KUGEZA 1998

Serivisi imwe itanga ibikoresho byubuvuzi rusange
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Gusobanukirwa byimazeyo stapler - igice cya 2

Gusobanukirwa byimazeyo stapler - igice cya 2

Ibicuruzwa bifitanye isano

Ibikoresho bibiri byo guhindura umuvuduko wibice byigifustaplerikubiyemo umubiri wa stapler, umubiri wa knob uzunguruka uhujwe numubiri wa stapler, hamwe na screw ihujwe numubiri wa knob.Imiyoboro yinjizwa mu cyuho cyimbere cyumubiri wa stapler, imbere yimigozi ihujwe ninkoni yo hagati mu cyuho cyimbere cyumubiri wa stapler, kandi umugozi ufite umurongo wambere wumutwe hamwe nigice cya kabiri, Ikibuga y'icyiciro cya mbere igice kinini kirenze icy'icyiciro cya kabiri.Irashobora kugabanya byihuse intera iri hagati yimisumari yumusumari nu musumari, hanyuma ikanyerera igice cya kabiri cyurudodo ugereranije numubiri wa knob, kugirango umuvuduko wimuka wa screw ugenda gahoro mugihe ipfundo rihindutse, bifasha mubikorwa y'inzira y'ibiryo.

Ihinduramiterere ryimyanya yimyanya yumubiri irimo umubiri wa knob, uhinduranya hamwe numubiri wa stapler, kandi umubiri wa knob ugahuzwa umugozi;Umubiri wa knob utangwa na radiyo nini yagutse cyane, kandi hariho byibura bibiri bya radiyo.Imirasire ya radiyo ituma ikinyugunyugu gikora.Iyo uyikoresheje, uramutse uretse intoki zawe zigasunika imirasire ya radiyo, urashobora kubona itara ryumubyimba kugirango ipfundo rizunguruka, rishobora guhita byoroha ingirangingo zumuntu kubyimbye byateganijwe mbere, kandi ntakibazo gihari hagati yintoki zawe na radiyo. bulge, irinda neza kwangirika kwa gants ya latex yambarwa nuwayikoresheje.

Umusumari wikigina wururondogoro rwigifu rugizwe nikamba ryimisumari hamwe namaguru yimisumari muburyo bwa U.Ukuguru k'imisumari gafite igice cyunamye.Igice cyo hejuru cyigice cyunamye nigice cyo hejuru cyamaguru yimisumari, naho igice cyo hepfo cyigice ni igice cyo hepfo yukuguru.Igice cyo hepfo yamaguru yimisumari yunamye imbere mugice cyunamye ugereranije nigice cyo hejuru cyukuguru.Uburebure bw'ukuguru kw'imisumari ukuguru ni 4,84 mm -4,92 mm.Uburebure bw'ikirenge cy'imisumari ya anastomotique burashobora gukorwa muburyo busanzwe.Nyuma yo gukora, ukuguru kwumusumari kugoramye igice cyunamye, bitezimbere amahirwe yo gukora bisanzwe.

Umurongo wo gukata umurongo ugizwe numubiri wintoki, icyuma cyo gusunika, intebe yimisumari hamwe nintebe yo gutera imisumari.Umubiri wintoki utangwa na bouton yo gusunika kugenzura icyuma gisunika, umubiri wintoki uhinduranya hamwe na kamera, kandi kamera itangwa nigice gifatika.Uruhande rwa kamera rwahawe uburyo bwumutekano.Iyo uburyo bwumutekano buri muburyo bufunze, indobo ifatirwa kuri buto yo gusunika, kandi kamera ikosorwa ugereranije numubiri wintoki;Iyo uburyo bwumutekano buri muburyo budafunze, igice cya hook kirekura buto yo gusunika.Iyo uburyo bwumutekano bufunze, kamera ikosorwa ugereranije numubiri wumukingo, kandi buto yo gusunika ntishobora gutera imbere, kugirango wirinde icyuma cyo gusunika gusunikwa hakiri kare mugihe umwanya wigikoresho udahinduwe.

Uruziga ruzenguruka rugizwe nintoki yintebe yimisumari hamwe nintebe yo gukomeretsa imisumari, aho hashyizweho urutoki rwo kunyerera, aho inkoni yo kunyerera ihujwe, kandi inkoni yo kunyerera yinjizwa mumaboko yinyerera.Inkoni yo kunyerera itangwa nindege ya mbere yo kuzunguruka, kandi urukuta rwimbere rwikiganza cyanyerera rutangwa nindege ya kabiri izunguruka, kandi indege ebyiri zihagarara zihuza hamwe.Igice kimwe cyuruhande rwigitambambuga hamwe nigitambambuga cyerekanwa gitangwa hamwe nu rubavu ruyobora icyerekezo cyerekezo cyerekezo cyerekanwa, naho ikindi gice gitangwa nuyoboye umurongo ugana icyerekezo cyerekezo cyerekezo cyerekanwa, kandi imbavu iyobora ni Byinjijwe muyobora.Binyuze mu bufatanye bwurubavu ruyobora hamwe nuyoboye icyerekezo, umwanya uhagaze hagati yinkoni iranyerera hamwe nintebe yintebe yimisumari birasobanutse neza, ni ukuvuga ko guhagarara hagati yintebe yintebe yintebe nintebe yimisumari ari ukuri, kugirango hamenyekane neza neza. yo kudoda.

Laparoscopic Stapler

Uburyo bwo gukora bwa stapler

Uburyo bwo gukoresha stapler busobanurwa na anastomose yo munda.Amara yegeranye ya anastomose ashushanyijeho agasakoshi, agashyirwa ku ntebe y'imisumari kandi agakomera.Stapler yinjizwa kuva kumpera ya kure, igacibwa mu gikoresho cyo hagati cyo gutobora hagati ya stapler, igahuzwa n'inkoni yo hagati ya stapler yegeranye ku ntebe y'imisumari, ikazunguruka hafi y'urukuta rw'imbere kandi rwegeranye, n'intera iri hagati ya stapler. kurwanya intebe y'imisumari kandi shingiro ihindurwa ukurikije ubunini bwurukuta rw amara, Mubisanzwe, ni 1.5 ~ 2,5cm cyangwa kuzenguruka intoki birakomeye (hariho ikimenyetso cyerekana gukomera) kugirango ufungure fuse;

Gabanya gufunga anastomose gufunga neza, no kumva ijwi "kanda" bivuze ko gukata anastomose birangiye.Ntusohoke muri stapler by'agateganyo.Reba niba anastomose ishimishije kandi niba hari izindi nyama nka mesentery yashizwemo.Nyuma yo kuvurwa bihuye, fungura stapler hanyuma uyikure witonze uhereye kumpera ya kure kugirango urebe niba impeta ya kure kandi yegeranye yuzuye yuzuye.

Kwirinda stapler

.Gukaraba plastike bizashyirwa mubifata inshinge.

.

.Tissue nyinshi biroroshye kwinjizwa muri anastomose, ibuza anastomose.Witondere kudasiba mucosa.

(4) Hindura intera ukurikije ubunini bwurukuta rwamara, hamwe na cm 1 ~ 2 nkuko bikwiye.

(5) Reba igifu, esofagusi nizindi ngingo zegeranye mbere yo kurasa kugirango wirinde kwinjizwa muri anastomose.

.Niba utekereza ko atari byo, urashobora kongera kubigabanya.

(7) Sohoka witonze witonze, hanyuma urebe niba inyama zaciwe ari impeta yuzuye.

Ibicuruzwa bifitanye isano
Igihe cyo kohereza: Jul-06-2022