2023-04-06T22:06:53","date_gmt":"2023-04-06T15:06:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1351"},"modified":"2023-04-18T15:45:56","modified_gmt":"2023-04-18T08:45:56","slug":"phau-thuat-noi-soi-dieu-tri-thoat-vi-ben","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n"},"content":{"rendered":"

Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n <\/a>l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i sau m\u1ed5 nhanh, \u0111\u1ed3ng th\u1eddi \u0111\u1ea1t t\u00ednh th\u1ea9m m\u1ef9 cao. Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n v\u00e0o n\u0103m 1992. \u0110\u01b0\u1eddng cong h\u1ecdc t\u1eadp trong ph\u1eabu thu\u1eadt n\u1ed9i soi n\u00e0y \u01b0\u1edbc t\u00ednh kho\u1ea3ng 50-100 ca. Khi th\u1ef1c hi\u1ec7n b\u1edfi m\u1ed9t ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 kinh nghi\u1ec7m (>100 ca), tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t l\u00e0 th\u1ea5p.<\/p>\n

1. Gi\u1ea3i ph\u1eabu h\u1ecdc v\u00f9ng b\u1eb9n qua n\u1ed9i soi<\/h2>\n

1.1. C\u00e1c l\u1edbp ph\u1eabu thu\u1eadt<\/h3>\n

Ph\u00fac m\u1ea1c: l\u00e0 l\u1edbp trong c\u00f9ng c\u1ee7a th\u00e0nh b\u1ee5ng, c\u00f3 c\u1ea5u t\u1ea1o l\u00e0 m\u1ed9t m\u00e0ng m\u1ecfng, \u0111\u00e0n h\u1ed3i, m\u1eb7t trong tr\u01a1n l\u00e1ng, c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m ma s\u00e1t cho c\u00e1c t\u1ea1ng trong b\u1ee5ng, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ng\u0103n ng\u1eeba tho\u00e1t v\u1ecb. V\u00ec c\u00f3 l\u1edbp m\u1ee1 ngo\u00e0i ph\u00fac m\u1ea1c n\u00ean n\u00f3 d\u1ec5 t\u00e1ch r\u1eddi kh\u1ecfi m\u1ea1c ngang \u1edf h\u1ea7u h\u1ebft c\u00e1c n\u01a1i, tr\u1eeb l\u1ed7 b\u1eb9n s\u00e2u.<\/p>\n

M\u1ea1c ngang: l\u00e0 m\u1ed9t l\u1edbp m\u1ea1c li\u00ean t\u1ee5c l\u00f3t m\u1eb7t trong \u1ed5 b\u1ee5ng, g\u1ed3m l\u00e1 tr\u01b0\u1edbc v\u00e0 l\u00e1 sau. T\u1ea1i v\u00f9ng b\u1eb9n, m\u1ea1c ngang l\u00f3t m\u1eb7t trong c\u1ee7a c\u00e2n v\u00e0 c\u01a1 ngang b\u1ee5ng, ng\u0103n c\u00e1ch n\u00f3 v\u1edbi t\u1ed5 ch\u1ee9c m\u1ee1 ngo\u00e0i ph\u00fac m\u1ea1c v\u00e0 ph\u00fac m\u1ea1c.<\/p>\n

C\u00e2n v\u00e0 c\u01a1 ngang b\u1ee5ng: n\u1eeda ngo\u00e0i c\u1ee7a c\u01a1 ngang b\u1ee5ng l\u00e0 c\u01a1, n\u1eeda trong l\u00e0 c\u00e2n. Ngang qua ph\u1ea7n gi\u1eefa v\u00f9ng b\u1eb9n c\u00f3 m\u1ed9t \u0111\u01b0\u1eddng nh\u00ecn th\u1ea5y r\u00f5 \u0111\u00f3 l\u00e0 cung c\u00e2n c\u01a1 ngang b\u1ee5ng.<\/p>\n

1.2.\u00a0\u00a0 C\u00e1c c\u1ea5u tr\u00fac trong khoang ngo\u00e0i ph\u00fac m\u1ea1c<\/h3>\n

Khoang ti\u1ec1n ph\u00fac m\u1ea1c: l\u00e0 m\u1ed9t khoang m\u1ee1 n\u1eb1m gi\u1eefa ph\u00fac m\u1ea1c th\u00e0nh v\u00e0 l\u00e1 sau c\u1ee7a m\u1ea1c ngang, g\u1ed3m hai khoang:<\/p>\n

