I-Laparoscopy eLahlwayo ye-Linear Cutter Stapler kunye neCandelo lesi-3

I-Laparoscopy eLahlwayo ye-Linear Cutter Stapler kunye neCandelo lesi-3
(Nceda ufunde incwadi yemiyalelo ngononophelo phambi kokufaka kunye nokusebenzisa le mveliso)

VI.I-Laparoscopic Linear Cutting Stapler Contraindications:

1. I-edema ye-mucosal enzima;

2. Akuvunyelwe ngokungqongqo ukusebenzisa esi sixhobo kwisibindi okanye i-spleen tissue.Ngenxa yeempawu ezixinzelelekileyo zezicubu ezinjalo, ukuvalwa kweso sixhobo kunokuba nefuthe elibi;

3. Ayinakusetyenziswa kwiindawo apho i-hemostasis ingenakubonwa;

4. Izixhobo ezimpunga azikwazi ukusetyenziselwa izicubu ezinobunzima obungaphantsi kwe-0.75mm emva kokunyanzeliswa okanye kwizicubu ezingenako ukunyanzeliswa ngokufanelekileyo kwi-1.0mm;

5. Amacandelo amhlophe awanakusetyenziselwa izicubu ezinobunzima obungaphantsi kwe-0.8mm emva kokunyanzeliswa okanye izicubu ezingenakunyanzeliswa ngokufanelekileyo kubunzima be-1.2mm;

6. Icandelo elihlaza okwesibhakabhaka akufanele lisetyenziswe kwi-tissue engaphantsi kwe-1.3mm ubukhulu emva kokunyanzeliswa okanye engenakunyanzeliswa ngokufanelekileyo kubukhulu be-1.7mm.

7. Izixhobo zegolide azinakusetyenziselwa izicubu ezinobunzima obungaphantsi kwe-1.6mm emva kokunyanzeliswa okanye izicubu ezingenakunyanzeliswa ngokufanelekileyo kwi-2.0mm;

8. Icandelo eliluhlaza akufanele lisetyenziswe kwi-tissue engaphantsi kwe-1.8mm ubukhulu emva kokunyanzeliswa okanye engenakunyanzeliswa ngokufanelekileyo kwi-thickness ye-2.2mm.

9. Icandelo elimnyama akufanele lisetyenziswe kwi-tissue engaphantsi kwe-2.0mm ubukhulu emva kokunyanzeliswa okanye engenakunyanzeliswa ngokufanelekileyo kubukhulu be-2.4mm.

10. Akuvunyelwe ngokungqongqo ukusebenzisa kwi-tissue kwi-aorta.

VII.I-Laparoscopic Linear Cutting Stapler Imiyalelo:

Imiyalelo yofakelo lwekhatriji esisiseko:

1. Khupha isixhobo kunye ne-staple cartridge kwiipakethi zabo phantsi kokuhlinzwa kwe-aseptic;

2. Ngaphambi kokulayisha i-cartridge yesigxina, qinisekisa ukuba isixhobo sikwimeko evulekileyo;

3. Jonga ukuba ingaba i-staple cartridge inokhuselo olukhuselayo.Ukuba i-cartridge ye-staple ayinayo isikhuselo sokukhusela, ayivunyelwe ukuyisebenzisa;

4. Namathisela i-cartridge yesigxina phantsi kwesihlalo somhlathi we-staple staple cartridge, uyifake ngendlela ye-sliding de i-cartridge ye-staple ihambelane ne-bayonet, lungisa i-cartridge ye-staple endaweni kwaye ukhuphe isikhuselo sokukhusela.Ngeli xesha, isixhobo sikulungele ukutshisa;(Qaphela: Phambi kokuba i-staple cartridge ifakwe endaweni, nceda ungasisusi isigqubuthelo sokhuselo sekhatriji.)

