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FOR PULP hemostasis in liver resection

机译:用于肝切除术中的止血

摘要

The proposed pulp for hemostasis in liver resection, consists of hingedly interconnected arms terminating Branche working with the locking jaws are in the operating position of the elements. The upper arm is formed as a poluizognutoy at 45 ° plate 6 cm in length, in the middle third of which is welded a threaded nut for the adjusting screw compression as screwing handles which dilution takes place and closer working branches with fixed compression liver portion. The lower arm has the shape of a plate folded in half and a length of 10 cm, which ensures a constant tension on its razgib state or "spring effect" and the abutment end thereof by the upper handle brings the working jaws to their original closed position after loosening the compression arms between fingers compressed brush. At 3 cm from the edge of the lower end of the upper handle plate has a hole for the adjusting screw to lock the compression in the lower plate. Lower jaws (width 25 mm, length 18 cm), has a flat surface and two longitudinal slots on both edges for suturing the liver produced after compression. The upper jaws (width 25 mm, length 22 cm), has a convex profile corresponding to the shape of the diaphragmatic surface of the liver and two, as in the upper jaw of the mirror opposing longitudinal slots on both edges for suturing parenchymal liver compressed. End of the upper jaws, to eliminate the risk of puncture of the diaphragm with development of pneumothorax or damage to other adjacent organs and tissues, blunted and bent upwards. Hemostasis liver intraorgannyh vessels using the proposed compression tool is achieved by compression of liver resected portion between the upper and lower jaws and operating fixing them in the working position of the adjusting screw compression. Exact comparisons longitudinal slots in the upper and lower jaws enables workers to produce therethrough resected suturing body portion, and then cut with a scalpel on the portion affected liver outer edge Branche working tool. This arrangement enables taking into account age, local and individual anatomic variations and fluctuations sizes resected lobe of the liver resect any organ level.
机译:提出的用于肝切除术止血的牙髓由铰接在一起的臂组成,这些臂终止,分支机构与锁定钳口一起处于元件的操作位置。上臂形成为长6 cm的45°平板上的poluizognutoy,在上臂的中间三分之一处焊接有用于调节螺杆压缩的带螺纹螺母,以进行稀释,并用固定的压缩肝脏部分封闭工作分支。下臂的形状为对折的板状,长度为10厘米,可确保在其razgib状态或“弹簧效应”下保持恒定的张力,而上手柄的抵接端将工作钳口恢复到原来的闭合状态松开手指双臂之间的压缩臂后,压缩位置。距上手柄板下端边缘3厘米处有一个用于调节螺钉的孔,用于将压力锁定在下板中。下颌(宽25毫米,长18厘米)具有平坦的表面和两个边缘上的两个纵向狭缝,用于缝合受压后产生的肝脏。上颚(宽25 mm,长22 cm)具有与肝脏the肌表面形状相对应的凸形轮廓和两个,如在镜子的上颚中,相对于两侧边缘的纵向狭缝,用于缝合压缩的实质肝。上颚的末端,消除了因气胸发展而引起the肌刺破或对其他邻近器官和组织造成伤害,钝化并向上弯曲的风险。使用所提出的压缩工具的止血肝脏内脏器皿是通过压缩上下颚之间的肝脏切除部分并将其固定在调节螺钉压缩的工作位置来实现的。精确比较上下钳口中的纵向狭槽使工人能够从中切除切除的缝合体部分,然后用手术刀在受影响的肝脏外缘分支工具上切开手术刀。这种布置能够考虑年龄,局部和个体解剖学变化和波动大小,而切除的肝叶则切除任何器官水平。

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