JP3172156U - Umbilical hernia fixation therapy device - Google Patents

Abstract

[PROBLEMS] To provide a therapeutic device that reduces skin irritation in conservative treatment of umbilical hernia, suppresses escape of the intestinal tract from the umbilical abdominal wall muscular defect for a long time, and promotes healing. Protrusions having an appropriate size and shape for closing an abdominal wall muscle layer defect are combined with a flat plate. Prevents intestinal escape by fixing the flat plate to the abdominal wall skin with adhesive bandage. [Selection] Figure 1

Description

  The present invention relates to a device for conservative treatment of umbilical hernia.

  Umbilical hernias often heal spontaneously, and generally follow up until about 2 years of age, and have not been cured spontaneously after 3 to 4 years of age. However, in cases where prolapse is prominent, due to skin extension, the hernia remains deformed even after it has healed, and there are cases where it is subject to plastic surgery, and there are cases that cause vomiting and abdominal pain Therefore, conservative treatment has been tried. A medically effective treatment method conventionally used for conservative treatment is an adhesive bandage fixation method, which firmly adheres the adhesive bandage to the skin, closes the abdominal wall defect hole by bringing the abdominal wall together with the skin, and the intestinal tract from the abdominal cavity. It is intended to prevent escape and promote natural closure of the abdominal wall defect (Non-Patent Document 1). However, with this method, there are many problems such as when the adhesive bandage loosens to the skin, the intestinal tract often escapes and the therapeutic effect is lost, and if the adhesive bandage is firmly fixed, skin irritation becomes a problem. (Non-patent document 2).

Recently, there has been reported an attempt to close an abdominal wall defect hole using a foreign substance having a three-dimensional structure such as a handmade cotton ball or sponge other than a bandage (Non-patent Document 3). Even in the method of closing the defect hole with these foreign substances, a bandage or an adhesive film is used for fixing and holding the foreign substances. However, since it is not necessary to firmly adhere to the skin, reduction of skin irritation can be expected. However, on the other hand, when fixing only a three-dimensional structure, there is a problem that the fixing is not successful due to displacement due to body movement or the like, and cotton balls or sponges absorb sweat and promote skin irritation. Since these foreign substances are handmade by doctors and have difficulty in re-fixing by mothers and other family members, it is instructed to cover the fixing part with an adhesive film at the time of bathing and to go to the hospital once the fixing is loosened. Bathing is usually restricted to once every few days, during which time the umbilicus is exposed to wet cotton balls and sponges.

WoodsGE: Some observations on umbilical hernia in infants.Arch Dis Child28: 450-462, 1953. Takeo Ohshio, Kazuhiko Hagane Questionnaire survey report on the medical care policy of infantile umbilical hernia in Japan Journal of Japanese Society of Pediatric Surgery 47 No.1 Page 47-53 2011 Yoshida Atsushi, Watanabe Yasuhiro, Noda Takuo, Wang Nakaaki, Oyama Takanori Diagnosis and treatment of pediatric surgical diseases related to the navel: Conservative treatment and problems of umbilical hernia Pediatric Surgery Vol. 37, No. 1, pages 36-38 2005

  As mentioned above, conservative treatment of umbilical hernia has been established as a method of causing rash problems or stably suppressing intestinal prolapse from the umbilical abdominal wall muscle defect in the long term. Absent. In view of this situation, the present invention is to provide a treatment device that can suppress the escape of the intestinal tract from the umbilical abdominal wall defect without causing skin irritation as much as possible.

  The present invention is a conservative therapeutic device for umbilical hernia in which a protuberance for closing the abdominal wall defect is combined with a flat plate for facilitating fixation of the escape portion of the umbilical hernia to the abdominal wall skin. Further, the present invention is a conservative treatment device for umbilical hernia in which the protrusion and the flat material are made of a non-absorbable material, and the protrusion is spherical or has a smooth curved surface.

  The present invention has a form that is much easier to fix than a simple cotton ball or sponge, and can be changed daily for bathing by a family member such as a mother. For this reason, there is little risk of side effects such as adhesive bandage rash and infection due to umbilical wetness, it does not require hygiene materials (adhesive film etc.) other than adhesive bandages required by the sponge method and cotton ball method, and can be used stably for a long time, There is an advantage of minimizing the deformity of the navel after healing of the hernia.

FIG. 1 is an explanatory view showing the form of the present invention. FIG. 2 is an explanatory view showing a method of implementing the present invention.

  A sharp tip is not preferable so that the tip of the protrusion does not enter the abdominal cavity. Cubes and cylinders can also damage the shape of the navel after healing of the hernia. For this reason, the tip portion is preferably spherical. Regarding the size of the protrusion, it is a requirement to completely cover the abdominal wall muscle defect. It is usually appropriate for the base to have a cylindrical shape of 10 to 20 mm. On the other hand, if the height of the protrusion is extremely long, it does not fit in the umbilicus part and hinders fixation. On the other hand, if it is short, a gap may be formed between the muscle layer and the intestinal tract may come out. For this reason, a height of about 5 to 15 mm is desirable. The flat plate for fixation needs to have an appropriate thickness (2 mm is sufficient) to withstand the replacement of the adhesive bandage (tape), but the shape may be rectangular or circular. The material of the present invention is a non-water-absorbing material, but a silicon product having a poor tissue reaction to the skin is desirable, and antibacterial processing is considered as an option. This instrument can also be obtained by separately making and bonding a flat plate and a protrusion, but it is advantageous to use a flat plate and a protrusion that are made of the same material and obtained by integral molding using a mold.

  The upper part of FIG. 1 is an overhead view of the device of the present invention, and the lower part is a projection view seen from the ventral side. The upper part a) of FIG. 2 is a cross section of the umbilicus before the present invention is installed, and the umbilical part is swollen and the intestinal tract is present. Middle stage b) is a cross-sectional view of the intestinal tract placed in the abdominal cavity with fingers and the lower stage c) with the device of the present invention applied to the gap formed by the fingers. If the intestinal tract or the like is constantly present in the gap between the muscle layers as in the upper stage a), the muscle layer gap will not be closed naturally, but if it is in the lower stage c), natural closure is expected.

Claims (3)

  A conservative therapeutic device for umbilical hernia, in which a protuberance for closing the abdominal wall defect is combined with a flat plate for facilitating fixation of the escape portion of the umbilical hernia to the abdominal wall skin.   The conservative treatment device for umbilical hernia according to claim 1, wherein the material of the protrusion and the flat plate is made of a non-water-absorbing material. The conservative treatment instrument for umbilical hernia according to claim 1, wherein the protrusion is spherical or has a smooth curved surface.