Iminyango esebenzayo kanye nokusebenza kwe-linear cutting stapler
Ngaphandle kwesifuba: i-splenectomy, i-lobectomy;
I-Gynecology: i-ovarian kanye ne-accessory excision;
Okujwayelekile: ukuncishiswa komthamo wesisu, i-subtotal gastrectomy, i-pancreatectomy (ukususwa kwe-pancreatic pedicle), i-hepatectomy (ukukhishwa kabusha kwe-pedicle yesibindi);
I-Urology: i-nephrectomy (ukukhishwa kabusha kwe-renal pedicle), i-vasculature, i-rectotomy, i-cholecystectomy, ukuhlukaniswa kwezicubu, ukusika kanye ne-anastomosis ekuhlinzeni okuvulekile.
Izinzuzo ze-linear cutting stapler
1. Ubulula:
I-nailing block incane futhi igxilwe esakhiweni se-nail bin, esingafinyeleleka endaweni encane kakhulu ngaphansi kwezicubu;
Umgqomo wezinzipho onomklamo wekhanda elihlangene, 0°, 30°, 45° ama-engeli amathathu okuzungeza, ukuzungezisa izindlela ezimbili, ukusebenza okulula;
Awekho amandla okubamba ngaphambilini umonakalo, angasetshenziswa njengezinhloso eziningi, njengemidladla yokubamba;
Ithuluzi elinezinhlobonhlobo zomgqomo wezinzipho, ukuhlangabezana nezidingo zezindawo ezihlukene zokuhlinza, ukunciphisa inkimbinkimbi yokusebenza, ukunciphisa izindleko zokuhlinzwa.
2. Ukuvumelana nezimo:
izicubu ezahlukene, ukujiya ezahlukene, khetha ezahlukene nail bin, suture izicubu ukujiya ububanzi 0.7-2.0mm;
Amabhange e-nail ahlukene akhethiwe ezingxenyeni ezahlukene zezicubu ezifanayo ukuze kuncishiswe izindleko zokuhlinzwa.
3. Ukwethembeka
Imigqa engu-6 yezinzipho zokuthunga iyakhululwa lapho kudubula, futhi ummese wokusika unqunywa phakathi ukuze unikeze isiqinisekiso esiphephe kunazo zonke se-tissue suture.
Ukuphakama kwemigqa emithathu yezinzipho ze-unilateral suture kuhluke kakhulu (umklamo wesinyathelo), i-hemostasis yonqenqema lokusikeka ingcono, futhi ukutholakala kwegazi kwezicubu ze-suture kungcono.
Ukusetshenziswa ngakunye komgqomo wezinzipho omusha ngokuphelele, ngokuhambisana nesimiso sokungabi nathumba;
Uma udubula, i-blade yokusika isuka ekugcineni eseduze ukuya ekugcineni kwe-distal, futhi ivale ngenkathi isika ngenkathi ihlanganisa izicubu ukuze kuqinisekiswe ukuthi umugqa ngamunye wokuthunga ukuthunga wakhiwe ngokuphakama okufanayo.
Ukungalungi kokuthunga ngesandla kwendabuko
1. Ukusebenza ngesandla kunzima uma ingxenye ijulile;
2. Ukuhlinzwa komthungo okuyinkimbinkimbi, isikhathi eside sokusebenza, ukopha okuningi ngokuhlinza, isikhathi eside sokubulala izinzwa, ukwanda kwezingozi zokuphepha;
3. Izinsimbi ezisetshenziswa ekuthungeni okwenziwa ngesandla ngokwesiko azilahlwa futhi zinengozi yokutheleleka ngegciwane;
I-4, ukuvuza okulula, futhi ayikwazi ukuwela i-suture ephindaphindiwe.
Ama-staplers okusika omugqa kanye nezingxenye ze-endoscopy elahlwayo zisetshenziselwa ukusikwa kwezicubu, ukujula kwezicubu kanye ne-anastomosis ekuhlinzeni okuvulekile kanye nokuhlinzwa kwe-endoscopic.
Isikhathi sokuthumela: Aug-26-2022