Ikoreshwa rya Linear Stapler:
- Ibikoresho bikoreshwa kugirango wirinde kwandura.
- Umunani udasanzwe utuma inzira yoroshye.
- Ubunini bwa Suture burashobora guhindurwa ukurikije ubunini bwinyama.
- Imisumari ya titanium yatumijwe mu mahanga ifite imbaraga zo kurwanya anastomose.
Ikoreshwa ry'umurongo wo gutema
Gukata umurongo ukoreshwa muburyo bwo kubaga inda, kubaga thoracic, kubaganga no kubaga abana.Ubusanzwe, stapler zikoreshwa mugucukumbura no guhinduranya ingingo cyangwa ingirangingo.Ubu bwoko bwo gukata umurongo buringaniye buri hagati ya mm 55 na mm 100 (uburebure bukomeye kuri mm stapling and transection) .Buri burebure bwa stapler buraboneka muburebure bubiri bwibanze kugirango byoroshye guhinduranya ingirabuzimafatizo zibyibushye kandi zoroheje. umurongo. Kanda rwose urutoki, hanyuma wimure uruhande rwinyuma hanyuma usubire gukora byoroshye stapler.Byubatswe mumashini, pin spacer, hamwe nuburyo bwo gufunga neza bikorana kugirango byorohereze gufunga urwasaya hanyuma bikore neza.Uburebure bukomeye ya stapling and transection igenwa nubunini bwa stapler yatoranijwe. Cassette ikwiye ishobora gukoreshwa hamwe na stapler ikata umurongo itanga umurwayi umwe gukoresha ibicuruzwa.
Gusaba
Irakoreshwa cyane mugufunga ibibyimba cyangwa gutemagura mumyanya yumubiri hamwe nibindi bikorwa byo kwanga ingingo.
Ikiranga
- Ibikoresho bikoreshwa kugirango wirinde kwandura
- Umunani udasanzwe utuma inzira zoroha
- Ubunini bwa Suture burashobora guhindurwa ukurikije ubunini bwinyama
- Ibicuruzwa bitumizwa mu mahanga bya titanium, imbaraga zikomeye
- Ibicuruzwa byahinduwe kandi ntibikenewe guhindurwa mbere yo kubikoresha
Amahame nibyiza byo kubaga
Ihame ryibanze ryakazi ryibikoresho byo kubaga: ihame ryakazi ryibikoresho bitandukanye byo kubaga ni kimwe n’ibya stapler.Bashyira imirongo ibiri yimitambiko yambukiranya ingirangingo, hanyuma bagashushanya ingirangingo hamwe n'imirongo ibiri y'ibiti byambukiranya, ibyo. Irashobora gufatana hafi Gushushanya hafi kugirango wirinde kumeneka;kubera ko imiyoboro mito yamaraso ishobora kunyura mu cyuho cyubwoko bwa B, ntabwo igira ingaruka kumaraso yikibanza cya suture nimpera yacyo ya kure.
Ibyiza byo kubaga ibintu:
1. Igikorwa kiroroshye kandi cyihuse, kigabanya cyane igihe cyo gukora;
2. Umuganga wubuvuzi nukuri kandi wizewe, urashobora gukomeza gutembera neza kwamaraso, guteza imbere gukira ingirangingo, kurinda neza kumeneka, no kugabanya cyane kwandura kwa anastomotique;
3. Umwanya wo kubaga udoda na anastomose ni muto kandi wimbitse;
4. Hindura intoki zifunguye cyangwa anastomose kugirango ufunge suture anastomose kugirango ugabanye ibyago byo gukoresha imiti yo kubaga ikoreshwa kugirango yanduze umurima wo kubaga mugihe cyo kwiyubaka kwinzira zifunguro no gufunga stump bronchial;
5. Irashobora kudoda inshuro nyinshi kugirango wirinde gutanga amaraso na tissue necrosis;
6. Kora endoskopi yo kubaga (thoracoscopy, laparoscopi, nibindi) bishoboka.Kubaga videwo ifashwa na thoracoscopic na laparoscopique kubaga ntibyashoboka hatabayeho gukoreshwa umurongo utandukanye wa endoskopi.
