He aha ka mea hana i hoʻohana ʻia i kahi Laparoscopic Hysterectomy?

ʻO Laparoscopic hysterectomy, kahi kaʻina hana liʻiliʻi no ka wehe ʻana i ka ʻōpū, ua lilo i mea koho maʻamau no nā wahine e koi ana i ka ʻokiʻoki no nā maʻi e like me ka fibroids, endometriosis, a i ʻole kekahi ʻano maʻi kanesa. Hāʻawi kēia kaʻina hana i nā mea maikaʻi ma mua o ke kaʻina wehe kuʻuna, me nā ʻoki liʻiliʻi, hoʻemi ʻia ka ʻeha, a me nā manawa hoʻōla wikiwiki. ʻO ke kikowaena o ka holomua o ka laparoscopic hysterectomy nā mea hana kūikawā e hiki ai i nā kauka lapaʻau ke hana i ka hana me ka pololei a me ka liʻiliʻi o ka trauma i nā ʻiʻo a puni.

 

ʻO kekahi o nā mea hana mua i hoʻohana ʻia i ka laparoscopic hysterectomy ʻo ia ka Laparoscope ponoʻī. ʻO kēia mea hana he mea lohi, e like me ka paipu i hoʻolako ʻia me kahi kāmela wehewehe kiʻekiʻe a me kahi kumu kukui. Hoʻokomo ʻia ma o kahi ʻoki liʻiliʻi ma kahi kokoke i ka piko, e hāʻawi ana i nā kauka lapaʻau me ka nānā nui ʻana i nā ʻāpana pelvic ma kahi nānā. He mea koʻikoʻi ka hiki i ka laparoscope ke hoʻopuka i nā kiʻi i ka manawa maoli no ke alakaʻi ʻana i ka neʻe ʻana o ke kauka lapaʻau i loko o ke kaʻina hana, me ka hōʻoia ʻana e hana pololei ʻia kēlā me kēia hana.

 

Ma waho aʻe o ka laparoscope, Trocars nā mea hana pono i kēia kaʻina hana. ʻO kēia nā mea haiki, e like me ka paipu e hana i nā wahi komo no nā mea hana ʻoki ʻē aʻe. ʻO ka mea maʻamau, hoʻokomo ʻia kekahi mau trocars i loko o ka ʻōpū e ʻae ai i ka hoʻokomo ʻana i nā mea kani e like me ka forceps, scissors, a me nā mea ikehu. ʻAʻole wale nā ​​trocars e hoʻomaʻamaʻa i ke komo ʻana o kēia mau mea hana akā kōkua pū kekahi i ka mālama ʻana i ka insufflation o ka ʻōpū o ka ʻōpū me ke kinoea carbon dioxide, kahi e hana ai i ka wahi hana e pono ai no ke kauka.

 

ʻO ka Laparoscopic Harmonic Scalpel kekahi mea hana nui i hoʻohana ʻia i ka hysterectomy. Hoʻohana kēia mea hana i ka ikehu ultrasonic e ʻoki i ka ʻiʻo a me ka coagulate i nā kīʻaha koko, e hōʻemi ana i ke koko i ka wā o ke kaʻina hana. He mea waiwai nui ka harmonic scalpel no ka mea e hōʻemi ana i ka pōʻino wela i nā ʻiʻo a puni, hiki ke lilo i mea hopohopo me nā mea hana electrosurgical kuʻuna. ʻO kona pololei a me ka pono e lilo ia i mea hana pono no ka wehe pono ʻana i ka ʻōpū.

 

No ka hopu ʻana a me ka hoʻoponopono ʻana i nā ʻiʻo, hilinaʻi nā kauka lapaʻau i nā Laparoscopic Graspers a me Maryland Dissecting Forceps. Hoʻolālā ʻia kēia mau mea hana i ikaika a paʻakikī hoʻi, e ʻae i ka mālama ʻana i nā ʻiʻo me ka ʻole o ka pōʻino pono ʻole. ʻO ka Maryland dissecting forceps, ʻo ia hoʻi, ua hoʻohana ʻia no ka wehe pololei ʻana a me ka hoʻokaʻawale ʻana i nā ʻiʻo, e kōkua ana i ka hoʻokele ʻana a puni nā hale koʻikoʻi e like me ka ʻōpū a me nā ureter i ka wā o ka hysterectomy.

 

I ka wā humuhumu o ke kaʻina hana, Laparoscopic Needle Paʻa Hoʻohana ʻia ʻo no ka hoʻopaʻa ʻana i nā humuhumu a pani i nā ʻoki i loko o ka lua pelvic. Hoʻolālā ʻia kēia mau mea paʻa nila no nā neʻe maikaʻi a hoʻomalu ʻia, e hiki ai i ke kauka lapaʻau ke hana i nā hana humuhumu maʻalahi me ka maʻalahi. ʻO kā lākou hoʻolālā ergonomic e kōkua pū i ka hōʻemi ʻana i ka luhi lima i nā kaʻina hana lōʻihi.

 

ʻO ka hope loa, hiki ke hoʻohana ʻia nā Morcellators i kekahi laparoscopic hysterectomies, ʻoi aku ka nui o ka ʻōpū ʻaʻole hiki ke wehe paʻa ʻia ma o nā ʻoki liʻiliʻi. ʻOkiʻoki ka morcellator i ka ʻōpū i ʻāpana liʻiliʻi, a laila hiki ke wehe ʻia ma o nā trocars. Eia nō naʻe, ua ʻoi aku ka makaʻala o ka hoʻohana ʻana i nā morcellators i nā makahiki i hala iho nei ma muli o nā hopohopo e pili ana i ka hoʻolaha ʻana o nā ʻiʻo maʻi kanesa i ʻike ʻole ʻia, e alakaʻi ana i ka hoʻohana ʻana i kēia mea hana.

 

I ka hōʻuluʻulu ʻana, hilinaʻi ka hysterectomy laparoscopic i nā ʻano mea hana kūikawā e hana pū ana e hōʻoia i ka palekana a me ka maikaʻi o ke kaʻina hana. ʻO ka Laparoscope, Trocars, Harmonic Scalpel, Graspers, Maryland Forceps, Na Needle Paʻa , a i kekahi mau hihia, Morcellators, he mea hoʻohui a pau i ka holomua o kēia ʻokiʻoki liʻiliʻi. ʻAʻole hiki i kēia mau mea paahana ke hana i nā hana paʻakikī me ka pololei akā hāʻawi pū kekahi i nā pono holoʻokoʻa o ka hana laparoscopic, me ka hoʻemi ʻana i nā manawa hoʻōla a me nā pilikia liʻiliʻi. Ke hoʻomau nei ka holomua ʻana i ka ʻenehana ʻokiʻoki, e ulu aʻe kēia mau mea hana, e hoʻomaikaʻi hou ana i nā hopena no nā poʻe maʻi e hana ana i ka laparoscopic hysterectomy.