Nhanganyaya kune Kuvhiya Staples

Nezve Linear Cutter Stapler

Nzira iyi yakapayona nachiremba wekuHungarian Hümér Hültl, "baba vekuvhiya suturing".Hultl's prototype stapler muna 1908 yairema makirogiramu 8 (3.6 kg) uye yakatora maawa maviri kuti iunganidze uye itakure. Nzira iyi yakagadziridzwa muSoviet Union muma1950, ichibvumira zvigadzirwa zvekutanga zvekutengesa kushandiswa kushandiswa kugadzira bowel uye vascular anastomoses. .Ravitch anounza muenzaniso we stapler mushure mekupinda musangano wekuvhiya muUSSR uye anousuma kune muzvinabhizimisi Leon C. Hirsch, uyo akatanga Surgical America muna 1964 kuti agadzire sutures yekuvhiya pasi pemudziyo wake weAuto Suture brand.Kusvikira mukupera kwema1970,USSC zvakanyanya. yakatonga pamusika, asi muna 1977 Johnson & Johnson's Ethicon brand yakapinda mumusika, uye nhasi mhando mbiri idzi dziri kushandiswa zvakanyanya pamwe chete nevakwikwidzi vanobva kuFar East.USSC yakawanikwa neTyco Healthcare muna 1998 uye yakashandura zita rayo kuti Covidien musi wa29 Chikumi, 2007. Kuchengetedzeka uye patency ye mechanical (anastomotic) bowel anastomosis yakadzidzwa zvakanyanya.Muzvidzidzo zvakadaro, sutured anastomoses inowanzofananidzwa kana kuti isinganyanyi kudonha. Izvi zvinogona kunge zviri mhedzisiro yezvino kufambira mberi muhunyanzvi hwekugadzira suture uye maitiro ekuvhiya ane ngozi zvakanyanya.Hongu, masisitimu emazuva ano anotarisika uye haanyanyi kubatwa nehutachiona pane iyo staple suture zvinhu zvakashandiswa makore eku1990 asati asvika — ura, sirika, nerineni. pamipendero yeronda uye kuvhara tsinga yeropa panguva yekugadzira stapling.Zvidzidzo zvenguva pfupi yapfuura zvakaratidza kuti kushandisa maitiro ekugadzirisa ikozvino, hapana misiyano yakakura mumigumisiro pakati pemanual suturing uye mechanical anastomosis (kusanganisira clips), asi mechanical anastomosis inoitwa nokukurumidza zvikuru. kudonha kunowanzoitika mushure mekuvhiyiwa.Dzimwe nzira dzekusunga matishu emapapu dziri kuongororwa pari zvino.

Mhando uye Zvishandiso

Yekutanga yekutengesa stapler yakagadzirwa nesimbi isina tsvina ine titanium staples yakarongedzerwa mune refillable staple cartridges. Mazuvano ekuvhiya stapler anogona kuraswa, akagadzirwa nepurasitiki, kana kushandiswazve, akagadzirwa nesimbi isina tsvina.Mhando mbiri idzi dzinowanzo kutakurwa nema cartridges anoraswa.Mitsara yakakomba inogona kutwasanuka,yakakombama kana kuti yakatenderedzwa.Circular staplers inoshandiswa kupera-to-ekupedzisira anastomosis mushure mekuvhiyiwa kwebowel kana, zvinonyanya kukakavara,esophagogastric surgery.Zviridzwa izvi zvinogona kushandiswa pakavhurika kana laparoscopic. maitiro, ane midziyo yakasiyana-siyana inoshandiswa pachikumbiro chega chega.Laparoscopic staplers yakareba, yakatetepa, uye inogona kutaurwa kuti ibvumidze kupinda kubva kunhamba shoma yetrocar ports.Mamwe mastaplers ane banga rinogona kucheka uye kuomesa mune imwe operation.Staplers inoshandiswa vhara mukati uye maronda eganda.Skin staples inowanzoiswa ne disposable stapler uye inobviswa ne specialized staple remover.Staplers inoshandiswawo mu vertical band gastroplasty process (inowanzozivikanwa se "gastric stapling").Kunyange zvazvo denderedzwa kuguma-kusvika-kumagumo anastomotic midziyo yegumbo rinoshandiswa zvakanyanya, denderedzwa staplers yevascular anastomosis haina kumbofananidzwa neyakajairwa ruoko anastomosis pasinei nekudzidza kwakanyanya Ita mutsauko mukuru ne (Carrel) suture maitiro.Kunze kwenzira dzakasiyana dzekubatanidza mudziyo (eversioned) kune digestive (inverted) chigutsa, chikonzero chikuru chinogona kunge chiri chekuti, kunyanya kumidziyo midiki, basa remanyorero uye kurongeka kunodiwa kuisa chete chigutsa chemudziyo uye kushandisa chero mudziyo haugone. Inoita kusona kunodiwa pakusonanidzwa kwemaoko kwakajairwa, saka hapana zvakanyanya kushandiswa pakushandisa chero mudziyo.Zvisinei, kuisirwa nhengo kunogona kunge kwakasiyana apo zvikamu zviviri izvi, kuiswa kwemudziyo pachigutsa chevascular uye actuation yemudziyo, inogona kuitwa nenzira dzakasiyana. nguva nezvikwata zvakasiyana-siyana zvekuvhiya pasi pemamiriro akachengeteka pasina nguva inodiwa inokanganisa kuchengetedza kweanopa, kureva pasi pekutonhora kweischemic mamiriro emupi wenhengo uye tafura yepashure mushure mekubviswazve kwenhengo yechisikigo yemugamuchiri. Chinangwa chekupedzisa ndechekuderedza njodzi inodziya ischemic phase. yenhengo yevanopa, iyo inogona kuwanikwa mumaminitsi kana mashoma, nekungobatanidza magumo emudziyo uye kushandisa stapler.Kunyange zvazvo mishonga yakawanda yekuvhiya inogadzirwa netitanium, simbi isina tsvina ndiyo inonyanya kushandiswa kune dzimwe ganda uye zvimedu.Titanium. haanyanyi kupindira nekudzivirira muviri uye, nokuti isimbi isina-ferrous, haipindiri zvakanyanya neMRI scanners, kunyange zvazvo mamwe maitiro ekufungidzira anogona kuitika.Synthetic absorbable (bioabsorbable) staples inobva pa polyglycolic acid yava kuwanikwa, sezvakawanda. synthetic absorbable sutures.

Kubviswa kweganda spikes

Kana zvidzitiro zveganda zvichishandiswa kuvhara maronda eganda, zvinodikanwa kubvisa zvimisikidzo mushure menguva yakakodzera yekuporesa, kazhinji mazuva mashanu kusvika gumi, zvichienderana nenzvimbo yeronda uye zvimwe zvinhu. yeshangu kana ndiro yakatetepa uye yakatetepa zvekuti inogona kuiswa pasi peganda. " chimiro kuti zvive nyore kubvisa.Muchimbichimbi, mastaples anogona kubviswa nepeya ye arterial forceps.Skin staple removers inogadzirwa mumhando dzakasiyana siyana uye mafomu, mamwe anoraswa uye mamwe anogona kushandiswa zvakare.