I-Laparoscopy eLahlwayo ye-Linear Cutter Stapler kunye nenxalenye ye-4

I-Laparoscopy eLahlwayo ye-Linear Cutter Stapler kunye neMixholo inxalenye yesi-4

(Nceda ufunde incwadi yemiyalelo ngononophelo phambi kokufaka kunye nokusebenzisa le mveliso)

VIII.I-Laparoscopic Linear Cutting Stapleriindlela zokugcina nokugcina:

1. Ugcino: Gcina kwigumbi elinobumanzi obungekho ngaphezulu kwama-80%, elingena umoya, kwaye akukho zigesi ezidliwayo.

2. Ukuthutha: Imveliso epakishweyo inokuthuthwa ngezixhobo eziqhelekileyo.Ngexesha lokuthutha, kufuneka liphathwe ngononophelo kwaye ugweme ukukhanya kwelanga, ukungqubana okunobundlobongela, imvula kunye ne-gravity extrusion.

IX.I-Laparoscopic Linear Cutting Staplerumhla WOKUPHELELWA:

Emva kokuba imveliso ifakwe inzala nge-ethylene oxide, ixesha lokuvala inzala yiminyaka emithathu, kwaye umhla wokuphelelwa yisikhathi uboniswa kwileyibhile.

X.I-Laparoscopic Linear Cutting Stapleruluhlu lwezixhobo:

akukho nanye

Izilumkiso kunye nezilumkiso ze-XI.I-Laparoscopic Linear Cutting Stapler:

1. Xa usebenzisa le mveliso, iinkcukacha zokusebenza kwe-aseptic kufuneka zilandelwe ngokungqongqo;

2. Nceda uhlolisise ukupakishwa kwale mveliso ngononophelo ngaphambi kokusetyenziswa, ukuba ukupakishwa kwe-blister konakaliswe, nceda uyeke ukuyisebenzisa;

3. Le mveliso ifakwe inzalo nge-ethylene oxide, kwaye imveliso eyenziwe inzalo isetyenziselwa ukusetyenziswa kweklinikhi.Nceda ujonge isalathisi sedisk kwibhokisi yokupakisha yokuvala inzala yale mveliso, “ibhlowu” ithetha ukuba imveliso ivalwe inzala kwaye ingasetyenziswa ngokuthe ngqo eklinikhi;

4. Le mveliso isetyenziselwa umsebenzi omnye kwaye ayikwazi ukuvalwa inzala emva kokusetyenziswa;

5. Nceda ujonge ukuba imveliso ingaphakathi kwexesha elisemthethweni ngaphambi kokusetyenziswa.Ixesha lokuqinisekisa ukuvala inzala yiminyaka emithathu.Iimveliso ezingaphaya kwexesha lokuqinisekisa zithintelwe ngokungqongqo;

6. Indibano yokusika i-laparoscopic eveliswe yinkampani yethu kufuneka isetyenziswe ngokubambisana nohlobo oluhambelanayo kunye neenkcukacha ze-laparoscopy ezilahlwayo zelinear cut stapler eziveliswe yinkampani yethu.Jonga iTheyibhile 1 kunye neTheyibhile 2 ngeenkcukacha;

7. Imisebenzi ehlaselayo kancinane kufuneka yenziwe ngabantu abafumene uqeqesho olwaneleyo kwaye abaqhelene neendlela zokuhlasela ezingephi.Ngaphambi kokwenza naluphi na utyando olungephi, uncwadi lwezonyango olunxulumene nobuchwephesha, iingxaki zalo kunye neengozi kufuneka kujongwe;

8. Ubungakanani besixhobo esingenabuncinci esivela kubakhiqizi abahlukeneyo bunokwahluka.Ukuba izixhobo zotyando ezihlaselayo ezincinci kunye nezincedisi eziveliswe ngabavelisi abohlukeneyo zisetyenziswa kumsebenzi omnye ngexesha elinye, kuyafuneka ukukhangela ukuba ziyahambelana na phambi kotyando;

9. Unyango lwemitha phambi kotyando lunokubangela utshintsho kwizicubu.Ngokomzekelo, olu tshintsho lunokubangela ukuqina kwezicubu ngaphaya koko kuchaziweyo kwi-staple ekhethiweyo.Naluphi na unyango lwesigulane ngaphambi kokuhlinzwa kufuneka luqwalaselwe ngokucophelela kwaye lunokufuna utshintsho kwindlela yotyando okanye indlela;

