Disposable Laparoscopic Linear Cutter Stapler thiab Cheebtsam Part 3

Disposable Laparoscopic Linear Cutter Stapler thiab Cheebtsam Part 3
(Thov nyeem phau ntawv qhia ua tib zoo ua ntej txhim kho thiab siv cov khoom no)

VI.Laparoscopic Linear Txiav Stapler Contraindications:

1. mob mucosal edema;

2. Nws yog txwv tsis pub siv cov cuab yeej no ntawm daim siab lossis tus po.Vim lub compressive zog ntawm cov ntaub so ntswg, kaw ntawm lub cuab yeej yuav muaj kev puas tsuaj;

3. Tsis tuaj yeem siv rau hauv qhov chaw uas tsis tuaj yeem soj ntsuam hemostasis;

4. Grey Cheebtsam tsis tuaj yeem siv rau cov ntaub so ntswg nrog lub thickness tsawg dua 0.75mm tom qab compression los yog rau cov ntaub so ntswg uas tsis tuaj yeem raug compressed kom tuab ntawm 1.0mm;

5. Cov khoom siv dawb tsis tuaj yeem siv rau cov ntaub so ntswg nrog lub thickness tsawg dua 0.8 hli tom qab compression lossis cov ntaub so ntswg uas tsis tuaj yeem raug compressed kom zoo rau lub thickness ntawm 1.2 hli;

6. Cov khoom siv xiav yuav tsum tsis txhob siv rau cov ntaub so ntswg uas tsawg dua 1.3 hli tuab tom qab compression los yog tsis tuaj yeem muab compressed kom zoo rau lub thickness ntawm 1.7 hli.

7. Cov khoom kub tsis tuaj yeem siv rau cov ntaub so ntswg nrog lub thickness tsawg dua 1.6 hli tom qab compression lossis cov ntaub so ntswg uas tsis tuaj yeem ua kom zoo compressed rau lub thickness ntawm 2.0 hli;

8. Cov khoom siv ntsuab yuav tsum tsis txhob siv rau cov ntaub so ntswg uas tsawg dua 1.8mm tuab tom qab compression los yog tsis tuaj yeem ua kom zoo compressed rau lub thickness ntawm 2.2mm.

9. Cov khoom siv dub yuav tsum tsis txhob siv rau cov ntaub so ntswg uas tsawg dua 2.0mm tuab tom qab compression los yog tsis tuaj yeem muab compressed kom zoo rau lub thickness ntawm 2.4mm.

10. Nws yog txwv tsis pub siv cov ntaub so ntswg ntawm lub aorta.

VII.Laparoscopic Linear Txiav Stapler Cov lus qhia:

Staple cartridge installation cov lus qhia:

1. Tshem tawm cov cuab yeej thiab cov khoom siv roj hmab los ntawm lawv cov pob khoom raws li kev ua haujlwm aseptic;

2. Ua ntej loading lub staple cartridge, xyuas kom meej tias lub ntsuas nyob rau hauv ib tug qhib lub xeev;

3. Tshawb xyuas seb daim cartridge puas muaj lub hau npog tiv thaiv.Yog hais tias lub staple cartridge tsis muaj ib tug tiv thaiv npog, nws yog txwv tsis pub siv nws;

4. Muab cov staple cartridge rau hauv qab ntawm lub puab tsaig staple cartridge lub rooj zaum, ntxig rau hauv ib qho zawv zawg kom txog thaum lub staple cartridge yog raws li tus bayonet, kho lub staple cartridge nyob rau hauv qhov chaw thiab tshem tawm lub hau npog.Lub sijhawm no, qhov ntsuas tau npaj rau hluav taws;(Faj seeb: Ua ntej lub staple cartridge raug ntsia rau hauv qhov chaw, thov tsis txhob tshem tawm cov staple cartridge tiv thaiv npog.)

