Umgomo oyisisekelo wokusebenza westaplers kuhlinzwa: isimiso sokusebenza se-staplers ehlukahlukene yokuhlinza siyefana naleyo yama-staplers.Bafaka imigqa emibili yezinto eziyisisekelo ezithungiwe esicutshini, futhi bashuthe izicubu ngemigqa ephindwe kabili yezinto eziyisisekelo eziphambanayo, ezingaqiniswa Vala izicubu. ukuvimbela ukuvuza;ngoba imithambo yegazi emincane ingadlula igebe lezinto eziyisisekelo zohlobo lwe-B, akuthinti ukunikezwa kwegazi kwendawo ye-suture kanye nokuphela kwayo okude.
Izinzuzo zama-staplers okuhlinzwa:
1. Ukusebenza kulula futhi kuyashesha, okufinyeza kakhulu isikhathi sokusebenza;
2. I-stapler yezokwelapha inembile futhi inokwethenjelwa, ingagcina ukujikeleza kwegazi okuhle, ikhuthaze ukuphulukiswa kwezicubu, ivimbele ngokuphumelelayo ukuvuza, futhi inciphise kakhulu isigameko sokuvuza kwe-anastomotic;
3. Insimu yokuhlinzwa ye-suturing ne-anastomosis incane futhi ijulile;
4. Shintsha i-suture evulekile ye-manual noma i-anastomosis ibe i-anastomosis evaliwe ye-suture ukuze unciphise ingozi yokusebenzisa ama-staplers okuhlinzwa alahlwayo ukuze angcolise insimu yokuhlinza ngesikhathi sokwakhiwa kabusha komgudu wokugaya nokuvalwa kwesiphunzi se-bronchial;
5. Ingafakwa i-sutured ngokuphindaphindiwe ukugwema ukunikezwa kwegazi kanye ne-necrosis yezicubu;
6. Yenza ukuhlinzwa kwe-endoscopic (thoracoscopy, laparoscopy, njll.) kwenzeke.Ukuhlinzwa kwethoracoscopic okusizwa ngevidiyo ne-laparoscopic bekungeke kwenzeke ngaphandle kokusetshenziswa kwezinhlobonhlobo ezihlukahlukene.
i-endoscopic linear staplers.
Imakethe Yokuhlinza I-Stapler - Ukuhlaziywa Kwemboni Yomhlaba Wonke, Usayizi, Ukwabelana, Ukukhula, Amathrendi
Ukwenyuka kwenani lezinqubo zokuhlinzwa ngenxa yokwanda kwezifo ezingamahlalakhona kuzoqhuba imakethe yama-staplers okuhlinzwa esikhathini sokubikezela.Ukukhula kuzoqhutshwa ukukhuphuka kwesidingo sezinqubo ezingangeneleli kancane ngenxa yokululama okuhlobene okufushane nokuhlala esibhedlela. I-stapler ivumela udokotela ohlinzayo ukuthi alungise izilonda zangaphakathi ngaphandle kwesidingo senqubo yokuhlinzwa evulekile. ukuhlukaniswa, ngaleyo ndlela okwandisa ukukhetha kwama-staplers ngaphezu kwe-sutures kuzoqhuba isidingo.Ngaphezu kwalokho, izinkinga ezihlobene nokuphulukiswa komthungo zivula indlela yokuthuthukiswa kwama-staplers okuhlinzwa.Intuthuko yezobuchwepheshe kuzo zonke iziyalo zesayensi eziningi ikhiqize izinsimbi eziningi eziyingqayizivele zokuhlinza ezisetshenziswa ngesikhathi sokuhlinzwa.Ukwethulwa njalo kwamadivaysi amasha kanye nokuthuthukiswa okuqhubekayo kwezobuchwepheshe kumadivayisi akhona kuyashintsha. indlela odokotela abahlinzayo abenza ngayo imisebenzi yesintu futhi ibenze bakwazi ukuthuthukisa amasu amasha okuhlinza ukuze kuthuthukiswe imiphumela yesiguli.Umphumela obungahlosiwe walokhu kuthuthuka okusheshayo kwezobuchwepheshe kube ukwakhiwa "kwegebe lolwazi" elihlangene ekuqondeni kodokotela abahlinzayo ukuthi amadivaysi asebenzisana kanjani nezicubu. Ezimweni eziningi, odokotela abahlinzayo bangase baqonde isisekelo sesayensi/somtholampilo sokusebenzisa kahle lezi zisetshenziswa noma indlela engcono kakhulu yokusebenzisa izinto eziyinkimbinkimbi ezitholakala emshinini othize. Ngenxa yalokho, odokotela abahlinzayo bangase bathembele kokuhlangenwe nakho kwabo siqu, basebenzise ukwahlulela kwabo, noma uthembele ebufakazini obungajwayelekile, obungahumushela emiphumeleni yesiguli engaphansi, ngisho nalapho idivayisi ngokwayo isebenza kahle.
