Sutures na Babred don aikin tiyata na Endoscopic
Knotting shine hanya ta ƙarshe na rufe rauni ta hanyar sutura. Likitoci ko da yaushe suna buƙatar ci gaba da aiki don kiyaye iyawa, musamman ma suturen monofilament. Knot Tsaro yana daya daga cikin kalubale na cin nasara rauni kusa, tun da yawancin abubuwan da suka faru ciki har da ƙananan ko fiye da kullin, rashin daidaituwa na diamita na zaren, shimfidar wuri mai laushi na zaren da dai sauransu. Ka'idar Rufe Rauni shine "Mai Saurin Ƙarfafawa", amma tsarin kullun yana buƙatar wasu lokuta, musamman ma buƙatar ƙarin kullin akan gunki sutures- PDO tun da tsarin monofilament da santsi. An ƙera sutures ɗin da aka ƙera bisa fasahar injiniyoyi na zamani waɗanda aka yi amfani da su akan suturen Monofilament, musamman PDO. Zaren da aka yanke ko sanya shi zuwa Barbed ta hanyar guda ɗaya ko bin-direction wanda ba ya buƙatar kulli bayan shigarsa, abin da aka toshe a kan zaren zai rufe nama kamar makullin da ke sa rufe nama ba tare da kulli ya zama gaske ba. Likitocin tiyata suna maraba da wannan ƙira ko da yana rage ƙarfin ƙarfi tunda ingantaccen diamita ya fi kyau fiye da zaren da ba a rufe ba a girman.
Endoscopic tiyata da aka ɓullo da a cikin 'yan shekarun da suka gabata, shi ne wani karamin juyin juya hali a kan Bude tiyata cewa rage nama lalacewa da yawa m hadarin ga mãsu haƙuri, da dukan likitoci son shi sau daya samuwa a cikin nasa yi.
Sutures ɗin sutures ɗin tsafi ne don aikin tiyata na Endoscopic tun daga mallakar knotless, amma anka na zaren daga farkon suturing shine mabuɗin samun nasara, V-Loc na Medtronic an ƙera shi wanda ya ƙunshi rufaffiyar madauki a wutsiya don amintaccen anka na wurin farawa suturing. Aikin V-Loc yana buƙatar allura da zaren a kan madauki-ƙarshen don ɗaure zaren tare da nama wanda ke buƙatar ƙarin aiki, kuma wannan shine nauyin likitocin fiɗa. Wegosutures ya haɓaka Tsararren Tsara yana ba da mafi dacewa hanya don ƙulla suturar idan aka kwatanta da V-loc.
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Vloc vs. Wegosutures Kontless
Mai Tsaya na Wegosutures ɗin sutures mara ƙarfi shine madaidaicin alwatika a ƙarshen zaren wanda babu buƙatar wahala aiki a cikin kunkuntar sarari na aikin Endoscopic. Wannan ƙirar da aka yi amfani da ita akan zaren Violet PDO da farko da sauran kayan daga baya mataki-mataki. Likitocin da ke da gogewa akan aikin tiyata na Endoscopic na iya amfani da zaren ta wannan ƙirar ba tare da horo na dogon lokaci ba da yin aiki akan siminti. Bayanan shayarwa iri ɗaya tare da zaren Wego PDO, samuwa daga USP 2/0 zuwa 4/0. Amintaccen suturar PDO da kasuwa ta rigaya ta amince da su a cikin shekaru 30 da suka gabata. Tare da haɓaka aikin tiyata na endoscopic, sutures marasa kulli za su girma cikin sauri a kasuwa.
Wani zane akan sutures na tiyata na Endoscopic shine aikace-aikacen alluran da'irar 5/8, galibi ta hanyar kafaffen hanya a cikin kayan aikin da likitan fiɗa kawai ke buƙatar jan abin da zai sa suturing.
