Amabwiriza yo gukoresha trocar imwe ya laparoskopi (Igice cya 2)

XI. Ibintu bikeneye kwitabwaho no kuburira trocar

1. Iyo ukoresheje trocar ya laparoskopi, ibikorwa bya aseptic bigomba gukurikizwa cyane;

2. Nyamuneka reba neza ibipfunyika bya trocar ya laparoskopi mbere yo kuyikoresha, niba ibipfunyika byangiritse, nyamuneka ureke kubikoresha;

3. Trocar ya laparoscopique ihindurwa na okiside ya Ethylene, na.

4. Iki gicuruzwa nikoreshwa rimwe gusa kandi ntigishobora guhindurwa nyuma yo gukoreshwa.

5. Nyamuneka reba niba ibicuruzwa biri mugihe cyemewe mbere yo gukoreshwa.Igihe cyo kuboneza urubyaro ni imyaka itatu, kandi ibicuruzwa birenze igihe cyemewe birabujijwe rwose.

6. Mugihe cyo kubaga inda, niba pneumoperitoneum ikwiye idashobora gushingwa no kubungabungwa, umwanya uhari urashobora kugabanuka, ibyo bikaba bizabangamira kugenda kwimbere ya cone ya puncture kandi byongera ibyago byo gukomeretsa ingirangingo.

7. Abaganga bonyine bafite uburambe bukomeye kandi bamenyereye tekinoroji ya endoskopi barashobora kubaga endoskopi.Mbere yo kubagwa, abaganga bagomba kubaza ibitabo nubuvanganzo bijyanye kugirango bumve ikoranabuhanga, ingorane n'ingaruka za endoskopi.

8. Imirongo yo gutobora umurongo irakaze kandi itekanye.Kubwibyo, imbaraga zisabwa mugihe cyo kwinjiza ni nto.Gukoresha imbaraga zikabije birashobora kugabanya igenzura ryumukoresha winjizamo inguni nuburebure bwa cone yacumita, kandi bikongera ibyago byo kwangiza imyenda yimbere.

9. Gufatanya, anatomiya idasanzwe cyangwa izindi mbogamizi zirashobora gukumirwa cyangwa gutinda, ibyo bikaba bizatera cone de poncure kwangiza imiterere yimbere mugihe cyo gutobora buhumyi.Birasabwa gukoresha kubaga laparoskopi.Nyuma yo kongeramo suture kuri fassiya yinda, koresha iki gicuruzwa Kuzana no gukoresha.

10. Mbere na nyuma yo kuvanaho urumogi rushobora kuva mu cyuho cy'inda, reba hemostasis y'ahantu ho kubaga.Gushyushya amashanyarazi cyangwa intoki zintoki zirashobora gukoreshwa muguhashya amaraso.Ukurikije uko umuganga abibona, hashobora gukenerwa laparotomie.

11. Umaze kwinjira mu cyuho cyo munda, ugomba kwitonda kugirango utazongera gukanda urumogi.Niba imbaraga zihagije zashyizwe kumpera yimbere kugirango yimure cone imbere, bizatera kwangirika kwinyuma.