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在微血管吻合术中辅助稳定铰链式施特劳赫夹。

Aid to stabilize hinged Strauch clamp during microvasovasostomy.

作者信息

Wosnitzer M

出版信息

Urology. 1984 Aug;24(2):168-9. doi: 10.1016/0090-4295(84)90420-5.

Abstract

Urologists using the large and small Strauch clamps for microvasovasostomy have found that these clamps allow splendid visualization of the end and mucosa-lined lumen of each vas. However, an assistant must stabilize the clamp by holding it while in the "folded" position or else both the clamp and the ends of the vas will move when the sutures are placed in the mucosal lining of the lumens and in the muscular wall of the vas. A simple clamp holder has been designed to stabilize the "folded" Strauch clamp while these sutures are being placed. After the initial "critical" sutures are placed to line up the lumen of each end of the vas, the clamp is unfolded and used in the straight position for placement of the remaining necessary muscular sutures. This allows the surgical assistant to have two free hands rather than one and greatly reduces difficulties with keeping the vas in focus while placing the initial critical sutures.

摘要

使用大型和小型施特劳赫夹进行显微输精管吻合术的泌尿科医生发现,这些夹子能使每条输精管的末端和黏膜内衬管腔清晰可见。然而,助手必须在夹子处于“折叠”位置时握住它以稳定夹子,否则在将缝线置于管腔的黏膜内衬和输精管的肌壁时,夹子和输精管的末端都会移动。现已设计出一种简单的夹钳固定器,以便在放置这些缝线时稳定处于“折叠”状态的施特劳赫夹。在放置最初的“关键”缝线以使输精管两端的管腔对齐后,将夹子展开并在伸直位置用于放置其余必要的肌层缝线。这使手术助手有两只手可以自由操作,而不是一只手,并且在放置最初的关键缝线时,能大大减少保持输精管在视野中的难度。

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