Te aratau whakatinanatanga o te trocar laparoscopic
Ko te repe o raro 3-4 ka tukuna he pou toki whakaurunga 3-4-1 me tetahi mowhiti tautoko 3-4-2, ka whakamahia hei tautoko i te potae hiri rapa rapa ahua 3-1.Ko te potae hiri hau 5 ka tango i te potae hiri hiri, he mea hanga mai i nga mea ngohe rapa, he hiri hau.Ka whakauruhia he reera werohanga hau 6 ki tetahi taha o te tuuru tuuru whiu 2-1, ka whakauruhia he pana hau werohanga 7 ki runga i te hau werohanga hau 6, he mea whakauru ano ki te uru hau me te tauranga whakapau.Ka honoa te 6 o te hau werohanga ki te puna hau ma te paipa.I te wa o te mahi, ka werohia te hau ki roto i te kohanga o te manawanui pokanoa kua werohia i roto i te hau 6 ki te hanga i te pneumoperitoneum, he pai mo te mahi.Ko te waho o te ringaringa werohanga 2-2 ka whakawhiwhia ki te riu hau 2-3, ka toro atu ki mua o te ringaringa werohanga 2-2 i runga i te ahunga axial o te ngongo wero ka haere i roto i te riu here waea.E rua nga awaawa here waea 2-4 kua whakaritea ki te pito o mua o te ringaringa werohanga 2-2.
Ka whakauruhia he taki taki 9 ki te taha o raro o te nohoanga 2-1 o te tuuru poka, ka hono te putanga hau o te taki taki ki te riu hau 2-3 kei waho o te ngongo wero.Ko te repe hiri o te papa hiri 10 kei waho o te riu hau 2-3 o te ringaringa werohanga 2-2, a ko te taha o roto o te papa hiri 10 ka whakawhiwhia ki te riu tuku hau 10-4, kia ko te riu hau 2-3 he hongere tuku hau.Ko tetahi pito o te papa hiri 10 e whakaratohia ana ki te paraka whakatika 10-1, ka whakauruhia, ka whakanohohia ki raro o te taki taki 9, a ko tetahi atu pito o te taapiri hiri 10 ka whakaratohia ki te awaawa waea 10-2 me he putanga hau 10-3 e rite ana ki te pito o mua o te ngongo pupuhi, he pai mo te waea waea me te whakatika i te pukoro, me te tuku hau ki te putea 11 ma te putanga hau 10-3.Ko te papaa hiri 10 ka whakapirihia, ka paihia ranei e te ultrasonically ki te repe hiri ki waho o te riu hau 2-3 o te ringaringa werohanga 2-2, kia hanga ai te riu hau 2-3 hei hongere tuku hau.Ko te peeke hau 11 ka whakauruhia ki te pito o mua o te ringaringa werohanga 2-2 ka tau ki te taha o te riu here 2-4 ma te here.Ko te putanga hau 10-3 kua tautuhia e te whakapiri hiri 10 ka tuku i te hau kapi ki te peeke hau 11 ka pupuhi i te putea hau 11. Ko te mowhiti tuunga 8 kua whakaritea me te ringaringa werohanga 2-2.I te wa o te mahi, i te wa e whakauruhia ana te ringaringa 2-2 ki roto i te kohao o te manawanui, ko te 9 ara-a-tahi ka pupuhi i te putea hau 11 i roto i te mokowhiti hau 2-3 me te kohao putanga hau i runga i te papa hiri 10. I muri i te hau. Ko te putea 11 kua ki tonu i te hau, whakatikahia te tuunga o te mowhiti tuunga 8, rawhi te taputapu wero ki te kiko o te kohao o te manawanui i roto i te mowhiti tuunga 8 me te peeke hau 11 ka whakatakotoria ki te ringaringa werohanga 2-2, ka kore e ruru, no reira hei whakangawari i nga taputapu pokanga hei mahi pokanga.
Ka oti te mahi, kati te puri werohanga hau 6, whakatuwherahia te pana hau werohanga 7, whakakorikori i te kohao, katahi ka pehia te matua o te takirere 9 ki te tuku i te hau kua whakakiia ki roto i te peeke 11, katahi ka tango i te ringa werohanga 2-2 mai i te pakitara kohao o te manawanui.Ko te arai kotahi-ara 9 ko te waahi kotahi-ara te wero hau.Ko te takirere kotahi-ara 9 he tinana takirere 9-1, he nohoanga takirere 9-2, he matua takirere 9-3, he mowhiti hiri 9-4 me te puna 9-5.Ko te mowhiti hiri 9-4 kua whakauruhia ki runga i te 9-3 matua, a ko te puna 9-4 ka pehi i te 9-3 matua me te mowhiti hiri 9-4 ki te nohoanga 9-2 o te tinana takirere kia mohio ai tetahi. -ara hiri.Ko te kokoru hau o te tinana takirere e hono ana ki te putorino werohanga hau me te puna hau kōpeke.Ko te putea hau 11 he mea hanga mai i te papanga kiriata ngohengohe.Ko te whakakai kimi 8 he mea hanga mai i nga mea ngohengohe rapa
Wā tuku: Hūrae-22-2022
