Wanem ol samting ol i save yusim long 'gynecological laparoscopic surgery'?
Jun 24, 2023
Wantaim wok bilong medikel teknoloji i go het yet, long ol yia i go pinis, 'laparoscopic surgery' i kamap wanpela bikpela rot bilong stretim ol sik insait long bel na 'abnormal uterine bleeding', na wok bilong en long sait bilong klinik i kamap bikpela moa.
Ol nupela teknoloji na ol instramen we i no inap bagarapim man tumas i givim moa rot bilong painimaut sik na tritim sik we i no inap bagarapim man tumas, na dispela em i gutpela nius long ol dokta na ol sikmanmeri.
Bikos i gat planti model bilong ol laparoskopik instramen na ol samting bilong yusim, long helpim yu long kliagut moa long ol samting bilong laparoskopik instramen, ol samting i kam bihain bai soim ol model bilong ol samting bilong laparoskopik operesen wan wan.
Wanem ol kain samting bilong yusim long 'laparoskopi'?
(1) Laparoscopic trocar series:
Ol i yusim wanpela 'laparoscopic trocar' long wokim 'pneumoperitoneum'. Ol i wokim long gutpela 'stainless steel'. Em i gat tupela hap, ausait 'sheath tube' na 'blunt inner core'. Pinis bilong ausait 'sheath' em i wanpela 'bevel', na i kamapim wanpela sap 'oblique blade'; insait bilong en i longpela liklik long ausait bilong 'sheath', na baksait bilong en i gat wanpela 'spring', we inap long go aut long nil bilong ausait bilong 'sheath'. Taim ol i presim 'puncture needle' long wol bilong bel, ol i save pulim het bilong en i go bek long soim 'cutting edge' bilong 'puncture needle' long go insait long 'tissue'. Taim 'puncture needle' i go insait long 'peritoneum', 'blank tip' bai i kamaut na lukautim ol 'internal organs' bilong 'abdominal cavity'. Het bilong ausait 'sheath' i gat wanpela 'valve' na wanpela 'standard interface' tu. Taim ol i opim valv, win i save ron long standet intafeis, i go insait long valv, na bihain i go insait long hul bilong bel long spes namel long ausait 'sheath' na insait 'core'. Flo bilong win na presa bilong pulim win i stap aninit long seting veliu bilong otomatik masin bilong pulim win.
(2) Laparoscopic trocar na trocar sheath:
Laparoscopic trocar em i wanpela 'trocar' we i save stiaim 'trocar sheath' i go insait long 'abdominal cavity', na 'trocar sheath' em i rot we 'laparoscopic body' na ol kain kain masin bilong katim man i save go insait na kam aut long 'abdominal cavity'. Ol 'laparoskopic trocars' na 'trocar sheaths' i gat ol kain kain 'diameters' na 'specifications', na tu ol i gat kain kain 'converter'. Ol i ken makim ol narapela narapela kombinesen bilong 'cannula' bihainim ol narapela narapela wok. Ol 'lumen diameters' we ol i save yusim planti taim em 5mm, 10mm, 15mm, 20mm na ol narapela. Ol 'laparoscopic trocars' i gat tupela 'pyramidal' na 'conical' tip. Ol 'laparoskopic trocar sheaths' i gat ol 'valve' na 'port'. Pastaim em inap long stopim ges long lus insait long bel taim bodi bilong mira na ol samting bilong katim man i go insait na lusim bel, na namba tu em inap long konektim long wanpela masin bilong pulim win o rausim smok we i kamap long taim bilong operesen. Na tu, i gat wanpela 'disposable puncture cannula', we i gat wanpela samting bilong lukautim 'sheath' long het bilong 'puncture needle', na wanpela 'compression spring' long tel bilong en bilong mekim 'expansion' na 'contraction' i no ken kamap, na i gat wanpela mak bilong soim, we ol i ken yusim long skelim 'expansion' na 'contraction' bilong 'sheath' long taim bilong operesen. Em inap long lukautim gut na abrusim bagarap long ol ogen long rot bilong ol nil bilong sutim. Na tu, ol i ken lukautim gut 'airtightness' insait long 'casing', na yusim em i isi na isi. Ol i save yusim moa yet ol 'laparoscopic trocars' long 'laparoscopic surgery' bikos ol i ol samting we ol i save tromoi na ol i ken abrusim sik.
Ol instramen bilong laparoskopik elektrosurjikelplanti bilong ol i gat monopolar, bipolar na intelligent bipolar (Ligasure na 100-gram forceps). Olgeta i stap long hai-frikwensi pawa, na hai-frikwensi pawa i save kamap long wanpela hai-frikwensi karent jenereta long pinisim ol kain kain wok olsem laparoskopik koagulesen, hemostasis, lektrik reseksen, na seperesen.
(1) Unipolar electrocoagulation ikwipmen: wanpela pos i stap ausait long bodi, na narapela pos i stap insait long instramen. Em inap long kukim, draim, 'coagulate' na katim 'tissue'. Wanpela 'closed loop' i kamap long hai-frikwensi signal jenereta, 'surgical electrode knife', 'tissue' bilong sikman, 'electrode plate' bilong sikman, na hai-frikwensi signal jenereta.
(2) 100-gram forseps: Ol i yusim wanpela spesel 'bipolar' instramen, na ol i putim wanpela spesel 'modulation current' long 'tissue'. Folem gutpela bekim bilong 'tissue', ol i yusim 'thermal effect' bilong 'current' long senisim 'collagen', olsem na 'collagen tissue' bilong 'vessel wall' i pas wantaim. , na kamapim wanpela 'transparent solidification zone' bilong pasim. Spesel 'current modulation' na 'intelligent tissue feedback sensing' teknoloji bilong en inap long stopim pawa autput, na inap long pasim gut 'uterine artery' long taim bilong 'gynecological surgery'.
(3) Ligasure vascular closure system (intelligent bipolar): wantaim 'real-time feedback technology na 'intelligent host technology', em inap long luksave long 'impedance' bilong 'clamped tissue' we i save go bek stret bihain long olgeta 'break', na stretim hariap 'output current' na 'voltage', wantaim 'electroagulation pressure' namel long ol 'clamps' i save tanim na senisim 'collagen' na 'fibrin' insait long wol bilong ol rop bilong blut, na banis bilong ol rop bilong blut i pas wantaim na kamapim wanpela 'zona pellucida', na dispela i mekim na 'lumen' i pas oltaim, we inap long sakim tripela taim presa bilong 'arterial systolic pressure' bilong wanpela nomol bodi bilong man. Em i ken yusim long pasim gut ol kain kain rop bilong blut insait long 7mm, na tu em i ken yusim long tritim ol 'ligament' na 'tissue bundles'. Em i gat gutpela samting long liklik lus bilong hat (lateral heat conduction distance bilong 1-2mm), we inap long sotim taim bilong operesen na daunim blut i ron.







