3.Staplerukuhlelwa
I-stapler yokusika ehambelanayo ibandakanya umzimba wokubamba, imela yokutyhala, isihlalo semagazini yezikhonkwane kunye nesihlalo sombhobho, umzimba wokubamba unikwe iqhosha lokutyhala lokulawula imela yokutyhala, ikhamera idityaniswe ngokujikelezayo kumzimba wokubamba, kunye nekhamera. inehuka.Icala lekhamera libonelelwe ngendlela yokhuseleko.Xa indlela yokukhusela ikwimeko evaliweyo, inxalenye yekhonkco ifakwe kwiqhosha lokutyhala, kwaye ikhamera igxininiswe ngokumalunga nomzimba wokubamba;xa umatshini wokhuseleko ukwimeko engatshixwanga, inxalenye yehuku ikhupha iqhosha lokutyhala.Xa indlela yokukhusela ivaliwe, ikhamera igxininiswe ngokumalunga nomzimba wokubamba, kwaye iqhosha lokutyhala alikwazi ukuqhubela phambili, ukwenzela ukuba imela yokutyhala ingathintelwa ukuba iqhutywe ngaphambi kwexesha xa indawo yesixhobo ingalungiswanga kakuhle.
I-stapler yolwaluko ibandakanya umkhono wesihlalo se-nail kunye ne-anvil ye-nail, i-sleeve yentonga etyibilikayo icwangciswe kwi-sleeve yesihlalo se-sliding, intonga ye-sliding idibaniswe nesihlalo se-nail abutment, kunye nentonga yokutyibilika ifakwe kwi-sleeve yentonga.Intonga ye-sliding ine-plane yokuqala echasene ne-rotation, udonga lwangaphakathi lomkhono wentonga ye-sliding ine-plane yesibini echasene nokujikeleza, kunye neenqwelo-moya ezimbini ezichasene nokujikeleza zihambelana.Enye inxalenye yentonga etyibilikayo kunye nomkhono wentonga etyibilikayo ibonelelwe ngembambo ekhokelayo ecaleni kwe-axial yentonga etyibilikayo, kwaye enye inxalenye ibonelelwe ngegroove ekhokelayo ecaleni kwendlela ye-axial yentonga etyibilikayo, kwaye ubambo olusisikhokelo ifakwe kwigroove yesikhokhelo.Ngentsebenziswano yeembambo zesikhokelo kunye negrooves yesikhokelo, indawo phakathi kwentonga etyibilikayo kunye nomkhono wesihlalo sezikhonkwane ichanekile, oko kukuthi, ukuma komkhono wesihlalo sezikhonkwane kunye nesihlalo se-nail anvil ichanekile, ukuze ukwakheka okuchanekileyo i-staple inokuqinisekiswa.
4 Indlela yokusebenzisa istapler
Sebenzisa i-intestinal anastomosis ukubonisa ukusetyenziswa kwe-stapler.Isiphelo esisondeleyo se-anastomosis sixutywe nge-purse-string suture, kwaye isihlalo esisisigxina sifakwe kwaye siqiniswe.Intonga ephakathi kwesihlalo ixhunyiwe, kwaye ukujikeleza kusondele kwindonga yamathumbu e-distal kunye ne-proximal intestinal tubes.Umgama phakathi kwesihlalo se-stapler kunye nesiseko sihlengahlengiswa ngokobunzima bodonga lwamathumbu.Ngokubanzi, kukhawulelwe ku ~ okanye ukujikeleza kwesandla kuqinile (kukho isalathisi sokuqina kwisibambo) ukuvula ukhuseleko;
Ukucofa ngokuqinileyo i-anastomotic wrench kwaye uve "cofa" isandi, oku kuthetha ukuba ukusika kunye ne-anastomosis kugqityiwe.Musa ukurhoxisa i-stapler okwangoku.Khangela ukuba i-anastomosis iyanelisa kwaye ingaba ezinye izihlunu ezifana ne-mesentery zifakwe kuyo.Emva konyango oluhambelanayo, khulula i-stapler.Kwaye uyikhuphe ngobunono ukusuka kwisiphelo esikude ukujonga ukuba iiringi zokuphuma kwamathumbu ezikude kunye nezangaphakathi zigqityiwe.
5 Stapler Precautions
(1) Phambi kokuba usebenze, khangela ukuba isikali kunye nesikali se-0 silungelelanisiwe, ukuba indibano ichanekile, nokuba iqhekeza lokutyhala kunye nesikhonkwane se-tantalum zilahlekile.Igasket yeplastiki kufuneka ifakwe kwisihlalo senaliti.
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(3) Umgama wenaliti ye-suture-string suture akufanele idlule iisentimitha, kwaye umda kufuneka ube yi-2 ukuya kwi-3 mm.Izicubu ezininzi kulula ukuzifaka kwi-anastomosis kwaye zithintele i-anastomosis.Qaphela ukuba ungaphuthelwa yi-mucosa.
(4) Lungisa isithuba ngokobungqingqwa bodonga lwamathumbu, kukhethwa i-1 ukuya kwi-2 cm.
(5) Qwalasela isisu, ummizo kunye nezinye izihlunu ezikufutshane phambi kokuba udubule ukukhusela i-anastomosis ekubeni ibanjwe.
(6) Ukusikwa kufuneka kube ngokukhawuleza, kwaye uxinzelelo lokugqibela luya kwenza i-staples ibe yimo "B", kwaye sizame impumelelo enye.
(7) Phuma kakuhle kwi-stapler, kwaye ukhangele ukuba izicubu ezisikiweyo ziyiringi epheleleyo.
Ixesha lokuposa: Feb-16-2022
