Lijana tsa methapo-lymphatic-methapo-haemorrhoids
Opereishene ea Vasculo-plastiki kapa opereishene ea vasculo-plastiki e emela tšiea e ncha ho litšiea tse 'nè tsa opereishene ea polasetiki. Opereishene ea setso ea polasetiki e na le li-interdisciplinary mme pele e ne e kenyelletsa:opereishene ea botle, Opereishene ea ho tsosolosa, ho chesa, ho buuoa ka letsoho.
Lintlha tsena tsa khale li tlameha ho tlatselletsoa lekholong la bo21 la lilemo ka lebaka la nts'etsopele e potlakileng ea mekhoa ea ts'ebetso ea microsurgery. Opereishene ea methapo ea kutlo le vascular microsurgery ke ts'ebetso e ncha ea ho buuoa ka polasetiki. Nakong e fetileng, li-reconstruction, li-transplants tsa letlalo le tšireletso ea bokooa li ne li etsoa ka ho fetisetsa likotoana tsa letlalo le lisele ntle le phepelo e ikemetseng ea methapo le methapo. Ho haella ha phallo ea mali le ho haella ha vascular pedicle ho ne ho bolela hore ho ne ho ka khoneha ho lokisoa ha nako e telele, e rarahaneng le e sa tsitsang. Mekhoa e mecha ea microsurgical e theha litsela tse ncha tsa ho tsosolosoa ha opereishene ea polasetiki le ho theha phallo ea mali e sireletsehileng. Ka hona, li-microsurgical vascular connections ke motheo o mocha oa ho buuoa ka polasetiki. Phallo e ntle ea mali e betla tsela ea ho tsosolosoa ha litho tse kang letsoele. Litšitiso tse kholoanyane tsa letlalo le mesifa li ka koaheloa ke ho fetisoa ha lesela ka phepelo ea methapo e ikemetseng. Ho fetisoa ha lymph node le lymphovenous anastomoses ho thusa ho phekola lymphedema, eo pele e neng e hloka ho silila bophelo bohle. Lekholong la bo21 la lilemo, ho tsosolosoa ha opereishene ea polasetiki ho bolela ho tsosolosoa ha methapo, methapo, methapo ea mali, lymphatic edema, edema ea molomo, lipomatosis le ho bokellana ha mafura. The interdisciplinary vascular-plastic opereishene ea arterio-venous vascular bundles sebakeng se haufi-ufi, ho mons pubis, libakeng tsa perianal le anal ho etsa hore hang-hang ho be le botsoalle le ho lokoloha bohlokong, esita le ka mor'a ts'ebetso e haufi-ufi. Opereishene ea polasetiki ea methapo ea methapo, methapo ea varicose maotong, matsoho le matsoho e kenyelletsa litakatso tsa bongaka le tsa botle 'me e tsoela pele ho etsoa opereishene e ntle. Ka tlase re fa 'mali tlhaloso e akaretsang ea mekhoa ea phekolo ea tšiea e ncha ea ho buuoa ka polasetiki, vascular plastic surgery ka tsela e latelang:
Opereishene ea polasetiki ea lympho-vascular
Litsela tsa lymphatic le lympho-vascular anastomoses li tsosolosoa ho buuoa ka polasetiki ea morao-rao 'me li-lymph nodes li kenngoa. Lymphedema le elephantiasis (“maoto a tlou”) li alafshoa ka ho buuoa ka methapo ea mali ho sebelisoa mekhoa ea microsurgery. Li-massaging tse tenang e ne e le eona feela kalafo e sa lekaneng. Tsena ha li sa sebetsa ka mor'a hore lymphatics le lymph nodes li tsosolosoe. Bakuli ba limilione ba tsielehileng lefatšeng ka bophara ba ka imoloha tšubuhlellano ea ho ruruha ka ho buuoa ka lymphovascular plastic. Maoto a ruruhileng le ho ruruha ha leoto ho neng ho sa phekolehe pele, li se li phekoleha.
Lymphatic liposuction bakeng sa lipedema
Bothata bo boholo ke botenya le keketseho ea sebaka le kakaretso ea mafura 'meleng lefatšeng ka bophara. Sena se fella ka mathata a ho ruruha le ho potoloha ha lymphatic thishung e mafura, e bitsoang lipedema. Liapole tse ngata tse leketlileng tsa mafura le boima bo feteletseng li sitisa ho khutla ha mokelikeli oa lisele le lipedema. Mafura a ruruhileng a ba kholoanyane le ho ba boima. Ho hlaha selikalikoe se kotsi, moo ho eketseha ha mafura - lipomatosis - ho mpefatsa edema ea mafura, e bakang lipedema. Ho eketseha ha lipedema ho mpefatsa lipomatosis, ho ata le ho ata ha mafura a mafura.
