Kukho iNgxaki kunye noNcedo kwiNdidi yoBucholo
Vula ukuhlinzwa ngoluhlobo lwendabuko lotyando olwenziwa ngalo ukusetyenziswa ngokusebenzisa isalathisi. Udokotela ugqirha ke ufaka izixhobo kwaye uqhuba utyando. Uvulo oluvulwa ngokuqhelekileyo lufaniswa neendlela ezincinci zokungcakaza ezinokubandakanya iziganeko ezincinci okanye (nakwezinye iimeko) akukho nto yokunyanzelisa. Nangona utyando olusenyakatho lwangaphantsi luye lwaba luninzi kakhulu, kukho iinkalo ezininzi apho utyando oluvulekile luyacetyiswa.
Ukuvuthwa Kwangaphantsi Kwenyuka Kuye Kuvulwa Uvulo Oluvulekileyo
Olunye utyando lusetyenziswa ngokusetyenziswa kwesiko esivulekile, kodwa ezinye ezininzi zenziwa ngokusetyenziswa kwamancinci. Ukungeniswa kweminye kungathi ukuba ukubethelwa komncinci kuncinci kunesiqhelo esivumelekileyo, okanye kusenokuthi akukho nto ikhethiweyo kuyo , kuxhomekeke kwindlela esetyenzisiweyo ngexesha le nkqubo.
Xa oogqirha banesakhono esifanayo kunye nenkqubo ifumaneka njengenkqubo evulekileyo kunye neyona nto ingenakunyakalala, isicatshulwa esincinci esincinci sisoloko sinikela ingozi ephantsi yokusuleleka, amaxesha okuphucula okufutshane kunye neziphumo eziphumelelayo ezifanayo.
Kwezinye iimeko, utyando lunokuqala njengenkqubo encinci yokungahambi, ke uguqulwe kwinkqubo evulelekileyo yokuchaneka xa ugqirha udinga ukuguquguquka kokuhamba.
Iinkonzo kunye neNgcengo yoPhando oluvulekileyo
Vula utyando lugxile ngenxa yobuchwepheshe obutsha obwenza kube lula kakhulu ukuba ugweme iziganeko ezinkulu kunye neengozi eziza nazo.
Ngokomzekelo, ngeendlela ezivulekile, ukufakwa kwe-appendectomy ngokuqhelekileyo kuyimitha engama-intshi ubude. Kodwa ngo-Society of American Gastrointestinal and Endoscopic Surgeons, "Kwii-appartectomies ezininzi ze-laparoscopic, oogqirha basebenza ngeendlela ezi-3 ezincinane (ii-ΒΌ ukuya ku-intshi nganye) ngelixa bebukele umfanekiso obanzi wezitho zangaphakathi zesigulane kwi-TV." Ngenxa yoko, ixesha lokubuyisela likhawuleza kwaye intlungu iyancitshiswa.
Kodwa oko akuthethi ukuba utyando oluvulekile luphelile. Kwezinye iimeko, umzekelo:
- Ukulungiswa nje akukwazi ukusetyenziswa ngempumelelo usebenzisa iindlela ezingenakudalwa
- Ukuhlinzwa okuvulelekileyo kuphela kunikeza ulwazi olubonakalayo olufunekayo ukususa ngokupheleleyo izicubu okanye ukuxilonga ngokuchanekileyo imeko
- Ezinye iintlobo zokuhlinzwa zifuna ukufikelela kwiindawo ezinkulu ukwenzela ukufaka izinto ezifana ne-mesh for hernias
Ngokwehlalutyo olulodwa, ukuhlinzwa okungaphantsi kwe-intanethi kufuneka kuhlolwe ngokucokisekileyo ukuhlinzwa okuvulekileyo ngokusekelwe kwiimfuno ezithile zesigulane: "Ukuqaliswa kwe-MIS [ukuhlinzwa okungaphantsi kwe-invasive] kuye kwaba yimpumelelo enkulu kwixesha lokusasa. , nangona kunjalo, ukuba kungabi yilokuba lijolise ekunikweni kwezempilo kwizigulane ezigqityiweyo. , kufuneka ikhuseleke kwiingcambu ezinokuvela ngenxa yesibheno se-MIS kumgqirha ogqirha.
> Imithombo:
> Dehn, Tom. "Ukulungiswa kweprovincial hernia - laparoscopic okanye ukuhlinzwa okuvulekileyo?" Ama-Annal of Royal College of Surgeons of England 91.8 (2009): 631-636. PMC . KwiWebhu. 18 Meyi 2017.
> Nanavati, AJ, & Nagral, S. Kutheni sifumene ukuhlinzwa okwenzakalayo kunye nokunyanzeliswa kokuvuselela emva kokuhlinzwa? I-Journal ye-Surgery Minimal Surgery , 12 (3), 299-301. KwiWebhu. 2016.
> I-Society of American Gastrointestinal and Endoscopic Surgeons. Ulwazi lwe-aparoscopic lokusebenza lwe-appendectomy ulwazi lwesigulane ukusuka kwi-SAGES. Webhu, 2017.