    \n
  • Khoang Retzius hay khoang sau x\u01b0\u01a1ng mu: <\/strong>l\u00e0 m\u1ed9t khoang \u1ea3o n\u1eb1m gi\u1eefa m\u1ea1c ngang, x\u01b0\u01a1ng mu \u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 b\u00e0ng quang \u1edf ph\u00eda sau, trong khoang n\u00e0y ch\u1ee9a nhi\u1ec1u m\u00f4 li\u00ean k\u1ebft l\u1ecfng l\u1ebbo v\u00e0 m\u1ee1.<\/li>\n
  • Khoang Bogros: <\/strong>l\u00e0 khoang n\u1eb1m \u1edf ph\u00eda ngo\u00e0i v\u00e0 ph\u00eda tr\u00ean c\u1ee7a khoang Retzius, khoang n\u00e0y \u0111\u01b0\u1ee3c chia th\u00e0nh hai b\u1edfi l\u00e1 sau c\u1ee7a m\u1ea1c ngang: ph\u1ea7n tr\u01b0\u1edbc l\u00e0 khoang m\u1ea1ch m\u00e1u, ph\u1ea7n sau \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 khoang Bogros th\u1eadt.\"Khoang<\/li>\n<\/ul>\n

    1.3. C\u00e1c v\u00f9ng nguy hi\u1ec3m<\/h3>\n

    Tam gi\u00e1c t\u1eed (Triangle of doom):<\/strong> tam gi\u00e1c n\u00e0y \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n b\u1edfi c\u1ea1nh ngo\u00e0i l\u00e0 m\u1ea1ch m\u00e1u tinh ho\u00e0n, c\u1ea1nh trong l\u00e0 \u1ed1ng d\u1eabn tinh, c\u1ea1nh d\u01b0\u1edbi l\u00e0 n\u1ebfp ph\u00fac m\u1ea1c. V\u00f9ng gi\u1ea3i ph\u1eabu n\u00e0y th\u1ea5y \u0111\u01b0\u1ee3c khi nh\u00ecn t\u1eeb ph\u00eda l\u1ed7 b\u1eb9n s\u00e2u. B\u00ean trong tam gi\u00e1c n\u00e0y l\u00e0 b\u00f3 m\u1ea1ch ch\u1eadu ngo\u00e0i, t\u0129nh m\u1ea1ch m\u0169 ch\u1eadu s\u00e2u, nh\u00e1nh sinh d\u1ee5c c\u1ee7a th\u1ea7n kinh sinh d\u1ee5c \u0111\u00f9i v\u00e0 th\u1ea7n kinh \u0111\u00f9i (n\u1eb1m \u1edf s\u00e2u).<\/p>\n

    Tam gi\u00e1c \u0111au (Triangle of pain):<\/strong> n\u1eb1m k\u1ec1 ph\u00eda ngo\u00e0i tam gi\u00e1c t\u1eed, \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n c\u1ea1nh ngo\u00e0i l\u00e0 d\u1ea3i ch\u1eadu mu, c\u1ea1nh trong l\u00e0 b\u00f3 m\u1ea1ch sinh d\u1ee5c. Trong tam gi\u00e1c \u0111au c\u00f3 nhi\u1ec1u th\u1ea7n kinh nh\u01b0: th\u1ea7n kinh b\u00ec \u0111\u00f9i ngo\u00e0i, th\u1ea7n kinh b\u00ec \u0111\u00f9i tr\u01b0\u1edbc, nh\u00e1nh \u0111\u00f9i c\u1ee7a th\u1ea7n kinh sinh d\u1ee5c \u0111\u00f9i v\u00e0 th\u1ea7n kinh \u0111\u00f9i. V\u00ec v\u1eady tr\u00e1nh \u0111\u1ed1t \u0111i\u1ec7n, kh\u00e2u ho\u1eb7c d\u00f9ng stapler trong v\u00f9ng n\u00e0y.<\/p>\n

