CN112023151B

CN112023151B - Postoperative suture-free drainage device

Info

Publication number: CN112023151B
Application number: CN202011041875.8A
Authority: CN
Inventors: 孙涛; 黄娟; 梁志伟; 孟德敏; 黄兰兰
Original assignee: First Affiliated Hospital of Zhengzhou University
Current assignee: First Affiliated Hospital of Zhengzhou University
Priority date: 2020-09-28
Filing date: 2020-09-28
Publication date: 2022-11-22
Anticipated expiration: 2040-09-28
Also published as: CN112023151A

Abstract

The invention discloses a postoperative suture-free drainage device, which relates to the technical field of medical instruments and comprises a drainage main pipe, wherein an elastic structure soft rubber film is arranged on the side wall of the drainage main pipe, and a square net is wrapped outside a fusiform stop ring. According to the invention, by arranging the flexible structure soft rubber film, a patient only needs to insert one drainage main tube after an operation, so that a plurality of problems caused by two insertion tubes can be effectively avoided, the number of the wounds of the insertion tubes is reduced, and the probability of tube detachment is reduced.

Description

Postoperative suture-free drainage device

Technical Field

The invention relates to the technical field of medical instruments, in particular to a postoperative suture-free drainage device.

Background

Clinical application drainage system drainage body fluid, digestive juice, excrement and pus are one of the main work of surgery, and surgical drainage is to guide out the liquid accumulated in human body tissue or body cavity to control infection, promote wound healing, reduce postoperative complications and relieve discomfort symptoms caused by liquid space occupying effect.

With the development of minimally invasive technology, the treatment of hepatobiliary calculus by means of choledocholithiasis T-shaped tube drainage under a laparoscope has become a conventional development mode of hepatobiliary surgery, generally, a T-shaped tube after postoperative indwelling and trimming is placed in a bile duct, the wall of the bile duct is sutured, an abdominal cavity drainage tube is placed on a wound surface to perform drainage in a coordinated manner, and postoperative complications are reduced and prevented. The laparoscopic suturing technology is one of the key points of the success of the operation, the inflammation of the bile duct wall of a part of patients is serious, the wall thickness of the bile duct reaches more than 3mm, the laparoscopic suturing is more difficult, the probability of bile leakage after the operation is very high when no suturing is carried out, and the non-conventional suturing can cause the occurrence of various recent and long-term accidents and complications after the operation, thereby increasing the pain of the patients and the hospitalization cost. The drainage tubes are arranged at two parts of the body wall after operation, which brings more inconvenience and pain to patients, the probability of tube falling after the operation is increased due to the plurality of drainage tubes, even if the drainage tubes are pulled out, inflammatory scars at the positions where the drainage tubes are placed are obvious, the recovery of the patients after the operation is slow, and the skin at the drainage positions is not beautiful in a long term.

In summary, the existing patients with serious inflammation of the biliary duct wall need to be intubated for drainage after an operation, and need to be provided with drainage tubes at two parts of the body wall after the operation, the two intubation tubes on the body of the patients can influence each other after the operation, the postoperative pain of the patients can be doubled, and the probability of tube detachment can be increased.

Disclosure of Invention

Technical problem to be solved

Aiming at the defects of the prior art, the invention provides a suture-free drainage device after operation, which has the advantages of reducing the number of cannulas on a patient after operation, reducing the tube-dropping probability, shortening the recovery period, reducing the operation difficulty and the like, and solves the problems in the background art.

(II) technical scheme

In order to achieve the purposes of reducing the number of cannulas on a patient after an operation, reducing the probability of tube withdrawal, shortening the recovery period and reducing the operation difficulty, the invention provides the following technical scheme: the utility model provides a drainage device exempts from to sew up after art, is responsible for including the drainage, the drainage is responsible for a fixedly connected with connects, the other end that the drainage was responsible for is provided with the S-shaped pipe and goes up the pillar, the inside that the drainage was responsible for is provided with main drainage chamber, main drainage chamber is linked together with the S-shaped pipe and goes up the pillar, the umbrella shape soft wing of middle part fixedly connected with of going up the pillar, the side that the drainage was responsible for has cup jointed fusiformis barrier ring, the outside parcel of fusiformis barrier ring has square net, the material of square net is carboxymethyl cellulose, fusiformis barrier ring is made by the bioabsorbable polyglycolic acid membrane, the inside that the drainage was responsible for is provided with the elastic support ring, the lateral wall that the drainage was responsible for is provided with the elastic construction soft glued membrane, the passageway has been seted up to the inside of elastic construction soft membrane, the lateral wall that the drainage was responsible for all runs through at the both ends of passageway, the inside is pegged graft and is had the accessory pipe, the drainage hole has all been seted up to the side of S-shaped pipe, last pillar and accessory pipe.

