Titanium-nickel memory alloy fistula stapler
- Titanium-nickel memory alloy fistula stapler
- matenda a fistula
- fistula stapler pusher
- Fistula stapler push sleeve ndi stapler clip
- fistula stapler guide
- Fistula Stapler Fistula Brush
Malangizo:
Chithunzi 1: Kuyesa kutsegula kwamkati ndi kafukufuku.
Chithunzi 2: Minofu ya mucosal yokhala ndi mainchesi 1.5 mpaka 2 cm kuzungulira khomo lamkati idadulidwa ndi mpeni wamagetsi.
Chithunzi 3: Gwiritsani ntchito burashi ya anal fistula kapena njira zina kuti muchotse fistula thirakiti.
Chithunzi 4: Kutsekeka kwa zingwe zotsekera mkati ndi ma 3-0 absorbable sutures.
Chithunzi 5 ndi Chithunzi 6: Gwiritsani ntchito suture kuti mukoke minofu yozungulira pobowo yamkati mkatikati mwa mutu wa dispenser, ndikumasula chojambula cha anastomotic kuti mumalize kudula.
Kusamalitsa
Kutulutsa kanema wa anastomotic ndi gawo lofunikira pantchitoyo.Ziyenera kutsimikiziridwa kuti minofu yokwanira imakokedwa musanayambe kumasulidwa.Mphamvu yokoka minofu ya minofu siyenera kumasuka pakumasulidwa, ndipo chojambula cha anastomotic chiyenera kumasulidwa molunjika.Ma tapi a anastomotic onse ayenera kudulidwa mu minofu wosanjikiza osati kubweretsa mucosal minofu.Kutulutsidwa kosayenera kungayambitse kutayika msanga kwa clip ya anastomotic, zomwe zimapangitsa kuti opaleshoni isatheke.
Chojambula cha anastomotic chidapangidwa kuti chizitha kuchotsedwa.Nthawi zambiri, imatha kugwa yokha pakatha masabata atatu atachitidwa opaleshoni ndikutulutsidwa ndi chopondapo.Ngati sichikugwa pa masabata a 4, iyenera kuchotsedwa pamanja kuti isalowetsedwe ndi mucous nembanemba ndikupanga matupi achilendo m'thupi.