    V\u00f2ng n\u1ed1i ch\u1ebft (Crown of Death):<\/strong> m\u1ea1ng l\u01b0\u1edbi m\u1ea1ch m\u00e1u c\u1ee7a v\u00f2ng n\u1ed1i ch\u1ebft \u0111\u01b0\u1ee3c t\u1ea1o n\u00ean b\u1edfi: \u0111\u1ed9ng m\u1ea1ch ch\u1eadu chung, \u0111\u1ed9ng m\u1ea1ch ch\u1eadu trong, \u0111\u1ed9ng m\u1ea1ch ch\u1eadu ngo\u00e0i, \u0111\u1ed9ng m\u1ea1ch b\u1ecbt, \u0111\u1ed9ng m\u1ea1ch b\u1ecbt b\u1ea5t th\u01b0\u1eddng v\u00e0 \u0111\u1ed9ng m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb d\u01b0\u1edbi. C\u00e1c t\u0129nh m\u1ea1ch \u0111i c\u00f9ng v\u1edbi \u0111\u1ed9ng m\u1ea1ch (c\u00f9ng t\u00ean, h\u01b0\u1edbng \u0111i v\u00e0 v\u1ecb tr\u00ed). link sai<\/p>\n

    \"Tam<\/p>\n

    2. C\u00e1c lo\u1ea1i tho\u00e1t v\u1ecb \u1ed5 b\u1ee5ng<\/h2>\n
      \n
    • Tho\u00e1t v\u1ecb b\u1eb9n (tr\u1ef1c ti\u1ebfp \u2013 gi\u00e1n ti\u1ebfp) v\u00e0 tho\u00e1t v\u1ecb \u0111\u00f9i<\/li>\n
    • Tho\u00e1t v\u1ecb v\u1ebft m\u1ed5, tho\u00e1t v\u1ecb r\u1ed1n\/c\u1ea1nh r\u1ed1n, tho\u00e1t v\u1ecb th\u01b0\u1ee3ng v\u1ecb<\/li>\n
    • Tho\u00e1t v\u1ecb ho\u00e0nh<\/li>\n
    • Tho\u00e1t v\u1ecb khe ho\u00e0nh (tr\u01b0\u1ee3t \u2013 c\u1ea1nh th\u1ef1c qu\u1ea3n)<\/li>\n
    • Tho\u00e1t v\u1ecb ho\u00e0nh b\u1ea9m sinh (Bochdalek \u2013 Morgagni)<\/li>\n
    • Tho\u00e1t v\u1ecb Spigelian (\u0111\u01b0\u1eddng b\u00e1n nguy\u1ec7t)<\/li>\n
    • Tho\u00e1t v\u1ecb b\u1ecbt<\/li>\n
    • Tho\u00e1t v\u1ecb th\u1eaft l\u01b0ng (lumbar hernia)<\/li>\n
    • Kh\u00e1c: Richter, Amyand, Littre, Maydl, Pantaloon\u2026<\/li>\n<\/ul>\n

      3. C\u00e1c lo\u1ea1i ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb ph\u1ed5 bi\u1ebfn<\/h2>\n

      Ph\u1eabu thu\u1eadt TEP (Total extraperitoneal):<\/span><\/strong>\u00a0<\/span>\u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong khoang tr\u01b0\u1edbc ph\u00fac m\u1ea1c. Ph\u1eabu thu\u1eadt vi\u00ean t\u1ea1o m\u1ed9t khoang tr\u1ed1ng gi\u1eefa ph\u00fac m\u1ea1c v\u00e0 th\u00e0nh b\u1ee5ng tr\u01b0\u1edbc.<\/p>\n

      Ph\u1eabu thu\u1eadt TAPP (Total extraperitoneal):<\/strong><\/span> \u0111\u1eb7t l\u01b0\u1edbi \u1edf v\u1ecb tr\u00ed tr\u01b0\u1edbc ph\u00fac m\u1ea1c, \u0111\u01b0\u1ee3c bao ph\u1ee7 b\u1edfi ph\u00fac m\u1ea1c \u0111\u1ec3 gi\u1eef l\u01b0\u1edbi kh\u00f4ng d\u00ednh ru\u1ed9t. B\u1edfi v\u00ec TAPP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong \u1ed5 b\u1ee5ng, kh\u00f4ng gian l\u00e0m vi\u1ec7c l\u1edbn h\u01a1n TEP, v\u1edbi kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn s\u1eb5n s\u00e0ng \u1edf c\u1ea3 hai b\u00ean v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt b\u1ee5ng d\u01b0\u1edbi tr\u01b0\u1edbc \u0111\u00f3. Tuy nhi\u00ean, TAPP c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan trong \u1ed5 b\u1ee5ng l\u00e2n c\u1eadn, d\u00ednh ru\u1ed9t.<\/p>\n

