CN104921842B - The implant system repaired at the bottom of mesh sheet and basin is repaired at the bottom of a kind of basin - Google Patents
The implant system repaired at the bottom of mesh sheet and basin is repaired at the bottom of a kind of basin Download PDFInfo
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- CN104921842B CN104921842B CN201510366793.3A CN201510366793A CN104921842B CN 104921842 B CN104921842 B CN 104921842B CN 201510366793 A CN201510366793 A CN 201510366793A CN 104921842 B CN104921842 B CN 104921842B
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- mesh sheet
- basin
- independent
- repair
- mesh
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- 239000007943 implant Substances 0.000 title claims abstract description 8
- 230000008439 repair process Effects 0.000 claims abstract description 23
- 239000000463 material Substances 0.000 claims abstract description 16
- 239000004743 Polypropylene Substances 0.000 claims description 15
- -1 polypropylene Polymers 0.000 claims description 15
- 229920001155 polypropylene Polymers 0.000 claims description 15
- 230000008520 organization Effects 0.000 claims description 3
- 230000005855 radiation Effects 0.000 claims 2
- 210000003903 pelvic floor Anatomy 0.000 abstract description 8
- 238000010586 diagram Methods 0.000 description 8
- 238000000034 method Methods 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- 230000008901 benefit Effects 0.000 description 5
- 201000010099 disease Diseases 0.000 description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 4
- 230000007547 defect Effects 0.000 description 3
- 230000003628 erosive effect Effects 0.000 description 3
- 210000004877 mucosa Anatomy 0.000 description 3
- 208000013823 pelvic organ prolapse Diseases 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 206010058046 Post procedural complication Diseases 0.000 description 2
- 208000035965 Postoperative Complications Diseases 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 210000001215 vagina Anatomy 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 208000000450 Pelvic Pain Diseases 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 239000012620 biological material Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000003292 diminished effect Effects 0.000 description 1
- 229940011871 estrogen Drugs 0.000 description 1
- 239000000262 estrogen Substances 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 229910010272 inorganic material Inorganic materials 0.000 description 1
- 239000011147 inorganic material Substances 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 230000004630 mental health Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
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- Prostheses (AREA)
Abstract
Mesh sheet is repaired at the bottom of a kind of basin being applied in pelvic floor function reconstruction operations, remove mesh sheet mid portion, only retain corner, form four independent mesh sheet, and form the space of a hollow, it is not connected with each other between each independent mesh sheet, in the implant system repaired at the bottom of basin, four independent mesh sheet constitute to repair at the bottom of a basin being applied in the patient with vaginal wall mucous layer supports structure, thus substantially reduce and be embedded in internal mesh material, reduce risk and the generation of some other complication that mesh sheet corrodes.
Description
Technical field
The present invention relates to the reparation mesh sheet of a kind of bio-medical technical field, particularly relate to a kind of for women
The implant system repaired at the bottom of reparation mesh sheet at the bottom of basin and basin.
Background technology
Female pelvic floor dysfunctional disease is referred to as defect at the bottom of basin or Pelvic support structure relaxes, for person in middle and old age
The commonly encountered diseases of women, frequently-occurring disease, have a strong impact on quality of life and the physical and mental health of patient.Pelvic floor function weight
Build operation of a great variety, with various new operations and the appearance of new material, inevitable postoperative complication
Becoming the major obstacle that many new operation methods are promoted, postoperative complication is mainly mesh sheet erosion and pelvic cavity aches
Bitterly, mesh sheet corrodes and patient's vagina, urethra or intestinal tube can be caused to corrode.The prevention of complication in clinical practice
And process still has many problems to need constantly exploration.After 2012, on April 29th, 2014, beautiful
State FDA sends strong prognosticator again, for the polypropylene net sheet material of Reconstructive pelvic by original
Poor risk equipment (II level) is promoted as highly dangerous equipment (III level), the side effect of polypropylene mesh
Application and the popularization utilizing mesh sheet to carry out Reconstructive pelvic, the subject of Pelvic pain syndrome are had a strong impact on
Development has been absorbed in serious predicament.
