imveliso

Uphuhliso lweubuchule obuhleifuna ulwazi kunye nokuqonda ubuchwephesha obunengqondo obubandakanyekayoukuthunga.

Xa uthatha i-tissue, inaliti kufuneka ityhale ngokusebenzisa kuphela aisenzo sesihlahla, ukuba kuba nzima ukudlula kwi-tissue, inaliti engalunganga inokuthi ikhethwe, okanye inaliti inokuba buthuntu.

Uxinzelelo lweimpahla yomthungokufuneka igcinwe yonke indawo ukukhusela i-slack sutures, kwaye umgama phakathi kweesutures kufuneka ulingane.

Ukusetyenziswa kwento ethile ipateni yomthungoinokwahluka ngokuxhomekeke kwindawo ethuthiweyo, ubude bokusikwa, ukutsaleka kumgca we-suture, kunye nemfuno ethilei-apposition, inversion,okanyeeversionkwezicubu.

Iipateni zeSutureingahlelwa ngokubanzi njengeuphazamisekile okanye uqhubekile.

D. Iipateni eziNgenisayo

1. Cushing Suture

• Uhlobo lweukwahlukakwiiisutures zematrasi ezithe tyaba eziqhubekayo.
• Suture wadlula kwii-submucosa, kodwa hayi i-mucosa.
• Obu buchule busetyenziswa rhoqo ukuvala izikekeloamalungu angenantonjengesisu, isinyi, kunye nesibeleko.
• I-suture ingena ngaphakathii-submucosangaphandle kokungena kwi-lumen yelungu.
• I-suture ibaleka ukusuka kumacala omabini e-incision, ihambelana nomnye.

Ukusetyenziswa

• Ukuvala i-viscera engenanto efana nesinyi, isisu, okanye isibeleko.

2. UConnell Suture

• Iyelelene kwiUKushingngaphandle kokugqitywaUkungena kwilumenkwi-viscera.
• Obu buchule busetyenziswa rhoqo ukuvala izikekeloamalungu angenantonjengesisu, isinyi, kunye nesibeleko.
• I-suture ingena ngaphakathii-submucosa kunye ne-mucosa.
• IUbuchule beConnell sutureiphantse yafana neUbuchule beCushing suture. Ezi ndlela zimbini ze-suture zihlukaniswe ngokwezicubu ezingenayo ngexesha lokuhamba kwe-suture.
• Ubuchule beConnell suture busetyenziswadlula kwi-lumen.

Ukusetyenziswa

• Umaleko wokuqala wokuvaleka kwe-viscera (isisu, isinyi, okanye isibeleko).

3. Lembert Suture

• Yi leiyafana nomthungo woomatrasi othe nkqokwaye isetyenziselwa ukulungisa amalungu angenanto.
• Njengoko umaleko wokubamba welungu yii-submucosa, inaliti kufuneka ingene kuphela kobu bunzulu kwaye ingaze ingene kwilumen (Ukungena kwei-submucosa, kodwa hayi i-mucosa).
• Njengoko i-suture iqinisiweiguqula izicubu.

Ukusetyenziswa

• Ukuvala i-viscera engenanto efana nesinyi, isisu, okanye isibeleko.
• Imbrication ebusweni.

4. I-Halsted Suture

• Ubuchule buyafana neka aumthungo wematrasi othe nkqongaphandle kokuba iisuture ezimbini zibekwe ngendlela efanayo phambi kokuba zibotshwe.
• Oku kuvelisa iipateni ephazamisekileyoapho imiphetho yeinxeba liyajika.

Ukusetyenziswa

• Umaleko wesibini wokuvalwa kwe-viscera engenanto.

5. UParker Kerr Suture

• Aindibaniselwano yeCushing kunye neLembert sutureipateni.
• Ukuvalwa kwemigangatho emibini kusetyenziswa ngokwembaliguqula ngokufihlakeleyoi-viscus enqamlezileyo.
• Umaleko omnye weIiCushings zithungwe ngaphezuluibamba kwaye iqiniswe njengoko iqhosha lisuswa.
• Ilandelwa yipatheni ye-seromuscular eguqukayo (Ibekwe nguLembert).

Ukusetyenziswa

• Ukuvalwa kwezikhondo ze-viscera ezingenanto.

6. I-Purse String Suture

• Ukwahluka kwesetyhula yeLembert.
• Ukulunywa kuthathwa ngamaxesha aqhelekileyo malunga nomjikelezo wokuvula ukuze xa utsalwa ngokuqinileyo, unokwenziwa ube mncinci okanye uvalwe ngokupheleleyo.
• Le ndlela yobugcisa inokusetyenziselwavala iziphunzi ze-visceralkwaye kuimibhobho ekhuselekileyo ye-percutaneouskwi-viscus enokuthi ibonakale kuyoi-gastrostomykunye neenkqubo ze-cystostomy.
• Iluncedo kwiindawo ezifana ne-rectum (ukulungisa iprolapse).

Ukusetyenziswa

• Ukuvalwa kwezikhondo ze-viscera ezingenanto okanye ukukhuselwa kweetyhubhu kunye neecatheter.