Umwanya wa tekinike ya laparoskopi trocar
Laparoscopic trocar bivuga trocar ya laparoskopi, ikaba ari murwego rwibikoresho byubuvuzi.Nibikoresho bifasha kubaga laparoskopi, ibereye laparoskopi no gushyiraho imiyoboro ikora yo kubaga.
Iyo trocar ya laparoskopi ikoreshejwe, iba ifite cone ya poncure 13. Nkigikoresho cyo kubaga gishyigikira laparoskopi, trocar ya laparoscopique igomba kubanza gushiraho pneumoperitoneum, hanyuma igaca uduce duto ku mwanya ukwiye winda, igakosora trocar ya laparoskopi. inda yazamuye na pneumoperitoneum n'amaboko ku nguni ikwiye, hanyuma ushyiremo intoki ya poncure 2-2 ya trocar ya laparoscopique hamwe na cone ya poncure mumutwe muto, Kanda kandi ufate umupira wumutwe wa concure ya cone ya poncure hamwe nawe wawe ukuboko kuzinga igifuniko cyo hejuru hanyuma ukande hasi.Hamwe na cone yacumita yinjira murwego rwo hasi rwimyenda yoroshye hamwe na bayonet y'imbere-impera yimbere, andika tissue yoroshye hamwe nigice cya oblique hamwe na taper kumurongo wo hepfo yintoki.
Iyo icyuma cyacumise kinyuze mu ngingo zoroheje zo mu nda z’umurwayi kugeza igihe kigeze mu cyuho cyo mu nda, muri iki gihe, urutoki rwacumita rwinjizwa mu cyuho cyo mu nda hamwe na cone yacumuye kugeza rugeze mu gice cya 2-2 cy'urutoki.Kuramo cone ya poncure 13 mumaboko ya poncure 2-2, fungura valve ya 7 kumurongo wo hejuru wa valve yatewe na gaze 6, hanyuma gaze yinjizwe mumyanya yinda yumurwayi kuva kuntoki 2-2 kugeza umwuka winjira, intanga ya valve hamwe na valve yumubiri wa gazi yo gutera inshinge, kugirango umwobo winda wumurwayi urimo urabyimba, funga icyuma cya valve 7, nibikoresho byo kubaga munda birashobora kwinjira mumaboko ya penture 2-2 uhereye kumutwe wa 1 , impeta ya kashe 12, amaboko ya elastike yo gufunga 3-1 hamwe na gaze ifunga kashe ya 5 ya laparoskopi trocar, Kandi yinjizwa mumyanya yinda yinyuze mumaboko ya poncure 2-2.Bitewe na kashe nyinshi nkimpeta ya kashe ya 12, ingofero ya elastike yo gufunga ingofero 3-1, hamwe na gaze yo gufunga kashe ya 5, igikoresho cyo kubaga inda gifunga kashe gifite imikorere myiza, kandi gaze yatewe mumyanya yinda ntishobora kuva.
Impeta ihagaze 8 hamwe n umufuka wikirere 11, bifata urutoki rwa puncture 2-2 uhereye imbere no hanze yumubiri wumuntu.Iyo igikoresho cyo gutobora cyinjiye mu mubiri w'umuntu, kiba gikosowe kandi ntikizanyeganyega.Ntibyoroshye kugwa mugihe cyo gukora.Umwanya wo gufatana urashobora guhindurwa byoroshye binyuze mumpeta ya 8 ikozwe mubintu byoroshye.Nyuma yo kubagwa, kura igikoresho cyo kubaga muri trocar ya laparoskopi, fungura valve ya 7, hanyuma usohokemo gaze yatewe mu cyuho cy’inda y’umurwayi ku cyambu gisohoka cya valve yatewe.Nyuma yo guterwa gaze yatewe, kanda kuri valve yibanze ya 9-3 yumuhanda umwe wa valve 9 kugirango usohokemo gaze yuzuye mumifuka yindege 11, hanyuma ukureho amaboko ya puncture 2-2 kurukuta rwumurwayi kugirango ukure laparoskopi trocar ivuye mu cyuho cy'inda cy'umurwayi.
Igihe cyoherejwe: Nyakanga-18-2022