Liposuction tsa li-apron tse mafura le lipomatosis
Liposuction e kile ea e-ba mokhoa oa litlolo feela. Ka lebaka la liphuputso tse ncha mabapi le phallo ea mali le kalafo ea tšubuhlellano ea lymphatic, re se re ntse re tseba kamano pakeng tsa lipedema le lipomatosis, tse matlafatsang tse ling, joalo ka ha ho hlalositsoe khaolong ea "Lipedema". Ke ka lebaka leo tšebeliso ea liposuction e ntseng e tsoela pele ho etsoa ka lebaka la mathata a ho potoloha ha mali le lipedema, 'me ka linako tse ling liposuction e buseletsoa ka inshorense ea bophelo bo botle.
Opereishene ea polasetiki ea laser ea methapo ea perianal
Methapo ea perianal ke li-sathelaete tsa li-hemorrhoids, makala a venous a nang le methapo ea methapo ea methapo e feptjoang ka methapo. Opereishene ea polasetiki ea laser, opereishene ea polasetiki ea vascular ke mekhoa e mecha e ileng ea ntlafatsoa ho HeumarktClinic ke Dr. Haffner ke eona taba ea mantlha. Ho fihlela 2018, opereishene ea laser bakeng sa methapo ea varicose e ne e hlalosoa feela bakeng sa maoto. Ho tloha ka 2018, opereishene ea laser e sa senyeheng, e se nang bohloko ka ho felletseng le e se nang maqeba bakeng sa methapo ea varicose ea peri-anal, e bitsoang li-hemorrhoids tsa kantle, e entsoe ke Dr. Haffner oa Cologne. Sena se boloka rectum e boreleli le ho omella ho e-na le ho sosobana le ho lla. Monyako o kenang ka morao ha o hlokomeloe ho e-na le ho hlohlona habohloko. Perianal thrombosis ea thibeloa ho e-na le hore e butsoe e se e le morao haholo le ka bohloko. Thrombosis e sa lebelloang ea methapo e tsofetseng ea perianal varicose e ke ke ea hlola e etsahala haeba ho se ho se na methapo ea perianal varicose haeba e ne e koetsoe pele e le ts'ireletso ka laser.
Li-hemorrhoids: Anastomoses ea methapo le methapo
Ho proctology, li-hemorrhoids li bitsoa pure arterial vascular bundles kapa arterial corpora cavernosa, ho latela lithuto tsa khale tsa Stelzner. Kamora lilemo tse 35 tsa boiphihlelo le litlhahlobo tse likete tse 'maloa tsa hemorrhoid ke Dr. Haffner, ka karolo e itseng a sebelisa high-resolution ultrasound, ngaka e buoang ea methapo ea methapo ea polasetiki, phlebologist le proctologist ba fumane hore khopolo-taba ea Stelzner mabapi le li-hemorrhoids e hloka ho ntlafatsoa. Ho ea ka melao-motheo ea Haffner, li-hemorrhoids ha se methapo feela, empa ke motsoako oa methapo ea methapo. le methapo. Bongata ba li-hemorrhoids bo na le moea o mongata, o ruruhileng oa arterial corpus cavernosum, o kopanang ho ba li-convolute tsa venous tse ruruhileng, tse otlolohileng. Dr. Haffner o bontšitse ka ho hlaka seo ho thoeng ke li-circuits tse khutšoane tsa arterio-venous - AV shunts - ka har'a methapo ea methapo le methapo. Tlhaloso e ncha e tsoang ho Dr. Haffner hore li-hemorrhoids ha se methapo feela empa hape le methapo e fetola maqheka le leano la kalafo ea li-hemorrhoids. Ts'ebeletso e ncha, laser hemorrhoid polasetiki ea opereishene - LHPC - e ea hlaha, e sa senyeng le Mekhoa ea methapo ea laser e sa utloeng bohloko le methapo ka bokhoni ba hanghang sechabeng le bokhoni ba ho sebetsa. Libeke tsa pholiso ea maqeba, bohloko le suppuration - joalo ka ha li ntse li tloaelehile lipetlele kajeno - ke karolo ea proctology ea khale, e seng e sa sebelisoe ho HeumarktClinic.
