CN101380242B

CN101380242B - Skin grafting packing stitching instrument in surgical operation

Info

Publication number: CN101380242B
Application number: CN2008100703923A
Authority: CN
Inventors: 李喆; 刘剑毅; 李世荣
Original assignee: Third Military Medical University TMMU
Current assignee: Third Military Medical University TMMU
Priority date: 2008-09-27
Filing date: 2008-09-27
Publication date: 2010-04-14
Anticipated expiration: 2028-09-27
Also published as: CN101380242A

Abstract

The invention proposes a skin-grafting packaging stitching instrument in a surgery, which includes a stitching needle, a stitching line and a line clamping device. The line clamping device is a clamp which is provided with a threading hole and a clamping slot; the threading hole and the clamping slot penetrate the whole line clamping device from up to down; the clamping slot is slotted from the side wall of the threading hole and extends to the outside from wide to narrow; a gradual processing design is adopted until the width of the slot is less than the thickness of the stitching line, thus being capable of clamping the stitching line. One end of the stitching line is fixed at the lower end of the line clamping device; the other end of the stitching line is connected with the stitching needle. In this way, when stitching, the stitching needle penetrates from a wound or a skin edge, then penetrates in from the threading hole from up to down for straining the stitching line; the stitching line can enter the clamping slot from the threading hole and is clamped at the narrowest position of the clamping slot, thus leading the clamping slot to be hard to slide out. The skin-grafting packaging stitching instrument in a surgery can effectively stitch, avoid knotting and can reduce the time for removing the line, stitching and knotting, has reliable fixation and is convenient for being adjusted.

Description

Skin grafting packing stitching instrument in a kind of surgical operation

Technical field

The present invention relates to surgical operating instrument, be specifically related to a kind of operation stitching apparatus.

Background technology

The application that skin graft is transplanted starts from 19th century posterior lobe, in the treatment of plastic surgery and burns unit, play a part very important, usually can be divided into split-thickness skin graft (sword is thick, Bao Zhonghou, thick in thick, thick in general), full thickness skin graft by skin graft thickness and contain three kinds of subdermal vascular plexus free skin grafts from the body skin graft, wherein the split thickness skin graft survival is easier, therefore approximate again full thickness skin graft is widely used in the plastic surgery at aspects such as contractility, wearability, color changes.

The skin-grafting technology of split-thickness skin graft and full thickness skin graft is identical, and three steps are arranged: 1, wound surface hemostasis, 2, skin graft fixes, 3, wrapping and braking.In order to improve the survival rate of transplanting skin graft, on abundant hemostatic basis, carry out fixing reliably wrapping and braking, the packing bandaging strapping is the most reliable method, is applicable to being distinguished of whole skin graft transplanting of fresh wound surface, and its concrete grammar is as follows: interrupted suture, stay long line to use for packing, with Cotton Gossypii or the soft crocus cloth of matter, successively be deposited on the skin graft of transplanting, reach and intersect the packing wrapping behind the suitable thickness.

Needs carry out larger area packing skin grafting, and the whole surgery time often needed 2-4 individual hour, even longer, and operation for a long time at first, makes wound surface open-assembly time prolongation, to the vigor and the certain influence of survival generation of skin graft; Secondly, increase the traumatic infection probability; The 3rd, expend a large amount of energy of operative doctor, especially connect the platform operation, the doctor is too tired, influences surgical effect; Four, increase surgery cost.Therefore how to shorten operating time, will find by practice and investigation, in the whole surgery process for doctor and patient brings great benefit, the stitching of skin graft often expends the plenty of time, and therefore a kind of suture way more efficiently will bring great convenience for operator.

Summary of the invention:

Be assurance surgical effect, quality, and shorten operating time as much as possible, the invention provides a kind of can effectively sew up, avoid knotting, the fixing suture of packing of making skin graft reliably.

The technical solution adopted for the present invention to solve the technical problems is:

Skin grafting packing stitching instrument in a kind of surgical operation, it comprises sewing needle, suture and fixing-line device three parts.Described fixing-line device is one to have the clamp of through wires hole and cable clamping interface, through wires hole and the whole fixing-line device of cable clamping interface up/down perforation, and cable clamping interface is slotted from the through wires hole sidewall, stretch out to narrow by wide, take to be fade-in the formula design,, can tighten suture until the thickness of groove width less than suture.One end of suture is fixed on the fixing-line device lower end, and the suture other end is connected with sewing needle.When sewing up, sewing needle passes from wound or skin edge like this, after penetrating from bottom to top from through wires hole again, and the tension suture, suture can be taken advantage of a situation from through wires hole and be entered in the cable clamping interface, to the narrowest place of cable clamping interface chucking, makes it be difficult for skidding off.

