Matenda a Babred kwa opaleshoni ya Endoscopic
Knotting ndi njira yomaliza ya chilonda kutsekedwa ndi suturing. Madokotala ochita opaleshoni nthawi zonse amafunikira kupitiliza kuchita masewera olimbitsa thupi kuti asunge luso, makamaka ma sutures a monofilament. Chitetezo cha mfundo ndi chimodzi mwazovuta za chilonda chopambana, chifukwa zinthu zambiri zomwe zimachitika kuphatikizapo mfundo zochepa kapena zambiri, kusagwirizana kwa ulusi wa ulusi, kusalala kwa pamwamba pa ulusi ndi zina. , koma ndondomeko knotting amafunika nthawi zina, makamaka amafuna mfundo zambiri pa fano sutures- PDO kuyambira monofilament kapangidwe ndi pamwamba yosalala. Ma sutures a Barbed adapangidwa potengera ukadaulo wamakono wamakina womwe umagwiritsidwa ntchito pa Monofilament sutures, makamaka PDO. Ulusiwo unadulidwa kapena kupangidwa ku Barbed ndi njira imodzi kapena bin-direction kuti palibe mfundo yofunika ikalowa, ulusi wotchinga umatseka minofu ngati loko yomwe imapangitsa kutseka kwa minofu popanda mfundo kukhala yeniyeni. Madokotala amavomereza kapangidwe kameneka ngakhale kamachepetsa mphamvu zamakokedwe chifukwa m'mimba mwake yabwino ndi yabwino kuposa ulusi wopanda minga womwewo.
Opaleshoni ya Endoscopic idapangidwa m'zaka zaposachedwa, ndikusintha pang'ono pa opaleshoni ya Open kuti kuwonongeka kwa minofu yocheperako komanso chiopsezo chocheperako kwa wodwalayo, ndipo madokotala onse ochita opaleshoni adachikonda chikapezeka m'mafayilo ake.
Ma sutures a barbed ndi ma sutures afano a opaleshoni ya Endoscopic kuyambira malo opanda mfundo, koma nangula wa ulusi kuyambira poyambira suturing ndiye chinsinsi cha kupambana, V-Loc ya Medtronic idapangidwa yomwe ili ndi zotsekeka mchira kuti ziteteze nangula. wa suturing poyambira. Opaleshoni ya V-Loc imafunika singano ndi ulusi kudutsa kuzungulira-kumapeto kuti amangirire ulusi ndi minofu yomwe ikufunika kuchitidwa zambiri, ndipo ichi ndi cholemetsa cha madokotala. Wegosutures adapanga Stopper DesignImapereka njira yosavuta yolumikizira ma sutures poyerekeza ndi V-loc.
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Vloc vs. Wegosutures Kontless
The Stopper of Wegosutures knotless sutures ndi choyimitsa cha makona atatu kumapeto kwa ulusi womwe sufunika kusokoneza opareshoni pamalo opapatiza a Endoscopic. Mapangidwe awa adagwiritsidwa ntchito pa ulusi wa Violet PDO poyamba ndi zida zina pambuyo pake pang'onopang'ono. Madokotala omwe ali ndi zokumana nazo pa opaleshoni ya Endoscopic amatha kugwiritsa ntchito ulusi ndi kapangidwe kameneka popanda kuphunzitsidwa kwanthawi yayitali ndikuyeserera zoyeserera. Mbiri yoyamwitsa yofanana ndi ulusi wa Wego PDO, wopezeka kuchokera ku USP 2/0 mpaka 4/0. Chitetezo cha PDO sutures chomwe chavomerezedwa kale ndi msika pazaka 30 zapitazi. Ndikukula kwa opaleshoni ya endoscopic, ma sutures opanda mfundo adzakula mwachangu pamsika.
Mapangidwe ena pa ma sutures opangira opaleshoni ya Endoscopic ndikugwiritsa ntchito singano zozungulira 5/8, makamaka ndi njira yokhazikika mu chida chomwe dokotalayo amangofunika kukoka choyambitsa kuti chikoke.
