Nhoroondo pfupi ye stapler
1908: Chiremba weHungary humer hultl akaita yekutanga stapler;
1934: stapler inotsiva yakabuda;
1960-1970: Makambani ekuvhiya eAmerica akatevedzana akatanga mashopu echitsiga uye mastaplers anogona kushandiswazve;
1980: Kambani yekuAmerica yekuvhiya yakagadzira tubular stapler inoraswa;
1984-1989: curved circular stapler, linear stapler uye linear yekucheka stapler yakatangwa zvakatevedzana;
1993: denderedzwa stapler, stump stapler uye linear cutter yakashandiswa pasi pe endoscope yakazvarwa.
Basic kushanda musimboti we stapler
Nheyo yekushanda yezvipikiri zvakasiyana-siyana uye staplers yakafanana neye staplers, kureva, kupfura uye kudyara mitsara miviri yezvipikiri zvekusonesa mukati mematishu kusona matishu nemitsara miviri yezvipikiri zvemuchinjikwa, kuitira kusona zvakasimba uye kudzivirira kubuda. ;Sezvo tsinga diki dzeropa dzinogona kupfuura nepamukana we "B" yakaumbwa suture chipikiri, haina kukanganisa kugoverwa kweropa re suture chikamu uye magumo ayo distal.
Classification ye staplers
Maererano nemhando, inogona kukamurwa kuva: kushandiswa zvakare uye kushandiswa kushandiswa;
Inogona kukamurwa kuva: yakavhurika stapler uye endoscopic stapler;
Mishonga yekuvhiya yedumbu: esophageal uye intestinal stapler;
Thoracic cardiovascular surgical instruments: vascular stapler.
Zvakanakira zve stapler pane manual suture
1. Dzorera peristalsis yemadziro emukati nekukurumidza;
2. Deredza nguva yeanesthesia;
3. Deredza kukanganisa kwenyama;
4. Deredza kubuda ropa.
Linear stapler
Iyo suture mudziyo unogona suture tishu mumutsara wakatwasuka.Isa matishu pakati pebhini rezvipikiri nechibooreso chezvipikiri woisa tsono yekumisikidza.Seta hukobvu hwakakodzera zvichienderana nehupamhi hwematishu, dhonza mubato wekupfura, uye mutyairi mukuru anodyara mitsara miviri yemastaples akatenderedza mukati mematishu uye oikotamisa kuita "B" chimiro.Inonyanya kushandiswa kuvharwa kwetishu incision uye chigutsa.Inokodzera kuvhiyiwa kwedumbu, kuvhiyiwa kwechipfuva uye kuvhiyiwa kwevana.Inogona kushandiswa pneumonectomy, lobectomy, subtotal esophagogastric resection, ura hudiki, colon resection, low rectal resection uye mamwe maoparesheni.
Nguva yekutumira: Kubvumbi-27-2022
