The Art of Body Contouring A Comprehensive Approach

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
226
B y m h q , h h p , h m y,
, m, h p h , p y gh . B y mp h
m m ph g p . B y h p y v m , m m , p -
p , h h , , , h y m m v m . A h gh
mp y h h m m j v , h
mp x p m h m y g h q .
Surgical Anatomy
B h gh g my g h q , p
g m h my p y. B g g z
h y p g y g p ’ h
p h gy p pp p . F p v h
p ’ - h - my v m ; g -
p m y q m p g y.
Fig. 8-1
B z P 1 h m mp y
p , h h v . T gh h
h p m p h m h p h m
y .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
227
Fig. 8-2
Yellow = protrusions; red = depressions
T p m p y h m , , p , hyp -
g m, m g . T p h p m
m , m , , m ( h m h q
m h m ).
HE PHI PROPOR ION: HE GOLDEN RA IO
1.5/1.6
1
Fig. 8-3
S m p m m y g p g h v h m -
m . A v m m h p p h z
h h m mm y h m . A m y p
m v h v m p p 1 h gm
1.5 h p gm . P p 1 1.4 h gh

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
228
h gh m . P g h p m gm , h p p
1 1.6 m , p g g p m -
gm . T mp m g h
y. T p m h h p h v 1 1.5 p p p
1.6 p p . T h g h m h -
, h golden section (Ph = 1 1.61 ).
Ph h m p p h gh h h v
m y phy , , h , m h-
m , m , p y h g , phy , , p . W
, v y A E G y 300 BC.
I m m B h p y h g Ch M M m
h v m q y h g h
m v y h Ph p p . R pp Ph h
p p h h m . T h m h h h Ph p p
x h h gm h , h v ’ m y m m ,
. A y h h m m h h gh
m ; m m .
S 1 2 I h v y g m p . I 2010 I p p h pp -
Ph p p m y, m y h p h
m . I h m , p g v Ph h
p gm , m m v m . I h v
pp h m h y h .
A New Classi cation or Abdominoplasties
I 1 p p p m p , g-
g g pp p m h m y. B h , m p
p m h h m gm . W h m -
p , m p x v m v . T
m y m g , h gh, hyp ph . T y h h p , h h
v y . A , h p h h g -
h h gh , h p m h gh, , p m
h m m , g y m g m y.
P p v y, h m h x v h y p
h gh m h p m gm . S m h p p
p m h p m v h h p g-
m , h g h m p h p h m g h p
h v . T gg v h mp
x v y h , h p p v y v y h gh
h .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
229
Fig. 8-4
S m m v h ( g h m - v ),
m h m p h h p v h m . W
y y p h ? N my v ; h q
g h p ’ m y. T m gh x , h
m v . I h , y g y y h
h z , h v pp . C h m g h
p v . T m h gh m .
P h h m m v m h p ,
h m p h . T g
v h V-Y h p p . T m q y
. U y h p h p ( m y )
m v m h m - h p h h g h
h m p . A h y p h p m-
m m v . T h h p y p -
m h m y, g h m h p .
I y, - p p , p p y p
g p (1) x , (2) x , (3) h g
x y h my p y , (4) h p h m h -
m , y v g h m gm , p . By g
h g g , h x m v ,
h m m p , p p v h
h p y y h g h h q . W
v h p h m m m h p .
y p m v gh m h m gh y
h , h p mp h , h m p
p m g v h h p v h m
, h h y q m g v z h
m p. P v y, h m v y m g
g m g; p y p v .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
230
Mini-abdominoplasty - p , I h h m p-
p p . A h gh m p h m h h m m
x , p gh y m p p ; h g
m - m p y m h m g y.
W h h v p , h m h m h h g
h m m mp h v . N m p h v m y
g p m g h p , -
h g h mp p v h h my -
p y p m h p p . T h
h x m v . T hm
h p h p h mp v m h h h
m . C y, h h g “m ” h h q .
able 8 1 Classi cation o Abdominal De ormities and Recommended reatments
Group
Patients (%)
De ormity
reatments

