ʻO ke ʻano hana o ka stapler
ʻO Stapler ka stapler mua ma ka honua.Ua hoʻohana ʻia no ka anastomosis gastrointestinal no kahi kokoke i hoʻokahi haneli.ʻAʻole ia a hiki i ka makahiki 1978 i hoʻohana nui ʻia ka stapler tubular i ka ʻoki ʻana.Hoʻokaʻawale ʻia ia i nā stapler hoʻohana hoʻokahi manawa a i ʻole, nā stapler i lawe ʻia mai a i ʻole nā stapler home.He ʻano mea hana i hoʻohana ʻia i ka lāʻau lapaʻau e hoʻololi i ka suture manual maʻamau.Ma muli o ka hoʻomohala ʻana o ka ʻepekema a me ka ʻenehana hou a me ka hoʻomaikaʻi ʻana i ka ʻenehana hana, ʻo ka stapler i hoʻohana ʻia i ka hoʻomaʻamaʻa lāʻau i loaʻa nā pōmaikaʻi o ka maikaʻi hilinaʻi, hoʻohana maʻalahi, paʻa a paʻa pono.ʻO ka mea kūikawā, loaʻa iā ia nā mea maikaʻi o ka suture wikiwiki, ka hana maʻalahi a me nā hopena ʻaoʻao liʻiliʻi a me nā pilikia ʻoki.Hiki iā ia ke hoʻopau i ka hoʻokaʻawale ʻana i ka ʻoki ʻoki ʻana i ka maʻi maʻi ʻole i ka wā i hala.
ʻO Stapler kahi lāʻau lapaʻau e hoʻololi i ka suture manual.ʻO kāna kumu hana nui, ʻo ia ka hoʻohana ʻana i nā kui titanium e haki a anastomose i nā ʻiʻo, e like me ka stapler.E like me ka ʻokoʻa o ka noi, hiki ke hoʻokaʻawale ʻia i loko o ka ʻili stapler, digestive tract (esophagus, gastrointestinal, etc.) circular stapler, rectal stapler, circular hemorrhoid stapler, circumcision stapler, vascular stapler, hernia stapler, lung cutting stapler, etc. .
Ke hoʻohālikelike ʻia me ka suture manual maʻamau, ʻoi aku ka maikaʻi o ka suture instrument:
1. hana maʻalahi a maʻalahi, mālama i ka manawa hana.
Hoʻohana hoʻokahi e pale i ka maʻi keʻa.
E hoʻohana i ke kui titanium a i ʻole ke kui kila kuhiliʻole (skin stapler) e humuhumu paʻa me ka paʻa haʻahaʻa.
He liʻiliʻi nā hopena ʻaoʻao a hiki ke hōʻemi maikaʻi i nā pilikia ʻoki.
Ua wehewehe ʻia ke ʻano o ka hoʻohana ʻana i ka stapler e ka anastomosis intestinal.Hoʻopili ʻia ka ʻōpū proximal o ka anastomosis me kahi ʻeke, waiho ʻia i kahi noho kui a hoʻopaʻa ʻia.Hoʻokomo ʻia ka stapler mai ka ʻaoʻao lōʻihi, i hou ʻia i waho o ke kikowaena stapler, pili me ke koʻokoʻo waena o ka stapler proximal e kū'ē i ka noho kui, hoʻohuli ʻia kokoke i ka paia o ka ʻōpū a me ka proximal, a me ka mamao ma waena o ka stapler i ka noho kui. a ua hoʻoponopono ʻia ke kumu e like me ka mānoanoa o ka pā ʻōpū, ʻo ia ka mea maʻamau 1.5 ~ 2.5cm a i ʻole ka paʻa ʻana o ka ʻōwili lima (aia kahi hōʻailona paʻa ma ka lima) e wehe i ka fuse;
E kaomi paʻa i ka wīwī anastomosis pani, a ʻo ke kani ʻana o ka "pāomi" ʻo ia hoʻi ua pau ka ʻoki a me ka anastomosis.Mai haʻalele i ka stapler no kekahi manawa.E nānā inā ʻoluʻolu ka anastomosis a inā paha i hoʻokomo ʻia nā ʻiʻo ʻē aʻe e like me ka mesentery.Ma hope o ka hoʻoponopono like ʻana, e wehe i ka stapler a huki mālie i waho mai ka ʻaoʻao mamao e nānā inā ua paʻa nā apo ʻoki o ka ʻōpū a me ka proximal.
ʻO ka mālama ʻana i ka Stapler
(1) Ma mua o ka hana ʻana, e nānā inā pili ka unahi me ka pālākiō 0, inā pololei ka hui ʻana, a ʻaʻole nalo ka ʻāpana pana a me ka nail tantalum.E hoʻokomo ʻia ka mea holoi plastik i loko o ka paʻa nila.
(2) ʻO ka hope haʻi o ka ʻōpū e anastomosed pono e hoʻokuʻu ʻia a wehe ʻia no ka liʻiliʻi o 2 knm.
(3) ʻAʻole e ʻoi aku ka nui o ka mākule o ka ʻeke kaula ʻaʻai ma mua o 0.5cm, a ʻo ka palena he 2 ~ 3mm.ʻO ka nui o ka ʻiʻo he maʻalahi ke hoʻokomo ʻia i loko o ka stoma, ke keʻakeʻa nei i ka anastomosis.E makaʻala ʻaʻole e haʻalele i ka mucosa.
(4) E like me ka mānoanoa o ka pā o ka ʻōpū, ʻo 1 ~ 2 cm ka manawa.
(5) E nānā i ka ʻōpū, esophagus a me nā ʻiʻo ʻē aʻe e pili ana ma mua o ke kī ʻana i mea e pale ai iā lākou mai ke komo ʻana i ka anastomosis.
(6) E wikiwiki ka ʻoki ʻana, a e hoʻopili ʻia ke kaomi hope e hana i ke kui kuʻina i ke ʻano "B", i mea e hoʻoikaika ai i hoʻokahi manawa lanakila.Inā manaʻo ʻia he pololei ʻole, hiki ke ʻoki hou ʻia.
(7) E haʻalele mālie i ka stapler, a e nānā inā he apo piha ke kino i ʻoki ʻia.
Ka manawa hoʻouna: Iune-24-2022