Preferably, one end of the joint is connected with a negative pressure machine, and one end of the auxiliary pipe is communicated with the atmosphere.

Preferably, reinforcing wires are arranged inside the main drainage pipe, the S-shaped pipe, the upper branch pipe and the auxiliary pipe, and the umbrella-shaped soft wings are made of elastic materials.

Preferably, the outer side wall of the auxiliary pipe is wrapped with an elastic soft sheet, and the elastic soft sheet and the port of the channel form a matched sealing structure.

Preferably, the middle parts of the fusiform stop ring and the square net are provided with round holes matched with the drainage main pipe.

Preferably, the number of the elastic support rings is a plurality, the elastic support rings are distributed in the drainage main pipe at equal intervals, and the elastic support rings are made of metal or plastic.

Preferably, the drainage holes in the S-shaped pipe are distributed at equal intervals at two bent positions of the S-shaped pipe.

Preferably, a plurality of drainage holes are formed in the tail ends of the auxiliary pipe and the upper branch pipe, and are distributed on the side faces of the auxiliary pipe and the side faces of the upper branch pipe at equal intervals.

Preferably, the circumference of the main drainage pipe is 18-22F, the circumference of the upper branch pipe is 12-14F, and the circumferences of the S-shaped pipe and the auxiliary pipe are both 6-8F.

Three beneficial effects

Compared with the prior art, the invention provides a postoperative suture-free drainage device, which has the following beneficial effects:

1. this drainage device is exempted from to sew up after the operation, through setting up the flexible structure jelly membrane, can make the accessory pipe inject the inside that the drainage was responsible for and carry out the drainage, after the operation the patient on one's body only need insert a drainage be responsible for can, can effectually avoid a great deal of problem that two intubate caused, the intubate wound quantity has been reduced, patient's painful degree has also been reduced, the probability of taking off the pipe has been reduced simultaneously, because the patient only intubate on one's body, can effectually shorten patient's recovery cycle, also reduce scar quantity on one's body after recovering.

2. This drainage device exempts from to sew up after operation through setting up square net, because carboxymethyl cellulose net meets water and forms the gel when the operation, can be fixed in the damaged department of bile duct wall with the adhesion of inlayer polyglycolic acid membrane to seal the space between its and the main drainage tube, can realize not sewing up when the operation, reduce the operation degree of difficulty, reduce the emergence of postoperative complication.

Drawings

FIG. 1 is a schematic view of the structure of the present invention;

FIG. 2 is a schematic view of the structure of the present invention;

FIG. 3 is a schematic view of the structure of the present invention;

FIG. 4 is a schematic structural diagram of the present invention.

In the figure: 1. a joint; 2. a drainage main pipe; 3. a square net; 4. an S-shaped pipe; 5. umbrella-shaped soft wings; 6. an upper branch pipe; 7. a drainage hole; 8. an accessory pipe; 9. an elastic support ring; 10. a shuttle-shaped barrier ring; 11. a channel; 12. a main drainage lumen; 13. a flexible film with an elastic structure.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without making any creative effort based on the embodiments in the present invention, belong to the protection scope of the present invention.

