Stapling, izwi kandi nk'imashini idoda, kuva ibicuruzwa byatunganijwe kandi bikoreshwa mu kubaga suture yo kubaga, guhera hakiri kare mu kubaga gastrointestinal, kugeza ubu byakoreshejwe mu kubaga amavuriro menshi, ndetse n'ibicuruzwa byifashishwa, nabyo byabonye iterambere ryihuse, dufite inzira yigifu izwi cyane stapling stapling, gukata umurongo ugabanya anastomat, gukata uruziga anastomat hamwe nigituba nibindi.
Ugereranije na suture gakondo yo kubaga, kudoda na anastomose biroroshye kandi byoroshye, kandi ubudozi ni bwiza.Ku barwayi benshi, suture nziza yo kubaga izatuma abarwayi bumva bamerewe neza kandi neza.
Ibikurikira byibanze ku kumenyekanisha tubular stapler.
Ibiranga stubler biranga:
Mu magambo make, stapler ikoreshwa muburyo bwose bwa cavity anastomose yitwa tubular stapler.
Impamvu ituma tubular stapler yitwa tubular stapler nuko iyo yinjiye kandi isohotse, izakora imirongo ibiri yuburyo bwizenguruko izengurutswe, hanyuma igaca ibice byimbere ikoresheje icyuma cyimpeta, ishobora kugera kubintu byihuse kandi byoroshye anastomose kubice byigituba.
Mu ijambo, igituba gikoreshwa cyane cyane muri anastomose yingingo yigituba.Ibicuruzwa bitandukanye bikwiranye nibikorwa bitandukanye.Kurugero, 21, 23, 26 na 29 zikoreshwa cyane cyane muri esofagus no mu mara mato, naho 32 na 34 zikoreshwa cyane mubikorwa bya colon na rectum.
Gukoresha tubular stapler:
1. Hitamo stapler ikwiye;
2. Kuzenguruka ibinyomoro bihinduranya amasaha kugirango ufungure intebe yo gufunga hanyuma usohokemo igifuniko cyo gukingira kugeza igihe icyicaro gifunguye;
3. Kuzenguruka ihinduranya rya knob ku isaha kugeza ubonye agace gatukura k'umutuku wigikoresho cyubatswe, hanyuma ukuremo intebe yimisumari hanyuma uzenguruke knob ihinduranya isaha, kugirango igikoresho cyubatswe gishobora kwinjizwa mumubiri. ya stapler;
4. Shira umusumari wakuweho mumutwe umwe wa tubule kugirango anastomose yapakishijwe suture, komeza ibyago byamasakoshi kumurongo wapfunditse wumusumari, hanyuma ugabanye impande zirenga;
5. Shira stapler kurundi ruhande rwurwobo kugirango uhindurwe, hanyuma uzenguruke knob ihinduranya isaha kugirango uhindure umutwe wumutwe imbere kugirango ucike mu cyuho gifunze kugeza aho ipfundo ritukura riri inyuma yicyuma gishobora gutomorwa neza. bigaragara;
6. Shyira hejuru ya anvil umutwe wa stapler hanyuma uyisunike imbere kugeza igihe ijwi rya "kanda" ryumvikanye, hanyuma stapler irahuzwa, umuyoboro wa tissue urahindurwa hanyuma stapler irafungwa.
7. Kenyera stapler kugeza idirishya ryerekana amabwiriza asimbutse;
8. Emeza niba stapler ihari;
9. Sohoka umubiri wa stapler mugihe uzunguruka;
10. Emeza niba tissue yacukuwe idahwitse kandi niba hari ikidasanzwe kuri site ya suture.Niba hari ikintu kidasanzwe kibonetse, kigomba gukemurwa mugihe.
Igihe cyo kohereza: Mutarama-07-2022
