Iindlela ezine zokugqobhoza
Nov 06, 2021
Ivaliwe (Indlela yenaliti yeVerss)
Le ndlela ikwabizwa ngokuba yimowudi yokugqobhoza yakudala. Inaliti ye-pneumoperitoneum ephezulu (ngokubanzi, ingena kwisisu nge-umbilicus) kwaye ingena kwisixhobo sokuqala sokuhlatywa emva kokuba i-pneumoperitoneum yenziwe. Nangona kunjalo, into engalunganga kukuba "i-blind puncture" inokubangela umonakalo kwimikhumbi ye-retroperitoneal, imithwalo yodonga lwesisu kunye nesisu. Ubunzima obuphakathi.
Vula (indlela yeHasson)
Oko kukuthi, emva kokusika umaleko ngamnye we-umbilical tissue kwi-cavity yesisu, faka i-blunt puncture device, uze wenze i-pneumoperitoneum. Ukungalungi: kuthatha ixesha. Ukuba ukusika kukhulu kakhulu, kunokubakho ukuvuza komoya. Ilungele{3} izigulana ezisemngciphekweni omkhulu ezinembali yotyando lwesisu okanye ekurhaneleka ukuba kukho ukuncamathela kwesisu. Ingasetyenziselwa utyando lwe-laparoscopic ngexesha lokukhulelwa. Kunzima ngakumbi.
Idityaniswe nesixhobo sokugqobhoza esilahlwayo se-Hasson esilungiselelwe ngokukodwa uhlobo oluvulekileyo, yenza ukugqobhoza kukhuseleke kwaye kube lula.
Indlela yokufaka ngokuthe ngqo
Okokuthi, ngaphandle kwe-pneumoperitoneum, isixhobo sokubhoboza sifakwe ngokuthe ngqo, sineemfuno eziphezulu zobuchwepheshe, ezilungele kuphela oogqirha abanamava. Kunzima.
Isixhobo sokubhoboza kufuneka sibe ngama-90 degrees ukuya eludongeni lwesisu. Xa ifikelela kumaleko e-peritoneal emva kokudlula i-fascia, kufuneka ilungelelaniswe kwi-45℃kwi-plane ethe tye kwaye ingene ngokukhawuleza kwi-cavity yesisu.
Indlela yokujonga ngokuthe ngqo
Oko kukuthi, emva kokuba ulusu lunqunyulwe kwindawo yesixhobo sokuqala sokubhoboza, i-laparoscope ifakwe kwisixhobo sokubhoboza, kwaye ukusika koluhlu ngalunye lwezicubu zodonga lwesisu kunokubonwa phantsi kwe-microscope, ukwenzela ukuba kuqinisekiswe ukhuseleko lomsebenzi. Olu hlobo lokugqobhoza lusebenzisa isixhobo sokugqobhoza esilahlwayo sokwahlula okubonwayo. Ubunzima obuphantsi.
