Ikirangantego gishobora gukoreshwa, kidashobora gukururwa, guhora urasa clip
$ 50- $ 80/ Igice
Kumenyekanisha ibicuruzwa
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.
Clipable ligature clips, izwi kandi nka clips yo gufunga, ikoreshwa cyane mugukosora ingirangingo zaho cyangwa guhuza imiyoboro yamaraso mugihe cyo kubagwa, bishobora gufasha kuvura indwara ya hemostasis no gukira ibikomere. Clipable ligation clip nyuma yo kubagwa mubisanzwe ntabwo ikenera gukurwaho, kandi niyo yasigara mumubiri, ntabwo bizatera ikibazo. Bamwe mu barwayi barashobora no kuyikuraho bonyine.
Guhitamo ibikoresho bya clips zishobora gukoreshwa byibanda cyane kubikorwa byo kuvura no kugumana nyuma yo kubagwa mumubiri kuruta ibyuma bya titanium gakondo. Guhitamo ibikoresho bikwiranye neza numubiri wumuntu, kandi ntibikunze kugaragara kwangwa cyangwa gusohora ibibyimba nyuma yo kubagwa, bigatuma bihagarara neza mumubiri wumurwayi. Bitewe no guhagarara kwinshi kwa clips ligature ikoreshwa, ntibishobora kugwa nyuma yo kubagwa. Niba ibindi bizamini bifitanye isano nka magnetic resonance imaging bikenewe mugihe kizaza, mubisanzwe nta ngaruka zidasanzwe zizabaho. Clipable ligature clips ikoreshwa cyane kubarwayi barimo gastroscopi nubundi kubaga bifitanye isano. Mugihe ukoresheje clipage ligature ikoreshwa kugirango ivurwe, irashobora gutandukana no gukiza ingirangingo zaho hanyuma ikirukanwa mumubiri ikoresheje inzira yigifu, bitabaye ngombwa ko hafatwa ingamba zidasanzwe zo kubikuraho.
Clipable ligature clips ikoreshwa cyane cyane mububaga bwa laparoskopi, cyangwa muburyo bwo kubaga kugirango ufate imiyoboro y'amaraso, guhagarika kuva amaraso, hamwe no gufunga ingirangingo, harimo imitsi mito nini nini nini nini, imiyoboro y'amaraso, nibindi bikoreshwa cyane mububaga bwa laparoskopi. , nk'uburyo bugezweho bwo kubaga nka laparoscopic cholecystectomy. Nyamara, clips ya ligature ikoreshwa mubisanzwe ntabwo ikwiranye nimiyoboro minini nimiyoboro, kandi twakagombye kumenya ko clips ya ligature ikoreshwa idakoreshwa muguhuza igituba.
Ikoreshwa
1. Hitamo clip ikwiye yubuyobozi ukurikije ingano yimiterere yubuyobozi.
2. Shira clamp ya tissue, fata clamp ya tissue neza, hanyuma winjize neza umutwe wumutwe winyuma mugice cya clamp. Emeza ko umutwe ari perpendicular kuri base, kanda witonze imbaraga za tissue kugeza igihe ijwi ryakanze ryumvikanye, kandi ntugahatire ingirangingo zumubiri mukibanza cyangwa igice cyo hejuru cyo gufunga.
3. Kuraho ingirangingo zumubiri zifatizo hanyuma urebe ko gufunga ligature bifashwe neza mugice cyo kuruma cyingirangingo (nkuko bigaragara ku gishushanyo 1). Kuri iyi ngingo, birakenewe gufata urufatiro kugirango tumenye neza ko gufunga imanza bishobora kuvanwaho neza.
4. Mugihe cyo gukoresha, nkuko bigaragara ku gishushanyo cya 1, shakisha iryinyo rimwe ryo gufunga, kandi uyikoresha arashobora kwemeza muburyo bwubatswe.
5. Shyira uruzitiro rwa ligature ruzengurutse uruziga rw'umubiri (nkuko bigaragara ku gishushanyo cya 2), shyira imbaraga zihagije ku ntoki za clamp ya tissue kugirango ufunge hejuru yacyo, bityo ufunge ligature (nkuko bigaragara ku gishushanyo cya 3 ), kurekura ikiganza cya clamp ya tissue, hanyuma wemere kuruma hejuru yimyenda ya tissue gusubira kumwanya munini uhagije.
6. Niba urugingo rwumubiri rwakuweho (nkuko bigaragara ku gishushanyo cya 4), usige impande zanyuma ziherereye hafi ya 2-3mm uvuye kumufunga, kandi ntukoreshe impera imwe yumutwe woguhagarika nkuyobora.
Hemilok yakoreshejwe mububiko rusange
Cholecystectomy
Kubaga amabara no kugorora
Gutandukana
Gastrectomy
Gastroenterostomy
Kubaga Esophageal na gastric fundus kubaga
Umugereka
Hepatectomy
Hemilok yakoreshejwe mu kubyara no mu bagore
Hysterectomy
Oophorectomy
Salpingectomy
Pelvic lymph node gutandukana
Shokora cyst resection ntabwo yakozwe
Hemilok yakoreshejwe muri urologiya
Nephrectomy
Adrenalectomy
Indwara ya prostatectomie ya kanseri ya prostate
Cystectomy
Kurwanya kanseri y'uruhago
Hemilok yo kubaga thoracic
Esophagectomy ikabije ya kanseri yo mu nda
Ikibyimba cyo hagati
Hilar lymph node gutandukana
Thymectomy
Indwara y'ibihaha
Lobectomy
Ibiranga ibyiza
Umutekano:
Gufunga igikoresho cyo gufunga neza;
Kurwanya kunyerera no kurwanya gusenyuka;
Irashobora gukomeza ibikorwa bya ligated stump;
Ibikoresho bidashobora kwinjizwa, antibacterial, idafite uburozi, kandi bidafite umwihariko winyama zabantu.
Yizewe
Uburyo bwa tactile sensing guhagarika uburyo butanga umutekano;
Nta kuzamura cyangwa ibihangano byagaragaye mu bizamini bya X-ray, MRI, na CT;
Nta reaction ya tissue, nta gufatira tissue hamwe na scab;
Hinge + yometse kumaguru yimisumari kugirango yagure intera yo kwaguka no kwaguka
Byihuse
Gufata neza intego yo guhuza no kugabanya gutandukanya agace ka tissue;
Kudashiraho imisumari, kubika igihe cyo kubaga, birashobora gusimbuza umugozi wa silike gakondo;
Igikoresho gisubiza inyuma cyinjira kandi kizenguruka mu ngingo, gikiza igihe cyo kubaga.
Muguhuza ibikorwa byo kubaga laparoskopi, niba umuntu atumva imikorere yigikoresho cyangwa atitaye kuri aya makuru, akenshi birengagiza uburyo bwiza bwo gukoresha.
Kurugero, umuyoboro wa gallbladder ufite elastique urashobora gukururwa mugihe ufunze. Niba agace ka mpandeshatu gafite umwanya munini, icyerekezo cya clamp ntikibeshye, kandi kirashobora gukatirwa igihe kirekire cyangwa kigufi, kikaba kititaweho.
