I-Laser Anal Fistula Abscess Plastic Surgery (LAPC) 

tel: +49 221 257 2976

I-LAPC - I-Laser Anal Fistula Abscess Plastic Surgery yasungulwa nguDkt. UHaffner uthuthukile. I-laser anal fistula ithumba ithumba ithumba plastic surgery ilungisa ngobumnene fistula endunu perianal kanye namathumba ngaphandle kokusikwa ngokuhlinzwa ngokusebenzisa imisipha sphincter. Ekuhlinzweni kwethumba le-proctological anal fistula perianal, kwenziwa izimbobo ezinkulu, ezinye zazo ezidela imisipha ye-sphincter. Ngakolunye uhlangothi, kukhona umonakalo emisipha ye-sphincter ene-incontinence encane noma encane, izibazi ezinkulu futhi eziphazamisayo endaweni eseduze futhi, ngaphezu kwakho konke, inqubo ende futhi engaqinisekile yokuphulukisa. I-anal fistula kanye namathumba avame ukuvela ngemuva kokwelashwa okujwayelekile kwe-proctological: okungukuthi, awapholi naphezu kokuhlinzwa okukhulu esibhedlela naphezu kokusika i-sphincter. Ukuze kuguqulwe le ndlela yeminyaka engu-2000 yamathumba endunu kanye ne-perianal - kusukela ku-Hippocrates - kwaqaliswa ukusungulwa kwe-laser anal fistula abscess plastic surgery. Inhloso kanye nenzuzo enkulu yale ndlela emnene ukuvikela okuphelele kweziguli kanye nama-sphincters azo, ukonga izinqubo ezimbalwa zasesibhedlela ezicindezelayo, ukonga izinyanga neminyaka yokuhlupheka okungapheli okubangelwa ukuphindaphindeka okuphindaphindiwe ku-rectum. Izinqubo ezintsha ezivela ku-HeumarktClinic, ezisindisa iziguli ezinkulu, izinqubo ezicindezelayo ezinengozi enkulu yokulimala kwe-sphincter.  

I-LAPC: Ithumba le-anal fistula lilungiswa nge-laser esikhundleni sokuhlinzwa 

Zonke izinhlobo ze-fistula yangemuva kanye namathumba zingelashwa e-HeumarktClinic LAPC. Indlela iphumelela kakhulu futhi imnene nakakhulu, okusho ukuthi akukho ukucindezeleka kokuhlinzwa ku-pelvis encane. Kodwa-ke, akuwona wonke ama-fistula namathumba angavalwa ngokuphelele futhi ahlanzwe ngesikhathi esisodwa, kodwa - kuye ngezinga kanye nenkambo, izandiso kanye "nemizila efile" yesistimu ye-fistula.temUkwelashwa kwe-laser okuningana kuhlelwa futhi kuhlelwe kusenesikhathi. Ukwelashwa okulandelayo kwe-LAPC laser fistula kuthambile futhi akunabuhlungu njengokukuqala. Amathuba okuphulukiswa kokugcina makhulu ngemva kwenqubo ngayinye encane. Lesi sitatimende sisebenza futhi ku-LSPC laser coccyx fistula plastic surgery ye-pilonidal sinus - coccyx fistula. Ama-condylomas e-anal, ama-polyps kanye namathegi esikhumba "angafakwa ku-vaporized" kusetshenziswa indlela ye-laser efanele, okungukuthi avuselelwe njengokungathi apheshulwe umoya. I-HeumarktClinic ithuthuke yaba umholi wemakethe ezinqubweni ze-laser eziseduze ekuhlinzeni kwepulasitiki ye-laser yesimanje kanye ne-proctology eJalimane.

I-Laser anal fistula abscess plastic surgery e-Cologne 

Ukwelashwa kwe-laser fistula anal kuguqula i-proctology. I-Fistula ngokuvamile ibhoboza i-sphincters ye-rectum, ngakho-ke ukuhlinzwa kwe-fistula kwakuhlale kuhlotshaniswa nokulimala kwe-sphincter eyengeziwe: ama-sphincters kwakudingeka anqunywe kanye ne-fistula ukuze kutholakale ukuphulukiswa okuphumelelayo. Kodwa noma kunjalo - ngokunikela nge-sphincter - impumelelo yayinesizotha: cishe u-50-75% ukuphumelela kokuphulukisa ezinhlotsheni ezihlukahlukene ze-perianal ne-anal fistula.  

