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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1513_Библиотеки_им_академика_М_И_Перельмана.pdf
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Figure 19. The sliding lid allows the surgeon to adjust the extent to which the anoscope‘s
window is desired to be opened and the amount of mucosa entering the window.
Figure 20. Sutures are put through the rectum mucosa entering the window.
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Figure 21.Suturing is continued by rotating the videoanoscope clockwise.
Figure 22. The purse string suture is put at equal distances and completed by reaching the
starting point .
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Figure 23. Physiological serum is injected submucosally before each suture is put.
Figure 24. The view of the surgical area is transferred to the monitor during the procedure
of putting sutures.
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Figure 25.Surgical procedures can be watched at the monitor.
Figure 26. The front piece is taken out after the purse string suture is completed
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Figure 27. The purse string suture is checked after the front piece is taken out.
Figure 28. PPH03 stapler anvil is passed through the back piece.
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Figure 29The purse string suture is tied behind the anvil
Figure 30. The stapler is fired after the hemostasis was awaited.
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Figure 31. Ring integrity is checked.
Figure 32. The purse string suture is tied by placing CEEA 34mm Stapler anvil into the
rectum.
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Figure 33. Anvil and stapler are combined.
Figure 34. The stapler is fired after the hemostasis was awaited.
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Figure 35. Ring integrity is checked.
Figure 36. View of stapler line after mucosectomy.
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Figure 37. Stapler line is above the hemorrhoids.
Figure 38. Spongosten is prepared.