      \"C\u00e1c<\/p>\n

      H\u00ecnh 1. C\u00e1c v\u1ecb tr\u00ed \u0111\u1eb7t mesh<\/p>\n

      4. Ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n

      Ch\u1ec9 \u0111\u1ecbnh: <\/strong>\u0110i\u1ec1u tr\u1ecb d\u1ee9t \u0111i\u1ec3m h\u1ea7u h\u1ebft tho\u00e1t v\u1ecb, th\u01b0\u1eddng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p: tho\u00e1t v\u1ecb l\u1ea7n \u0111\u1ea7u, tho\u00e1t v\u1ecb b\u1eb9n 2 b\u00ean, tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t sau m\u1ed5 m\u1edf, b\u00e9o ph\u00ec.<\/p>\n

      Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/strong><\/p>\n

        \n
      • Kh\u00f4ng ch\u1ecbu \u0111\u01b0\u1ee3c cu\u1ed9c ph\u1eabu thu\u1eadt, g\u00e2y m\u00ea to\u00e0n th\u00e2n<\/li>\n
      • Ph\u1eabu thu\u1eadt v\u00f9ng b\u1ee5ng ch\u1eadu tr\u01b0\u1edbc \u0111\u00f3<\/li>\n
      • Tho\u00e1t v\u1ecb b\u1eb9n k\u1eb9t, ngh\u1eb9t<\/li>\n
      • Tho\u00e1t v\u1ecb b\u1eb9n b\u00ecu qu\u00e1 l\u1edbn<\/li>\n
      • R\u1ed1i lo\u1ea1n \u0111\u00f4ng c\u1ea7m m\u00e1u<\/li>\n
      • B\u00e1ng b\u1ee5ng<\/li>\n
      • T\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng n\u1eb7ng<\/li>\n<\/ul>\n

        5. Quy tr\u00ecnh ph\u1eabu thu\u1eadt<\/h2>\n

        5.1. Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc m\u1ed5:<\/h3>\n
          \n
        • B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i khoa \u1ed5n \u0111\u1ecbnh, \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch k\u1ef9 v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt c\u0169ng nh\u01b0 c\u00e1c tai bi\u1ebfn, bi\u1ebfn ch\u1ee9ng trong v\u00e0 sau khi ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n
            \n
          • B\u00e1c s\u0129 g\u00e2y m\u00ea kh\u00e1m \u0111\u00e1nh gi\u00e1 ASA tr\u01b0\u1edbc m\u1ed5.<\/li>\n
          • V\u1ec7 sinh to\u00e0n th\u00e2n v\u00e0 v\u00f9ng ph\u1eabu thu\u1eadt cho b\u1ec7nh nh\u00e2n.<\/li>\n
          • Nh\u1ecbn \u0103n u\u1ed1ng ho\u00e0n to\u00e0n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt t\u1ed1i thi\u1ec3u 6 gi\u1edd.<\/li>\n<\/ul>\n

            5.2. Ph\u01b0\u01a1ng ph\u00e1p v\u00f4 c\u1ea3m:<\/h3>\n

            G\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n.<\/p>\n

            5.3. Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5 v\u00e0 ph\u01b0\u01a1ng ti\u1ec7n:<\/h3>\n
              \n
            • H\u1ec7 th\u1ed1ng m\u00e1y m\u1ed5 n\u1ed9i soi v\u00e0 m\u00e1y \u0111\u1ed1t \u0111i\u1ec7n.<\/li>\n
            • D\u1ee5ng c\u1ee5 PTNS v\u00e0 m\u1ed5 m\u1edf th\u00f4ng th\u01b0\u1eddng.<\/li>\n
            • T\u1ea5m l\u01b0\u1edbi nh\u00e2n t\u1ea1o 2D ho\u1eb7c 3D<\/li>\n<\/ul>\n

