KUYAMBIRA 1998

Wopereka chithandizo choyimitsidwa pazida zonse zachipatala
mutu_banner

Njira zogwirira ntchito za liniya stapler

Njira zogwirira ntchito za liniya stapler

Zogwirizana nazo

Njira zogwirira ntchito za liniya stapler

1. Chotsani chivundikiro choteteza bin ya misomali;

2. Gwirani mbali ziwiri za minyewayo ndi minofu motsatana, kwezani gawolo kuti likhale ndi anastomosed, ndikuyika minofu yokwezeka pamutu wa stapler;

3. Gwirani chogwirira chowombera ndikuyamba kuwombera.Pamene chogwirira chowombera chikukankhidwa mpaka theka, chogwiriracho chimasungidwa chokha.Panthawiyi, padzakhala phokoso lopangitsa dokotala kuti asinthe molondola gawo la anastomotic la minofu malinga ndi momwe zilili;

4. Sinthani malo a stapler ndikupitiriza kuwombera chogwiriracho mpaka minofu itatsekedwa kwathunthu.Panthawiyi, padzakhala phokoso mwamsanga, ndipo chogwirizira kuwombera chidzatulukira basi.Ngati sichinatsegulidwe mokwanira, tsegulani pamanja kuti muwonetsetse kuti chogwiriracho chatsegulidwa kwathunthu;

5. Apanso, chogwirizira chowombera chidzakhala anastomose minofu, ndipo padzakhala phokoso mwamsanga pambuyo kuwombera.Panthawi imodzimodziyo, msomali wa suture umalowa m'magulu a mbali zonse ziwiri kuti amalize mawonekedwe a B, kusonyeza kuti anastomosis yatha.Chowombera chowombera chimakhala chotsekedwa kwathunthu, ndipo kuwombera kuwiri sikuloledwa kuteteza minyewa pamalo a anastomosis kuti isawonongeke;

Laaparoscopic Stapler

6. Samalani pamene mukutuluka mankhwala mukamaliza.Osagwiritsa ntchito chiwawa kapena mphamvu kuti mutulutse chinthucho.

Chovala chozungulira

Tubular stapler ndi yoyenera: esophagectomy, subtotal gastrectomy, intestine yaing'ono, kutulutsa m'matumbo ndi kutsika kwa rectum.

Makhalidwe a tubular stapler:

1. Opaleshoni nthawi imodzi ndiyoyenera kupewa matenda opatsirana;

2. Wonjezerani ma radian opindika kuti athandizire kuyika zida;

3. Integral mphete mpeni kuonetsetsa kudalirika;

4. Mapangidwe apadera ndi chithandizo cha singano ya suture ndi yabwino kwambiri ku suture ndi resection.

Zogwirizana nazo
Nthawi yotumiza: Apr-25-2022