I

N x
A p x h -
m , , m g
N my p
Um m p :
1:1.5 1:1.6 h
m p m -
gm
I v PAL

II

I m x
F p
(p v ),

F x m h g p I
G my p y
Um m p h
1:1.5 1:1.6
h m p m-
gm
I v PAL
R v p p -
p - h p x
L v , g
h m h y h p , 1
1.5 m v h g
PAL, P - p .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
231
Group
Patients (%)
De ormity
reatments
III
7
I m x
F p
A p x m
h g p I
O q m x y
Um m p h
1:1.5 1:1.6
h m p m-
gm
I v PAL, m h
g p I
R h p - h p
x , m h
g p II
P h x q
p h gh
m h h
m g
IV
8
L m m x h
p m m -
gm
Um h h gh p :
v 1:1.4 h
m p m -
gm
A p m h
g p I
R
I v PAL
Sp - h p , m -
h g p II III
P h
h h h gh m
p h x ph p ,
h g h m p
h g h
h 2 4 m (p p -
p 1:1.6 h
m p m -
gm )

V

S x h m
p m gm
Um h p :
1:1.6 m h h
m p m-
gm ( h g
p m gm )
A p x , m
g p I h gh IV
R / x y
x q m
I v PAL
v p - h p
m h p h
m
P h
h h h gh h m -
p h x
q p y
h v y
p h m
mph p y
S y
g (%)

O h g (15)
B z (1)
PAL, P - p .
T B z P (1 ) g ’ -
g h g h m y m m .
U m y, p p v g p , h , h h p -
v m h m h m .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
232
Anatomic Danger Zones

■D g v p , h m p h m v y, h
g m x h p m g h p .

■T v p p h p m h p m h -
g h p g v h x ph p . T
p v x h h .

■T p y h v g, p h
v h h p h
p g .

■T p /p h p p m h gh m m -
g h p v h m x m m x h h
g h g m m p v v .
Abdominal Classi cation o Aesthetic Pathologies
and T eir Respective reatments
A p I h v p m h 500 m p y p ,
h , h q , h I h h p h
h xp . I mp y h p p h y m,
I h v p h q h v p q pm (p -
p [PAL]).
V p p h h h q pm m v
y mp , h g h g y, h p -
v y h g y. I h v mp m m h g my p , h
p m g m x v p ; h m g p m
. My pp h mp m v m g
m p y, g m h j h p h m .
I v h m , m h m mm y h
g , g h , h p p h , h m-
, h p h h x (hyp h m). By g h
p p , I m h v m h p h m .
N x I p h v g p h .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
233
PA IEN POSI IONING
L p h m p m h h p h g
p . I y h g h p h
m g , h m y mp m h m y m
h g . S h h m g h gh , h
gh g h v h g, h g h y. T h
p ’ g h pp y h .
T p g m m h v mp v 20° C (6 ° F), y
mp g g y, h h m y
h m , h g h h m .
ANES HESIA
T g h 2 L hyp m , h h mp
1000 m , 1000 m , 10 mg x m h ,
2 m p ph 1:1000, 5000 IU hy .
T p m g h , h h p p 20%
h h p p v v .
ECHNIQUE
L p p m g PAL v , h 3 4 mm . A 0.5 m
m h x ph p , h , h , , h -
y, h hyp h m.
A h g g h g y, 1 g v hy g v ; h
h g y, 10 mg x m h . I g
p , x 4 mg x m h m y 12 24 h
h p . I p g y, h m
mm , h h h q y h .
W h x v mm h v h m, h m -
v C p p , g hyp g . M x v
g p h g y g y. I h m
mm y g , h q v h
g y m, h h h y h h m. A y
m h 20% h y ( j p -
h g g p x v g y) -
v y m mm y p y m (SIRS), g
h g h q m h m . T
h m .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
234
C m h v mm y . T y p
phy g v m y SIRS. S v m
x y, - g, m v y, p
gg g . T y g, mm , , v m g,
h g h p p v p . T g m y
h 72 h . C h p
h h gh p . I mm g
p g y p , m y h p m . T ph -
m g h mp p v y,
h p v xp .
PAL p m y h p , p v g 0.5 1.0 m h
m p y . T g h h h y m
p , g gh h h p g h y h p -
p v y.
C mp v g m p h p h h g
h , h p 20% h . T p
h h g m m v v y y h g. T g m m
2 m h .
POS OPERA IVE CARE
P p h h h g p h p -
v p p v p . A , h p h v p h g v
h y m h v .
P g y g p II p . F h g p -
m y y, h g h p h p h p
v h g h m q .
PROBLEMS AND COMPLICA IONS
L / y m mp m p . L m-
p , , m p , m .
L g m g h m p x v h h
, m z . W /
hyp ph , , hyp h m , hyp h m , h m-
, g p h m g h , p g
pp p my. I p p p v g
h . A m h m h -
h v p p x m x m h . H m m