              5.4. T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n v\u00e0 v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt<\/h3>\n
                \n
              • B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, c\u00e1nh tay ph\u00eda \u0111\u1ed1i b\u00ean tho\u00e1t v\u1ecb \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0 c\u1ed1 \u0111\u1ecbnh d\u1ecdc theo th\u00e2n ng\u01b0\u1eddi, trong tr\u01b0\u1eddng h\u1ee3p tho\u00e1t v\u1ecb hai b\u00ean th\u00ec c\u1ea3 hai tay \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0 c\u1ed1 \u0111\u1ecbnh d\u1ecdc theo th\u00e2n ng\u01b0\u1eddi. b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u01b0 th\u1ebf Trendelenburg trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt.<\/li>\n
              • Ph\u1eabu thu\u1eadt vi\u00ean v\u00e0 ng\u01b0\u1eddi ph\u1ee5 1 (c\u1ea7m camera) \u0111\u1ee9ng \u0111\u1ed1i di\u1ec7n b\u00ean tho\u00e1t v\u1ecb, trong \u0111\u00f3 ng\u01b0\u1eddi ph\u1ee5 1 \u0111\u1ee9ng \u1edf v\u1ecb tr\u00ed cao h\u01a1n h\u01b0\u1edbng v\u1ec1 ph\u00eda \u0111\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n. Ng\u01b0\u1eddi ph\u1ee5 2 \u0111\u1ee9ng \u1edf v\u1ecb tr\u00ed th\u1ea5p h\u01a1n ph\u1eabu thu\u1eadt vi\u00ean h\u01b0\u1edbng v\u1ec1 ph\u00eda ch\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