Mesh sheet is usually polypropylene material mesh sheet, because polypropylene mesh has higher mechanical strength, relatively
Good compliance, for correcting for pelvic organ prolapse symptom, utilizes the polypropylene mesh of nonabsorable
Reconstructive pelvic still achieves good therapeutic effect.Therefore, the excellent of polypropylene mesh is made full use of
Gesture, meanwhile, manages to reduce mesh sheet and corrodes risk, be an urgent demand of Present clinical doctor.Face in early stage
Bed it has been observed that occur mesh sheet corrode major reason, except with mesh material nonabsorable characteristic, hands
Outside the factors such as the operation skill of patient, patient's body constitution are relevant, meanwhile, it is embedded in internal mesh material
Too much, tissue local blood supply difference is also the major reason occurring mesh sheet to corrode.Therefore, curative effect is being ensured
Under premise, the use as far as possible reducing mesh material necessarily can reduce the risk that mesh sheet corrodes.
Existing polypropylene mesh, mesh sheet area is excessive, and it is high that mesh sheet corrodes risk.Chinese patent literature
CN102266585, as it is shown in figure 1, disclose a kind of sticking patch for repairing female pelvic cavity tissue defects,
This kind of sticking patch wraps up the bladder acellular matrix 2 of animal donor, polypropylene mesh on polypropylene mesh 1 surface
For rectangle, the shape such as square or circular, although this kind of sticking patch has of a relatively high biocompatibility,
Advantageously reduce polypropylene complication, improve implant site inflammatory reaction, but, it is embedded in internal benefit
Owing to being full wafer, still there is the problem that material is too much in sheet material, easily makes tissue local blood supply poor,
There is the risk that mesh sheet corrodes, and, biomaterial need to be combined by this sticking patch with inorganic material, system
Make method complexity loaded down with trivial details.
Therefore, industry is needed one badly and be can be used in Reconstructive pelvic, improves mesh sheet and corrodes, reduces also
Send out the polypropylene mesh of disease.
Summary of the invention
In view of this, net is repaired at the bottom of the present invention proposes a kind of basin being applied in pelvic floor function reconstruction operations
Sheet, compared with mesh sheet of the prior art, only retains its corner, removes mesh sheet trunk, pull-up in operation
The corner of four independent mesh sheet, plays the effect similar with existing mesh sheet, and greatly reduce be embedded in internal
Mesh material, reduce mesh sheet corrode risk.
According to repairing mesh sheet at the bottom of a kind of basin that the purpose of the present invention proposes, including four independent mesh sheet, make
Described in used time, four independent mesh sheet lay respectively at corner, are not connected with each other, repair mesh sheet at the bottom of described basin
Zone line is empty.
Preferably, repairing mesh sheet material at the bottom of described basin is polypropylene.
Preferably, described independent mesh sheet includes bottom mesh sheet end, mesh sheet and mesh sheet lead-in wire.
Preferably, described mesh sheet end be shaped as semicircle, " C " shape, " V " font, crescent,
Triangle or trapezoidal.
Preferably, bottom described mesh sheet it is wedge shape, rectangle or triangle.
Preferably, described mesh sheet lead-in wire is the some lead-in wires with biocompatibility.
The invention allows for a kind of utilization to repair mesh sheet at the bottom of described basin and carry out the side of pelvic floor function reconstruction
Method, described method comprises the steps:
In operation, separate the vaginal wall mucosa of patient, form an island shape vaginal wall mucous layer；
The mesh sheet end of four independent mesh sheet is individually fixed in the surrounding of described island shape vaginal wall mucous layer；
Hold the mesh sheet lead-in wire of four independent mesh sheet, to pull out bottom the mesh sheet of four independent mesh sheet, pass through
Puncture awl punctures, and makes to be embedded in bottom mesh sheet in the outside organization of surgical anatomic path.
Preferably, described vaginal wall mucous layer substitutes the zone line repairing mesh sheet at the bottom of basin, described four solely
Vertical mesh sheet and vaginal wall mucous layer constitute to repair at the bottom of a basin being applied in the patient supports structure.
Preferably, the bearing of mesh sheet is repaired at the bottom of described basin under tension-free state.
Compared with prior art, the present invention has a following technical advantage:
Repair mesh sheet at the bottom of basin, eliminate mid portion, only leave the independent mesh sheet part of corner so that bury
Reduce at mesh material in the patient, reduce the risk that mesh sheet corrodes.
Take full advantage of the advantages such as the stronger mechanical strength of polypropylene mesh, preferable compliance, to correcting patient
Pelvic organ prolapse symptom serves good therapeutic effect.
