I-Laaparoscopic Linear Cutter Stapler Elahlwayo kanye Nezingxenye ingxenye 3

I-Laaparoscopic Linear Cutter Stapler Elahlwayo kanye Nezingxenye ingxenye 3
(Sicela ufunde incwadi yeziqondiso ngokucophelela ngaphambi kokufaka nokusebenzisa lo mkhiqizo)

VI.I-Laparoscopic Linear Cutting Stapler Contraindications:

1. I-edema ye-mucosal enzima;

2. Akuvunyelwe ngokuphelele ukusebenzisa le divayisi esibindini noma esicutshini sobende.Ngenxa yezakhiwo ezicindezelayo zezicubu ezinjalo, ukuvalwa kwedivayisi kungase kube nomphumela olimazayo;

3. Awukwazi ukusetshenziswa ezingxenyeni lapho i-hemostasis ingabonakali khona;

4. Izingxenye ezimpunga azikwazi ukusetshenziselwa izicubu ezinogqinsi olungaphansi kuka-0.75mm ngemva kokucindezelwa noma izicubu ezingakwazi ukucindezelwa kahle zibe ukujiya okungu-1.0mm;

5. Izingxenye ezimhlophe azikwazi ukusetshenziselwa izicubu ezinogqinsi olungaphansi kuka-0.8mm ngemva kokucindezelwa noma izicubu ezingakwazi ukucindezelwa kahle zibe ukujiya okungu-1.2mm;

6. Ingxenye eluhlaza okwesibhakabhaka akufanele isetshenziselwe izicubu ezinogqinsi olungaphansi kuka-1.3mm ngemva kokucindezelwa noma ezingakwazi ukuminyaniswa kahle zibe ukujiya okungu-1.7mm.

7. Izingxenye zegolide azikwazi ukusetshenziselwa izicubu ezinogqinsi olungaphansi kuka-1.6mm ngemva kokucindezelwa noma izicubu ezingenakucindezelwa kahle zibe ugqinsi luka-2.0mm;

8. Ingxenye eluhlaza okotshani akufanele isetshenziselwe izicubu ezinogqinsi olungaphansi kuka-1.8mm ngemva kokucindezelwa noma ezingakwazi ukucindezelwa kahle zibe ukujiya okungu-2.2mm.

9. Ingxenye emnyama akufanele isetshenziselwe izicubu ezinogqinsi olungaphansi kuka-2.0mm ngemva kokucindezelwa noma ezingakwazi ukuminyaniswa kahle zibe ukujiya okungu-2.4mm.

10. Akuvunyelwe ngokuphelele ukusebenzisa izicubu ku-aorta.

VII.I-Laparoscopic Linear Cutting Stapler Imiyalelo:

Imiyalo yokufaka i-cartridge eyisisekelo:

1. Khipha ithuluzi kanye ne-staple cartridge kumaphakheji abo ahlukene ngaphansi kokuhlinzwa kwe-aseptic;

2. Ngaphambi kokulayisha i-cartridge yesisekelo, qinisekisa ukuthi ithuluzi lisesimweni esivulekile;

3. Hlola ukuthi i-cartridge eyisisekelo inaso yini isembozo sokuzivikela.Uma i-cartridge eyisisekelo ingenayo isembozo sokuzivikela, akuvunyelwe ukuyisebenzisa;

4. Namathisela i-cartridge yesisekelo ngaphansi kwesihlalo se-cartridge esiyisisekelo somhlathi, usifake ngendlela eshelelayo kuze kube yilapho i-cartridge yesisekelo ihambisana ne-bayonet, lungisa i-cartridge eyisisekelo endaweni bese ususa isembozo sokuzivikela.Ngalesi sikhathi, insimbi isilungele ukuvutha;(Qaphela: Ngaphambi kokuthi kufakwe i-staple cartridge endaweni, sicela ungasikhiphi ikhava yokuvikela i-staple cartridge.)