In order more effectively to tighten suture, increase the frictional force of suture and cable clamping interface wall, the longitudinal section of cable clamping interface can be designed to shaped form.More excellent form is Z type or S type.

Remarkable advantage of the present invention is:

1, after skin graft and surrounding tissue are sewed up, only needs sewing needle is penetrated by through wires hole, suture is drawn in the cable clamping interface chucking get final product, need not knotting, save the plenty of time.

2, in skin grafting, after stitching finishes, if find that hemostasis is not thorough, or under the skin graft blood clot is arranged, and can directly suture be pulled out in cable clamping interface, unclamp and get final product, compare with traditional method, reduced the time of taking out stitches, sew up, tiing a knot, avoided the trouble of inconvenient adjustment.

3, suture length unanimity, the trouble that has caused because of pack thread is uneven when having avoided knotting.

Description of drawings:

Fig. 1 is the structural representation of this skin grafting packing stitching instrument.

Fig. 2 is the structural representation (wherein fixing-line device partly cuts open) of this skin grafting packing stitching instrument;

Fig. 3 is the vertical view of fixing-line device;

Fig. 4 is the A-A profile of Fig. 3;

Fig. 5 is the B-B profile of Fig. 3;

Fig. 6 is the use figure of this skin grafting packing stitching instrument, wherein

Fig. 6 A is the sketch map when sewing up skin graft;

Fig. 6 B is the sketch map of backguy when sewing up skin graft;

Fig. 6 C is the sketch map of having beaten after wrapping.

The specific embodiment

Describe structure of the present invention and use in detail below in conjunction with accompanying drawing:

Referring to Fig. 1, Fig. 2, Fig. 3, Fig. 4 and Fig. 5, this skin grafting packing stitching instrument is made up of sewing needle 3, suture 2 and fixing-line device 1 three parts.Wherein fixing-line device 1 is designed to a clamp form that has through wires hole 11 and a cable clamping interface 12, through wires hole 11 and the whole fixing-line device of cable clamping interface 12 up/down perforations, cable clamping interface 12 is the sidewall flutings from through wires hole 11, and take to be fade-in the formula design, groove width is to be stretched out to narrow by wide, until the thickness of groove width less than suture, to tighten suture be purpose to reach.And the longitudinal section preferred design of cable clamping interface becomes the S type, to increase clamping force.One end of suture 2 is fixed on the lower end of fixing-line device 1, and suture 2 other ends then are connected with sewing needle 3.Fixing-line device adopts materials such as metal, plastics or silica gel, can accomplish size about 5mmz.

The occupation mode of this stiching instrument in skin grafting is as follows, referring to Fig. 6:

(1) loosen earlier or removal lesion tissue, thoroughly hemostasis forms wound surface and waits to make skin graft;

(2) follow bark fetching;

(3) then with first stiching instrument by surrounding tissue 4 inserting needles, pass from transplanting skin graft 5, and sewing needle penetrates back (seeing Fig. 6 A) from bottom to top from through wires hole, strain suture then, suture can be taken advantage of a situation from through wires hole and be entered in the cable clamping interface, to the narrowest place of cable clamping interface, and tension (seeing Fig. 6 B);

(4) then sew up the whole periphery of skin grafted wounds in order, the tension suture;

(5) remove sewing needle;

(6) separated time;

(7) with at the bottom of oily yarn or the antibiotic gauze pad, broken yarn is piled into bag;

(8) Fig. 6 C is seen in intersection pressurization packing.

Claims

1. the skin grafting packing stitching instrument in the surgical operation, it comprises sewing needle and suture, it is characterized in that: described stiching instrument also has a fixing-line device; Described fixing-line device is one to have the clamp structures of through wires hole and cable clamping interface, through wires hole and the whole fixing-line device of cable clamping interface up/down perforation, and cable clamping interface is stretched out to narrow by wide from through wires hole sidewall fluting, to the thickness of groove width less than suture, can tighten suture; One end of described suture is fixed on the fixing-line device lower end, and the suture other end is connected with sewing needle.

2. skin grafting packing stitching instrument according to claim 1 is characterized in that: the longitudinal section of described cable clamping interface is a shaped form.

3. skin grafting packing stitching instrument according to claim 2 is characterized in that: the longitudinal section of described cable clamping interface is Z type or S type.