                5.5. K\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt n\u1ed9i soi m\u1ed5 tho\u00e1t v\u1ecb b\u1eb9n<\/h3>\n
                  \n
                • B\u01b0\u1edbc 1: \u0111\u1eb7t trocar v\u00e0o khoang ti\u1ec1n ph\u00fac m\u1ea1c\n
                    \n
                  • R\u1ea1ch da d\u01b0\u1edbi v\u00f2ng c\u00e2n r\u1ed1n, m\u1edf l\u00e1 tr\u01b0\u1edbc bao c\u01a1 th\u1eb3ng b\u1ee5ng, ph\u1eabu t\u00edch t\u00e1ch l\u1edbp c\u00e2n c\u01a1 cho \u0111\u1ebfn l\u00e1 sau c\u1ee7a c\u00e2n c\u01a1 ngang b\u1ee5ng, h\u01b0\u1edbng v\u1ec1 ph\u00eda b\u00ean tho\u00e1t v\u1ecb, d\u00f9ng banh v\u00e9n v\u00e0 n\u00e2ng l\u1edbp c\u01a1 l\u00ean \u0111\u1ec3 b\u1ed9c l\u1ed9 khoang tr\u01b0\u1edbc ph\u00fac m\u1ea1c.<\/li>\n
                  • Trocar \u0111\u1ea7u ti\u00ean v\u1edbi \u0111\u01b0\u1eddng k\u00ednh 10mm \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o khoang tr\u01b0\u1edbc ph\u00fac m\u1ea1c qua ch\u1ed7 b\u1ed9c l\u1ed9 tr\u1ef1c ti\u1ebfp theo ki\u1ec3u Hasson, sau \u0111\u00f3 ti\u1ebfn h\u00e0nh n\u00e2ng nh\u1eb9 v\u00e0 \u0111\u01b0a \u0111\u1ea7u trocar v\u00e0o s\u00e2u theo h\u01b0\u1edbng t\u1ea1o th\u00e0nh m\u1ed9t g\u00f3c 60o<\/sup> v\u1ec1 ph\u00eda x\u01b0\u01a1ng c\u00f9ng.<\/li>\n<\/ul>\n<\/li>\n
                  • B\u01b0\u1edbc 2: ph\u1eabu t\u00edch t\u1ea1o khoang ti\u1ec1n ph\u00fac m\u1ea1c\n
                      \n
                    • K\u00ednh soi ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u0111\u01b0a qua trocar 10 mm \u0111\u1ec3 quan s\u00e1t tr\u1ef1c ti\u1ebfp khoang tr\u01b0\u1edbc ph\u00fac m\u1ea1c. Ti\u1ebfn h\u00e0nh b\u01a1m CO2 \u0111\u1ebfn \u00e1p l\u1ef1c kh\u00f4ng qu\u00e1 12mmHg v\u1edbi t\u1ed1c \u0111\u1ed9 b\u01a1m 5 l\u00edt\/ph\u00fat r\u1ed3i ti\u1ebfn h\u00e0nh ph\u1eabu t\u00edch t\u1ea1o ph\u1eabu tr\u01b0\u1eddng b\u1eb1ng \u0111\u1ea7u c\u1ee7a k\u00ednh soi. C\u00f3 3 m\u1ed1c gi\u1ea3i ph\u1eabu c\u1ea7n \u0111\u01b0\u1ee3c b\u1ed9c l\u1ed9 r\u00f5 r\u00e0ng: x\u01b0\u01a1ng mu, th\u1eebng tinh v\u00e0 b\u00f3 m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb d\u01b0\u1edbi. D\u00f9ng \u0111\u1ea7u k\u00ednh soi ph\u1eabu t\u00edch t\u00f9 theo m\u1eb7t ph\u1eb3ng gi\u1eefa c\u01a1 th\u1eb3ng b\u1ee5ng v\u00e0 bao sau c\u1ee7a n\u00f3 \u0111\u1ebfn giao \u0111i\u1ec3m c\u1ee7a \u0111\u01b0\u1eddng cung v\u00e0 m\u1ea1c ngang (th\u01b0\u1eddng 4 \u2013 6cm d\u01b0\u1edbi r\u1ed1n), ti\u1ebfp t\u1ee5c c\u1eaft \u0111\u01b0\u1eddng cung \u0111\u1ec3 ti\u1ebfp c\u1eadn kh\u00f4ng gian c\u1ee7a khoang Retzius v\u00e0 Bogros, khoang ti\u1ec1n ph\u00fac m\u1ea1c.<\/li>\n
                    • Trocar th\u1ee9 2 v\u1edbi kh\u1ea9u k\u00ednh 5mm \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed trung \u0111i\u1ec3m \u0111\u01b0\u1eddng n\u1ed1i gi\u1eefa r\u1ed1n v\u00e0 x\u01b0\u01a1ng mu tr\u00ean \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa d\u01b0\u1edbi r\u1ed1n. Trocar th\u1ee9 3 \u0111\u01b0\u1ee3c \u0111\u1eb7t ngay ph\u00eda tr\u00ean x\u01b0\u01a1ng mu 2cm ho\u1eb7c 3 kho\u00e1t ng\u00f3n tay tr\u00ean \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa d\u01b0\u1edbi r\u1ed1n.<\/li>\n<\/ul>\n<\/li>\n
                    • B\u01b0\u1edbc 3: ph\u1eabu t\u00edch v\u00e0o khoang Retzius v\u00e0 khoang Bogros\n
                        \n
                      • Ti\u1ebfp t\u1ee5c ph\u1eabu t\u00edch t\u1eeb khoang ti\u1ec1n ph\u00fac m\u1ea1c h\u01b0\u1edbng xu\u1ed1ng d\u01b0\u1edbi, khoang Retzius n\u1eb1m gi\u1eefa m\u1ea1c ngang v\u00e0 l\u1edbp c\u00e2n n\u00f4ng ti\u1ec1n ph\u00fac m\u1ea1c hay l\u1edbp m\u00e0ng c\u1ee7a c\u00e2n ngo\u00e0i ph\u00fac m\u1ea1c. X\u00e1c \u0111\u1ecbnh c\u1ee7 mu, d\u00e2y ch\u1eb1ng Cooper v\u00e0 nh\u00e1nh n\u1ed1i gi\u1eefa \u0111\u1ed9ng m\u1ea1ch b\u1ecbt v\u00e0 \u0111\u1ed9ng m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb d\u01b0\u1edbi. Tho\u00e1t v\u1ecb \u0111\u00f9i v\u00e0 tho\u00e1t v\u1ecb b\u1eb9n tr\u1ef1c ti\u1ebfp d\u1ec5 d\u00e0ng x\u00e1c \u0111\u1ecbnh v\u00e0 x\u1eed tr\u00ed trong giai \u0111o\u1ea1n n\u00e0y.<\/li>\n
