Pokanga minimally urutomo: haumanu me pokapū

e kore e tu te hangarau Medical tonu; ratou whanaketanga tino whakawhānui i te mau rave'a - e rua taahiraa tātaritanga, me te whakaora.

I roto i ngā, e tika ana ki te whanaketanga kaha o tikanga endoscopic te whānui horahia pokanga minimally urutomo. A feruri i te mea te mea te reira, i roto i tenei tuhinga.

He aha e hiahia ana ahau i te pokanga minimally urutomo

nga whaktauiratia katoa o tenei tikanga e hāngai ana i whakaiti i te pānga ngaukino i runga i te tinana o te manawanui, i te hunga mooni i roto i tetahi wawaotanga hāparapara.

kia tauira o ngā tikanga endoscopy me tafa laparoscopic.

Pahekotanga laparoscopy ki huarahi kē ki te uru whekau taea hoki te pēnei ki te pokanga minimally urutomo.

He ngāwari ki te whakamārama tōna rongonui.

tutuki ana tēnei tikanga i te ngākau nuitanga e rua o te manawanui (he iti nga pānga o enei ngā mahi), me ngā ngākau nuitanga pāpori-ōhanga (i roto i te whakamahi o te pokanga minimally urutomo, he reira taea ki tino whakaiti i te wa noho o te manawanui i roto i te fare ma'i.

Kua Laparoscopy kua whakamahia whānuitia i roto i te pokanga puku pediatric: mahi nga tamariki te nuinga o nga ngā mahi i runga i nga whekau puku e laparotomy. Ko taea pokanga Laparoscopic mō tamariki o ngā reanga katoa. A mo nga tūroro o reanga rerekē iti whakarato kete taputapu mo te laparoscopy, he diameters rerekē.

I roto i nga wahine hapu, ko te tino iti te taea o te pokanga laparoscopic.

painga

• Tūkino ki te tinana o te manawanui i roto i te pokanga, whakamana i runga i tikanga pokanga minimally urutomo, he tino raro atu rohe noa whakahaere.
• Ko te wā roa- moenga okiokinga i muri i te pokanga minimally urutomo kore he e tika ana. E kawea taua whawhe atu i roto i haumanu motuhake o te pokanga minimally urutomo (pera-ka karanga haumanu kotahi-ra).
• Kei te pai te nohotahi Nizkotravmaticheskie pokanga e tūroro.
• Taumata kopa ngaukino i roto i enei whawhe he nui raro e tika ana ki te whakaiti i te wā wawaotanga; a taea te taumata iti o whētuki ake i nga pānga haumanu, me te Paku.

Tauira i te hītori o te pehea ka anga te reira katoa

kawea te mahi laparokopicheskaya rawa tuatahi i roto i France i roto i te 80 o te rau tau 20. He tau torutoru i muri, kua whakatinanatia tenei tikanga kua i roto i te tono papatipu.

I muri i te timatanga o te whakamahi pūnahanaha o tenei tikanga kua riro whanaketanga tere, me te i roto i te wa poto ngā meinga kua tino hira.

Raruraru wawaotanga minimally urutomo

• Tafa whakamana whakamahi i ngā tikanga endoscopic, e kore e tukua palpation o te kiko.
• Ko te hiahia ki te tāuta taputapu nui-tech i roto i te fare ma'i i te hanganga o ngā pokapū motuhake o tafa minimally urutomo ranei; te utu nui o te taua taputapu.
• Ko te hiahia ki te whiwhi i ngā pūkenga kaimahi hauora i roto i te mahi ki te taputapu nui-tech.

laparoscopy

Ka taea te tono i tēnei momo o te pokanga minimally urutomo i roto i te āhuatanga e whai ake:

• pākoko Wahine.
• Maimoatanga o te endometriosis.
• cysts ovarian.
• fibroids uterine.
• hapū i te pūkano.
• Tangohanga o te gallbladder.
• Tangohanga o te pukupuku iti o whekau.
• Tangohanga o taikiri.
• Waihanga ki etahi pathologies iaia.

haamata wawaotanga hāparapara ki te meka i roto i te taiepa puku mārōrō, kia toru ranei wha poka. Muri therethrough patia ki te te tinana hāorarua waro e hiahiatia ana ki te whakapiki ake i te rōrahi o te kōhao me te hanganga o te wāhi rawaka mō te mahi. Next, mā tetahi o nga punctures whakaurua kāmera, e whakaatu i runga i te aroturuki i te mara whakahaere, whekau, me taputapu mō te tāuru whawhe i roto i te toe punctures.