10 Musa ukulikhulula iqhosha de isixhobo sikulungele ukuvutha;

11. Qiniseka ukuba ujonga ukhuseleko lwekhatriji esisiseko phambi kokuba udubule;

12. Emva kokudubula, qiniseka ukuba uhlolisise i-hemostasis kumgca we-anastomotic, khangela ukuba i-anastomosis iphelile kwaye kukho ukuvuza;

13. Qinisekisa ukuba ubukhulu bezicubu bungaphakathi koluhlu oluchaziweyo kwaye izicubu zisasazwa ngokulinganayo ngaphakathi kwe-stapler.Izicubu ezininzi kwicala elinye zinokubangela i-anastomosis embi, kwaye ukuvuza kwe-anastomotic kunokwenzeka;

14. Kwimeko yokugqithisa okanye izicubu ezinobunzima, ukuzama ukunyanzelisa i-trigger kunokubangela i-sutures engaphelelanga kunye nokuqhekeka kwe-anastomotic okanye ukuvuza.Ukongezelela, umonakalo wesixhobo okanye ukungaphumeleli komlilo kunokwenzeka;

15. Makugqitywe ukudubula omnye.Ungaze usitshise isixhobo eso.Ukudubula okungaphelelanga kunokubangela ukuba i-staples eyenziwe ngokungafanelekanga, umgca wokusika ongaphelelanga, ukuphuma kwegazi kunye nokuvuza kwi-suture, kunye / okanye ubunzima bokukhupha isixhobo;

16. Qinisekisa ukuba uvutha umlilo ukuya ekupheleni ukuqinisekisa ukuba i-staples yenziwe ngokuchanekileyo kwaye i-tissue inqunywe ngokuchanekileyo;

17. Cinezela isibambo sokudubula ukuze uveze i-blade yokusika.Musa ukucinezela isibambo ngokuphindaphindiweyo, okuya kubangela umonakalo kwindawo ye-anastomosis;

18. Xa ufaka isixhobo, qinisekisa ukuba ukhuseleko lukwindawo evaliweyo ukuze ugweme ukusebenza ngokungalindelekanga kwesixhobo sokudubula, okukhokelela ekuvezweni kwe-blade ngengozi kunye nokuhanjiswa kwangaphambi kwexesha okanye ngokupheleleyo kwe-staples;

19. Amaxesha amaninzi okudubula ale mveliso ngamaxesha angama-8;

20. Ukusebenzisa esi sixhobo kunye nezixhobo zokuqinisa umgca we-anastomotic kunokunciphisa inani lokudubula;

21. Le mveliso sisixhobo esisodwa sokusetyenziswa.Nje ukuba isixhobo sivulwe, akukhathaliseki nokuba siyasetyenziswa okanye asisetyenziswa, asinakuphinda sivalwe iintsholongwane.Qinisekisa ukuba usitshixa isitshixo sokhuseleko phambi kokuphatha;

22. Ikhuselekile phantsi kweemeko ezithile ze-nuclear magnetic resonance (MR):

·Uvavanyo olungelulo olwasekliniki lubonisa ukuba iistaples ezimiliselweyo ezinomgangatho we-TA2G we-TA2G zingasetyenziselwa uMR ngokwemiqathango.Izigulana zinokuskenwa ngokukhuselekileyo ngoko nangoko emva kokufakwa ngokusisiseko kwezi meko zilandelayo:

·Uluhlu lwemagnethi emileyo luphakathi kwe-1.5T-3.0T kuphela.

Obona bukhulu bokuthambeka kommandla wemagnethi yi-3000 gauss/cm okanye ngaphantsi.

·Inkqubo enkulu ye-MR exeliweyo, ukuskena imizuzu eyi-15, umlinganiselo wokufunxa umzimba wonke (SAR) yi-2 W/kg.

·Phantsi kweemeko zokuskena, ukunyuka kweqondo lobushushu eliphezulu kulindeleke ukuba kube yi-1.9°C emva kokuskena imizuzu eyi-15.

Ulwazi lwe-Artifact:

   Xa kungavavanywanga kusetyenziswa i-gradient echo pulse imaging kunye ne-static field magnetic 3.0T inkqubo ye-MR, i-staples ibangele izinto zakudala malunga ne-5 mm ukusuka kwindawo yofakelo.

23. Jonga ileyibhile yomhla wemveliso;

24. Ingcaciso yemizobo, iisimboli kunye nezifinyezo ezisetyenziswa ekupakishweni nakwiilebhile: