Babred sutures yeEndoscopic surgery
Knotting ndiyo nzira yekupedzisira yekuvharwa kweronda ne suturing. Vanachiremba vanovhiya vanogara vachida kuenderera mberi nekudzidzira kuchengetedza kugona, kunyanya iyo monofilament sutures. Knot kuchengetedzwa ndeimwe yematambudziko eronda rakabudirira riri pedyo, sezvo zvinhu zvakawanda zvakaitwa zvinosanganisira zvishoma kana kupfuura mapfundo, kusapindirana kweshinda dhayamita, kutsetseka kwepamusoro kweshinda uye nezvimwe. Nheyo yeKuvharwa Kwemaronda ndeye "Faster is Safer", asi nzira yekuputira inoda dzimwe nguva, kunyanya inoda mafundo akawanda pane zvidhori sutures- PDO kubva pane iyo monofilament chimiro uye yakatsetseka. Barbed sutures yakagadziridzwa yakavakirwa pane yemazuvano mechanic tekinoroji iyo inoshanda paMonofilament sutures, kunyanya PDO. Rwonzi rwakachekwa kana kuti rwakaitwa kuBarbed nekamwe kana bhini-direction iyo isingadiwi knot mushure mekupinda, iyo yakarukwa pashinda inovhara matishu sekiyi inoita kuti kuvhara kwematishu pasina pfundo kuve chaiko. Vanachiremba vanogamuchira dhizaini iyi kunyangwe ichideredza simba rekusimba sezvo dhayamita rinoshanda rakatsetseka pane shinda isina-barbed muhukuru hwakafanana.
Kuvhiyiwa kweEndoscopic kwakagadzirwa mumakumi emakore achangopfuura, ishanduko diki yekuvhiya yeOpen iyo kukuvara kwetishu kushoma uye njodzi yakaderera kune murwere, uye vese vanovhiya vakaida kana ichingowanikwa mufaira rake.
Barbed sutures ndiyo sutures yezvidhori yekuvhiyiwa kweEndoscopic kubva panzvimbo yepfundo, asi anchor yeshinda kubva pakatanga suturing ndiyo kiyi yekubudirira, V-Loc yeMedtronic yakagadziridzwa ine yakavharwa-loop mumuswe kuchengetedza anchor ye suturing yekutanga poindi. Kushanda kweV-Loc kunoda tsono neshinda pamhiri pe loop-yekupedzisira kuti isimbise shinda nematishu inoda kumwe kudzidzira, uye uyu ndiwo mutoro wevanovhiya. Wegosutures yakagadzira iyo Stopper Dhizaini inopa nzira iri nyore yekumisa sutures enzanisa neV-loc.
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Vloc vs. Wegosutures Kontless
Iyo Stopper yeWegosutures knotless sutures ndeye katatu Stopper mumagumo eshinda iyo isingade kuomesa kuvhiya munzvimbo yakamanikana yekuvhiya Endoscopic. Iyi dhizaini yakashandiswa paViolet PDO shinda kutanga uye zvimwe zvinhu gare gare nhanho nhanho. Vanachiremba vanovhiya vane ruzivo pakuvhiya Endoscopic vanogona kushandisa tambo nedhizaini iyi pasina kudzidziswa kwenguva refu uye kudzidzira pakuenzanisa. Iyo yekunyura mbiri yakafanana neWego PDO shinda, inowanikwa kubva kuUSP 2/0 kusvika 4/0. Kuchengetedzeka kwePDO sutures yakatobvumidzwa nemusika mumakore makumi matatu apfuura. Nekukura kwekuvhiyiwa endoscopic, iwo mapfundo sutures anokura nekukurumidza mumusika.
Imwe dhizaini paEndoscopic yekuvhiya sutures iko kushandiswa kwe5/8 denderedzwa tsono, kazhinji neyakagadzika nzira muchiridzwa icho chiremba anovhiya anongoda chete kudhonza chinokonzeresa kuti suturing.