Referring to fig. 1-4, a postoperative suture-free drainage device comprises a drainage main pipe 2, a connector 1 is fixedly connected to the drainage main pipe 2, an S-shaped pipe 4 and an upper supporting pipe 6 are arranged at the other end of the drainage main pipe 2, a main drainage cavity 12 is arranged inside the drainage main pipe 2, the main drainage cavity 12 is communicated with the S-shaped pipe 4 and the upper supporting pipe 6, an umbrella-shaped soft wing 5 is fixedly connected to the middle of the upper supporting pipe 6, a shuttle-shaped blocking ring 10 is sleeved on the side surface of the drainage main pipe 2, a square net 3 is wrapped outside the shuttle-shaped blocking ring 10, the square net 3 is made of carboxymethyl cellulose, the shuttle-shaped blocking ring 10 is made of a bio-absorbable polyglycolic acid film, round holes matched with the drainage main pipe 2 are formed in the middles of the shuttle-shaped blocking ring 10 and the square net 3, an elastic support ring 9 is arranged inside the drainage main pipe 2, and a plurality of the elastic support rings 9 are provided, the elastic support rings 9 are distributed in the drainage main pipe 2 at equal intervals, the elastic support rings 9 are made of metal or plastic with good elasticity, the side wall of the drainage main pipe 2 is provided with an elastic structure soft rubber film 13, the inside of the elastic structure soft rubber film 13 is provided with a channel 11, two ends of the channel 11 penetrate through the side wall of the drainage main pipe 2, an auxiliary pipe 8 is inserted in the channel 11, one end of a connector 1 is connected with a negative pressure machine, one end of the auxiliary pipe 8 is communicated with the atmosphere, the outer side wall of the auxiliary pipe 8 is wrapped with an elastic soft sheet, the elastic soft sheet and the port of the channel 11 form a matching sealing structure, the side surfaces of the S-shaped pipe 4, the upper support pipe 6 and the auxiliary pipe 8 are provided with drainage holes 7, the insides of the drainage main pipe 2, the S-shaped pipe 4, the upper support pipe 6 and the auxiliary pipe 8 are provided with reinforcing wires, the umbrella-shaped soft wings 5 are made of elastic material, and the drainage holes 7 on the S-shaped pipe 4 are provided with a plurality of the S-shaped pipes, the drainage holes 7 are distributed at two bends of the S-shaped pipe 4 at equal intervals, the drainage holes 7 at the tail ends of the auxiliary pipe 8 and the upper supporting pipe 6 are distributed at equal intervals, the drainage holes 7 are distributed at the side surfaces of the auxiliary pipe 8 and the upper supporting pipe 6 at equal intervals, the circumference of the drainage main pipe 2 is 18-22F, the circumference of the upper supporting pipe 6 is 12-14F, and the circumferences of the S-shaped pipe 4 and the auxiliary pipe 8 are both 6-8F.

When the bile drainage device is used, firstly, the auxiliary tube 8 is inserted into the channel 11, the joint 1 is communicated with an external negative pressure machine, the auxiliary tube 8 can be communicated with the atmosphere to realize natural drainage and can also be connected with negative pressure to realize negative pressure drainage, the upper supporting tube 6 and the S-shaped tube 4 are both placed in a bile duct during operation, the umbrella-shaped flexible wings 5 are folded and then are stuffed into the bile duct during operation, and the umbrella-shaped flexible wings 5 are matched with the upper supporting tube 6 to serve as a first-stage structure, so that the outflow of bile is blocked, and the umbrella-shaped flexible wings 5 can be gathered when being pulled outwards; meanwhile, the S-shaped pipe 4 is also positioned in the bile duct, the drainage hole 7 arranged at the bent inner side of the S-shaped pipe 4 is convenient for drainage of digestive juice and bile, the drainage hole 7 can be prevented from being tightly attached to the wall of the bile duct during negative pressure suction, influence on drainage is avoided, and the structure is a second-stage structure; after the S-shaped pipe 4 and the upper supporting pipe 6 are placed in the bile duct, the wound of the bile duct is closed by using the square net 3 and the fusiform blocking ring 10, the drainage main pipe 2 can penetrate out of the bile duct due to the fact that the middle parts of the square net 3 and the fusiform blocking ring 10 are provided with holes matched with the drainage main pipe 2, the characteristic that gel is formed when carboxymethyl cellulose net meets water can be used, the polyglycolic acid membrane on the inner layer is adhered and fixed at the wound of the bile duct wall in the operation process, the gap between the polyglycolic acid membrane and the main drainage pipe is closed, manual sewing on the bile duct wall is not needed, operation difficulty is reduced, and postoperative complications are reduced, and the structure is a third-level structure; one end of the auxiliary tube 8 with the drainage hole 7 is placed at the position, close to the drainage main tube 2, of the entrance and exit of the bile duct in the operation area, the drainage hole 7 is utilized to absorb seepage in the operation area and bile and other digestive juice overflowing the bile duct by breaking through a third-level structure, the bile and other digestive juice are prevented from entering a body cavity, the drainage main tube 2 is only inserted into the body of a patient after the operation, the auxiliary tube 8 replaces a second root canal, and therefore the pain of the patient is reduced, and the probability of tube removal is reduced; because the film is arranged outside the auxiliary pipe 8, the closed structure between the auxiliary pipe 8 and the channel 11 can be ensured, so that the inside and the outside of the main drainage pipe 2 are not communicated, and when the auxiliary pipe 8 is pulled out, the elastic support ring 9 can support the elastic structure soft rubber film 13, so that the channel 11 is in a closed state; after several months a mature fistula develops around the drainage main 2, at which point the drainage main 2 can be pulled out, at which point the absorbable material has substantially degraded and absorbed by itself.