                      • N\u1eb1m gi\u1eefa ph\u00fac m\u1ea1c v\u00e0 l\u1edbp c\u00e2n s\u00e2u ti\u1ec1n ph\u00fac m\u1ea1c (ho\u1eb7c l\u1edbp m\u1ee1 b\u00ean trong c\u00e2n ngo\u00e0i ph\u00fac m\u1ea1c). Ph\u1eabu t\u00edch theo chi\u1ec1u ngang v\u1ec1 ph\u00eda gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean, \u0111\u01b0\u1eddng cung b\u00ean g\u1ea7n v\u1edbi \u0111\u01b0\u1eddng b\u00e1n nguy\u1ec7t th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u1eaft \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a kh\u00f4ng gian \u0111\u1eb7t l\u01b0\u1edbi.<\/li>\n<\/ul>\n<\/li>\n
                      • B\u01b0\u1edbc 4: x\u1eed tr\u00ed t\u00fai tho\u00e1t v\u1ecb gi\u00e1n ti\u1ebfp v\u00e0 gi\u1ea3i ph\u00f3ng th\u1eebng tinh\n
                          \n
                        • Gi\u1eefa khoang Retzius v\u00e0 Bogros, ch\u1ec9 c\u00f3 c\u1ea5u tr\u00fac h\u00ecnh n\u00f3n l\u00e0 th\u1eebng tinh v\u00e0 t\u00fai tho\u00e1t v\u1ecb gi\u00e1n ti\u1ebfp \u0111\u01b0\u1ee3c bao b\u1ecdc b\u1edfi n\u00f3. Tr\u01b0\u1eddng h\u1ee3p t\u00fai tho\u00e1t v\u1ecb nh\u1ecf, ti\u1ebfn h\u00e0nh ph\u1eabu t\u00edch k\u00e9o nh\u1eb9 v\u00e0o ph\u00fac m\u1ea1c. Trong tr\u01b0\u1eddng h\u1ee3p t\u00fai tho\u00e1t v\u1ecb b\u1eb9n \u2013 b\u00ecu to, c\u00f3 th\u1ec3 c\u1ed9t ngang c\u1ed5 t\u00fai tho\u00e1t v\u1ecb ngay l\u1ed7 b\u1eb9n s\u00e2u, c\u1eaft ngang t\u00fai d\u01b0\u1edbi ch\u1ed7 c\u1ed9t v\u00e0 ti\u1ebfn h\u00e0nh k\u00e9o nh\u1eb9 v\u00e0o khoang ph\u00fac m\u1ea1c nh\u01b0 t\u00fai nh\u1ecf.<\/li>\n
                        • Trong qu\u00e1 tr\u00ecnh ph\u1eabu t\u00edch n\u1ebfu c\u00f3 th\u1ee7ng ph\u00fac m\u1ea1c, ph\u1eabu tr\u01b0\u1eddng b\u1ecb thu h\u1eb9p, d\u00f9ng kim lu\u1ed3n 18G ch\u1ecdc v\u00e0o \u1ed5 ph\u00fac m\u1ea1c v\u1ecb tr\u00ed ngang r\u1ed1n ph\u00eda ngo\u00e0i c\u01a1 th\u1eb3ng b\u1ee5ng kho\u1ea3ng 1cm, \u0111\u1ed3ng th\u1eddi h\u1ea1 \u00e1p l\u1ef1c \u1ed5 ph\u00fac m\u1ea1c xu\u1ed1ng c\u00f2n 8-10mmHg \u0111\u1ec3 l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c CO2 trong \u1ed5 b\u1ee5ng, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho ph\u1eabu thu\u1eadt vi\u00ean, tr\u00e1nh l\u00e0m thu h\u1eb9p ph\u1eabu tr\u01b0\u1eddng.<\/li>\n<\/ul>\n<\/li>\n
                        • B\u01b0\u1edbc 5: ti\u1ebfn h\u00e0nh \u0111\u1eb7t t\u1ea5m l\u01b0\u1edbi.\n
                            \n
                          • \u0110\u1eb7t t\u1ea5m l\u01b0\u1edbi ph\u1ea3i che ph\u1ee7 h\u1ebft l\u1ed7 c\u01a1 l\u01b0\u1ee3c. T\u1ea5m l\u01b0\u1edbi \u0111\u01b0\u1ee3c cu\u1ed9n l\u1ea1i theo \u0111\u1ea7u c\u1ee7a k\u1eb9p ph\u1eabu t\u00edch v\u00e0 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o khoang tr\u01b0\u1edbc ph\u00fac m\u1ea1c qua trocar 10mm \u1edf r\u1ed1n d\u00f9ng d\u1ee5ng c\u1ee5 ph\u1eabu t\u00edch \u0111\u1ec3 du\u1ed7i ra, khi tr\u00e3i ra ph\u1ea3i ph\u1eb3ng, kh\u00f4ng \u0111\u01b0\u1ee3c g\u1ea5p n\u1ebfp v\u00e0 b\u1edd d\u01b0\u1edbi ph\u1ea3i \u00e1p s\u00e1t th\u00e0nh b\u1ee5ng sau.<\/li>\n
                          • Trong tr\u01b0\u1eddng h\u1ee3p 2 b\u00ean, 2 t\u1ea5m l\u01b0\u1edbi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi quy tr\u00ecnh ph\u1eabu thu\u1eadt t\u01b0\u01a1ng t\u1ef1 tr\u00ean c\u00f9ng v\u1ecb tr\u00ed \u0111\u1eb7t c\u00e1c trocar.<\/li>\n<\/ul>\n<\/li>\n
