Laparoscopic Linear Cutter Stapler oo la tuuri karo iyo Qaybaha 3

Laparoscopic Linear Cutter Stapler oo la tuuri karo iyo Qaybaha 3
(Fadlan si taxadar leh u akhri buug-tilmaameedka ka hor intaadan rakibin oo isticmaalin alaabtan)

VI.Laparoscopic Linear Goynta Stapler Contraindications:

1. Barar xuubka daran;

2. Waxaa si adag loo mamnuucay in qalabkan lagu isticmaalo unugyada beerka ama beeryarada.Sababtoo ah sifooyinka ciriiriga ah ee unugyadaas oo kale, xiritaanka qalabku wuxuu yeelan karaa saameyn xun;

3. Looma isticmaali karo qaybo aan la arki karin hemostasis;

4. Qaybaha cawl looma isticmaali karo unugyo leh dhumuc ka yar 0.75mm ka dib marka la cadaadiyo ama unugyo aan si sax ah loo cadaadin karin dhumucda 1.0mm;

5. Qaybaha cadaanka ah looma isticmaali karo unugyo leh dhumuc ka yar 0.8mm ka dib marka la cadaadiyo ama unugyo aan si sax ah loo cadaadin karin dhumucda 1.2mm;

6. Qaybta buluuga ah waa in aan loo isticmaalin unug ka yar 1.3mm dhumucdiisuna ka dib ama aan si fiican loo cadaadin karin dhumucdiisuna tahay 1.7mm.

7. Qaybaha dahabiga ah looma isticmaali karo unugyo leh dhumuc ka yar 1.6mm ka dib marka la isku dhejiyo ama unugyo aan si sax ah loo cadaadin karin dhumucda 2.0mm;

8. Qaybta cagaaran waa in aan loo isticmaalin unug ka yar 1.8mm dhumucdiisuna ka dib ama aan si sax ah loo cadaadin karin dhumucdiisuna tahay 2.2mm.

9. Qaybta madow waa in aan loo isticmaalin unug ka yar 2.0mm dhumucdiisuna ka dib ama aan si fiican loo cadaadin karin dhumucdiisuna tahay 2.4mm.

10. Waxaa si adag loo mamnuucay in lagu isticmaalo nudaha ku yaala halbowlaha.

VII.Laparoscopic Linear Goynta Stapler Tilmaamaha:

Tilmaamaha rakibida kartoonada muhiimka ah:

1. Ka soo saar qalabka iyo kartoonada muhiimka ah baakadaha ay ku jiraan ee hawlgalka aseptic;

2. Ka hor inta aanad ku shubin kartridge-ka muhiimka ah, hubi in qalabku ku jiro xaalad furan;

3. Hubi in kartridge-ku uu leeyahay dabool ilaalin iyo in kale.Haddii kartridge-ku aanu lahayn dabool difaac, waa mamnuuc in la isticmaalo;

4. Ku dheji kartoonada raasumaalka ah xagga hoose ee kursiga kartoonada muhiimka ah ee daanka, geli si simbiriirixan leh ilaa kartridge-ka uu la jaanqaado bayonetka, ku hagaaji kartoonka raajada oo meesha ka saar daboolka difaaca.Waqtigaan, qalabku wuxuu diyaar u yahay inuu shido;(Fiiro gaar ah: Kahor inta aan meesha lagu rakibin kartridge-ka caadiga ah, fadlan ha ka saarin daboolka kartridge-ka caadiga ah.)