5. Lapho uthulula i-cartridge yesisekelo, phusha i-staple cartridge ngasehlangothini lwesihlalo sezipikili ukuze uyikhulule esihlalweni se-cartridge esiyisisekelo;

6. Ukuze ufake i-cartridge entsha, phinda izinyathelo 1-4 ngenhla.

Imiyalo yokuhlinzwa:

1. Vala isibambo sokuvala, futhi umsindo othi "chofoza" ubonisa ukuthi isibambo sokuvala sikhiyiwe, futhi i-occlusal surface ye-staple cartridge isesimweni esivaliwe;Qaphela: Ungasibambi isibambo sokudubula ngalesi sikhathi

2. Uma ungena emgodini womzimba nge-cannula noma i-incision ye-trocar, i-occlusal surface yensimbi kufanele idlule ku-cannula ngaphambi kokuba i-occlusal surface ye-cartridge eyisisekelo ivuleke;

3. Ithuluzi lingena emgodini womzimba, cindezela inkinobho yokukhulula, vula indawo efihlekile yensimbi, bese usetha kabusha isibambo sokuvala.

4. Vula inkinobho ejikelezayo ngomunwe wakho wokukhomba ukuze ujikeleze, futhi ingalungiswa ngamadigri angu-360;

5. Khetha indawo efanelekile (efana nesakhiwo somzimba, isitho noma elinye ithuluzi) njengendawo ethintwayo, donsa iphini lokulungisa ulibuyisele emuva ngomunwe wenkomba, sebenzisa amandla okusabela nendawo yokuxhumana ukuze ulungise i-engeli yokugoba efanele, futhi qinisekisa ukuthi i-cartridge eyisisekelo ingaphakathi kwenkundla yombono.

6. Lungisa ukuma kwensimbi kusicubu ukuze i-anastomosed/isikwe;

Qaphela: Qinisekisa ukuthi izicubu zibekwe endaweni eyisicaba phakathi kwezindawo ze-occlusal, azikho izithiyo endaweni ye-occlusal, njengeziqeshana, abakaki, izintambo zokuqondisa, njll., futhi ukuma kuyafaneleka.Gwema ukusikeka okungaphelele, okuyisisekelo okungakhiwe kahle, kanye/noma ukwehluleka ukuvula izindawo ezifihlekile zethuluzi.

7. Ngemva kokuba insimbi ikhethe izicubu ezizokwenziwa i-anastomosed, vala isibambo size sikhiye futhi uzwe/uzwe umsindo othi “chofoza”;

8. Ukudubula idivayisi.Sebenzisa imodi ethi “3+1″ ukuze wenze umsebenzi wokusika nokuthunga okuphelele;“3″: bamba isibambo sokudubula ngokugcwele ngokunyakaza okushelelayo, bese usikhulula size silingane nesibambo sokuvala.Ngasikhathi sinye, qaphela ukuthi inombolo esefasiteleni lenkomba yokudubula ithi "1" "Lesi yisifo sohlangothi, inani lizokhula ngo-"1" nge-stroke ngayinye, isamba semivimbo emi-3 elandelanayo, ngemuva kokushaywa kwesithathu, i-blade. amafasitela ezinkomba zokuqondisa kuzo zombili izinhlangothi zesibambo esilungisiwe esimhlophe azokhomba ekugcineni kwethuluzi, okubonisa ukuthi ummese ukumodi yokubuyisela, ubambe futhi ukhulule isibambo sokudubula futhi, iwindi lenkomba lizobonisa u-0, okubonisa ukuthi ummese ibuyele endaweni yayo yokuqala;

9. Cindezela inkinobho yokukhipha, vula indawo ye-occlusal, bese usetha kabusha isibambo sokudubula sesibambo sokuvala;

Qaphela: Cindezela inkinobho yokukhipha, uma i-occlusal surface ingavulwa, qala ngokuqinisekisa ukuthi iwindi lenkomba liyabonisa u-“0″ nokuthi iwindi lesikhombi se-blade likhomba ohlangothini oluseduze lwethuluzi ukuze uqinisekise ukuthi ummese usekuqaleni. isikhundla.Uma kungenjalo, udinga ukucindezela inkinobho yokushintsha isiqondiso se-blade ukuze uhlehlise isiqondiso se-blade, futhi ubambe ngokugcwele isibambo sokudubula size silingane nesibambo sokuvala, bese ucindezela inkinobho yokukhulula;

10. Ngemva kokukhulula izicubu, hlola umphumela we-anastomosis;

11. Vala isibambo sokuvala bese ukhipha insimbi.