I-stapler yokuhlinza iyisibonelo sedivayisi evame ukusetshenziswa ekuhlinzeni futhi, ngesikhathi esifanayo, isesimweni sokuthuthuka cishe njalo. Naphezu kokuguquguquka nokusebenza kahle kwale mishini, kunobufakazi obuningi bokuthi ukuvuza kwentambo kwenzekile. okuholela ezinkingeni zangemva kokuhlinzwa, okuvame ukubangelwa izinkinga ezingezona ezemvelo.Phakathi kwalokhu, amaphutha ezobuchwepheshe angase adlale indima ebalulekile, okungenzeka akhulise ingozi yokopha, ukumpontshelwa igazi, kanye nokuphambukiswa okungahleliwe okungahleliwe, ikakhulukazi ezinkambisweni zesisu. kukhona izikhala zolwazi ezingathinta umphumela womtholampilo wokuhlinza.Izinzuzo ezinikezwa ama-staplers okuhlinzwa, njengesivinini esikhulu nokunemba kanye nokufana kokuvalwa kwesilonda, kuzoba yisici sokunikeza umthelela omkhulu.Isu nayo inengozi ephansi ukutheleleka kanye nokusabela kwezicubu kune-sutures.Intuthuko yezobuchwepheshe efana nokuthuthukiswa kwemikhiqizo enikeza impendulo yesikhathi sangempela kanye nezimpendulo ezizenzakalelayo kudatha yesikhathi sangempela kuzokhulisa ukutholwa.Odokotela abahlinzayo kusukela ekuhlinzeni okujwayelekile, ukuhlinzwa kwesifuba, i-urology, iminyango yezokubeletha kanye ne-gynecology basebenzisa i-Linear Cutter. futhi Layisha kabusha ukuze usike umgudu wokugaya ukudla, izicubu zamaphaphu, ishubhu le-fallopian ligament ebanzi, isinye i-ileal, njll., kanye nezicubu ze-suture bilateral resection margin ngesikhathi esifanayo, njengokukhishwa kwesisu somkhono kanye nokukhishwa kwamaphaphu. -i-anastomosis ye-digestive tract, njenge-gastrojejunostomy
Ukwethembeka
● Imishini engu-55 no-75 mm inamagobolondo amathathu aluhlaza, aphuzi, naluhlaza ashintshashintshayo ukuze axhume ugqinsi oluhlukene lwezicubu.
● Inalithi yokulungisa izicubu ivimbela izicubu ukuthi zingasheleli ukusuka ekugcineni, okuqinisekisa ukusika okusebenzayo nobude be-anastomosis.
● Indlela yekhamera ephumela ngaphandle isiza ukusungula ukuvala okuhambisanayo, iqinisekisa ukuminyanisa okufanayo kwezicubu kanye nobude besakhiwo esiyisisekelo esifanayo.
● Idivayisi yezokuphepha ivimbela ukusha umlilo lapho amakhathriji angenalutho elayishwa kabusha.
● Ikhava yebhokisi ivimbela izinto eziyisisekelo ukuthi zingasheleli ngephutha ngesikhathi zithuthwa.
● Umugqa we-suture uphindwe izikhathi ezingu-1.5 ububanzi besisekelo ubude kunomugqa wokusika ukuze kuqinisekiswe ukuthi ukuphela komugqa wokusika ku-anastomosed ngokugcwele ukuvimbela ukopha.
Ubulula
Indawo emaphakathi yesibambo esisusekayo, ukusebenza kwesandla esisodwa, kungalungisa kahle indawo yokusika nokunamathisela.Ukulayishwa kabusha kwekhatriji esongwe ngakunye kugwema ukungcola.
Isikhathi sokuthumela: Nov-23-2022
