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doctorone1000 · 1 month

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Everyone said how similar Leopold and Loeb are counting that even surnames starts at the same letter and I can’t not see the parallel with me and him of Mistr a Mesicnik, like like do you see it. Anyways I’m chill

#I post only for one person #that person is my beloved crazy insane master I mean uhh boyfriend

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firelitmoon · 15 days

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Mesicnik try to not self doubt for the day challenge impossible

#i fear my worship is equalent to an ant in the word of galaxies

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silviabarta · 3 years

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2021_09_cesky_trucker (1) by Barta Silvia Cesky Trucker Via Flickr: www.ceskytrucker.eu www.fiaetrc.com

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czech-trucker · 3 years

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flickr

2021_02_CESKY_TRUCKER_magazine (1) by Barta Silvia Cesky Trucker

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nosvemeste · 7 years

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V neděli do cukrárny. Nevím, na co sem chodila Ema Destinnová, já si dávám nejlepší větrník v Praze. Znovuotevřená cukrárna Myšák pod taktovkou Ambi: jak jinak než čistý styl a báječné zákusky. #sundaymood #sunday #cake #vetrnik #slunecnik #mesicnik #vnedelidocukrarny #sweetlove #foodporn #cukrarna #myšák #ambi @cukrarna.mysak #instadaily #igerscz #prague #igdaily (v místě Cukrárna Myšák)

#prague #igdaily #instadaily #cake #foodporn #ambi #sweetlove #sundaymood #myšák #cukrarna #vnedelidocukrarny #vetrnik #mesicnik #sunday #igerscz #slunecnik

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victormedic-blog · 4 years

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Surgical Staplers Instructions

https://en.victormedic.com/surgical-staplers-instructions/

The advancement of medical surgical instruments also promotes the continuous development of surgical technology. At present, the use of surgical staplers has brought huge benefits to surgeons and patients: improved surgical techniques and improved the quality of life of patients. In the field of surgery, the stapler has been comprehensively developed and advanced. It not only mechanizes surgical operations, but also improves the safety of surgical operations. So what are the types of surgical staplers in actual clinical work? How to choose a stapler? Next, I will take you into the world of staplers commonly used in gastrointestinal surgery.

Surgical Instruments Development History

First of all, let’s learn about the development history of surgery instruments.

As early as the early twentieth century, foreign experts have started to develop the stapler, but due to the bulky instruments, time-consuming loading and unloading, the large volume can not be used in clinical. With the continuous exploration and improvement of experts, the stapler is getting closer to clinical application.

The surgical stapler (Auto Suture) that was really widely used in the clinic was invented by the American Surgical Corporation (USSC) in the 1960s. In 1967, the Liner stapler TA (Thoracic-AbdominaI) was first introduced. The Linear cutter GIA (Gastro-lntestin Anastomosis) was first introduced in 1968, and the EEA circular stapler (End-End Anastomosis) was first introduced in 1978, creating a milestone in the history of modern surgery. In the late 1970s, China's Jiangsu, Shanghai, Beijing, and Hangzhou have begun to design and manufacture gastrointestinal staplers. To the early 1980s, USSC (United States Surgical Corporation) of the United States introduced a new generation of the disposable surgical plastic stapler, which has been widely used in clinical practice.

Basic Working Principle of Surgical Staplers

The working principle of various staplers is similar to the book stitcher, so it is generally called STAPLER. It fires two or three rows of interlaced staples into the tissue to cross-stitch the tissue. The nail forming effect is good and it is B-shaped

The main components of the stapler are staples anvil, cartridge, staple driver, firing handle, positioning needle, knob, and marking ruler.

Types and Functions of Surgical Staplers:

Name

Features

Application

TA (Thoracic-AbdominaI) Single Use Linear Staple

Straight line suture tissue , can not be cut, need the operator to manually cut

Digestive tract reconstruction and closure of stumps or incisions during liver resection.

GIA (Gastro-lntestin Anastomosis) Single Use Linear Cutting Staple

The cutting and stitching work can be completed at the same time; the larger opening helps to adjust the position; there are different types and lengths of staple cartridges, suitable for different needs.

Various gastrointestinal, intestinal side-to-side anastomosis, split lung, partial lung resection

ENDO GIA (Endoscopic Gastro-lntestin Anastomosis ) Single Use Endoscopic Linear Cutting Stapler

It is suitable for the operation of closing and cutting under the endoscope, and the reload can change the direction.

Under gastroscopy, the gastrointestinal tract and the intestinal tract are closed, and side to side anastomosis and other operations.

