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 umsonto kunye nezicubu ezifuna ukuziqhelanisa ngakumbi, 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.
