Colorectal anastomosis tiv thaiv xau pov thawj tag nrho cov stent
$50- $80/ Daim
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Khoom Taw Qhia
Qhov no yog ib qho tshwj xeeb uas them tag nrho stent uas siv phais staplers rau qhov mob qog nqaij hlav hauv plab thiab suturing. Nws yog lub hom phiaj anastomotic leak tiv thaiv npog stent uas ua kom nrawm anastomotic kho thiab tiv thaiv anastomotic to. Qhov stent no txawv ntawm lub stoma thiab tsis tas yuav tsum tau suturing. Nws yog implanted nyob rau hauv ib tug minimally invasive yam thiab kev phais yog kiag li reversible. Lub hollow foob tuaj yeem tsim los ntawm lub stent kom muaj kev sib cuag ntawm qhov tso tawm thiab qhov chaw anastomotic, kom ntseeg tau tias cov kua dej hauv lub cev tau tawm ntawm cov kab noj hniav stent. Nws yuav nyob twj ywm rau hauv qhov chaw kom txog thaum lub ntuj kho thiab kho cov ntaub so ntswg ntawm lub cev tiav (kwv yees li ob lub lis piam), thiab tom qab ntawd nws yuav raug tshem tawm los ntawm kev phais endoscopic yam tsis tas yuav muaj kev phais thib ob. Qhov no tshem tawm qhov xav tau rau cov neeg mob kom dhau qhov mob ntawm lub qhov quav thiab hnav cov hnab dag. Nws tuaj yeem raug tshem tawm hauv 10 hnub, thiab tus neeg mob tuaj yeem rov ua lub neej zoo li qub
Npaj siv
Qhov tshwm sim ntawm anastomotic to tom qab phais mob qog noj ntshav yog 5% mus rau 15%. Thaum ib qho anastomotic leakage tshwm sim, nws tsis tsuas yog cuam tshuam rau tus neeg mob lub sijhawm rov qab los thiab ua rau lawv nyob hauv tsev kho mob ntev, tab sis tseem yuav tsum tau rov ua haujlwm ntau zaus yog tias tsim nyog, nce tus neeg mob qhov mob thiab cov nqi kho mob; Cov mob hnyav tuaj yeem ua rau septic shock lossis tuag taus; Nyob rau tib lub sijhawm, nws tseem tuaj yeem ua rau muaj teeb meem mus sij hawm ntev xws li postoperative anastomotic stenosis thiab defecation dysfunction, cuam tshuam rau tus neeg mob lub neej ntev. Yuav ua li cas tiv thaiv anastomotic leakage tseem yog ib qho tseem ceeb thiab nyuaj hauv kev tshawb fawb soj ntsuam ob qho tib si hauv tsev thiab txawv teb chaws, thiab cov kev daws teeb meem txaus siab tseem tsis tau pom. Txoj kev tshawb no tau txais txoj kev tiv thaiv tshiab, uas suav nrog kev tso plab hnyuv hu ua "anastomotic leak pov thawj tiv thaiv stent" ntawm qhov chaw anastomotic thaum phais, ua tiav cov txiaj ntsig zoo.
Cov ntsiab lus technical
Lub anastomotic stent customized los ntawm peb lub tuam txhab yog ib hom tshwj xeeb ntawm plab hnyuv stent, ua los ntawm npib tsib xee titanium nco alloy nrog ib tug mesh qauv. Sab hauv phab ntsa yog them nrog pob tshab zaj duab xis waterproof, thiab lub stent muaj ib tug dumbbell zoo li tus tsos nrog ib tug me ntsis zoo zawj nyob rau hauv nruab nrab. Saib daim duab 1. Sab saum toj kawg ntawm lub bracket yog 20mm ntev thiab muaj ib txoj kab uas hla ntawm 33mm, uas yog sib xws nrog lub puab txoj kab uas hla ntawm lub sigmoid nyuv; Qhov qis kawg yog 20mm ntev thiab muaj ib txoj kab uas hla ntawm 28mm, me ntsis me dua li lub puab kab uas hla ntawm qhov qis kawg ntawm lub qhov quav, thiaj li hais tias cov hnyuv cov ntsiab lus nyob rau hauv lub zawj tuaj yeem tso tawm raws sijhawm. Qhov zawj yog 10 hli ntev thiab muaj ib txoj kab uas hla ntawm 20-25 hli, uas sib haum mus rau cov hniav txoj kab uas hla ntawm ntau hom tubular staplers los xyuas kom meej tias lub radial nro ntawm lub anastomotic qhib tsis nce tom qab lub bracket muab tso rau. Yog li ntawd, thaum muab lub bracket, qhov haum yuav tsum tau muab tso rau hauv qhov zawj. Lub bracket pem hauv ntej yog compressed rau hauv ob txheej catheter nrog ib txoj kab uas hla ntawm 8 hli, thiab lub bracket yog nyob nruab nrab ntawm lub puab thiab sab catheters. Lub bracket yog tso tawm los ntawm zawv zawg rau sab hauv thiab sab nraud catheters.