I-Fistula laser esikhundleni sokuhlinzwa         

Ukwelashwa kwe-laser kunikeza ithuba lokuvala i-fistula nge-laser beam ngaphandle komzamo wokuhlinzwa futhi ngakho-ke kusetha izindinganiso ezintsha ku-plastic proctological fistula surgery. Ngaphezu kwakho konke, isidingo sokusika i-sphincter asisadingeki; ukuhlinzwa kwe-fistula endala nazo zonke izincwadi ezikhuluma ngazo seziphelelwe yisikhathi futhi, ngokocwaningo nemiphumela yethu, yinto yesikhathi esidlule.

Ithumba lendunu kanye ne-fistula yangemuva liqala kanjani? 

I-anal fistula ivela ngenxa yokuvuvukala kwezindlala zangasese, okuholela ethumba elincane noma elikhulu. Ithumba livela njengokuvuvukala okukhulu, iqhubu elibomvu kanye nokuthambile okunamandla endunu. Ingase iqhume ngokuzenzakalelayo noma ivulwe futhi ithululwe. Ithumba liphulukisa kuphela kuze kufike ku-60-70%, kuze kufike ku-30-40% kusele i-purulent passage phakathi kwe-rectum nezwe elingaphandle, elibizwa ngokuthi i-fistula ku-ano, i-perianal fistula noma i-anal fistula. Uma i-fistula ihlinzwa, ukuhlinzwa kwe-anal fistula kuphumelela kuphela kuze kufike ku-70% wesikhathi, kodwa noma kunjalo ngokunikela okuncane noma okuncane kwe-sphincter, "esikiwe" nge-fistula. 

tel: +49 221 257 2976

Ukwelashwa nge-laser kwethumba le-anal fistula esikhundleni sokuhlinzwa

Ukwelashwa kwe-laser kwamathumba nama-fistula ku-rectum kwenziwa ngezinyathelo ezimbalwa, ngokuvamile ngaphansi kwe-anesthesia emfushane evamile. Ithumba - i-fistula ihlanzwa kusenesikhathi bese kukhishwa ubomvu. Khona-ke i-laser fiber ekhethekile iqondiswa emgudwini, ingene emgodini wethumba bese kusetshenziswa amandla e-laser. Ngakolunye uhlangothi, ugongolo lwe-laser lubulala amagciwane embotsheni, ethumba. Ngaphezu kwalokho, kuyenziwa imizamo yokuvala izindonga zephaseji “ezifakwe inzalo” ngamalaser. Lokhu kusebenza kahle ngokumangalisayo futhi ngaphandle kwemibese nezikelo, okungukuthi ngaphandle komzamo "wokuhlinzwa" futhi ngaphandle kwezingozi zokuhlinzwa. 

Kuphumelele kangakanani ukuhlinzwa kwepulasitiki kwe-LAPC anal fistula ithumba?

Indlela ye-laser ye-fistula yangemuva - ukulungisa ithumba lendunu kuyindlela entsha. Azikho izibalo ezinhle zezinga lempumelelo emhlabeni jikelele. I-LAPS nayo incike kakhulu ekwazini nasendleleni okwenziwa ngayo: udeveli usemininingwaneni yokuthi i-laser isetshenziswa kanjani. Ngokuhlangenwe nakho okwengeziwe kuza nolwazi oluthe xaxa kanye nokumiswa okwengeziwe. Ezandleni zethu, le ndlela iphumelele, ngisho nasezimweni eziyinkimbinkimbi kakhulu ezifana ne-horseshoe ithumba: amathumba amabili ezinhlangothini zombili ze-rectum anamapheshana amabili e-fistula. Kulokhu futhi, sihlanze ngokuphelele uhlangothi olulodwa lwethumba futhi sibeke olunye uhlangothi endleleni eya ekwelapheni. Isiphetho: Ukuvalwa nge-laser kwe-fistula yangemuva kanye namathumba KUMELE kuzanywe ngoba azikho ezinye izindlela. Ngisho noma i-fistula ingavali ngokuphelele ngemva kokwelashwa nge-laser yokuqala, umzamo wesibili noma wesithathu ungenziwa - "ngaphandle kwesidingo sokuhlinzwa". Ngenkathi i-op. Ukulimala kwe-Sphincter kuhilela ukuthi, ezandleni ezolile, ezinolwazi akukho monakalo we-sphincter ngesikhathi se-LAPS anal fistula - ukulungiswa kwethumba lendunu; inqubo ingaphinda izikhathi eziningana ngaphandle kwanoma yiziphi izingozi ezifanele. Ngakho-ke, ukwelashwa okukhethwa kukho kwe-fistula yangemuva kanye namathumba endunu laser esikhundleni ukusika ku-proctology evela kuDkt. (H) Haffner e-Cologne. Isimiso esiqondisayo kuzo zonke izinqubo ze-laser: "I-scalpel ihlala ekhabetheni" - ubuhlungu nokulimala kuyinto yesikhathi esidlule. Ophethwe i-fistula obhibhayo unakekelwa unomphela ngokuhlanzwa kwethumba le-LAPS le-fistula lemizuzu engu-15. Akukho ukulaliswa esibhedlela okudingekayo. Uma umuntu engenazo izimpawu ngemuva kokwelashwa nge-laser, akusadingeki akhathazeke nge-rectum.