                          • B\u01b0\u1edbc 6: x\u1ea3 kh\u00ed CO2 v\u00e0 \u0111\u00f3ng c\u00e1c l\u1ed7 trocar. Ki\u1ec3m tra g\u1ea1c n\u1ed9i soi \u0111\u1ee7, gi\u1eef t\u1ea5m l\u01b0\u1edbi b\u1eb1ng d\u1ee5ng c\u1ee5 \u0111\u00fang v\u1ecb tr\u00ed khi x\u1ea3 kh\u00ed, x\u1ea3 kh\u00ed ch\u1eadm \u0111\u1ec3 l\u00e1 ph\u00fac m\u1ea1c n\u00e2ng d\u1ea7n l\u00ean. Kh\u00e2u \u0111\u00f3ng c\u00e1c l\u1edbp c\u1ee7a l\u1ed7.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                            Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i sau m\u1ed5 nhanh, \u0111\u1ed3ng th\u1eddi \u0111\u1ea1t t\u00ednh th\u1ea9m m\u1ef9 cao. Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n v\u00e0o n\u0103m 1992. \u0110\u01b0\u1eddng cong […]<\/p>\n","protected":false},"author":15,"featured_media":1414,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,33],"tags":[3],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i nhanh.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i nhanh.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-06T15:06:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-18T08:45:56+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thoat_vi_ben.png\" \/>\n\t<meta property=\"og:image:width\" content=\"852\" \/>\n\t<meta property=\"og:image:height\" content=\"390\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Minh Tang Phuong\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Minh Tang Phuong\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/\",\"name\":\"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-06T15:06:53+00:00\",\"dateModified\":\"2023-04-18T08:45:56+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc\"},\"description\":\"Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i nhanh.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc\",\"name\":\"Minh Tang Phuong\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g\",\"caption\":\"Minh Tang Phuong\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tangphuongminh1994gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n - Vinmec","description":"Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i nhanh.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n - Vinmec","og_description":"Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i nhanh.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/","og_site_name":"Vinmec","article_published_time":"2023-04-06T15:06:53+00:00","article_modified_time":"2023-04-18T08:45:56+00:00","og_image":[{"width":852,"height":390,"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thoat_vi_ben.png","type":"image\/png"}],"author":"Minh Tang Phuong","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Minh Tang Phuong","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/","name":"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-06T15:06:53+00:00","dateModified":"2023-04-18T08:45:56+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc"},"description":"Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao, th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn, b\u1ec7nh nh\u00e2n \u0111au \u00edt v\u00e0 ph\u1ee5c h\u1ed3i nhanh.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/phau-thuat-noi-soi-dieu-tri-thoat-vi-ben\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"T\u1ed5ng quan v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc","name":"Minh Tang Phuong","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g","caption":"Minh Tang Phuong"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tangphuongminh1994gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/1351"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=1351"}],"version-history":[{"count":14,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/1351\/revisions"}],"predecessor-version":[{"id":23568,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/1351\/revisions\/23568"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media\/1414"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=1351"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=1351"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=1351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}