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Steel Rachet Gun Type Handle Laparoscopic Needle Holder for Surgical Equipment Sale
Introduction:
The 5mm reusable endoscopic needle holder is designed to give you
precise control when using every type needle types. We are
manufacturing multiple needle holders, just like straight, curved,
self-righting, self-righting with suture holding, etc for your
need.
Specifications
1 Adopt high quality stainless steel material.
2 Corrosion resistant
3 Tough construction
4 Premium workmanship
5 Easy-handing
6 Safe application
Model | Name | Specifications |
HF2008 | Needle holder | O-type handle, Φ5×330mm |
HF2008.1 | Needle holder | V-type handle, Φ5×330mm |
HF2008.2 | Needle holder | V-type handle with ratchet, Φ5×330mm |
HF2008.4 | Needle holder | Gun-type handle with ratchet, Φ5×330mm |
HF2008.5 | Needle holder | V-type handle with ratchet, Φ5×330mm |
Package detail: | Poly bag and special shockproof paper box. |
Delivery detail: | By air |
Name: Sue Shentu
FAQ
Common complications of laparoscopic surgery include the following categories:
Bleeding: This is a common complication in laparoscopic surgery, especially bleeding in the surgical field, especially after surgery with severe endometriosis or severe pelvic adhesions.
Infection: Including incision infection and intra-abdominal infection. Incision infection is mainly manifested by fever, redness and swelling around the incision, abnormal exudation, etc. Intra-abdominal infection may cause abdominal pain, abdominal distension and other symptoms.
Gas embolism: Since pneumoperitoneum needs to be established during surgery, especially for patients with chronic obstructive pulmonary disease or obese physique, gas embolism is prone to occur.
Subcutaneous emphysema: Generally, it can be absorbed by itself. In severe cases, it can lead to mediastinal emphysema and pneumothorax.
Hypercapnia: Difficulty in awakening due to excessive CO₂ partial pressure. When the CO₂ partial pressure is too high during surgery, gas infusion should be stopped.
Organ damage: Including bladder damage, ureteral damage, intestinal damage, etc.
Postoperative intestinal paralysis and intestinal flatulence: These symptoms may occur after surgery and affect the patient's recovery.
Anesthesia complications: including anesthesia accidents and lung infections.
Other complications: such as postoperative pain, abdominal wall incision hernia, nerve damage, and tumor incision implantation after malignant tumor surgery.
The incidence and specific manifestations of these complications may vary depending on the type of surgery and individual differences of patients, but their incidence can be effectively reduced by mastering surgical indications, improving surgical techniques, and being familiar with the use of energy instruments.
The specific types and preventive measures for bleeding during laparoscopic surgery are as follows:
Types of bleeding
Hepatic venous system bleeding: In laparoscopic hepatectomy, bleeding in the hepatic venous system
is one of the common serious complications. This bleeding usually
occurs when the first hepatic portal occlusion technique is
improperly performed.
Bleeding in rectal cancer surgery: Common bleeding sites in laparoscopic rectal cancer surgery
include the mesorectum, rectal wall, etc.
Bleeding in cholecystectomy: Bleeding may also occur during laparoscopic cholecystectomy, and
common causes include incomplete hemostasis or unreliable ligation
during surgery.
Preventive measures
Preoperative preparation: Preoperative indwelling of gastric tubes and urinary catheters
ensures that the patient is in a good state of anesthesia, which is
conducive to intraoperative monitoring and operation.
Surgical operation techniques: Blind operation should be avoided as much as possible during the
operation, and it should be performed under direct vision,
especially for intestinal tubes, omentum and abdominal wall with
adhesions or adjacent to the puncture site.
Hemostasis techniques: Use electric hooks, ultrasonic scalpels or bipolar
electrocoagulation equipment to completely stop bleeding, and
ensure that the bleeding blood vessels are handled firmly and
reliably during the operation.
Hepatic blood flow occlusion: During liver resection, the use of liver blood flow occlusion
technology can effectively control bleeding.
Application of laparoscopic instruments: The use of various laparoscopic liver-cutting instruments combined
with laparoscopic ultrasound technology can improve the safety and
accuracy of the operation.
Low central venous pressure technology: By maintaining low central
venous pressure, the risk of intraoperative bleeding is reduced.
Effective prevention of incision infection and intra-abdominal
infection in laparoscopic surgery requires comprehensive
consideration of measures in all aspects before, during and after
surgery. Here are some key preventive measures:
Preoperative preparation:
Maintain good hygiene, strictly disinfect the surgical area, use sterile instruments, and ensure a sterile surgical environment.
Strictly grasp the surgical indications and use antibiotics reasonably.
Administer antibiotics within 30 minutes to 2 hours before skin incision or during anesthesia induction.
Intraoperative operation:
Use aseptic techniques for surgical operations to avoid contaminating the surgical area.