Chapt er 8 Mini-Abdominopl ast y: Cl assi icat ion and r eat ment
235
u . T u x v
k g . T -
v u qu .
T u g u u g w u ,
u u , u g g . T u
w w gu z u u u u -
.
A g u II III v
u g u u , g - sad-face scar. T
v w :
1. A - k x 2 w x v
u u , v g u g - .
. T u u u u u ;
u g w g w
( g u IV ).
3. T u u , v g u ,
f ,
w g u V , w u , v g
u v w g u u .
GROUP I
Fig. 8-5
G u I x 27% u , 200 -
u . T g u u u w w
k g u , u v x u u u u
k , u g , u (
x). T x u v w , -
u , k .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
236
Results and Outcomes: Group I
G p I p p h h x , h y
h gh v p . T m m .
Fig. 8-6

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
237
Fig. 8-7

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
238
GROUP II
App x m y 22% p p h g p II m y. I g -
, h y h p p v P . Wh h
p , p
h hyp g m h p g . Ov m h m
p , h h v y g gg g. T p h v g h
my p y , m h m v ( h , h pp x -
m 1:1.5 h gm h p ), x y
h m gm , x m h g p I p . PAL
p m gm , g p I; p - h p v
p p mp m v . T x
g h p , m g h h p I h v
x , y. T m ph x h gm
14 m h m , h gh y . T m -
m h p h h p . U h
p , h m m h g 1 1.5 m
v , x h ph m . T
h m h y h p . T x h
, g g h pp x m h p . T
v h p , p h g pp x m y 1 1.5 m
v . N m g y. T p p h p m
m gm m h m p p v y.
Fig. 8-8
T p ; h . I phy g
g h p y h p m m mm . I p h
g h , h -
h m , m h hyp g m h p g , p

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
239
h . T m y m p y . T m y
h . T h h , h h
p m h p g -q y .
Results and Outcomes: Group II
G II p p h x m x . T y
h gh v p h x m . A
h h p p v p p v ph g ph , m y
p g y g p II p . S g y mp v h y h
m g q gh .
Fig. 8-9

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
240
Fig. 8-10

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
241
GROUP III
G p III p p pp x m y 7% ; h y h m
m h g p II p , h x y h x q
m . I g p III p h m p h m .
L p p m p m g p I, -
m h p m g p II p . h my -
p m y, m h p
h g h linea semilunaris ( h h q
m h h m m ), h h v -
h x q m . T h h
gh xp h . T g h mp p -
v , h g h m . S g
h p g h p h g h
h m , g g h g g -
m , y h m p h . T
h q g y v g h g h p h m p -
g h . h pp m h y
h g h x . T y , pp x m g
h p h , g p II p .
Fig. 8-11

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
242
Results and Outcomes: Group III
G p III p p g p h m , x m -
, p y phy, h q m . T y y
v p , h x m , p h
q m .
Fig. 8-12

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
243
Fig. 8-13

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
244
GROUP IV
App x m y 1 % p g z g p IV. T y h
m x h p gm h gh p h
m h m , h p p h m
p m gm 1:1.4, p 1:1. T y h -
, x v p m h g p I p . L p
p m h m h g p I p , m
h g p II p .
Fig. 8-14
T g h p h m ; h
h gh y m g h m . P
p m m h p g h h x ph p .
T m p p m p m
h h m p. T h mp p v ,
h h m j gh xp h m g h -
m .
S m m p p v p m p v . T -
h h p h h ,
h h h m p h y . T
m h x ph h q g h g y
p g v . T m h h h h gh
h gh h m h m . T h h p
4 m g p , h g h h p h -
m p m gm , m g m x m m 1:1.6 (
F g. -11). A h gh-p m m m v p