Accompanying drawing explanation
In order to be illustrated more clearly that the embodiment of the present invention or technical scheme of the prior art, below will be to reality
Execute the required accompanying drawing used in example or description of the prior art to be briefly described, it should be apparent that below,
Accompanying drawing in description is only some embodiments of the present invention, for those of ordinary skill in the art,
On the premise of not paying creative work, it is also possible to obtain other accompanying drawing according to these accompanying drawings.
Fig. 1 is for repairing the patch structure schematic diagram of female pelvic cavity tissue defects in prior art
Fig. 2 is to repair mesh sheet in the preferred embodiment of the present invention at the bottom of basin to use schematic diagram
Fig. 3 is the schematic diagram of independent the first structure of mesh sheet in the preferred embodiment of the present invention
Fig. 4 is the schematic diagram of independent mesh sheet the second structure in the preferred embodiment of the present invention
Fig. 5 is the schematic diagram of independent the third structure of mesh sheet in the preferred embodiment of the present invention
Fig. 6 is the schematic diagram of the 4th kind of structure of independent mesh sheet in the preferred embodiment of the present invention
Fig. 7 is the schematic diagram of the 5th kind of structure of independent mesh sheet in the preferred embodiment of the present invention
Fig. 8 is the schematic diagram of the 6th kind of structure of independent mesh sheet in the preferred embodiment of the present invention
The reference related in accompanying drawing and ingredient explanation: 1. repair mesh sheet at the bottom of basin；The most independent mesh sheet；
21. mesh sheet ends；Bottom 22. mesh sheet；23. mesh sheet lead-in wires.
Detailed description of the invention
As described in the background art, in the operation of existing female pelvic reconstruction, it is embedded in internal net
Sheet material is too much, the risk that mesh sheet corrodes easily occurs, causes multiple complications, bring patient beyond expression
Misery.And the present invention proposes to repair mesh sheet at the bottom of a kind of basin, eliminate mid portion so that be embedded in internal
Mesh material reduce, reduce the risk that mesh sheet corrodes, simultaneously can make full use of again polypropylene mesh
The advantages such as stronger mechanical strength, preferable compliance, play correction pelvic organ prolapse symptom and well control
Therapeutic effect.
Below, the concrete technical scheme of the present invention will be described in detail.
Refer to Fig. 2, repair mesh sheet 1 at the bottom of a kind of basin, including four independent mesh sheet 2, doing pelvic floor function
During reconstruction operations, four independent mesh sheet 2 lay respectively at corner, are not connected with each other, repair mesh sheet at the bottom of basin
Hollow region be empty.
Refer to Fig. 3～Fig. 8, be the structural representation of independent mesh sheet 2 in the preferred embodiment of the present invention, solely
Vertical mesh sheet 2 includes bottom mesh sheet end 21, mesh sheet 22 and mesh sheet lead-in wire 23, and independent mesh sheet 2 can be
Various structures form, such as, can do some structures, in shape to bottom mesh sheet end 21, mesh sheet 22
Change.
Specifically, refer to Fig. 3, be the first structural representation of independent mesh sheet 2, mesh sheet end 21
Semicircular in shape, bottom mesh sheet, 22 is wedge shaped, extends vertically from the straight flange of mesh sheet end, and with mesh sheet end
21 is one-body molded, and bottom mesh sheet, 22 have mesh sheet lead-in wire 23 away from that side of mesh sheet end 21, and mesh sheet is drawn
Line 23 is the some lead-in wires with biocompatibility.
Referring to Fig. 4, be the second structural representation of independent mesh sheet 2, mesh sheet end 21 is in " C "
Shape, bottom mesh sheet, 22 is wedge shaped, and one-body molded with mesh sheet end 21, and bottom mesh sheet, 22 away from mesh sheet
That side of end 21 has mesh sheet lead-in wire 23, and mesh sheet lead-in wire 23 has drawing of biocompatibility for some
Line.
Refer to Fig. 5, be the third structural representation of independent mesh sheet 2, different from first two mesh sheet structure
Be the mesh sheet end 21 of the third structure, this mesh sheet end 21 is " V "-shaped, bottom mesh sheet 22
Wedge shaped, extend from the opening of " V " font.
Refer to Fig. 6, be the 4th kind of structural representation of independent mesh sheet 2, different from first three mesh sheet structure
Be the mesh sheet end 21 of the 4th kind of structure, this mesh sheet end 21 is in crescent.
