Ibicuruzwa bigezweho

Amashusho ya plastiki, azwi kandi nka clipo yo gufunga tissue cyangwa clips ya hem-o-lok, ikoreshwa muguhuza no anastomose yimiyoboro yamaraso hamwe nuduce muburyo bwo kubaga.

Nubwo staplers izana abaganga kandi byoroshe ingorane zo kubaga amabara. Nubwo bimeze bityo ariko, haracyari ibibazo bitarakemuka mugihe cyo kubagwa - ingorane zikomeye - kumeneka kwa anastomotique, kumeneka ibintu byanduye mumyanya yinda yinda, bishobora gutera sepsis cyangwa urupfu. Kumeneka mubisanzwe bikozwe mugushira shunt kugirango urinde anastomose yo kubaga mugihe cyo gukira, kandi igafungwa kubagwa amezi 3 kugeza kuri 6 nyuma yo kubagwa bwa mbere. Nubwo diverion stoma ishobora kugabanya kumeneka kwa anastomotique, irashobora gutuma ubuzima bubi cyane kubarwayi mumezi nyuma yo kubagwa.

Amashanyarazi yo mu mazuru akwiriye gukaraba nyuma yo kubagwa amazuru ya endoskopi; Sinusite idakira, polyps izuru, kuhira izuru mugihe cyo kubagwa; Kuvomera amazuru nyuma ya radiotherapi na chimiotherapie kubyimba amazuru; Gutembera kwa sinus biterwa na rinite itandukanye; Ingaruka zo gukingira izuru rya mucosa, gusukura amazuru ya buri munsi no kuyitaho; Isuku yizuru ihumeka kugirango uhumeke akazi.

Icyuma cya endoscope cyamashanyarazi kigizwe ninkoni yo gufunga, gufunga inkoni itukura, gufunga umuriro, buto yo kurekura imisumari, ipaki ya batiri, isahani yo gusohora bateri, icyuma gifunga intoki, icyuma gisubiramo icyuma . Stapler ikubiyemo gusunika gufunga hamwe na tekinoroji ya GST yo kubika imisumari. Ipaki ya batiri igomba gushyirwaho mbere yo kuyikoresha. Ibicuruzwa birakwiriye gukata umusaraba, gukata, na / cyangwa gushiraho ibikwiye. Iki gikoresho kirashobora gukoreshwa muburyo butandukanye bwo kubaga thoracic kubagwa, kubaga igifu na hepatobiliary pancreatic kubaga, kandi birashobora gukoreshwa bifatanije nududodo twa suture cyangwa ibikoresho bifasha tissue. Iki gikoresho gishobora kandi gukoreshwa muburyo bwumwijima parenchyma (sisitemu y'amaraso ya hepatike na biliary structure), pancreatic transverse resection no kubaga resection.

Umuyaga ni igikoresho gikoreshwa mu gufasha abarwayi guhumeka, ubusanzwe gikoreshwa mu kuvura indwara z'ubuhumekero nk'indwara zidakira zifata indwara zifata ibihaha, asima, syndrome de santrale, n'ibindi. Kubera guhura kenshi hagati yumuyaga n'umurwayi, biroroshye kubyara bagiteri na virusi, bityo rero gusukura no kwanduza buri gihe birakenewe. Kandi imashini ihumeka ya ozone ni ibikoresho byumwuga bishobora kweza neza umuyaga.

Laparoscopic stapler nigikoresho cyubuvuzi gikoreshwa mu kubaga laparoskopi, ikoreshwa mu kubaga anastomose mugihe cyo kubaga laparoskopi. Igikorwa cyayo nyamukuru ni ukugera kuri anastomose no kudoda binyuze mubikorwa bya endoskopi, bityo bigafasha abaganga kurangiza kubaga no kunoza imikorere yo kubaga. Ibi bikoresho mubisanzwe birimo stapler ubwayo, clip clip, hamwe nibikoresho bikoreshwa. Laparoscopic staplers igira uruhare runini mu kubaga laparoskopi, ifasha abaganga gukora neza, kugabanya ibyangiritse, kugabanya igihe cyo kubaga, no kunoza intsinzi yo kubaga.

Ikoreshwa rya mashanyarazi endoskopique ikoreshwa mubisanzwe ni igikoresho gikoreshwa mubikorwa byubuvuzi, gishobora gukoreshwa mu kubaga laparoskopi yo gutema no gutema ibice cyangwa ingingo za anastomose. Ubu bwoko bwibikoresho busanzwe bugenewe gukoreshwa inshuro imwe kugirango umutekano wogukora hamwe nisuku.

Urushinge ruto, ruzwi kandi nka jet inshinge, nigikoresho cyubuvuzi gikoresha umuvuduko mwinshi uhita uturuka kumasoko yingufu kugirango habeho umuvuduko mwinshi kandi wihuta cyane (hamwe numuvuduko mwinshi muri rusange urenga 100m / s) ya ibiyobyabwenge (ifu yumye cyangwa ifu yumye) imbere ya syringe unyuze muri nozzle, bituma ibiyobyabwenge byinjira murwego rwinyuma rwuruhu kandi bikarekura ingaruka zibiyobyabwenge mubice byubutaka, imbere ndetse nizindi ngingo.

Imiterere ifite igishushanyo mbonera nuburyo bwo gukora kugirango hamenyekane neza neza imitsi y'amaraso mugihe cyo kubaga endoskopi.

Ukurikije ibisabwa bitandukanye byo kubaga hamwe nimbuga zikoreramo, hashobora kubaho ibishushanyo byubunini nuburyo butandukanye kugirango bibe muburyo butandukanye bwo kubaga.

Ikozwe muri titanium alloy material, yoroheje, hamwe nimbaraga nyinshi kandi ziramba.

Ibikoresho bya Titanium bifite imbaraga zo kurwanya ruswa kandi birwanya kwambara, kandi birashobora gukoreshwa mugihe cyo kubaga igihe kirekire kandi bikagumana ubuzima bwiza.

Icyuma cyo kumena ibyuma gikozwe mubyuma bikora cyane, bifite imbaraga zidasanzwe kandi bihamye, kandi birashobora gutanga inkunga yizewe hamwe numuyoboro kugirango bigume neza.

Icyuma cyo kumena ibyuma gifite urwego runaka rworoshye kandi rworoshye, rushobora guhuza nimiterere nimpinduka za cysts pancreatic cysts, bikagabanya kubyuka no kwangirika kwinyuma.

Gusiramura stapler nigikoresho cyubuvuzi gikoreshwa muguhagarika ibikomere nyuma yo gukebwa mugihe cyo kubagwa. Igizwe nibyuma bibiri cyangwa plastike, mubisanzwe uruziga nuruziga rushobora guhuza uruziga. Igikoresho cyo gukebwa kirashobora gufasha abaganga guhuza neza impande zuruzitiro no kubarindira umutekano hamwe hamwe nugufata. Iyi nzira irashobora kwihutisha gukira ibikomere no kugabanya ibyago byo kwandura no kuva amaraso nyuma yo guhahamuka.