KUYAMBIRA 1998

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Kumvetsetsa kwathunthu kwa stapler - Gawo 2

Kumvetsetsa kwathunthu kwa stapler - Gawo 2

Zogwirizana nazo

Awiri liwiro kusintha chipangizo cha m`mimba thirakitistaplerZili ndi thupi lokhazikika, thupi lopindika lolumikizidwa ndi thupi la stapler, ndi zomangira zomata ndi tupilo.The wononga anaikapo mkati mkati patsekeke wa stapler thupi, kutsogolo kwa wononga wononga chikugwirizana ndi ndodo chapakati mu mkati mkati mwa thupi stapler, ndi wononga ali ndi chikugwirizana choyamba ulusi gawo ndi gawo lachiwiri ulusi, The phula. ya gawo loyamba la ulusi ndi lalikulu kuposa la gawo lachiwiri la ulusi.Imatha kufupikitsa mwachangu mtunda pakati pa nkhokwe ya msomali ndi maziko a msomali, kenako ndikutsitsa gawo lachiwiri la ulusi wachibale ndi thupi la mphira, kotero kuti kuthamanga kwa wononga kumakhala pang'onopang'ono pomwe mfundo ikutembenuzidwira, yomwe imathandizira kugwira ntchito. cha m'mimba.

The kusintha mfundo ya m'mimba thirakiti stapler kumaphatikizapo mfundo thupi, amene mozungulira ogwirizana ndi stapler thupi, ndi mfundo thupi ulusi ndi wononga;Thupi la knob limaperekedwa ndi ma radial bulges omwe amakulitsidwa mokulira, ndipo pali ma radial osachepera awiri.Kuphulika kozungulira kumapangitsa gulugufe kukhala wowoneka bwino.Mukamagwiritsa ntchito, ngati mulola zala zanu kukankhira kuphulika kwa radial, mutha kupeza torque mwachindunji kuti kokeko kuzungulire, komwe kumatha kukakamiza minofu yamunthu kuti ikhale makulidwe odziwikiratu, ndipo palibe kukangana pakati pa zala zanu ndi ma radial. chotupa, chomwe chimalepheretsa bwino kuwonongeka kwa magolovesi a latex ovala ndi wogwiritsa ntchito.

Msomali wokhotakhota wa stapler wa m'mimba imakhala ndi korona wa misomali ndi mwendo wa msomali wowoneka ngati U.Mwendo wa msomali uli ndi gawo lopindika.Kumtunda kwa mbali yopindika ndi kumtunda kwa mwendo wa msomali, ndipo kumunsi kwa mbali yopindika ndi kumunsi kwa mwendo wa msomali.Mbali ya m'munsi ya mwendo wa msomali imapinda mkati pa gawo lopindika logwirizana ndi kumtunda kwa mwendo wa msomali.Kutalika kwa mwendo wa msomali wa mwendo wa msomali ndi 4.84 mm -4.92 mm.Kutalika kwa mwendo wa msomali wa msomali wa anastomotic ukhoza kupangidwa mwachizolowezi.Pambuyo popanga, mwendo wa msomali umapindika pagawo lopindika, zomwe zimapangitsa kuti pakhale mawonekedwe okhazikika.

Mzere wodulira mzerewu uli ndi thupi la chogwirira, mpeni wokankhira, mpando wa misomali ndi mpando wodulira misomali.Thupi lachigwiriro limaperekedwa ndi batani la kukankhira kuti liwongolere mpeni wokankhira, chogwiriracho chimalumikizidwa mozungulira ndi kamera, ndipo kamera imapatsidwa gawo la mbedza.Mbali ya kamera imaperekedwa ndi njira yotetezera.Pamene makina otetezera ali mu malo otsekedwa, mbedza imakokedwa pa batani, ndipo kamera imakhazikika pokhudzana ndi thupi;Pamene makina otetezera ali osatsegulidwa, gawo la mbedza limatulutsa batani lokakamiza.Njira yachitetezo ikatsekedwa, kamerayo imakhazikika pachimake chogwirizira, ndipo batani la kukankhira silingapitirire patsogolo, kuti mpeni usasunthidwe molawirira kwambiri pomwe chidacho sichinasinthidwe.