To sum up, this drainage device is exempted from to sew up after operation is through setting up elastic construction film 13, can make the inside that the attached pipe 8 injects the drainage is responsible for 2 and carries out the drainage, after the operation the patient on one's body only need insert a drainage be responsible for 2 can, can effectually avoid the many problems that two intubate caused, intubate wound quantity has been reduced, the painful degree of patient has also been reduced, the probability of taking off the pipe has been reduced simultaneously, because the patient only has an intubate on one's body, can effectually shorten patient's recovery cycle, also reduce scar quantity on one's body after recovering, through setting up square mesh 3, because carboxymethyl cellulose net meets water and forms the gel when the operation, can be fixed in the damaged department of bile duct wall with inlayer polyglycolic acid membrane adhesion, and seal the space between its and the main drainage tube, can realize not sewing up in the operation, reduce the operation degree of difficulty, reduce the emergence of postoperative complication.

It should be noted that, in this document, relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, the use of the verb "comprise a" to define an element does not exclude the presence of another, same element in a process, method, article, or apparatus that comprises the element.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. The utility model provides a drainage device exempts from to sew up after art, is responsible for (2) including the drainage, its characterized in that: the utility model discloses a drainage is responsible for the drainage and is connected with joint (1), the drainage is responsible for the other end of (2) and is provided with S-shaped pipe (4) and upper branch pipe (6), the drainage is responsible for the inside of (2) and is provided with main drainage chamber (12), main drainage chamber (12) are linked together with S-shaped pipe (4) and upper branch pipe (6), the middle part fixedly connected with umbelliform soft wing (5) of upper branch pipe (6), the side of drainage is responsible for (2) has cup jointed fusiformis barrier ring (10), the outside parcel of fusiformis barrier ring (10) has square net (3), the material of square net (3) is carboxymethyl cellulose, fusiformis barrier ring (10) are made by the bioresorbable polyglycolic acid membrane, the drainage is responsible for the inside of (2) and is provided with elastic support ring (9), the lateral wall of drainage is responsible for (2) is provided with elastic construction film (13), passageway (11) has been seted up to the inside of elastic construction film (13), the both ends of passageway (11) all run through the lateral wall of being responsible for (2), the drainage passageway (11) has seted up the side of attached pipe (8), auxiliary drainage pipe (8) and upper branch pipe (8), accessory drainage pipe (8).

2. The drainage device of claim 1, wherein: one end of the joint (1) is connected with a negative pressure machine, and one end of the auxiliary pipe (8) is communicated with the atmosphere.

3. The postoperative suture-free drainage device of claim 1, wherein: the drainage main pipe (2), the S-shaped pipe (4), the upper supporting pipe (6) and the auxiliary pipe (8) are all internally provided with reinforcing wires, and the umbrella-shaped soft wing (5) is made of elastic materials.

4. The postoperative suture-free drainage device of claim 1, wherein: the lateral wall parcel elasticity film of appurtenance pipe (8), the port department of elasticity film and passageway (11) forms the cooperation seal structure.

5. The postoperative suture-free drainage device of claim 1, wherein: and round holes matched with the drainage main pipe (2) are formed in the middle parts of the fusiform stop ring (10) and the square net (3).

6. The postoperative suture-free drainage device of claim 1, wherein: the elastic support rings (9) are distributed in the drainage main pipe (2) at equal intervals, and the elastic support rings (9) are made of metal or plastic with good elasticity.

7. The drainage device of claim 1, wherein: a plurality of drainage holes (7) are formed in the S-shaped pipe (4), and the drainage holes (7) are distributed at two bent positions of the S-shaped pipe (4) at equal intervals.

8. The postoperative suture-free drainage device of claim 1, wherein: drainage holes (7) at the tail ends of the auxiliary pipe (8) and the upper supporting pipe (6) are respectively provided with a plurality of drainage holes (7) which are distributed on the side surfaces of the auxiliary pipe (8) and the upper supporting pipe (6) at equal intervals.

9. The drainage device of claim 1, wherein: the circumference of the drainage main pipe (2) is 18-22F, the circumference of the upper branch pipe (6) is 12-14F, and the circumferences of the S-shaped pipe (4) and the auxiliary pipe (8) are both 6-8F.