Mini-laparotomy (paku-uru)

I roto i te meka, i roto i tenei take, i te mahi hāparapara tikanga, engari i roto i te kokoti nui iti hanga e te taea e te whakamahi o te huinga motuhake o taputapu. I roto i tenei ara, e taea te whakamana he maha ngā tukanga hāparapara i runga i nga whekau puku.

endoscopy

whakamahia ana tēnei tikanga te ki titiro whekau, he hanganga tuwhera, ka kawea i roto i ki te awhina o taputapu motuhake - endoscopes.

Endoscopic pokanga minimally urutomo, pērā whakamahi laparoscopy punctures motu ranei; E whakaurua mea hauora ki te whekau ateatenga roto orifices tūturu. Fakatatau ki ai, whakaora i taua whawhe puta nui māmā.

Ko te kupu, i roto i te haumanu me te endoscopic pokanga me minimally urutomo tari hōhipera endoscopic complexes te uiui e whai ake nei whēkau:

• pū kai;
• puku;
• whekau;
• paeoro;
• pukorokoro;
• bronchi;
• tōngāmimi.

I tua atu ki te whakamātautau, endoscopy me whakarato whai wāhitanga mō ngā tukanga haumanu, pērā i tūnga toto pekitīlia, te tango i te rahi iti o te puku me pukupuku intestinal. E hanga taua whawhe i roto i ngā hōhipera mau, me te i roto i haumanu motuhake (hei tauira, whare hauora Coloproctology me He iti urutomo Surgery).

wā whakanohonoho

Nā ki te taumata iti o traumatization o te kopa me whēkau i roto i ngā mahi kawea i roto i roto i runga i te mau parau tumu o te pokanga minimally urutomo, te wā whakanohonoho i muri i taua pokanga he roanga iti, me te pai noatia e te tūroro.

E kore te mea e tika ana te whakarite moenga toenga roa o te whakamahi i ngā tikanga tafa malotravmaticheskih.

Mamae syndrome tino iti korerotia i ngā mahi iti, hanga tenei meka taea reira ki te karo i te whakamahinga o taero, no ki te rōpū o Pë, a i konei o ratou pānga taha.

A, no te kore he e tika ana pokanga minimally urutomo

Ahakoa nga painga katoa o ngā rautaki pokanga minimally urutomo taea te tono i roto i te wā katoa. Ētahi tafa iriti i ki te kāwai o te nizkotravmatichnyh kore.

1. Ko te aroaro o adhesions i roto i te kōhao puku. Tenei meka Ko ha fakafaingata'a'ia'anga mo te wahi o taua ngā mahi. Ngā he take i reira te manawanui he hītori o wawaotanga hāparapara maha, ārahi ki te hanganga o adhesions raruraru. Heoi, i roto i ētahi wā, ina kahore te manawanui ki te laparoscopic pokanga i roto i te kōhao puku e tika ana ki te aroaro o adhesions, kore pokanga ki te whakaputa i te pera-ka karanga paku-uru. Kahore he hātepe kotahi e kore e tīari; faaoti te reira i roto i ia take takitahi.
2. Diseases o te pūnaha Cardiovascular me pūkahukahu i te wā o te decompensation. Ko e tika ana ki te meka e mo te laparoscopy titau whakataki ki te kōhao puku o te hauhā tenei; me tenei, i roto i tahuri, arahi ki te hua i roto i te pēhanga kōtuitui-puku, me te hanga pēhanga atu i runga i te HWM me, no reira, i runga i nga whekau o te kōhao pouaka. Tūroro ki manawa-pūkahukahu iti hoki taua te rongo arata'i ki ino.
3. Ko te hua koi i roto i te taimaha o te manawanui. kia hoki mōmona toru me te tohu wha waiho he contraindication mo tafa laparoscopic tika ki te meka e uru ki nga whekau i roto i enei take e kore ai e taputapu roa nui. I tua atu, e kore e taea e tika ana ki te papatipu tiketike o te taua taiepa puku tūroro mārōrō i roto i te maha ngā take waihanga i tētahi pneumoperitoneum.
4. takawhita Ocular, i roto i ngā papahewa. Ka taea e Pneumoperitoneum meinga hua i roto i te pēhanga intraocular, te ähua o tenei mate, me pōauautanga (hei tauira, wehe tuaroa).
5. Ko te tohu nui o te myopia - ki runga ki te ono diopters (mo te take kotahi - ki te ārai wehe tuaroa). Heoi, i roto i ētahi wā i reira kia kia okotahi, hei tauira ka rongo wā-poto laparoscopy malogazovoy ranei ka ara ake te pēhanga puku paku.
6. Diseases o te pūnaha toto, e āhuatanga e waimaero tona kaha ki te katinga. He mahi wehe, ki toto nui, i te mea Kāore taua āhua.

I roto i te tau tawhito maha tuhia te whānuitanga katoa o huru, ko te contraindication ki te pokanga laparoscopic. I roto i ngā take pēnei i, Nōna ka tūroro pokanga mō paku-uru technique he nui kahore contraindications noa.