I-Stapler sesona sityalo sokuqala emhlabeni, esiye sasetyenziselwa i-anastomosis yesisu malunga nenkulungwane.Kuze kube yi-1978, i-tubular stapler yayisetyenziswa ngokubanzi kutyando lwesisu.Ngokuqhelekileyo yahlulahlulwe kwi-staplers elahlayo okanye esetyenziselwa izinto ezininzi, ezisuka kumazwe angaphandle okanye zasekhaya.Sisixhobo esisetyenziselwa amayeza ukutshintsha i-suture ye-manual yendabuko.Ngenxa yophuhliso lwenzululwazi yale mihla kunye nobuchwepheshe kunye nokuphuculwa kobugcisa bokuvelisa, i-stapler esetyenziswa kuqheliselo lwezonyango ineengenelo zomgangatho othembekileyo, ukusetyenziswa ngokufanelekileyo, ukuqina kunye nokuqina okufanelekileyo.Ngokukodwa, ineenzuzo ze-suture ekhawulezayo, ukusebenza okulula kunye nemiphumo embalwa kunye neengxaki zotyando.Ikwavumela ukuba kugxilwe kuqhaqho lotyando lwethumba olungachaswanga kwixesha elidlulileyo.
Imbali emfutshane ye-stapler
Ngowe-1908: Ugqirha waseHungary uhumer hultl wenza istapler yokuqala;
Ngowe-1934: kwaphuma i-stapler enokutshintshwa;
Ngowe-1960-1970: Iinkampani zotyando zaseMerika ngokulandelelanayo zaqalisa ukuthunga isiphunzi kunye nezixhobo eziphinda zisetyenziswe;
Ngowe-1980: Inkampani yotyando yaseMerika yenza isitapler esilahlwayo setubula;
I-1984-1989: i-stapler ejikelezayo egobileyo, i-stapler yomgca kunye ne-linear cutting stapler yasungulwa ngokulandelelana;
Ngo-1993: I-stapler ejikelezayo, i-stapler yesiphunzi kunye ne-linear cutter esetyenziswa phantsi kwe-endoscope yazalwa.
Umgaqo osisiseko wokusebenza we-stapler
Umgaqo osebenzayo weentlobo ezahlukeneyo ze-staplers kunye ne-staplers iyafana naleyo ye-staplers, oko kukuthi, ukudubula kunye nokufakela imiqolo emibini yezikhonkwane zokuthunga kwi-tissue ukuthunga izicubu ezinemiqolo emibini yezikhonkwane ezinqamlezileyo, ukuze uthunge ngokuqinileyo kwaye uthintele ukuvuza. ;Ekubeni imithambo yegazi emincinci inokudlula kwisithuba se-"B" esimilise isikhonkwane se-suture, ayichaphazeli unikezelo lwegazi lwenxalenye ye-suture kunye nesiphelo sayo esikude.
Ukuhlelwa kweestaplers
Ngokohlobo, lunokwahlulwa lube: lusetyenziswe kwakhona kunye nokusetyenziswa okulahlwayo;
Inokwahlulwa ibe: i-stapler evulekileyo kunye ne-endoscopic stapler;
Izixhobo zokuhlinzwa kwesisu: i-esophageal kunye ne-intestinal stapler;
Izixhobo zotyando ze-Thoracic cardiovascular: i-vascular stapler.
Izibonelelo ze-stapler endaweni ye-suture manual
1. Ukubuyisela i-peristalsis yodonga lwamathumbu ngokukhawuleza;
2. Ukunciphisa ixesha le-anesthesia;
3. Ukunciphisa umonakalo wezicubu;
4. Nciphisa ukopha.
Umgca we-stapler
Isixhobo se-suture sinokuthunga izicubu kumgca othe ngqo.Beka izicubu phakathi komgqomo wezikhonkwane kunye ne-nail drill kwaye ubeke inaliti yokubeka.Seta ubukhulu obufanelekileyo ngokwesikali sobukhulu bezicubu, tsala isiphatho sokudubula, kwaye umqhubi we-staple uya kufaka imiqolo emibini ye-staples staples kwi-tissue kwaye igobe ibe yimo "B".Isetyenziselwa ikakhulu ukuvala i-tissue yokusikwa kunye nesiphunzi.Ifanelekile utyando lwesisu, utyando lwe-thoracic kunye nokuhlinzwa kwabantwana.Ingasetyenziselwa i-pneumonectomy, i-lobectomy, i-subtotal esophagogastric resection, amathumbu amancinci, i-colon resection, i-low rectal resection kunye neminye imisebenzi.
Ixesha lokuposa: Jul-27-2022
