Okulahlwayo titanium-nickel memory alloy fistula stapler
- Okulahlwayo titanium-nickel memory alloy fistula stapler
- isifo se-fistula
- i-fistula stapler pusher
- I-Fistula stapler push sleeve kunye nekliphu ye-stapler
- Isikhokelo se-fistula stapler
- Fistula Stapler Fistula Brush
Imiyalelo:
Umzobo 1: Ukuvavanya ukuvulwa kwangaphakathi kunye neprobe.
Umzobo we-2: I-tissue ye-mucosal enobubanzi be-1.5 cm ukuya kwi-2 cm ejikeleze ukuvulwa kwangaphakathi ikhutshwe ngommese wombane.
Umzobo 3: Sebenzisa ibrashi ye-fistula yangasese okanye ezinye iindlela zokucoca i-fistula tract.
Umzobo 4: Ukuvalwa kwe-Purse-string yokuvulwa kwangaphakathi kunye ne-3-0 sutures absorbable.
Umzobo 5 kunye noMzobo 6: Sebenzisa i-suture ukutsala i-tissue ejikeleze ukuvulwa kwangaphakathi kwisigxina sentloko ye-dispenser, kwaye ukhulule ikliphu ye-anastomotic ukugqiba ukusika.
Ukulumkela
Ukukhulula ikliphu ye-anastomotic linyathelo eliphambili ekusebenzeni.Kufuneka kuqinisekiswe ukuba izicubu zomzimba ezaneleyo zitsalwa ngaphambi kokukhululwa.Amandla okutsala izicubu ze-muscle akufanele akhululeke ngexesha lokukhululwa, kwaye i-clip ye-anastomotic kufuneka ikhutshwe ngokuthe nkqo.Iikliphu ze-anastomotic kufuneka zonke zifakwe kwi-muscular layer kwaye zingangeniswa kwi-mucosal tissue.Ukukhutshwa okungafanelekanga kunokubangela ukukhutshwa kwangaphambili kwekliphu ye-anastomotic, okukhokelela ekungaphumeleli kotyando.
Ikliphu ye-anastomotic yenzelwe ukuba ikhupheke.Ngokuqhelekileyo, inokuwa yodwa malunga neeveki ezi-3 emva kotyando kwaye ikhutshwe kunye nesitulo.Ukuba ayiwa phantsi kwiiveki ezi-4, kufuneka isuswe ngesandla ukuze igweme ukufakwa kwi-membrane ye-mucous kunye nokwenza imizimba yangaphandle emzimbeni.