I-Babred sutures yotyando lwe-Endoscopic
Ukuqhina yinkqubo yokugqibela yokuvalwa kwenxeba ngokufaka i-suturing. Oogqirha basoloko befuna ukuqhubeka nokuzilolonga ukugcina amandla, ngakumbi i-monofilament sutures. Ukhuseleko lweqhina ngomnye umngeni wokuvala inxeba eliyimpumelelo, ekubeni izinto ezininzi ezenziweyo kuquka amaqhina angaphantsi okanye ngaphezulu, ukungangqinelani kwedayamitha yomsonto, ukuguda komphezulu womsonto kunye nokunye. , kodwa inkqubo knotting kufuneka amaxesha athile, ingakumbi kufuneka amaqhina ngaphezulu kwi idol sutures- PDO ukususela isakhiwo monofilament kunye nomphezulu ogudileyo. Iintsimbi ezihlabayo zaphuhliswa ngokwesiseko sobuchwephesha bomatshini bale mihla obusetyenziswa kwi-Monofilament sutures, ngakumbi i-PDO. Umsonto wanqunyulwa okanye wenziwa ukuba uBarbed ngumgca omnye okanye umgqomo ukuba akukho mfuneko yeqhina emva kokungena, i-barbed kwintambo iya kuvala izicubu njengeqhaga elenza ukuvala izicubu ngaphandle kweqhina kube yinyani. OoGqirha bayalwamkela olu yilo nokuba lunciphisa amandla okuqina kuba idiameter esebenzayo icolekile kunomsonto ongahlabayo ngokomlinganiselo ofanayo.
Utyando lwe-Endoscopic lwaphuhliswa kumashumi eminyaka akutshanje, lutshintsho oluncinci kutyando oluvulekileyo ukuba umonakalo ongaphantsi kwezicubu kunye nomngcipheko ophantsi kakhulu wesigulana, kwaye bonke oogqirha botyando baluthanda xa lukhona kwifayile yakhe.
I-Barbed sutures yi-sutures yesithixo sotyando lwe-Endoscopic ukususela kwipropati ye-knotless, kodwa i-ankile yomsonto ukusuka ekuqaleni kwe-suturing isitshixo sempumelelo, i-V-Loc ye-Medtronic yaphuhliswa equlethe i-loop evaliweyo emsileni ukukhusela i-ankile. indawo yokuqalisa i-suturing. Ukusebenza kwe-V-Loc kufuna inaliti kunye nomsonto ngaphesheya kwe-loop-end ukuze uqinise intambo ngethishu efuna uqheliselo olungakumbi, kwaye lo ngumthwalo weengcibi. I-Wegosutures iphuhlise i-Stoppper Design ibonelela ngeyona ndlela ilula yokubambelela kwi-sutures thelekisa ne-V-loc.
VS
Vloc vs. Wegosutures Kontless
I-Stop of Wegosutures knotless sutures ngunxantathu wokumisa kwisiphelo somsonto ekungafunekiyo usebenze nzima kwindawo emxinwa yotyando lwe-Endoscopic. Olu yilo lusetyenziswa kwintambo yeViolet PDO kuqala kunye nezinye izixhobo kamva inyathelo ngenyathelo. Oogqirha abanamava ngotyando lwe-Endoscopic banokusebenzisa intambo ngolu yilo ngaphandle koqeqesho olude kunye nokuziqhelanisa nokulinganisa. Iprofayili yokufunxa iyafana ne-Wego PDO intambo, efumaneka kwi-USP 2/0 ukuya ku-4/0. Ukhuseleko lwePDO sutures esele yamkelwe yimarike kule minyaka ingama-30 idlulileyo. Ngokukhula kotyando lwe-endoscopic, i-sutures engenamaqhina iya kukhula ngokukhawuleza kwintengiso.
Olunye uyilo kwi-Endoscopic sutures yotyando kukusetyenziswa kweenaliti zesangqa ezi-5/8, ubukhulu becala ngomzila osisigxina kwisixhobo esifunwa ngugqirha wotyando kuphela ukutsala i-trigger kwi-suturing.
