Ihame ryibanze ryakazi ryakubaga. kwirinda 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) birashoboka. Kubaga videwo ifashwa na thoracoscopic na laparoscopique ntabwo byashoboka udakoresheje uburyo butandukanye
umurongo wa endoskopi.
Isoko rya Stapler Stapler - Isesengura ryinganda ku Isi, Ingano, Gusangira, Gukura, Imigendekere
Kongera umubare wibikorwa byo kubaga bitewe no kwiyongera kwindwara zidakira bizatuma isoko ryo kubaga isoko mugihe cyateganijwe.Iterambere rizaterwa no kwiyongera kubisabwa muburyo bworoshye bwo gutera bitewe no gukira kugufi hamwe no kuguma mu bitaro. Stapler yemerera umuganga kubaga ibikomere by'imbere endoskopique bitabaye ngombwa ko habaho uburyo bwo kubaga bweruye.Imikorere isanzwe ikoreshwa mu gufunga ibikomere ikunda kumeneka kandi gutandukana, bityo kongera guhitamo stapler hejuru ya suture bizatera ibisabwa.Byongeye kandi, ibibazo bijyanye no gukiza suture bitanga inzira yiterambere ryibikoresho byo kubaga.Iterambere ryikoranabuhanga mubyiciro byinshi bya siyansi ryabyaye ibikoresho byinshi bidasanzwe byo kubaga nibikoresho byakoreshejwe mugihe cyo kubaga. Guhora kwinjiza ibikoresho bishya no gukomeza guteza imbere ikoranabuhanga mubikoresho bihari birahinduka uburyo abaganga babaga bakora imirimo gakondo no kubafasha guteza imbere uburyo bushya bwo kubaga kugirango barusheho kunoza umusaruro w’abarwayi. Ingaruka zidateganijwe z’iri terambere ry’ikoranabuhanga ryihuse ni ugushiraho "icyuho cy’ubumenyi" mu gusobanukirwa n’abaganga babaga uburyo ibikoresho bikorana nuduce.Mu inshuro nyinshi, kubaga barashobora kutumva ishingiro rya siyanse / ivuriro ryo gukoresha neza ibyo bikoresho cyangwa uburyo bwo gukoresha neza ingorane zidasanzwe zigaragara mu gikoresho runaka. Kubera iyo mpamvu, kubaga bashobora akenshi gushingira ku bunararibonye bwabo, bagakoresha ubushishozi bwabo, cyangwa wishingikirize kubimenyetso bidafite ishingiro, bishobora guhindurwa mubisubizo byumurwayi wa suboptimal, nubwo igikoresho ubwacyo gikora neza.
Stapler yo kubaga ni urugero rwigikoresho gikunze gukoreshwa mu kubaga kandi, icyarimwe, kiri mu bihe bigenda bihinduka byiterambere. Nubwo ibintu byinshi bihinduka kandi bikora neza, hari ibimenyetso bifatika byerekana ko kumeneka kw'insanganyamatsiko byabayeho biganisha ku ngorane nyuma yo kubagwa, akenshi biterwa nibibazo bidasanzwe.Muri ibyo, amakosa ya tekiniki arashobora kugira uruhare runini, birashoboka ko byongera ibyago byo kuva amaraso, guterwa amaraso, hamwe no gutandukana kwa hafi, cyane cyane muburyo bwa gastrointestinal.Abaganga benshi babaga ntibazi imiterere yimikorere yimitsi hamwe nimbogamizi za staples nshya cyangwa zashizweho, bityo hari icyuho cyubumenyi gishobora kugira ingaruka kumavuriro yibikorwa.Ibyiza bitangwa nabaganga babaga, nkumuvuduko mwinshi nukuri hamwe nuburinganire bwo gufunga ibikomere, bizaba ibintu byerekana ingaruka nyinshi.Ubuhanga nabwo bufite ibyago bike byo kwandura na tissue reaction kuruta suture.Iterambere ryikoranabuhanga nko guteza imbere ibicuruzwa bitanga ibitekerezo nyabyo nibisubizo byikora kumibare nyayo bizongera kwakirwa.Abaganga babaga kubagwa rusange, kubaga thoracic, urologiya, kubyara nubuvuzi bwabagore bakoresha Linear Cutter na Reload kugirango ugabanye inzira yigifu, tissue y ibihaha, fallopian tube yagutse ligament, uruhago rwa ileal, nibindi, hamwe na suture ibice byombi byimitsi icyarimwe icyarimwe, nko gukuramo igifu no kwifata ibihaha.Bishobora kandi gukoreshwa kuruhande -ku ruhande rwa anastomose yinzira yigifu, nka gastrojejunostomy
Kwizerwa
Devices Ibikoresho bya mm 55 na 75 bifite ibyuma bitatu bisimburana byubururu, umuhondo, nicyatsi kibisi kugirango bishushanye ubunini butandukanye bwimyenda.
Urushinge rwo gukosora ingirabuzimafatizo zirinda ingirabuzimafatizo kunyerera kuva ku mpera ya kure, bigatuma gukata neza no kureshya anastomose.
● Gukoresha kamera bifasha gushiraho gufunga, kwemeza guhuza ibice hamwe nuburinganire bwubaka.
Device Igikoresho cyumutekano kirinda umuriro mugihe amakarito yubusa yongeye kwerekanwa.
Cover Igifuniko cy'agasanduku kirinda ibintu gutembera ku buryo butunguranye mu gihe cyo gutwara.
Line Umurongo wa suture wikubye inshuro 1.5 ubugari bwibanze kurenza umurongo wo gutema kugirango umenye neza ko umurongo wogukata utarangijwe neza kugirango wirinde kuva amaraso.
Ubworoherane
Umwanya wo hagati wikiganza cyimukanwa, imikorere yintoki imwe, urashobora guhindura neza imyanya yo gutema no gutondekanya.Ibintu byafunzwe kugiti cya karitsiye birinda imyanda.
Igihe cyo kohereza: Ugushyingo-23-2022