5. Thaum unloading lub staple cartridge, thawb lub staple cartridge mus rau kev taw qhia ntawm tus ntsia thawv lub rooj kom tso tawm ntawm lub staple cartridge lub rooj;

6. Txhawm rau nruab ib daim cartridge tshiab, rov ua cov kauj ruam 1-4 saum toj no.

Intraoperative cov lus qhia:

1. Kaw lub kaw lus kaw, thiab lub suab ntawm "nias" qhia tias lub kaw lus kaw tau raug kaw lawm, thiab qhov occlusal nto ntawm lub staple cartridge nyob rau hauv lub xeev kaw;Lus Cim: Tsis txhob tuav lub tua hluav taws thaum lub sijhawm no

2. Thaum nkag mus rau hauv lub cev kab noj hniav los ntawm cannula los yog incision ntawm lub trocar, lub occlusal nto ntawm lub ntsuas yuav tsum dhau los ntawm lub cannula ua ntej occlusal nto ntawm lub staple cartridge yuav qhib;

3. Cov cuab yeej nkag mus rau hauv lub cev kab noj hniav, nias lub pob tso tawm, qhib qhov chaw occlusal ntawm qhov ntsuas, thiab rov pib dua qhov kov.

4. Tig lub pob qhov rooj nrog koj tus ntiv tes ntsuas kom tig, thiab nws tuaj yeem hloov kho 360 degrees;

5. Xaiv qhov chaw tsim nyog (xws li lub cev qauv, lub cev lossis lwm yam khoom siv) raws li qhov chaw sib cuag, rub lub qhov hloov pauv rov qab nrog tus ntiv tes ntsuas, siv cov tshuaj tiv thaiv quab yuam nrog qhov chaw sib cuag los kho lub kaum sab xis kom haum, thiab xyuas kom meej tias cov staple cartridge nyob rau hauv qhov chaw ntawm lub zeem muag.

6. Kho qhov chaw ntawm qhov ntsuas rau cov ntaub so ntswg kom anastomosed / txiav;

Nco tseg: Nco ntsoov tias cov ntaub so ntswg muab tso rau hauv nruab nrab ntawm qhov chaw occlusal, tsis muaj qhov cuam tshuam ntawm qhov chaw occlusal, xws li clips, brackets, coj cov xov hlau, thiab lwm yam, thiab txoj haujlwm tsim nyog.Zam kev txiav tsis tiav, ua tsis tau zoo staples, thiab / lossis tsis qhib qhov chaw occlusal ntawm qhov ntsuas.

7. Tom qab lub ntsuas tau xaiv cov ntaub so ntswg kom anastomosed, kaw qhov kov kom txog thaum nws kaw thiab hnov ​​/ hnov ​​lub suab "nias";

8. Kev tua hluav taws.Siv "3 + 1" hom los ua tiav kev txiav thiab suturing ua haujlwm;"3": tuav lub tua phom tag nrho nrog kev txav mus los, thiab tso nws kom txog thaum nws haum rau qhov kaw.Nyob rau tib lub sijhawm, saib xyuas tias tus lej ntawm qhov ntsuas hluav taws xob yog "1" "Qhov no yog mob stroke, tus lej yuav nce los ntawm "1" nrog rau txhua tus mob stroke, tag nrho ntawm 3 strokes sib law liag, tom qab thib peb stroke, cov hniav. kev taw qhia qhov rais ntawm ob sab ntawm lub qhov rooj ruaj khov dawb yuav taw tes rau qhov kawg ntawm qhov ntsuas, qhia tias rab riam yog nyob rau hauv hom Rov qab, tuav thiab tso tus tua phom dua, qhov taw qhia qhov rai yuav pom 0, qhia tias riam tau rov qab mus rau nws txoj haujlwm pib;

9. Nias lub khawm tso tawm, qhib qhov chaw occlusal, thiab rov pib dua qhov kev tua phom ntawm qhov kov;

Nco tseg: Nias lub khawm tso tawm, yog tias qhov chaw occlusal tsis qhib, thawj zaug paub meej tias qhov ntsuas qhov rai qhia tau hais tias "0" thiab seb qhov kev taw qhia ntawm lub qhov rais yog taw tes rau sab sab ntawm lub ntsuas kom paub meej tias rab riam yog nyob rau hauv thawj zaug. txoj hauj lwm.Txwv tsis pub, koj yuav tsum tau thawb lub pob khawm hloov pauv kom thim rov qab cov kev taw qhia ntawm cov hniav, thiab tuav tag nrho cov tua hluav taws kom txog thaum nws haum rau qhov kaw, thiab tom qab ntawd nias lub pob tso tawm;

10. Tom qab tso cov ntaub so ntswg, xyuas cov nyhuv anastomosis;

11. Kaw qhov kov thiab tshem tawm lub ntsuas.