Gukata umurongo kumurongo wibikoresho bya endoskopi ikoreshwa

Amashami akoreshwa nibikorwa byo gukata umurongo

Hanze y'igituza: splenectomy, lobectomy;

Gynecology: intanga ngore;

Rusange: kugabanya ingano ya gastrici, gastrectomy ya subtotal, pancreatectomy (resection ya pancreatic pedicle), hepatectomie (resection yumwijima pedicle);

Urology: nephrectomy (resection ya pedicle yimpyiko), vasculature, rectotomy, cholecystectomy, gutandukanya tissue, excision na anastomose mugubaga kumugaragaro.

Ibyiza byo gukata umurongo

1. Ubworoherane:

Inzara yimisumari iroroshye kandi ishyizwe kumiterere yimisumari, ishobora kugerwaho kuva mumwanya muto cyane munsi yumubiri;

Ikibaho cy'imisumari gifite igishushanyo mbonera, 0 °, 30 °, 45 ° impande eshatu zizunguruka, kuzenguruka inzira ebyiri, gukora byoroshye;

Nta byangiritse mbere yo gufata imbaraga, birashobora gukoreshwa nkintego nyinshi, nko gufata ibyuma;

Igikoresho gifite imisumari itandukanye, kugirango ihuze ibikenewe ahantu hatandukanye ho kubaga, kugabanya ibikorwa bigoye, kugabanya ikiguzi cyo kubaga.

2. Guhinduka:

Uturemangingo dutandukanye, ubunini butandukanye, hitamo imisumari itandukanye, uburebure bwa suture ingana na 0.7-2.0mm;

Amabanki atandukanye yimisumari yatoranijwe kubice bitandukanye bigize tissue imwe kugirango agabanye ikiguzi cyo kubaga.

3. Kwizerwa

Imirongo 6 yimisumari irekurwa iyo irasa, hanyuma icyuma cyo gutema kicibwa hagati kugirango gitange garanti yizewe yo kudoda.

Uburebure bwimirongo itatu yimisumari ya suture itabogamye buratandukanye cyane (igishushanyo mbonera), hemostasis yimpande ya incision nibyiza, kandi gutanga amaraso kumyenda ya suture nibyiza.

Buri mikoreshereze yimisumari mishya rwose, ijyanye nihame ryo kutagira ikibyimba;

Iyo urasa, icyuma cyo gukata kiva kumpera yegereye kugera kumpera ya kure, kandi gifunga mugihe cyo gutema mugihe cyo kudoda imyenda kugirango harebwe ko buri murongo wubudozi ubudodo uba ufite uburebure bumwe.