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
245
h h m v ( F g. -12). T m g m h g p
II III p . A g z p mp h m h m
h p h h, h p m p 2 .
Results and Outcomes: Group IV
G p IV p p h x m p m ,
h m , p y phy, h gh m . T y
y v p , h x m , p h
q m , mp h m p g
m x m m 1:1.6 h m p m g-
m h gh h .
Fig. 8-15

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
246
Fig. 8-16
GROUP V
G p V p p pp x m y 10% p h . T
g p h z y: g p m x ( g p m -
gm ), h h m x ; m p h
m ( h p p m p m gm
q h 1:1.6); x p ; / x y
h x q m . L p , g p I
p . A v m h p h
m , m m h x ph h m , h
m h x ph pp x h p , h m
p . T m gh h m h y m -
y m h m h p .
Results and Outcomes: Group V
G p V p p h p y phy, h m , x-
h m p m , m . T y
y v p , h x m ,
p h m m p .

Chapt er 8 Mini-Abdominopl ast y: Cl assi icat ion and r eat ment
247
Fig. 8-17
I x x qu u ,
g u III , w w u , u g
u w u . T
u u , g u III
IV . T u f x , k g . V -
u g w u w .
Fig. 8-18

T u u u w — w
u — u v g u u .
Optimizing Outcomes: Based on Experience
I u , 84% w 16% w -
. O (2) w I w v
v v . T w .
P ’ u g g v , g -
u g , qu g

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
248
(g p I g p II). I , h y -
h x v m p h m v m p m g p V
g p IV, h p g h m h m . H v ,
h v v x h 1:1.6 m p m -
. T m h p m , h
h q y .
Wh p h v p x , h m ,
PAL p m h h h h h y
m h p . T m h m v h p h
g p m m m h p .
I h y m p , h h gh. I h h gh, -
g h m h y h p , 6 m h p p v y y
m g h p v h p h h m
g g . By g h h , h m
h y - .
T h gh h p p m p m -
gm v 1:1.6 p p v y. T p h m v h
m gm , h h p m g h pp p
p h p ’ .
A p g m h mp p
v . I h m h j xp h g h m
h . O h p , h h h p h j h
x q m h h h h m -
h .
I m , hyp g m m , h p y m p -
v m , j g h m h h
x q m . I h y y - h p p m h p -
.
T q g h p h p h m
h m m h m p p v g . A
m y y 1 24 h h g m h
p m m h x .
T m p hm h p h h m p ,
h h g , h p ’ m h .
T g h g h g h p
y g q g . T h h p -

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
249
, v g v v . D p h
y h pp q y . B
h p h m , mp h
h p mm y h g p h h
p hyp 20% h .
I h p h p v y g p , h p y,
q g m g h m .
T h v h g , h h h y p . Ex -
v h h y h q
m h y p g m , h m v
g .
A p , h m v g h h m , m h
p v h p h m y j
. T y h m g h m . I my xp , h
p g m m h h h y m v
h p . N v m g h p v h . T
m p m g p II, III, IV, h p h -
m gm m , h h g h ymph v
v h g . S h m
g p I V p .
Fig 8-19
T p , g p IV V g y. T m -
m p y (g p V), h h m
h m p h h m h -
p p h m .
T g p III p h p h h m . T
m , p v y, h m m
. T h h x q p p
h v . T m h h h m p gh y .

C a t er Mini-Abdo ino l ast : Cl assificat ion and r eat ent
250
P g h m g h 1:1.6 h m
p m gm h p m m h y.
Conclusion
A g h m “ h p h g ” m
h h m. T y , , m , h
m .
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y g x h p v y h q .

■T m p gg h h pp p m
h m y.

■T g p m h g h m v h -
m .

■T h m m y h p -
v m h h v z h m p, g h p y
h m .

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(Trang không có chữ)

S y A yp
C A m p y
Fabio X. Nahas
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u
s
h
i
o
n
s
Ch a Pt er 9

C a t er Secondar and At ical Cases in Abdo ino l ast
254
A h gh m p q g m p y h v g
h yp m p v h p , h m
h q h v y p p pp h. S m h v v
p v p h h m p m y m y. W
p h p p .
Case 1
A

B
Fig. 9-1, A and B
T 40-y - m h g m - m p y 2 y . Sh
h p v m mm p y. Sh mp p m x
h z y h p m .
W g v m p y g h p v m mm p y , x-
g h m p h . T v m p y
p m , h g h p h p g q g .

C a t er Secondar and At ical Cases in Abdo ino l ast
255
C
Fig. 9-1, C
T h p h h v m p y. T
h h m mm y , h p v m mm p y
.
Fig. 9-1, D-G
F

G
D

E
T p m h g y. N h mp v m h
m h p m , h p x h
m mm y .

C a t er Secondar and At ical Cases in Abdo ino l ast
256
Case 2
Fig. 9-2, A-C
B

C
A
T 5 -y - m p h BMI 40 h y h h -
m h h . H h p 60,000; h p h ymph m ,
, h h m . H h g h -
h q h m h. T p h v -
, h h
mp . G p y y h g .

C a t er Secondar and At ical Cases in Abdo ino l ast
257
Fig. 9-2, D-I
D

E
H

I
F

G
H g p p . I h , h h
h m v . T p h v m . S x
m h , - - m p y p m , h g h
g m h.
H h m h p p v y. A g
m v . B h p , h p ’ gh 6 g
h , h gh 6 g. (T p g g g
h m p .)

C a t er Secondar and At ical Cases in Abdo ino l ast
258
Case 3
A

B
Fig. 9-3, A and B
T 43-y - m h BMI 56.3 p h p x v
ymph m h p . T g h 2 y h
g p y h p . H v , h v p v
h p , h p . Sh h ICU,
h h h , h p g y m .
W p m mp h m v h . W -
m v 15 g m h m . S m m
h m p h m h m , h gh
h p p v v h h vy p m-
x . T y h p , h p h g m
h h p g v . Sh h , h h
p .

C a t er Secondar and At ical Cases in Abdo ino l ast
259
Fig. 9-3, C-F
D
C
E

F
T p h 2 y g y h g h m v h -
y m mp . T m h p
h m h gh p h m . N m
p m h m v m m h .

C a t er Secondar and At ical Cases in Abdo ino l ast
260
Fig. 9-3, G and H
G
H
N h h p h m . T
m v h gh 15 g.

C a t er Secondar and At ical Cases in Abdo ino l ast
261
Case 4
Fig. 9-4
T 46-y - m h g m p y 2 y . Sh p -
h p j h pp m h h g v p 3 m h
g y; h p h h m y h h m h h -
. U g phy h ; m
h . T m y g p .
T p h p m v h p q g
h h p h . A v y h p m v . Q -
g p v y 2 m. Sh h m h h y
m p y h g h p j h h y h
p .

C a t er Secondar and At ical Cases in Abdo ino l ast
262
Case 5
Fig. 9-5, A-F
A

B
E

F
C

D
T 52-y - m h m p y 2 y h p m
m h h h p m . Sh p h 2 m h

C a t er Secondar and At ical Cases in Abdo ino l ast
263
h p , g g v p h p m h
v h g m h . A MRI m h
y h p m . W p g y h
y v g h h h , yp C m y.
G
H
Fig. 9-5, G and H
A m v h m h, h 5 m h
h m h. App y h h h m h p -
h h h. T h g h mp
p h q .
Fig. 9-5, I and J
I

J
T p m h h g y h mp v m h -
p m g v m h h h h
yp C m y h .

C a t er Secondar and At ical Cases in Abdo ino l ast
264
Case 6
Fig. 9-6
T 4 -y - m h g m p y 16 y . Sh -
p h 3 m h h p , h h
h m , h p g v m y. T g-
hyp h p .
A m p h m p m . T m p
h p m h p , h , h p
m v . T m p h h p y h q -
g . Sh h 6 m h p p v y.

