ʻO ka pale anastomosis colorectal leak stent i uhi piha ʻia
$50-$80/ ʻāpana
Video Huahana
Hoʻolauna Huahana
He stent kūikawā kēia i uhi piha ʻia e hoʻohana ana i nā staplers no ka wehe ʻana i ka maʻi maʻi ʻaʻai a me ka humuhumu ʻana. He stent i uhi ʻia i ka leak anastomotic e hoʻolalelale ana i ka anastomotic a pale i ka leaka anastomotic. He ʻokoʻa kēia stent mai ka stoma a ʻaʻole pono e humuhumu. Hoʻokomo ʻia ia ma kahi ʻano invasive liʻiliʻi a hiki ke hoʻohuli ʻia ke ʻoki. Hiki ke hana ʻia kahi hollow seal ma ka stent e hōʻoia pono i ka pilina ma waena o ka excrement a me ka wahi anastomotic, e hōʻoia i ka hoʻokuʻu ʻia ʻana o nā wai kino mai ka lua stent. E hoʻomau ʻia a hiki i ka pau ʻana o ke kaʻina hana hoʻōla maoli a me ka hoʻoponopono ʻana o ke kino (ma kahi o ʻelua pule), a laila e hoʻoneʻe ʻia ma o ke kaʻina endoscopic me ka ʻole o ka hana lua. Hoʻopau kēia i ka pono o nā maʻi e hoʻomanawanui i ka ʻeha o ka anus artificial a me ke komo ʻana i nā ʻeke hana. Hiki ke wehe ʻia i loko o 10 mau lā, a hiki i ka mea maʻi ke hoʻomau i ke ola maʻamau
Hoohana Manao
ʻO ka nui o ka leakage anastomotic ma hope o ke kaʻina ʻana i ka maʻi maʻi colorectal he 5% a 15%. Once a anastomotic leakage hiki mai, ka mea, aole wale pili i ka mea maʻi postoperative ho'ōla hou a hoʻolōʻihi i ko lakou halemai noho, akā, no hoi koi pinepine reoperation ina pono, e hoonui i ka mea maʻi eha a me ka lapaau koina; Hiki i nā hihia koʻikoʻi ke alakaʻi i ka haʻalulu septic a i ʻole ka make; I ka manawa like, hiki ke alakaʻi i nā pilikia lōʻihi e like me ka postoperative anastomotic stenosis a me ka defecation dysfunction, e pili ana i ka maikaʻi o ke ola o ka mea maʻi. ʻO ke ʻano o ka pale ʻana i ka leaka anastomotic ka mea nui a paʻakikī i ka noiʻi lapaʻau ma ka ʻāina a me ka honua, a ʻaʻole i loaʻa nā hopena maikaʻi. Hoʻohana kēia haʻawina i kahi ʻano pale hou, e pili ana i ke kau ʻana i kahi stent ʻōpū i kapa ʻia ʻo "anastomotic leak proof protective stent" ma ke kahua anastomotic i ka wā o ka ʻoki ʻana, e loaʻa ana nā hopena maikaʻi.
Nā Lae ʻenehana
ʻO ka anastomotic stent i hana ʻia e kā mākou hui he ʻano kūikawā o ka stent intestinal, i hana ʻia me ka nickel titanium memory alloy me kahi ʻano mesh. Ua uhi ʻia ka pā o loko me ka kiʻiʻoniʻoni wai ʻole, a ʻo ka stent he ʻano ʻano dumbbell me kahi ʻāpana liʻiliʻi ma waena. E nānā i ke Kiʻi 1. He 20mm ka lōʻihi o ka ʻaoʻao o luna o ka bracket a he 33mm ka lōʻihi o waho, i kūpono me ke anawaena o loko o ke kolonā sigmoid; ʻO ka wēlau haʻahaʻa he 20mm ka lōʻihi a he 28mm ka lōʻihi o waho, ʻoi aku ka liʻiliʻi ma mua o ke anawaena o loko o ka ʻaoʻao haʻahaʻa o ka rectum, i hiki ke hoʻokuʻu ʻia nā mea i loko o ka ʻōpū i ka manawa kūpono. He 10mm ka lōʻihi o ke awāwa a he 20-25mm ka lōʻihi o waho, e pili ana i ke anawaena o ka ʻoki ʻoki o nā ʻano stapler tubular e hōʻoia i ka piʻi ʻole o ka radial o ka puka anastomotic ma hope o ke kau ʻana o ka bracket. No laila, i ka wā e hoʻokomo ai i ka bracket, pono e hoʻokomo ʻia ka mea kūpono i loko o ke awāwa. Hoʻokomo ʻia ka bracket mua i loko o ka catheter papalua me ka anawaena o waho o 8mm, a aia ka bracket ma waena o nā catheters o loko a me waho. Hoʻokuʻu ʻia ka bracket ma ka hoʻoheheʻe ʻana i nā catheters o loko a me waho.
