SU143738A1 - Способ ушивани ткани легкого двухр дными погружными швами - Google Patents
Способ ушивани ткани легкого двухр дными погружными швамиInfo
- Publication number
- SU143738A1 SU143738A1 SU670144A SU670144A SU143738A1 SU 143738 A1 SU143738 A1 SU 143738A1 SU 670144 A SU670144 A SU 670144A SU 670144 A SU670144 A SU 670144A SU 143738 A1 SU143738 A1 SU 143738A1
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- SU
- USSR - Soviet Union
- Prior art keywords
- lung tissue
- double
- suturing
- sutures
- lung
- Prior art date
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- Surgical Instruments (AREA)
Description
Изобретение касаетс способов ушивани ткани легкого двухр дными погружными швами.
Известные способы ушивани легочной ткани двухр дным погружным швом предусматривают ручное наложение швов м гкой лигатурой. При этом не обеспечиваетс требуема герметичность и гемостатичность культи, не исключаетс возможность образовани бронхиальных свиш,ей и не гарантируетс высока асептичность операции.
В данном изобретении, с целью ускорени процесса наложени швов и повышени качества операции, ушивание легочной ткани производ т П-образными металлическими скобками с помош,ью сшиваюшего устройства.
Сшиваюш,ее устройство, используемое дл осуш,ествлени предлагаемого способа ушивани ткани легкого, предусматривает прошивание ткани острыми концами скобок с последуюшим их загибом в В-образную форму. Кроме того, это устройство обеспечивает фиксацию двум иглами верхних слоев ткани в углублени х между выступами гофрирующих ребер его упорной и скобочной частей при инвагинации первого р да швов.
На фиг. 1 изображено сшивающее устройство в общем виде; на фиг. 2-то же, вид сверху; на фиг. 3 показано сшивающее устройство в разобранном состо нии.
Сщивающее устройство содержит упорный корпус /; скобочный корпус 2; толкатель 3 двухстрочечного шва, перемещающийс попазу скобочного корпуса 2; толкатель 4 однострочечного шва, перемещающийс по пазу скобочного корпуса 2, расположенному с другой его стороны: гайки 5, фиксируемые на скобочном корпусе 2 выточкой и свинчиваемые вместе с резьбовыми хвостовиками толкателей 3 к 4; болт 6, западающий своей выточкой за выступ упорного корпуса 7; предохрани№ 143738-- 2 ную двухД6р з5кйовую скобу 7, служащую ограничителем хода толкателей 3 и4; сменный магазин 8 с пазами дл скобок двухстрочечного и однострочечного uiBOB и выступами с отверсти ми дл фиксации ткани к сшивающему ..уст-ройству иглой 5; двухдорожковые вилки 10, удерживающие ткань с открытой стороны крюка упорного корпуса /, и погружатель 11, служащий дл инвагинировани первого двухстрочечного шва.
Дл ушивани ткани легкого при краевой резекции на выделенный из срап1ений край легкого по линии предполагаемой резекции накладывают сшивающее устройство так, чтобы двухстрочечный шов располагалс по резецируемому краю. Затем вставл ют двухдорожковые вилки 10 и, убедившись в правильной установке устройства относительно удал емой части легкого, сближают плоскости 12 и 12а вращением болта 6. После небольшого сжати легочной ткани в сшивающее устройство вставл ют иглы 9, которые прокалывают поверхностные складки легочной ткани, образованные гофрирующими выступами плоскостей 72 и }2а и фиксируют ее в устройстве. Затем дополнительно сжимают ткань в пределах зоны работы скобок. Наложение первого (двухетрочечного) шва, скобки которого.проход т через всю толщу легочной ткани, осуществл ют вращением гайки 5, котора перемещает толкатель 3 двухстрочечного шва. При этом скобки прокалывают ткань одновременно цо всей длине шва и, попада в лунки на поверхности 12, изгибаютс -в В-образную форму. После этого отсекают удал емую часть легкого скальпелем.
Чтобы образовать плевризированный край легкого, необходимо инвагинировать первый р д щвов в легочную ткань оставшейс доли легкого. Дл этого плоскости 12 и 12а сшивающего устройства развод т и с помощью погружател // инвагинируют первый р д швов. После удалени погружател 11 производ т наложение второго р да швов аналогично тому, как это было описано выше. По окончании наложени второго р да щвов фиксирующие иглы 9 извлекают, вращением болта 6 развод т плоскости 12 и 12а и снимают сщивающее устройство.
Клиническа проверка предлагаемого способа в нучно-исследовательских институтах Академии Медицинских Наук СССР подтвердила его полезность, а также простоту и надежность сшивающего устройства, используемого дл его осуществлени .
Предмет изобретени
Способ ущивани ткани легкого двухр дными погружными щвами, отличающийс тем, что, с целью ускорени процесса наложени щвов и повышени качества операции, ушивание легочной ткани производ т П-образ,ными металлическими скобками с помощью сшивающего устройства, обеспечивающего прощивание ткани острыми концами скобок с последующим загибом скобок в В-образную форму, а также фиксацию двум иглами верхних слоев ткани в углублени х между выступами гофрирующих ребер его упорной и скобочной частей при инвагинации первого р да швов
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU670144A SU143738A1 (ru) | 1960-06-15 | 1960-06-15 | Способ ушивани ткани легкого двухр дными погружными швами |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU670144A SU143738A1 (ru) | 1960-06-15 | 1960-06-15 | Способ ушивани ткани легкого двухр дными погружными швами |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| SU189517A1 SU189517A1 (ru) | |
| SU143738A1 true SU143738A1 (ru) | 1960-11-30 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU670144A SU143738A1 (ru) | 1960-06-15 | 1960-06-15 | Способ ушивани ткани легкого двухр дными погружными швами |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU143738A1 (ru) |
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