Refer to Fig. 7, be the 5th kind of structural representation of independent mesh sheet 2, different from front four kinds of mesh sheet structures
Be the mesh sheet end 21 of the 5th kind of structure, this mesh sheet end 21 is triangular in shape, more specifically, be first-class
Lumbar triangle shape, bottom mesh sheet, 22 is wedge shaped, and the base vertical from network of triangle sheet end extends.
Refer to Fig. 8, be the 6th kind of structural representation of independent mesh sheet 2, plant mesh sheet structure from first five different
Be the mesh sheet end 21 of the 6th kind of structure, this mesh sheet end 21 is trapezoidal, and bottom mesh sheet, 22 is wedge shaped,
Extend vertically from the trapezoidal upper end i.e. minor face.
The version of the most preferred independent mesh sheet 2, bottom mesh sheet, 22 except for wedge shape, it is possible to for length
The shapes such as square, triangle, bottom mesh sheet end 21, mesh sheet 22 and mesh sheet lead-in wire 23 possess above shape
Shape, both area was little, again can fixation, and reach at the bottom of good basin support effect, make at the bottom of the basin of damage
Tissue is linked to be entirety, makes the area bearing pressure increase, and unit are is born pressure and diminished, patient portion
The function dividing organ or whole organ is restored.
But, the structure of independent mesh sheet 2 is not limited to above-mentioned six kinds of structures, can be according to basin in the patient
End form or need repair position and design the morphosis of independent mesh sheet 2, with at pelvic floor function weight
Reach preferably therapeutic effect in building, it is to avoid at the bottom of basin repair mesh sheet erosion risk, and some other concurrently
The generation of disease.
When carrying out pelvic floor function reconstruction operations, reparation mesh sheet 1 at the bottom of the basin in the present invention is utilized to carry out at the bottom of basin
Repairing, repair mesh sheet 1 and only possess the independent mesh sheet 2 of four at corner at the bottom of basin, trunk i.e. mid portion goes
Remove.Patient is applied antibiotic or estrogen preparation by operation consent, and whole operation process is under aseptic conditions
Carry out, it is to avoid infect.In operation, separate the vaginal wall mucosa of patient, form an island shape vagina
Wall mucous layer, the mesh sheet end 21 of four independent mesh sheet 2 is fixing respectively is sutured in island shape vaginal wall mucosa
The surrounding of layer, now, holds the mesh sheet lead-in wire 23 of four independent mesh sheet 2, to pull out four independent mesh sheet
Bottom the mesh sheet of 2 22, punctured by puncture awl, make bottom mesh sheet 22 to be embedded in outside surgical anatomic path
In portion's tissue, repair the fixing of mesh sheet 1 at the bottom of basin and be in tension-free state, thus can reduce erosion ratio,
And postoperative in art all should thoroughly stop blooding.Thus, utilize vaginal wall mucous layer to substitute at the bottom of basin and repair mesh sheet 1
Trunk i.e. mid portion, four independent mesh sheet 2 constitute with vaginal wall mucous layer repairs at the bottom of a basin
Hold structure, be applied in the patient, the mesh material being embedded in the patient can be greatly reduced, and
Reduce the risk that mesh sheet corrodes.
It is obvious to a person skilled in the art that the invention is not restricted to the details of above-mentioned one exemplary embodiment,
And without departing from the spirit or essential characteristics of the present invention, it is possible to real in other specific forms
The existing present invention.Therefore, no matter from the point of view of which point, embodiment all should be regarded as exemplary, and
Being nonrestrictive, the scope of the present invention is limited by claims rather than described above, therefore purport
All changes in falling in the implication of equivalency and scope of claim are included in the present invention.
Should not be considered as limiting involved claim by any reference in claim.
Moreover, it will be appreciated that although this specification is been described by according to embodiment, but the most each reality
Mode of executing only comprises an independent technical scheme, and this narrating mode of description is only for understand
Seeing, those skilled in the art should be using description as an entirety, and the technical scheme in each embodiment is also
Other embodiments that it will be appreciated by those skilled in the art that can be formed through appropriately combined.