EEA (End-End Anastomosis) Single Use Circular Stapler

There are many types of circular stapler. Choose according to the diameter of the intestinal tract during surgery

End-to-end anastomosis of gastrointestinal and esophageal surgery

TA (Single Use Linear Staple)

Two spaced rows of staples , the tissue closing straight, no cutting function. Can be used for thoracic surgery, gastrointestinal surgery, hepatobiliary surgery

Find Out More

GIA (Single Use Linear Cutting Staple)

GIA is suitable for thoracic surgery, general surgery, urology, obstetrics and gynecology, such as lobectomy, gastrointestinal anastomosis, etc.

Find Out More

ENDO GIA(Single Use Endoscopic Linear Cutting Stapler)

Including 6 rows of staples, a blade in the reload. Electric endoscopic stapler is available, more convenient than manual operations when cutting.

Find Out More

EEA (End-End Anastomosis)(Single Use Circular Stapler)

EEA is suitable for end-to-end anastomosis and end-to-side anastomosis of the digestive tract such as esophagus, stomach and intestine.

Find Out More

Tri-Staple Technology

Superior performance in variable thicknesses; State of the art design of the stronger fixed anvil and I-beam reload.

Find Out More

Points for attention in surgical application of surgical stapler :

The application of surgical staplers has brought great convenience to surgical operations. On the whole, various staplers are simple, easy to operate, safe and reliable, but if used improperly, it will also cause the operation to fail and cause unnecessary trouble.

In the course of use, the surgeon should master the basic working principle of stapler, be familiar with the structural performance of various types of stapler, master the correct operation method, and strictly abide by its operation rules and use skills.

For example, when using it, pay attention to the correct placement of the tissue; the operation should be stable; after the firing, check the hemostasis of the incision and the nailing status.

Surgical staplers have many advantages and are now recognized by surgeons. Due to its advent , the original surgical field is narrow, deep, and difficult to manually suture and anastomosis. It also shortens the operation time and reduces surgical complications.

All in all, the correct and reasonable use of the stapler is the key to the success of the operation and the prevention of complications. In order to improve the application level of the stapler, the surgeon must master the correct use method and better serve the patient.

In the end, we hope as a medical instruments manufacturer, we will keep our original intention, try our best to provide the best products and service to the clinic.

[1]Lilac Garden General Surgery Channel,Tian yulong,2019.12.29

[2]Long-term anti-inflammatory efficacy in intestinal anastomosis in mice using silver nanoparticle-coated suture.[J]. Liu Xuelai,Gao Peng,Du Juan,Zhao Xin,Wong Kenneth K Y. Journal of pediatric surgery. 2017(12)

[3][On the problem of the suture in gastrointestinal anastomosis].[J]. NAPALKOV P N. Khirurgiia.

[4][Arterial non-suture anastomosis with a fibrin ring].[J]. FIRT P,HEJHAL L,STERBA O,BEDNARIK T. Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti. 1958(4)

[5]Sutureless Intestinal Anastomosis with a Novel Device of Magnetic Compression Anastomosis[J]. Chinese Medical Sciences Journal. 2011(03)

#ta #linear #stapler

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doctorone1000 · 2 months

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Au were Mistr thinks Mesicnik is a rich guys (yes inspired by Bourgeoisieses) so purposefully puts effort into looking rich, while Mesicnik thinks the same about Mistr and tries to show off his (fake) wealth around him by paying and buying stuff, until they both find out about their lies

I treat Him and me as ocs at this point

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doctorone1000 · 2 months

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Can’t lie having glasses repeated with tape feels like something Mesicnik would do

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doctorone1000 · 2 months

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Connie Francis wrote music for Mesicnik, I mean I love her songs I mean I mean

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doctorone1000 · 2 months

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I want to buy an old car as soon as I turn 18, go on a trip with him. To italy perhaps. And Italy being so expensive for us we sleep in the car and shower in the sea. To drive to other places and him smoking in the car, I’d say ‘your smoke blocks my view’ because of course I am the driver, and he will purposefully blow it in my face, I giggle

I mean Kh Kh it’s uh a Mistr a mesicnik Au not something I want to do

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doctorone1000 · 3 months

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Also sorry to all my followers, I am literally THE moon, like Mesicnik is written in my id so can we all stop using moon emojis…/j

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silviabarta · 4 years

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2020/09 ČESKÝ TRUCKER by Barta Silvia Cesky Trucker Via Flickr: www.issuu.com/ceskytrucker_

#ceskytrucker

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#spareparts

#accesorries

#usedtrucks

#Flickr

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