Babred suture yo kubaga Endoscopic
Gupfundika nuburyo bwa nyuma bwo gufunga igikomere mukudoda. Abaganga babaga bakeneye buri gihe gukomeza imyitozo kugirango bagumane ubushobozi, cyane cyane suture ya monofilament. Umutekano w ipfundo nimwe mubibazo byatewe no gukomeretsa neza, kubera ko ibintu byinshi byakozwe harimo ipfundo rito cyangwa ryinshi, kudahuza umurambararo wa diametre, kuringaniza ubuso bwurudodo nibindi nibindi. Ihame ryo gufunga ibikomere ni "Byihuta ni umutekano" , ariko uburyo bwo gupfundikanya bukenera ibihe bimwe na bimwe, cyane cyane bukenera amapfundo menshi kuri suture y'ibigirwamana- PDO kuva imiterere ya monofilament hamwe nubuso bworoshye. Ibishishwa byogosha byatejwe imbere hifashishijwe ikoranabuhanga rigezweho ryakoreshwaga kuri suture ya Monofilament, cyane cyane PDO. Urudodo rwaciwe cyangwa rwakozwe kuri Barbed kumurongo umwe cyangwa bin-icyerekezo kidakenera ipfundo nyuma yo kwinjira, urutoki ku mugozi ruzafunga ingirangingo nkigifunga gituma gufunga ingirangingo nta ipfundo biba impamo. Abaganga babaga bishimiye iki gishushanyo nubwo kigabanya imbaraga zingana kuva diametre ikora neza iruta urudodo rudasanzwe.
Kubaga Endoscopique byakozwe mu myaka ya vuba aha, ni impinduramatwara ntoya ku kubaga kumugaragaro kwangirika kwingirangingo ndetse n’ibyago bike ku murwayi, kandi abaganga bose babikundaga bimaze kuboneka mu nyandiko ye.
Ibishishwa byogosha nigishushanyo cyibigirwamana cyo kubaga Endoscopique kuva imitungo idafite ipfundo, ariko inanga yumutwe kuva itangira ni urufunguzo rwo gutsinda, V-Lok ya Medtronic yatejwe imbere irimo gufunga-gufunga umurizo kugirango ibungabunge inanga. yo kudoda. Imikorere ya V-Lok ikenera urushinge nuudodo hejuru yumuzingi kugirango uhagarike urudodo hamwe nuduce dukeneye imyitozo myinshi, kandi uyu ni umutwaro wabaganga '. Wegosutures yateje imbere Guhagarika Igishushanyo gitanga uburyo bworoshye bwo guhuza suture ugereranije na V-ahantu.
VS
Vloc na Wegosutures Kontless
Guhagarika Wegosutures idafite ipfunwe ni impandeshatu ihagarara kumpera yumutwe udakeneye imikorere igoye mumwanya muto wo kubaga Endoscopique. Igishushanyo cyashyizwe kumurongo wa Violet PDO mbere nibindi bikoresho nyuma intambwe ku yindi. Abaganga babaga bafite uburambe kubijyanye no kubaga Endoscopique barashobora gukoresha urudodo kuri iki gishushanyo nta mahugurwa maremare kandi bakora imyitozo. Umwirondoro wo kwinjiza kimwe nu murongo wa Wego PDO, uboneka kuva USP 2/0 kugeza 4/0. Umutekano wa suture ya PDO umaze kwemezwa nisoko mumyaka 30 ishize. Hamwe no gukura kwa endoskopique yo kubaga, suture idafite ipfunwe izakura vuba ku isoko.
Ikindi gishushanyo kijyanye no kubaga Endoscopic kubaga ni ugukoresha inshinge 5/8 zuruziga, ahanini ninzira ihamye mugikoresho umuganga abaga akeneye gusa gukurura imbarutso yo kudoda.