Ukubonisana nge-anal fistula ithumba ku-inthanethi

Ukuqokwa kokuvalwa kwe-laser ye-fistula

I-proctology yesimanje e-Cologne inikeza i-laser anal fistula, ithumba kanye nokuvalwa kwe-coccyx fistula ngaphandle kokuhlinzwa okulimazayo ngokulondolozwa okuphezulu kwe-sphincter. Okukhethekile kusetshenziselwa i-fistula yangemuva I-3d laser probe esetshenziswa yi-HeumarktClinic. Uphenyo luyakhanya 3 dinkulu kuzo zonke izinkomba futhi ivala ngokuphelele zonke izandiso zamathumba nama-fistula. Ukuphulukiswa kwesilonda okungenabuhlungu ngokunakekelwa kwenxeba “okulula” kulandela, okube sekuhlolwa njalo futhi kuqashwe udokotela. Amanxeba amakhulu, ubuhlungu, ukulaliswa esibhedlela, ukopha, amanxeba avulekile, izibazi ezinkulu ezilimazayo futhi, okubaluleke kakhulu, isidingo sokusika i-sphincter siyaqedwa. Kwezinye izimo, noma kunjalo, kuyadingeka ukumboza ukuvulwa kwe-fistula yangaphakathi nge-flap ye-mucosa. Ngokuvala umthombo we-fistula ku-rectum, ukuvala nge-laser kwe-fistula yangemuva e-Cologne kuba kuphephe nakakhulu. I-sphincter ayibuthakathaka kodwa iyaqiniswa. Ku-proctology ekhethekile e-Cologne, i-purulent, izilonda ezikhalayo zingaphulukiswa ngaphandle kobuhlungu obukhulu, izibazi noma ukukhubazeka.

Shayela ochwepheshe be-laser 

tel: +49 221 257 2976

Ukukhipha intambo ye-anal fistula

Iyini intambo yokukhipha amanzi e-anal fistula

a Ukukhipha intambo kuyindlela encane yokuhlasela esetshenziswa ama-proctologists ukwelapha I-fistula ye-anal iyasetshenziswa. Lapha, i-fistula, ehlanganisa ithumba nezwe langaphandle, iphathwa ngokudlula intambo kuyo. Khona-ke intambo ikhulula ukucindezela kwethumba futhi isebenze ukuncipha, ukuncipha, nokunciphisa ubukhulu bethumba le-anal fistula. Lokhu kuvumela ukugeleza okulawulwayo kobovu nezimfihlo kuze kube yilapho ukuvuvukala okunamandla kwehle. Izimpawu ziyancipha kakhulu kusukela ekuqaleni futhi ziyaqhubeka nokuncipha. Ngokuhamba kwesikhathi, ukukhishwa kwentambo kubangela ukuthi i-fistula yome futhi ivimbele ukwakheka kwethumba. Imicu yenziwe ngepulasitiki ethambile enendawo ebushelelezi futhi isiguli asiyiboni nhlobo. Kodwa-ke, ukukhishwa kwentambo kudinga ukuhlanzeka okwandisiwe ngenxa yendlela eqondile esuka ekuvulekeni kwangaphandle esikhumbeni se-anal kuya ekuvuleni kwangaphakathi ku-anus noma emathunjini. Kubalulekile ukuqaphela ukuthi ukukhishwa kwentambo akuhlosiwe njengenye indlela yokulungisa i-anal fistula, kodwa njengendlela yokulungiselela leyo elandelayo ehlasela kancane. Ukuvalwa kwe-Fistula nge-laser imele. Lokhu kunciphisa ingcuphe yokulimala kwe-sphincter unomphela kanye nokungakwazi ukuzithiba kwe-fecal uma kuqhathaniswa nokusindwa ngokuhlinzwa okuvamile kwe-fistula. Ukwelapha nge-laser yesimanje nakho kungasetshenziswa ekwelapheni ngokushesha i-fistula yangemuva.