5. Xa ukhulula i-cartridge ye-staple, tyhala i-cartridge ye-staple ukuya kwicala lesihlalo se-nail ukuze uyikhulule kwi-staple cartridge seat;

6. Ukufakela i-cartridge entsha, phinda amanyathelo 1-4 ngasentla.

Imiyalelo yoqhaqho:

1. Vala isibambo sokuvala, kwaye isandi esithi "cofa" sibonisa ukuba isibambo sokuvala sivaliwe, kwaye i-occlusal surface ye-staple cartridge ikwimeko evaliweyo;Qaphela: Musa ukubamba isiphatho sokudubula ngeli xesha

2. Xa ungena kwindawo yomzimba nge-cannula okanye i-incision ye-trocar, i-occlusal surface yesixhobo kufuneka idlule kwi-cannula ngaphambi kokuba i-occlusal surface ye-cartridge ye-staple ivulwe;

3. Isixhobo singena kumgodi womzimba, cofa iqhosha lokukhulula, vula i-occlusal surface yesixhobo, kwaye usethe kwakhona isibambo sokuvala.

4. Jikela iqhosha elijikelezayo ngomnwe wakho wesalathisi ukuze ujikeleze, kwaye unokulungiswa kwii-360 degrees;

5. Khetha indawo efanelekileyo (efana nesakhiwo somzimba, ilungu okanye esinye isixhobo) njengendawo yokudibanisa, tsala i-paddle yokulungisa umva ngomnwe wesalathisi, sebenzisa amandla okusabela kunye nomgangatho woqhagamshelwano ukulungisa i-angle yokugoba efanelekileyo, kwaye qinisekisa ukuba i-staple cartridge ingaphakathi kwibala lombono.

6. Ukulungelelanisa ukuma kwesixhobo kwi-tissue ukuba i-anastomosed / cut;

Qaphela: Qinisekisa ukuba i-tissue ibekwe emcaba phakathi kweendawo ze-occlusal, akukho zithintelo kwi-occlusal surfaces, njengeziqeshana, izibiyeli, iingcingo zesikhokelo, njl., kwaye indawo ifanelekile.Kuthintele ukusikwa okungaphelelanga, iistaples ezingakhiwanga kakuhle, kunye/okanye ukungaphumeleli ukuvula umphezulu oclusal wesixhobo.

7. Emva kokuba isixhobo sikhethe i-tissue ukuba i-anastomosed, vala isibambo de ivalwe kwaye uve / uzive "cofa" isandi;

8. Isixhobo sokudubula.Sebenzisa "3+1" imowudi ukwenza umsebenzi wokusika kunye nokuthunga ngokupheleleyo;“3″: bamba isibambo sokudubula ngokupheleleyo ngeentshukumo ezigudileyo, kwaye usikhulule de silingane nesiphatho sokuvala.Kwangaxeshanye, qaphela ukuba inani elikwifestile yesalathiso sokudubula “1” “Oku kukubetha, inani liya kwanda ngo”1” ngesibetho ngasinye, imivumbo emi-3 elandelelanayo, emva kokubetha kwesithathu, iblade. isalathiso sefestile yeefestile kumacala omabini esiphatho esisisigxina esimhlophe siya kwalatha kwisiphelo esisondeleyo sesixhobo, esibonisa ukuba imela ikwimowudi yokuBuyisa, ubambe kwaye ukhulule isiphatho sokudubula kwakhona, iwindow yesalathisi iya kubonisa 0, ebonisa ukuba imela ibuyele kwindawo yayo yokuqala;

9. Cinezela iqhosha lokukhulula, vula i-occlusal surface, kwaye usethe kwakhona umqheba wokudubula wesiphatho sokuvala;

Qaphela: Cinezela iqhosha lokukhulula, ukuba indawo ye-occlusal ayivuli, qinisekisa kuqala ukuba iwindow yesalathisi ibonisa "0" kwaye ingaba iwindow yesalathiso seblade ikhomba kwicala elikude lesixhobo ukuqinisekisa ukuba imela ikwisiqalo. isikhundla.Kungenjalo, kufuneka utyhale iqhosha lokutshintsha kwecala leblade umva icala leblade, kwaye ubambe ngokupheleleyo isiphatho sokudubula de silingane nesiphatho sokuvala, kwaye emva koko ucinezele iqhosha lokukhulula;

10. Emva kokukhulula izicubu, khangela umphumo we-anastomosis;

11. Vala isiphatho sokuvala kwaye ukhuphe isixhobo.