C a t er Secondar and At ical Cases in Abdo ino l ast
265
Case 7
Fig. 9-7, A and B
A

B
T 1 -y - m h g pp my 2 y p -
h p . A p my p m h
p yp py m h. T h p p v 12 y 32 m; h
m h xp .
Fig. 9-7, C
C
A p p v C h h p h m
h m h. T h 14 m p .

C a t er Secondar and At ical Cases in Abdo ino l ast
266
D

E
Fig. 9-7, D and E
T m h m v v y, h p
m h p v h h x q m . T
p v v h h h x q p -
m g h x q m (D). T m p
m h p h h , h x q p g
h m . T x q m p m h
q m (E). T p h h h h h
2-0 y h h h h h p h h
h h .
Fig. 9-7, F-I
F

G
H

I
T p h m h p h .

C a t er Secondar and At ical Cases in Abdo ino l ast
267
Case 8
Fig. 9-8, A-C
B

C
A
S x m h h v g m p y, h 3 -y - m p h
p j h pp m . Sh h v p h p m -
h h gh y p p . A m m
h g phy; x h gh h h v p h
m m . W p m m v m
g h mp p h q .

C a t er Secondar and At ical Cases in Abdo ino l ast
268
Fig. 9-8, D-G
D

E
F

G
T h m h h h h (D); h m
m v h m g (E). T h h m v h p -
m p h gh m , h h, p h -
h h (F). T m g h mp
p h q p yp py m h (G).

C a t er Secondar and At ical Cases in Abdo ino l ast
269
Fig. 9-8, H and I
H

I
T p h 6 m h . T m
h m p m h . N h
h p j h p m .
Case 9
Fig. 9-9, A-D
A

B

C

D
A y y h m v h gh h my 30 y
h m . Sh v p p y h m h
g j y. Sh m p y h m h h p -
j h . T g , h p h p p
p j h pp m h h v p h p .

C a t er Secondar and At ical Cases in Abdo ino l ast
270
Fig. 9-9, E
E
T p p v C h h phy h m h m-
p h h gh .
Fig. 9-9, F-I
F

G
H

I
I mp h p h h g y g y p
, h p y h p . T
mp v m m m . T -

C a t er Secondar and At ical Cases in Abdo ino l ast
271
m p y x h m p m h y
h x ph . A m m g h p
h m . T h h p
h m g m . T p h h mp y
xp , g p 5 m p m h -
h g h h v q m . T
mp h x y h m h , h g
h v m h m . A h p , h p
h m h h h , g g g h
m . T h p p m g h m
, v g h x q m . T h h h
p xp h m m h g h
. T m p , v h q
m , h p h m .
A p m h h p h p -
m m . T p h h h
m v m h m , p p m h
p m g , mp v g h p h m .
T h p p v v h p .
Case 10
Fig. 9-10, A-D
A

B

C

D
T 42-y - m h g pp my 30 y -
v p p j h gh h m . A m p y
h p m 2 y , h m h p h m
h g . Wh h m v , h mp p g v
p j h gh p h m , mp y p .

C a t er Secondar and At ical Cases in Abdo ino l ast
272
Fig. 9-10, E
E
T p p v C v h g h y h gh
x q m .
Fig. 9-10, F and G
F

G
T m p y h m p m , x-
p g h p j . A g h x q p -
, h m , p m , h h xp
. A p g h h , p h h
h m xp h q m . A g -
h p p m , h m
p h h. W h h gh m , h
g h h g, h y h p v -
h p h h h m . T q p -
h v m p pp x m h p
h h. T x q m h h h
y . T p h h p g q g
. T p 6 m h p p v y.

C a t er Secondar and At ical Cases in Abdo ino l ast
273
Conclusion
A h gh m h Ch p 2, m
yp h p . A yp , h
h h h h p , m y q m gy h h
m y y mp . O h h h , y m -
p q g m h g h m y. A
h p v y , h p m p -
j h h . A p p -
, m , m y h v m p g h phy x m. I
mp h g h my p m h v
g m my.
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