Ho buuoa ka methapo ea varicose
Methapo e lokela ho senngoa, e ntšoe kapa e belisoe ka laser - sena ke seo thuto ea ho buuoa ka methapo ea varicose e se buang. Ha mokuli ea nang le methapo ea varicose a ea ngakeng, ngaka e fana ka mekhoa e senyang e kang ho hlobola, laser sclerotherapy, ho ntša methapo, mini-phlebectomy, joalo-joalo. Na methapo e kulang e hlile e ke ke ea hlola e phekoleha? Mona re hlahisa mekhoa e mecha ea opereishene ea vascular plastic.
EVP - Plasty ea valve ea ka ntle ea venous
EVP * opereishene ea polasetiki ea vascular ea li-valve tsa venous e ile ea qala ho hlahisoa Jeremane ke Düsseldorf Dr. med. Alex Tavaghofi * e ntlafalitsoe. Ka mor'a ho tlohela mosebetsi, tlhokomelo ea bakuli ba EVP le nts'etsopele ea ts'ebetso ea ho boloka methapo ea varicose e ile ea etsoa ke EVP - Venous valve plasty – ka Dr. Haffner - HeumarktClinic - e nkile sebaka. Katleho ea mokhoa oa Tavaghofi's EVP*, phihlelo ea hae e ikhethang ka mor'a 40.000 venous valve plasties naheng le machaba e bontšoa ke bakuli ba hae 'me e tšohloa ke Dr. Haffner o netefalitse ka botlalo. Bakuli ba nang le EVP* ea kantle ea venous valve plasty ba boloka mothapo oa bona o moholo oa tataiso, e leng mothapo o moholo oa saphenous. Ho lokisoa ha li-valve tsa venous ho sebetsa hantle haholo methating ea pele ea ho thehoa ha methapo ea varicose haeba li-valve tsa venous tse senyehileng li fumanoa methating ea pele ka litlhahlobo tsa thibelo. Methapo ea varicose le maoto a boima a nang le ho ruruha ha leoto ka ho hlaka li bakoa ke li-valve tsa venous tse nang le bokooa. Ha ho motho ea e utloang qalong. Empa haeba methapo e teteaneng ea varicose e se e thehile, joale litsebi tsa phlebologists tse tloaelehileng li sebelisa thipa kapa laser 'me li senya ntho e' ngoe le e 'ngoe: methapo e kulang le e phetseng hantle e atisa ho ntšoa ka motsoako, lasered, sclerotyped, le ho koaloa ka maqhubu a seea-le-moea.
EVP e ka ntle ea venous valve plastic opereishene
1.Mothapo oa varicose = mothapo o tsofetseng
Lokisa methapo ho e-na le ho e tlosa: Empa o hloka methapo e phetseng hantle, eseng feela ka lebaka la phallo e phetseng hantle ea venous empa hape le sebaka sa polokelo ea kantle. Hobane lefu la pelo le ama motho e mong le e mong ea ka holimo ho lilemo tse 50, bao bongata ba bona ba hlokang litsela tsa ho pota pelo. Li-calcification tsa methapo ea maoto hangata li hloka hore ho fetisetsoe methapo ea hau bakeng sa kalafo. Bakuli ba liphio le bakuli ba dialysis le bona ba hloka methapo. Ke ka lebaka leo methapo e phetseng hantle e sa lokelang ho lahloa ka bohlasoa. Ho hlakile: haeba u khetha feela ho tlosa methapo ea varicose e nang le lefu le ke keng la lokisoa, methapo ea mantlha e tsamaisang, mothapo o moholo oa saphenous, o tla fola. Haeba u matlafatsa methapo ea saphenous ka mehele ea Tavaghofi, li-valve tsa venous le tsona li tla fola 'me Lefu la varicose le alafshoa ka ho boloka methapo.
Re tla u eletsa mabapi le nts'etsopele e ncha, ho roala ka methapo ea methapo ka li-patches tsa methapo, mehele ea laser Khiro Dr. Haffner ka boeena.
Bokhoni bo botle ba ho koala ba li-valve tsa venous EPP le eona ke ea machaba amohelehang.
* Mohloli: http://tavaghofi.de/leistung/evp/