Chophimba chozungulira chozungulira chimakhala ndi mpando wa msomali ndi mpando woponyera msomali, momwe msomali wotsetsereka umakonzedwa, pomwe ndodo yotsetsereka imalumikizidwa, ndipo ndodo yotsetsereka imayikidwa m'manja mwa ndodo.Ndodo yotsetsereka imaperekedwa ndi ndege yoyamba yozungulira, ndipo khoma lamkati la ndodo yotsetsereka imaperekedwa ndi ndege yachiwiri yozungulira, ndipo ndege ziwiri zoyimitsa zozungulira zimagwirizanitsa.Mbali imodzi ya slide bar ndi slide bar sleeve imaperekedwa ndi nthiti yowongolera motsatira njira ya axial ya slide bar, ndipo gawo lina limaperekedwa ndi njira yolowera motsatira njira ya axial ya slide bar, ndipo nthiti yowongolera ndi zolowetsedwa mu kanjira kolowera.Kupyolera mu mgwirizano wa nthiti yolondolera ndi poyambira, kuyika pakati pa ndodo yotsetsereka ndi manja a mpando wa msomali ndikolondola, ndiko kuti, malo pakati pa mkono wa mpando wa msomali ndi mpando wa msomali ndi wolondola, kuti atsimikizire kuumbidwa koyenera. wa msomali wosokera.

Laaparoscopic Stapler

Njira yogwiritsira ntchito stapler

Njira yogwiritsira ntchito stapler imafotokozedwa ndi intestinal anastomosis.Matumbo a proximal a anastomosis amapangidwa ndi kachikwama, amaikidwa pampando wa misomali ndikumangika.The stapler anaikapo kuchokera ku mapeto akutali, anapyoza kuchokera chapakati puncture chipangizo cha stapler, kugwirizana ndi ndodo chapakati cha proximal stapler pa mpando msomali, zimayenda pafupi ndi distal ndi proximal matumbo khoma, ndi mtunda pakati pa stapler. motsutsana ndi mpando wa misomali ndipo maziko ake amasinthidwa molingana ndi makulidwe a khoma la matumbo, Nthawi zambiri, ndi 1.5 ~ 2.5cm kapena kuzungulira kwa dzanja kumakhala kolimba (pali chizindikiro cholimba pa chogwirira) kuti mutsegule fusesi;

Finyani kutseka anastomosis wrench mwamphamvu, ndi kumva "kudina" phokoso zikutanthauza kuti kudula anastomosis watha.Osatuluka mu stapler kwakanthawi.Onani ngati anastomosis ndi yokhutiritsa komanso ngati pali minofu ina monga mesentery yomwe ili mkati mwake.Mukalandira chithandizo chofananira, masuleni stapler ndikuchikoka pang'onopang'ono kuchokera kumapeto kuti muwone ngati mphete yochotsa matumbo yatha.

Kusamala kwa stapler

(1) Musanagwire ntchito, fufuzani ngati sikeloyo ikugwirizana ndi sikelo ya 0, ngati msonkhanowo uli wolondola, komanso ngati chidutswa chokankhira ndi msomali wa tantalum mulibe.Makina ochapira apulasitiki aziikidwa muchotengera singano.

(2) Mapeto osweka a matumbo kuti atulutsidwe ayenera kukhala omasuka ndi kuvula kwa osachepera 2 cm.

(3) Mtunda wa singano wa chikwama chachingwe suture saposa 0.5cm, ndipo m'mphepete mwake ndi 2 ~ 3mm.Minofu yambiri imakhala yosavuta kuyika mu anastomosis, yomwe imalepheretsa anastomosis.Samalani kuti musachotse mucosa.

(4) Sinthani masinthidwe molingana ndi makulidwe a khoma lamatumbo, ndi 1 ~ 2 cm ngati koyenera.

(5) Yang'anani m'mimba, mmero ndi minyewa ina yoyandikana nayo musanawombe kuti zisakanizidwe mu anastomosis.

(6) Kudula kudzakhala kofulumira, ndipo kukakamizidwa komaliza kudzagwiritsidwa ntchito kuti msomali wa msomali ukhale "B" mawonekedwe, kuti ayesetse kupambana nthawi imodzi.Ngati mukuganiza kuti sizolondola, mutha kuzidulanso.

(7) Tulukani pa stapler pang'onopang'ono, ndipo onani ngati minofu yodulidwayo ndi mphete yathunthu.

Zogwirizana nazo
Nthawi yotumiza: Jul-06-2022