Ukuntu Surgical Staplers na Staples Bikora
Disposable surgery staplers na staples nibikoresho byubuvuzi bishobora gukoreshwa mu mwanya wa suture.Birashobora gufunga ibikomere binini cyangwa ibice byihuse kandi hamwe nububabare buke kubarwayi kuruta suture.Bikoreshwa kandi mugufunga ibikomere aho uruhu rwegereye igufwa , no kubaga kugirango bakureho ingingo cyangwa bongere bagabanye ibice byimbere.Bifite akamaro muburyo bwo kwibasirwa byoroheje kuko bisaba gufungura gusa gufunga vuba no gufunga ingirangingo hamwe nimiyoboro yamaraso. Imyenda yuruhu ikoreshwa hanze kugirango ifunge uruhu munsi yuburemere bukabije , nko ku gihanga cyangwa ku mubiri.
Nibihe bikoresho byo kubaga bikozwe
Ibikoresho by'ibanze bikunze gukoreshwa mu kubaga harimo ibyuma bitagira umwanda na titanium.Ibi ni ibyuma bikomeye kandi bikunda guteza ibibazo bike ku barwayi mu gihe cyo kubikora.Nyamara, ibikoresho bya pulasitike bikunze gukoreshwa ku bantu bafite allergie y'ibyuma cyangwa kugabanya imyenda y'inkovu. Ibikoresho bikozwe muri plastiki cyangwa ibyuma ntibishonga nka suture nyinshi, bityo rero hagomba kwitonderwa cyane kugirango wirinde kwandura.Ibikoresho bikozwe muri polypropilene na polyethylene glycol byateguwe kugirango bisubizwemo umubiri.Bakunze gukoreshwa mububiko bwo kwisiga kuko bakora nkibikoresho bya pulasitike kugirango bagabanye inkovu.
Uburyo bwo Kubaga bukora
Surgical staplers ikora mukugabanya ingirangingo, guhuza ibice bibiri byumubiri hamwe no gufatanyiriza hamwe muburyo bwa B bwo kubaga, kandi, muburyo bumwe na bumwe, guca uduce twinshi kugirango habeho gufunga igikomere cyo kubaga.Hariho ibishushanyo bitandukanye byubwoko butandukanye bwo kubaga, ibyinshi muribyo byashyizwe kumurongo cyangwa kumurongo.Imirongo yumurongo ikoreshwa muguhuza ingirabuzimafatizo cyangwa gukuraho ingingo muburyo butagaragara.Ikizunguruka gishobora gukoreshwa akenshi gikoreshwa muburyo bujyanye n'inzira zifungura kuva mu muhogo kugera mu mara. Iyo ukoresheje umugozi umwe ukoreshwa umurongo umwe, umuganga ubaga akoresha ikiganza ku mpera imwe kugira ngo afunge "urwasaya" ku mwenda ku rundi ruhande. suture.Uruziga ruzengurutse rurasa imirongo ibiri yikomatanya kuva muri karitsiye yumuzingi.Iyi gahunda yumuzingi ituma anastomose ihuza ibice bibiri cyangwa indi miyoboro ya tubular nyuma yo gukuramo igice cy amara.Ibikoresho bifasha ingirangingo gushyirwaho hagati yibyingenzi kugirango bibe impeta cyangwa ifumbire.Urubaho rwubatswe noneho rugabanya uduce twinshi hejuru hanyuma rugafunga umurongo mushya.Umubaga ureba igikomere gifunze amasegonda 30 kugirango arebe ko ingirangingo zifatanyirijwe hamwe neza no kugenzura ko nta maraso ava.Nkuko ibicuruzwa biva mu mahanga bigarukira isosiyete, LookMed ifite ibikoresho byumusaruro bigezweho, ibikoresho byo gupima hamwe nitsinda rishinzwe gucunga neza no guhanga udushya. Dutanga trocars zikoreshwa, imashini zikoreshwa mu ruhu, imiti ya cytologiya ikoreshwa, imitego ya polypectomy ikoreshwa, ubwoko bwibiseke bikoreshwa nibindi.
Igihe cyo kohereza: Ugushyingo-17-2022
