Introduction to Surgical Staples

E pili ana i Linear Cutter Stapler

Ua hoʻokumu ʻia ke ʻano hana e ke kauka lapaʻau Hungarian ʻo Hümér Hültl, ka "makua o ka ʻoki ʻoki ʻana".ʻO ka stapler prototype a Hultl i ka makahiki 1908 he 8 paona (3.6 kg) a lawe ʻia ʻelua hola e ʻākoakoa ai a hoʻouka. Lawe mai ʻo Ravitch i kahi laʻana o ka stapler ma hope o ka hele ʻana i kahi hālāwai kūkā ma ka USSR a hoʻolauna iā ia i ka mea kālepa ʻo Leon C. Hirsch, nāna i hoʻokumu ʻo Surgical America ma 1964 e hana i nā sutures ʻokiʻoki ma lalo o kāna mīkini Auto Suture brand. Ua lanakila ʻo ia ma ka mākeke, akā i ka makahiki 1977 ua komo ʻo Johnson & Johnson's Ethicon brand i ka mākeke, a i kēia lā ua hoʻohana nui ʻia nā mea ʻelua me nā mea hoʻokūkū mai ka Hikina Hikina.Ua loaʻa iā USSC e Tyco Healthcare i ka makahiki 1998 a ua hoʻololi i kona inoa iā Covidien ma Iune 29, 2007. Ua aʻo nui ʻia ka palekana a me ka patency o ka mechanical (anastomotic) bowel anastomosis.Ma ia mau noiʻi ʻana, hoʻohālikelike ʻia nā anastomoses i hoʻopaʻa ʻia i ka leakage.ʻOiaʻiʻo, ʻoi aku ka wānana a ʻoi aku ka liʻiliʻi o nā humuhumu synthetic hou i ka maʻi ma mua o nā mea humuhumu koʻikoʻi i hoʻohana ʻia ma mua o nā makahiki 1990-gut, silk, a me ke olonā. nā ʻaoʻao ʻeha a pani i ke kīʻaha koko i ke kaʻina hana stapling.Ua hōʻike ʻia nā haʻawina hou i ka hoʻohana ʻana i nā ʻenehana suturing o kēia manawa, ʻaʻohe ʻokoʻa nui o nā hopena ma waena o ka suturing manual a me mechanical anastomosis (me nā clips), akā ʻoi aku ka wikiwiki o ka hana anastomosis mechanical. He mea maʻamau ka leaks ma hope o ka ʻoki ʻana.Ke noiʻi ʻia nei nā ʻano hana ʻē aʻe no ka hoʻopaʻa ʻana i ka ʻiʻo māmā.

Nā ʻano a me nā noi

ʻO ka stapler pāʻoihana mua i hana ʻia me ke kila kila me ka titanium staples i hoʻopaʻa ʻia i loko o nā cartridges staple refillable.Hoʻokomo pinepine ʻia nā ʻano ʻelua me nā pahu pahu. nā kaʻina hana, me nā mea kani like ʻole i hoʻohana ʻia no kēlā me kēia noi. ʻOi aku ka lōʻihi o nā stapler Laparoscopic, ʻoi aku ka lahilahi, a hiki ke hoʻopuka ʻia e ʻae i ke komo ʻana mai kahi helu palena o nā awa trocar. hoʻopili i nā ʻeha o loko a me ka ʻili. Hoʻohana pinepine ʻia nā staples ʻili me kahi stapler hoʻopau ʻia a wehe ʻia me kahi mea hoʻomaʻemaʻe kūikawā.ʻOiai ua hoʻohana nui ʻia nā mea anastomotic circular end-to-end no ka digestive tract, ʻaʻole i hoʻohālikelike ʻia nā stapler pōʻai no ka anastomosis vascular me ka anastomosis lima maʻamau ʻoiai nā haʻawina koʻikoʻi.Ma waho aʻe o ke ʻano ʻokoʻa o ka hoʻopili ʻana i ka moku (eversioned) i ka digestive (inverted) stump, ʻo ke kumu kumu nui paha, ʻo ia hoʻi, no nā moku liʻiliʻi, ʻo ka hana lima a me ka pololei e koi ʻia e hoʻonoho i ka stump moku wale nō a hoʻoponopono i kekahi mea ʻaʻole hiki. e emi loa. Hana i ka humuhumu lima maʻamau, no laila, ʻaʻole nui ka hoʻohana ʻana i kekahi mea hana. nā manawa e nā hui ʻokoʻa like ʻole ma lalo o nā kūlana palekana me ka ʻole o ka manawa e pono ai e pili ana i ka mālama ʻana i ke kino Donor, ʻo ia hoʻi ma lalo o nā kūlana ischemic anuanu o ka mea hāʻawi a me ka papaʻaina hope ma hope o ka wehe ʻana i ke kino maoli o ka mea loaʻa. o ka mea hāʻawi, hiki ke loaʻa i loko o nā minuke a i ʻole ka liʻiliʻi, ma ka hoʻopili wale ʻana i ka hopena o ka hāmeʻa a me ka hoʻopololei ʻana i ka stapler. ʻaʻole hiki ke hoʻololi i ka ʻōnaehana pale a, no ka mea, he metala non-ferrous, ʻaʻole ia e hoʻopilikia nui i nā scanners MRI, ʻoiai e hiki mai ana kekahi mau kiʻi kiʻi kiʻi. synthetic absorbable sutures.

Ka wehe ʻana i nā ʻili ʻili

Ke hoʻohana ʻia nā ʻili ʻili e hoʻopaʻa i nā ʻeha o ka ʻili, pono e wehe i nā staples ma hope o kahi manawa hoʻōla kūpono, maʻamau 5 a 10 mau lā, ma muli o ka wahi o ka ʻeha a me nā kumu ʻē aʻe. ʻO kahi kāmaʻa a i ʻole pāpaʻi haiki a lahilahi hiki ke hoʻokomo ʻia ma lalo o ka ʻili o ka ʻili. "ʻano no ka wehe maʻalahi.I ka wā pilikia, hiki ke wehe ʻia nā staples me nā pūlima arterial.