I-Babred sutures yokuhlinzwa kwe-Endoscopic
I-Knotting iyinqubo yokugcina yokuvala isilonda ngokufaka i-suturing. Odokotela abahlinzayo bahlale bedinga ukuqhubeka nokuzijwayeza ukugcina ikhono, ikakhulukazi ama-monofilament sutures. Ukuvikeleka kwefindo kungenye yezinselelo zokuvalwa kwenxeba ngempumelelo, njengoba kunezici eziningi ezibe khona ezihlanganisa amafindo amancane noma ngaphezulu, ukungavumelani kobubanzi bentambo, ubushelelezi bomucu nokunye. Umgomo Wokuvalwa Kwenxeba uthi “Kushesha Kuphephe Kakhudlwana” , kodwa inqubo yokubopha idinga izikhathi ezithile, ikakhulukazi idinga amafindo engeziwe kuma-idol sutures- PDO kusukela kusakhiwo se-monofilament kanye nendawo ebushelelezi. Izithukuthuku ze-Barbed zathuthukiswa ngokusekelwe kubuchwepheshe besimanje bemishini obusetshenziswa kuma-Monofilament sutures, ikakhulukazi i-PDO. Intambo yasikwa noma yenzelwe I-Barbed ngokuqondisa okukodwa noma komgqomo ukuthi asikho isidingo sefindo emva kokungena, intambo ehlabayo izovala izicubu njengengidi eyenza ukuvala kwezicubu ngaphandle kwefindo kube okwangempela. Odokotela abahlinzayo bayawamukela lo mklamo ngisho wehlisa amandla aqinile njengoba i-diameter esebenzayo icolekile kunentambo engahlabayo ngosayizi ofanayo.
Ukuhlinzwa kwe-Endoscopic kwasungulwa emashumini eminyaka amuva nje, kuwushintsho oluncane ekuhlinzeni okuvulekile ukuthi ukulimala kwezicubu kuncane kanye nengozi ephansi kakhulu yesiguli, futhi bonke odokotela abahlinzayo bakuthanda uma sekutholakala efayeleni lakhe.
I-Barbed sutures iyi-suture yesithombe yokuhlinzwa kwe-Endoscopic kusukela endaweni ye-knotless, kodwa ihange lentambo kusukela ekuqaleni kwe-suturing liyisihluthulelo sempumelelo, i-V-Loc ye-Medtronic yathuthukiswa equkethe i-loop evaliwe emsileni ukuze kuvikelwe ihange. iphuzu lokuqala lokuthunga. Ukusebenza kwe-V-Loc kudinga inaliti kanye nentambo ngaphesheya kwe-loop-end ukuze kubambelele intambo ngezicubu ezidinga ukujwayela okwengeziwe, futhi lokhu kuwumthwalo wodokotela abahlinzayo. I-Wegosutures ithuthukise i-Stopper Design inikeza indlela elula kakhulu yokunamathisela ama-sutures uma iqhathaniswa ne-V-loc.
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Vloc vs. Wegosutures Kontless
I-Stopper of Wegosutures knotless sutures iyisitobha esingunxantathu esisekupheleni kwentambo esingadingi ukusebenza okuyinkimbinkimbi endaweni ewumngcingo yokuhlinzwa kwe-Endoscopic. Lo mklamo wasebenza kuntambo ye-Violet PDO kuqala nezinye izinto kamuva isinyathelo ngesinyathelo. Odokotela abahlinzayo abanolwazi ngokuhlinzwa kwe-Endoscopic bangasebenzisa intambo ngalo mklamo ngaphandle kokuqeqeshwa isikhathi eside nokuzijwayeza ekufaniseni. Iphrofayela yokumuncwa iyafana nentambo ye-Wego PDO, etholakala kusukela ku-USP 2/0 kuya ku-4/0. Ukuphepha kwe-PDO sutures kakade kuvunywe yimakethe eminyakeni engama-30 edlule. Ngokukhula kokuhlinzwa kwe-endoscopic, ama-knotless sutures azokhula ngokushesha emakethe.
Omunye umklamo kuma-sutures okuhlinzwa e-Endoscopic ukusetshenziswa kwezinaliti eziyindilinga eziyi-5/8, ikakhulukazi ngendlela engaguquki ethuluzini udokotela ohlinzayo adinga kuphela ukudonsa i-trigger ukuze i-suturing.