Claims (8)
1. at the bottom of a basin, repair mesh sheet, it is characterised in that: it is made up of four independent mesh sheet, described in each
Independent mesh sheet includes bottom mesh sheet end, mesh sheet and mesh sheet lead-in wire, during use, and described four independent mesh sheet
Mesh sheet end inwardly surround the space of a hollow, the spatial form of described hollow and size can accommodate
One island shape vaginal wall mucous layer therethrough, to external radiation bottom the mesh sheet of described four independent mesh sheet
Distribution, is not connected with between each independent mesh sheet each other.
2. repair mesh sheet at the bottom of a kind of basin as claimed in claim 1, it is characterised in that: repair at the bottom of described basin
Mesh sheet material is polypropylene.
3. repair mesh sheet at the bottom of a kind of basin as claimed in claim 1, it is characterised in that: described mesh sheet end
Be shaped as semicircle, " C " shape, " V " font, crescent, triangle or trapezoidal.
4. repair mesh sheet at the bottom of a kind of basin as claimed in claim 1, it is characterised in that: bottom described mesh sheet
For wedge shape, rectangle or triangle.
5. repair mesh sheet at the bottom of a kind of basin as claimed in claim 1, it is characterised in that: described mesh sheet goes between
For the some lead-in wires with biocompatibility.
6. one kind is used for the implant system repaired at the bottom of basin, it is characterised in that including:
Four independent mesh sheet, each independent mesh sheet includes bottom mesh sheet end, mesh sheet and mesh sheet lead-in wire；
Mesh sheet end, inwardly surrounds the space of a hollow, and the spatial form of hollow and size accommodate one
Island shape vaginal wall mucous layer therethrough and is formed fixing；
Bottom mesh sheet, to outside organization's direction radiation profiles of patient；
Mesh sheet goes between, and bottom the mesh sheet of four independent mesh sheet of pull-out, is punctured by puncture awl, makes net
It is embedded in the outside organization of patient bottom sheet.
7. the implant system for repairing at the bottom of basin as claimed in claim 6, it is characterised in that: described four
Individual independent mesh sheet and described vaginal wall mucous layer constitute to repair at the bottom of a basin being applied in the patient and support
Structure.
8. the implant system for repairing at the bottom of basin as claimed in claim 6, it is characterised in that: described four
The bearing of individual independent mesh sheet is under tension-free state.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510366793.3A CN104921842B (en) | 2015-06-29 | 2015-06-29 | The implant system repaired at the bottom of mesh sheet and basin is repaired at the bottom of a kind of basin |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510366793.3A CN104921842B (en) | 2015-06-29 | 2015-06-29 | The implant system repaired at the bottom of mesh sheet and basin is repaired at the bottom of a kind of basin |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104921842A CN104921842A (en) | 2015-09-23 |
| CN104921842B true CN104921842B (en) | 2016-09-28 |
Family
ID=54109518
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510366793.3A Active CN104921842B (en) | 2015-06-29 | 2015-06-29 | The implant system repaired at the bottom of mesh sheet and basin is repaired at the bottom of a kind of basin |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104921842B (en) |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU6329598A (en) * | 1997-02-13 | 1998-09-08 | Boston Scientific Ireland Limited, Barbados Head Office | Stabilization sling for use in minimally invasive pelvic surgery |
| CN101801310B (en) * | 2007-06-29 | 2013-10-30 | Ams研究公司 | Surgical articles and methods for treating pelvic conditions |
| US8597173B2 (en) * | 2007-07-27 | 2013-12-03 | Ams Research Corporation | Pelvic floor treatments and related tools and implants |
| US20100152530A1 (en) * | 2008-12-15 | 2010-06-17 | Mark Timmer | Biocompatible Fiber Based Device for Guided Tissue Regeneration |
| US20110011407A1 (en) * | 2009-04-09 | 2011-01-20 | Minnesota Medical Development, Inc. | Apparatus and method for pelvic floor repair in the human female |
| US9987115B2 (en) * | 2011-03-30 | 2018-06-05 | Boston Scientific Scimed, Inc. | Film encapsulated pelvic implant system and method |
| EP2691046B1 (en) * | 2011-03-30 | 2016-05-04 | AMS Research Corporation | Implants and tools for treatment of pelvic conditions |
| CN205054508U (en) * | 2015-06-29 | 2016-03-02 | 苏州大学 | Pelvic floor restoration net piece and corresponding implantation system thereof |
-
2015
- 2015-06-29 CN CN201510366793.3A patent/CN104921842B/en active Active
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| Publication number | Publication date |
|---|---|
| CN104921842A (en) | 2015-09-23 |
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