5. Marka aad soo dejinayso kartoonada daruuriga ah, ku riix kartridge-ka jihada kursiga ciddiyaha si aad uga sii dayso kursiga kartuunada caadiga ah;

6. Si aad u rakibto kartridge cusub, ku celi tillaabooyinka 1-4 ee kore.

Tilmaamaha qalliinka:

1. Xidh gacanta xidhitaanka, iyo dhawaaqa "guji" waxay muujinaysaa in gacanta xidhitaanka la xidhay, oo dusha sare ee kartridge staple uu yahay xaalad xiran;Xusuusin: Ha qaban gacanta toogashada wakhtigan

2. Marka la soo galo daloolka jidhka iyada oo loo marayo cannula ama jeexjeexa trocar, dusha sare ee qalabku waa inuu dhex maraa cannula ka hor inta aan la furin dusha sare ee kartridge staple;

3. Qalabku waxa uu galaa daloolka jidhka, riix badhanka sii daynta, fur dusha sare ee qalabka, oo dib u dajin gacanta xidhitaanka.

4. Ku leexi buro-wareenka fartaada murdiya si aad u wareegto, waxaana lagu hagaajin karaa 360 darajo;

5. Dooro dusha ku habboon (sida qaab-dhismeedka jidhka, xubin ama qalab kale) sida dusha xidhiidhka, dib u soo jiid suufka hagaajinta farta fiiqan, isticmaal xoogga falcelinta oo leh dusha xidhiidhka si aad u hagaajiso xagasha foorarsiga ee habboon, iyo Hubi in kartridge-ku uu ku yaallo gudaha goobta aragga.

6. Ku hagaaji meelaynta qalabka unugga si loo ansixiyo/goynayo;

Fiiro gaar ah: Hubi in nudaha la dhigo meel siman inta u dhaxaysa sagxadaha occlusal, ma jiraan wax xannibaad ah oo ku yaal dusha sare ee occlusal, sida fiilooyinka, dhejiska, fiilooyinka hagaha, iwm., booskuna waa ku habboon yahay.Ka fogow goynta aan dhamaystirnayn, saxarada si liidata u samaysmay, iyo/ama guuldarada inaad furto meelaha qarsoon ee qalabka.

7. Ka dib marka uu qalabku doorto nudaha la ansixiyo, xidh gacanta ilaa ay ka xidhan tahay oo maqlo/dareen codka "riix";

8. Qalabka toogashada.Isticmaal habka "3+1" si aad u samayso goynta iyo tolitaanka dhamaystiran;"3": si buuxda u qabso gacanta toogashada oo leh dhaqdhaqaaq siman, oo sii daa ilaa ay ku habboon tahay gacanta xidhitaanka.Isla mar ahaantaana, u fiirso in lambarka ku yaal daaqadda tilmaamayaasha toogashadu ay tahay "1" "Tani waa istaroog, tiradu waxay kordhin doontaa "1" istaroog kasta, wadar ahaan 3 istaroog oo isku xigta, ka dib markii saddexaad, daab Tilmaamaha tusaha daaqadaha labada dhinac ee gacanta go'an ee cad ayaa tilmaamaya meesha ugu dhow ee qalabka, taas oo muujinaysa in mindidu ay ku jirto qaabka Soo noqoshada, qabo oo sii daaya gacan-ku-dhufashada mar kale, daaqada tilmaamuhu waxay soo bandhigi doontaa 0, taas oo muujinaysa in mindida wuxuu ku noqday halkii uu ka bilaabay;

9. Riix badhanka sii deynta, fur dusha sare ee occlusal, oo dib u dajin gacanta toogashada ee gacanta xidhitaanka;

Fiiro gaar ah: Riix badhanka sii deynta, haddii dusha sare ee occlusal uusan furmin, marka hore xaqiiji in daaqada tilmaamuhu muujinayso "0" iyo haddii daaqada tilmaameha jihada daabku ay tilmaamayso dhinaca u dhow ee qalabka si loo hubiyo in mindidu ku jirto bilowga hore. booska.Haddii kale, waxaad u baahan tahay inaad hoos u riixdo batoonka beddelka jihada daabka si aad u beddesho jihada daabka, oo aad si buuxda u hayso gacanta toogashada ilaa ay ku habboon tahay gacanta xidhitaanka, ka dibna riix badhanka sii deynta;

10. Ka dib marka la sii daayo nudaha, hubi saameynta anastomosis;

11. Xidh gacanta xidhitaanka oo soo saar qalabka.