Ukhuseleko lwe-colorectal anastomosis ubungqina bokuvuza bugqunywe ngokupheleleyo
$50-$80/ Iqhekeza
Ividiyo yeMveliso
Intshayelelo yeMveliso
Esi sistent esikhethekileyo esigqunywe ngokupheleleyo esisebenzisa i-staplers yotyando ukukhupha umhlaza we-rectal kunye ne-suturing. Lukhuselo ekujoliswe kulo lwe-anastomotic ukuvuza okugqunyiweyo okukhawulezisa ukuphiliswa kwe-anastomotic kunye nokuthintela ukuvuza kwe-anastomotic. Le stent yahlukile kwi-stoma kwaye ayifuni i-suturing. Ityalwe ngendlela engenelele kancinci kwaye utyando luya kubuyiselwa umva ngokupheleleyo. Isitywina esingenanto sinokwenziwa kwi-stent ukuqinisekisa ngokufanelekileyo unxibelelwano phakathi kwe-lindle kunye nendawo ye-anastomotic, ukuqinisekisa ukuba ulwelo lomzimba luyaphuma kumngxunya westent. Kuya kuhlala kwindawo de kube inkqubo yokuphulukisa yendalo kunye nokulungiswa kwezicubu zomzimba kugqityiwe (malunga neeveki ezimbini), kwaye emva koko iya kususwa ngotyando lwe-endoscopic ngaphandle kwesidingo songenelelo lwesibini lotyando. Oku kuphelisa isidingo sokuba izigulane zinyamezele intlungu ye-anus yokwenziwa kunye nokugqoka iingxowa zokwenziwa. Inokususwa kwiintsuku ezili-10, kwaye isigulane sinokuphinda siqalise ubomi obuqhelekileyo
Ukusetyenziswa okucetywayo
Izehlo zokuvuza kwe-anastomotic emva kotyando lomhlaza we-colorectal yi-5% ukuya kwi-15%. Emva kokuba ukuvuza kwe-anastomotic kwenzeka, akuchaphazeli kuphela ukubuyiswa kwesigulane emva kokuhlinzwa kunye nokwandisa ixesha lokuhlala esibhedlele, kodwa kufuna ukusebenzelana rhoqo xa kuyimfuneko, ukwandisa intlungu yesigulane kunye neendleko zonyango; Iimeko ezimandundu zinokukhokelela kumothuko we-septic okanye nokufa; Kwangaxeshanye, kunokukhokelela kwiingxaki zexesha elide ezifana ne-postoperative anastomotic stenosis kunye nokungasebenzi kakuhle kwe-defecation, okuchaphazela umgangatho wobomi bexesha elide lomguli. Indlela yokuthintela ukuvuza kwe-anastomotic kuseyingqwalasela kunye nobunzima kuphando lwezonyango ngaphakathi nangaphandle, kwaye izisombululo ezanelisayo azikafunyaniswa. Olu phononongo lwamkela indlela entsha yokuthintela, ebandakanya ukubeka i-stent yamathumbu ebizwa ngokuba yi "anastomotic leak proof protective stent" kwindawo ye-anastomotic ngexesha lotyando, ukufumana iziphumo ezilungileyo.
Amanqaku obugcisa
I-anastomotic stent eyenziwe yinkampani yethu luhlobo olukhethekileyo lwe-stent yamathumbu, eyenziwe nge-nickel titanium memory alloy ene-mesh structure. Udonga lwangaphakathi lugqunywe ngefilim ecacileyo engangenwa manzi, kwaye i-stent inenkangeleko emile okwe-dumbbell kunye ne-groove entle kancinci embindini. Jonga umzobo 1. Isiphelo esiphezulu se-bracket si-20mm ubude kwaye sinobubanzi obungaphandle be-33mm, ehambelana nobubanzi obungaphakathi bekholoni ye-sigmoid; Isiphelo esisezantsi sima-20mm ubude kwaye sinobubanzi obungaphandle be-28mm, buncinci kancinci kunobubanzi bangaphakathi bomzantsi we-rectum, ukwenzela ukuba iziqulatho zamathumbu eziqokelelwe kwi-groove zinokukhutshwa ngexesha elifanelekileyo. I-groove yi-10mm ubude kwaye inobubanzi obungaphandle be-20-25mm, ehambelana nobubanzi be-blade yokusika iintlobo ezahlukeneyo ze-tubular staplers ukuqinisekisa ukuba ukunyanzeliswa kwe-radial yokuvuleka kwe-anastomotic akunyuki emva kokuba kufakwe isibiyeli. Ngoko ke, xa ubeka i-bracket, ukufakwa kufuneka kufakwe kwi-groove. I-bracket yangaphambili ixinzelelwe kwi-catheter ye-double-layer ene-diameter yangaphandle ye-8mm, kwaye i-bracket itholakala phakathi kwe-catheter yangaphakathi nangaphandle. Isibiyeli sikhululwa ngokutyibiliza iicatheter zangaphakathi nangaphandle.
