Iinaliti zengxowaiqulethe iinaliti ezimbini ze-suture kunye nentambo enye ye-suture.Ngokobude be-suture, yahlulahlulwe kwiinkcukacha ezimbini.I-suture yi-0. yi Φ0.90-Φ1.04mm;impahla yenaliti yi-12Cr18Ni9, kunye nesixhobo se-suture yi-polyamide 6 okanye i-polyamide 6/6. Imveliso inikezelwa inyumba, ifakwe inzalo ngokukhanya, kunye nokusetyenziswa kanye.
Uluhlu lwesicelo sonyango lwe-Purse / ukusetyenziswa okucetywayo
Isetyenziswe ngokubambisana ne-suture forceps, ifanelekile kwi-purse string ligation kwi-anastomosis.
Kulula ukuyisebenzisa: isipaji esakhelwe ngaphakathi kunye nokulungisa izikhonkwane,
ilungele isipaji se-suturing ephezulu okanye ephantsi;
Ukuphelisa ukusuleleka kwintsholongwane: ukusetyenziswa kwexesha elinye;
Ukugcina ixesha kunye nokugcina umsebenzi:i-wallet yenziwa ngokuzenzekelayo kwikliphu enye.
Amasebe asebenzayo:
Utyando lweThoracic,
utyando lwesisu,
utyando jikelele, utyando lwe-anorectal.
Utyando olusebenzayo:
Utyando lokutya.
I-Subtotal kunye ne-gastrectomy iyonke.
ukususwa kwethumba esiswini stromal.
Ikholoni kunye ne-rectal resection.
IINDLELA ZE-PURSE-STRING SUTURING
I-purse string suture technique yi-suture ebalekayo esetyenziswa njenge-pocket retraction thread ukuvala ingeniso ejikeleze i-lumen.Umzekelo;ingasetyenziselwa ukumisa iingcambu ze-appendage emathunjini.I-suture ye-purse string suture yindlela elula enokusetyenziswa ukufezekisa i-scarring encinci kunye nokunciphisa indawo yokulimala kwesetyhula.Le suture ibekwe ngaphambi kokufaka i-tube "stomy" ,okanye ingasetyenziselwa ukunciphisa i-rectal prolapse okanye ukuvala okwesikhashana i-anal sphincter ngaphambi kokuhlinzwa kwe-rectal.Ingasetyenziselwa ukugubungela umngxuma eludongeni lwesifuba emva kokuba into yangaphandle efana nentonga ifakiwe.Ukuba kufakwe i-sutures. emva kokubekwa ityhubhu, i-lumen inokuphazamiseka.Ukubeka i-pocket ye-suture malunga ne-anal sphincter kuthintela ukuhamba kweefesi ezinokuthi zingcolise indawo yotyando.Uchungechunge lwe-sutures lubekwe malunga ne-tube ye-stoma, evumela inaliti ukuba ifike apho iqale khona. .Xa ihluzwa, isonga iitawuli zephepha njengengxowa yelaphu.Imithungo emide ishiywe ekupheleni ukuze ibambe i-suture taut ukuze iqhina.Iziphelo ze-suture zitsalwa ngeenxa zonke kumbhobho kwaye ziboshwe kunye.Oku kuya kudala itywina ejikeleze ityhubhu.Isixhobo sinokufuneka ukuguqula imiphetho ukwenzela ukubonelela nge-mucosal inversion kunye nesitywina esiqinileyo.I-Purse string sutures ivumela ngokupheleleyo okanye inxalenye Ukuvalwa kweziphene zolusu lwesetyhula emva kokuhlinzwa.Inokuthi ifaneleke ngakumbi kwizigulane ezindala ngenxa yolusu oluxengayo.Uxinzelelo olubonelelwa yi-sutures luqhubela phambili ulusu ngokulinganayo kulo lonke umjikelezo wesilonda, okukhokelela ekunciphiseni okukhulu kobungakanani besiphene kunye nokwanda kwe-hemostasis. Xa uphonononga imbali, utshintsho lobuchule, izinto eziluncedo, kunye neengxaki ezinokuthi zibe kho kwi-purse string suture; kubonakala kuluncedo emva kokuqhambuka komhlaza wolusu we-nonmelanoma kunye nasemva kokuqhambuka kwemelanoma yendawo. Ukongeza, obu buchule buluncedo kakhulu. kwizigulana ezingakwaziyo ukutshintsha indlela yokuphila esebenzayo kwiveki enye yotyando, ezifumana amayeza okulwa nomhlaza, i-antiplatelet agents, okanye zombini, kunye nezigulana ezinokusilela okukhulu emva kotyando. Ngaphandle koko, ukufakwa kwesikhumba okanye i-flap enkulu. iziphumo zexesha elisebenzayo emva kokuvalwa kwenxalenye okanye epheleleyo kunye ne-purse string sutures.I-suture ye-purse string suture yachazwa kuqala kwi-dermatological surgery.Le yindlela elula enokusetyenziswa ukunciphisa indawo engaphezulu yesilonda setyhula ukunciphisa ukukhwabanisa.Ukugqiba ukwakhiwa kwakhona kwaye ufake i-graft encinci yesikhumba, inxeba liyathungwa ukunciphisa ubude kunye necala elisecaleni lenxeba.Ukongeza kwiigrafti ze-tissue ezisondeleyo, i-purse string sutures yasetyenziswa.Ngale nkqubo, ukungafezeki okukhulu kobuso kunokufihlwa okanye kuncitshiswe.I-suture ye-Purse-string inconywa njengenkqubo enye yokuvalwa ngokusisigxina kweziphene zesikhumba ezincinci ukuya eziphakathi, ngakumbi xa ukuvalwa kwecala-ngecala akukhuthazwa ngenxa yobunzima bezicubu ezibuthathaka. .Obu buchule benzelwe ukunciphisa okanye ukuphelisa ubungakanani benxeba ngokuxhomekeke kwiqondo loxinzelelo kunye nobukhulu benxeba.Obu bubuchule be-niche njengoko umphumo wengxowa yesipaji uvame ukubangela ukushwabana okuncinci kwesikhumba esijikelezileyo (kwaye Sombulula ekuhambeni kwexesha), nto leyo iluphawu olwamkelekileyo kwiindawo ezifana nengalo nomva, kodwa ngaphantsi kwe-cosmetically Ilungele iindawo ezibuthathaka ezinje ngobuso. kungakhokelela kwinxeba dehiscence.Nangona kunjalo, ngenxa yesi sizathu ubukhulu obukhulu bezinto zokuthunga zihlala zisetyenziswa.
Ixesha lokuposa: Nov-28-2022