During the operation, damage to surrounding tissues should be minimized to avoid unnecessary exposure and operation.
Postoperative care:
Continue to use antibiotics after surgery to prolong their duration of action and reduce the risk of infection.
Personalized nursing methods can effectively prevent postoperative infection. For example, the observation group uses conventional nursing methods, while the control group uses more meticulous nursing measures.
Lesion treatment and abdominal cleaning:
The earlier the infection source is removed surgically, the better
the patient's prognosis. In principle, the surgical incision should
be as close to the lesion as possible, and a straight incision is
preferred to facilitate up and down extension, and suitable for
changing the surgical method.
After eliminating the cause, the abdominal pus should be sucked out
as much as possible, and the food and residues, feces, foreign
bodies, etc. in the abdominal cavity should be cleared.
The early identification and treatment methods for gas embolism
after laparoscopic surgery are as follows:
Early identification:
TEE (transesophageal echocardiography): This is the current gold
standard for diagnosing venous air embolism (VAE), which can
monitor and guide exhaust in real time. TEE can detect 0.02 ml/kg
of gas entering the right heart.
End-tidal carbon dioxide partial pressure (PetCO2) and blood oxygen
saturation (SPO2): When PetCO2 and SPO2 are found to decrease
rapidly during surgery and accompanied by rapid arrhythmia, CO2 gas
embolism can be diagnosed.
Early treatment:
Change the patient's position: Quickly change the patient's position to left side lying, head down and feet up, to ensure that the air is in the right ventricle and no longer enters the pulmonary blood vessels to cause further embolism.
Stop the surgical operation: Stop the surgical operation immediately to prevent more gas from
entering the circulatory system.
Endotracheal intubation and continuous pure oxygen inhalation:
improve tissue oxygen supply and increase blood oxygen saturation.
Continuous oxygen therapy: During oxygen inhalation, pay attention to the oxygen pressure not
being too high.
The management strategies for postoperative intestinal paralysis
and intestinal flatulence include the following methods:
Appropriate activities: After the anesthetic is metabolized after surgery, the patient can move appropriately with the help of family members to promote gastrointestinal motility, accelerate exhaust, and relieve intestinal flatulence. Early bed activities can also help gastrointestinal function recovery and promote gastrointestinal motility.
Physical therapy: including abdominal massage and local hot compress. Abdominal massage can stimulate the local intestinal tract, speed up the peristalsis, and help relieve intestinal flatulence. Local hot compress can also use hot towels to heat the lower abdomen to stimulate the local intestinal tract and speed up the peristalsis.
Drug treatment: Use laxatives and other drugs under the guidance of a doctor to help relieve intestinal flatulence.
Gastrointestinal decompression: Reduce intestinal pressure and promote the discharge of intestinal contents through gastrointestinal decompression.
Maintain electrolyte balance: Maintaining a good electrolyte balance plays an important role in relieving intestinal paralysis.
Enema treatment: Appropriate enema can help clear gas and residues in the intestines and relieve intestinal bloating.
Dietary adjustment: Avoid eating foods that are easy to produce gas, such as milk, soy milk, etc. You can choose foods rich in dietary fiber, such as radish, banana, dragon fruit, etc., to promote intestinal peristalsis.
Psychological support: Maintaining a good mood and avoiding excessive mental stress will help postoperative recovery.
Nutritional support: Appropriate nutritional support is also one of the important management strategies.
The risk factors and preventive measures for organ injury in laparoscopic surgery are as follows:
Risk factors
Lax grasp of surgical indications: Lax grasp of surgical indications will lead to unnecessary surgery
and increase the risk of complications.
Non-standard operation: Including subjective factors such as
insufficient preoperative evaluation and non-standard surgical
operation, which will increase the risk of organ injury.
Ignorance of thought: Doctors and patients lack awareness of surgical risks, which may
lead to intraoperative errors.
Pelvic and abdominal tissue adhesions: Previous pelvic and abdominal surgery history, pelvic and
abdominal inflammatory diseases, etc. can lead to tissue adhesions
and increase the risk of intestinal damage.
Obesity and older age: These factors increase the risk of iatrogenic spleen injury.
Preventive measures
Strictly grasp the surgical indications: Ensure that the patient meets the surgical indications and avoid
unnecessary surgery.
Standardize surgical operations: Detailed assessment of the patient's condition before surgery,
make a detailed surgical plan, and strictly follow the operating
procedures during surgery.
Strengthen preoperative education: Improve the awareness of surgical risks of doctors and patients,
and ensure that both parties have a full understanding and
preparation for the surgery.
Prevent tissue adhesion: For patients with a history of pelvic and abdominal surgery or
inflammation, measures should be taken before surgery to reduce
tissue adhesion.
Pay attention to the risks of obese and elderly patients: For obese and elderly patients, detailed assessments should be
performed before surgery, and special care should be taken during
surgery.