CN105286942B - A kind of laparoscope high ligation of hernial sac external member - Google Patents
A kind of laparoscope high ligation of hernial sac external member Download PDFInfo
- Publication number
- CN105286942B CN105286942B CN201510779017.6A CN201510779017A CN105286942B CN 105286942 B CN105286942 B CN 105286942B CN 201510779017 A CN201510779017 A CN 201510779017A CN 105286942 B CN105286942 B CN 105286942B
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- China
- Prior art keywords
- pin
- line
- laparoscope
- taking
- line taking
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B2017/12018—Elastic band ligators
Abstract
The invention discloses a kind of laparoscope high ligation of hernial sac external member, including line taking pin, put line pin, ligature and wire taking hook, line taking pin and put line pin and be equipped with tube chamber, line taking pin and put line pin and be combined into fit pin, line taking pin and put line pin combination after end be piercing needle, line taking pin and put and be respectively provided with handle on line pin, handle is disposed relative to the other end of piercing needle, line taking pin and put line pin and combined using slide rail mode, pass through the method for fit pin, only need to infant abdominal skin, hypodermis, musculature is punctured once, without repeated puncture, reduce the influence to infant peritonaeum and abdominal wall muscle development, also reduce the recurrence of indirect inguinal hernia.
Description
Technical field
The present invention relates to medical aid field, particularly a kind of laparoscope high ligation of hernial sac external member.
Background technology
The surgical operation therapy mode of current indirect inguinal hernia is all by tension-free hernia and high ligation of hernial sac
Mode carry out, and with the development of laparoscopic technique, laparoscopic hernia capsule high ligation is increasingly widely used in
In the treatment of the indirect inguinal hernia of children, the features such as it has simple, easy, safety, small wound, the committed step of operation is by abdomen
In hysteroscope observation after collar extension, interior collar extension midpoint is accurately positioned to body surface, inserts and wears through abdominal skin, hypodermis, musculature
Pricker, when observing that puncture needle needle point is reached outside peritonaeum under laparoscope direct-view, around interior collar extension edge inserting needle after the separation of this level
Half-turn, wears out peritonaeum and sends into ligature to intraperitoneal, puncture needle is exited completely, again through abdominal skin, hypodermis, muscle
Tissue inserts puncture needle, separated outside interior collar extension opposite side edge peritonaeum in collar extension half-turn, peritonaeum is worn out again, using covering line
Method is pulled out ligature outside abdominal cavity through puncture needle using crochet hook, and finally ligature knots outside abdominal cavity, hernical sac is completed
High ligation.
In this process, it is necessary to be punctured twice through infant abdominal skin, hypodermis, musculature, and twice
Puncture is completely superposed it is difficult to ensure that entering needle passageway, so, more or less can be by hypodermis, stomach wall when being knotted
Musculature etc. is squeezed into knot so that knot can not be bounced back in peritonaeum external fat layer, the peritonaeum at interior collar extension by hypodermis,
Abdominal wall musculature Suspending fixation is at interior collar extension, and anatomical layer is disorderly, is unfavorable for the development of infant peritonaeum and abdominal wall muscle,
Easily cause the recurrence of indirect inguinal hernia.
The Chinese patent of Application No. 201410025687.4 discloses a kind of laparoscope high ligation of hernial sac line delivery cannula
Crochet hook, is made up of crochet hook body, sleeve pipe and handle, and first handle is provided with one end of sleeve pipe, and first handle is connected with sleeve pipe,
Crochet hook body is provided with sleeve pipe, crochet hook body one end is provided with second handle, and the other end of crochet hook body is provided with piercing needle, this technical scheme
Skin incision first is done in navel upper limb, veress needle is then pierced into, sets up and sleeve pipe is pierced into after artificial pneumoperitoneum, laparoscope is then inserted again,
Hernical sac inner ring is observed, otch is then done at hernical sac inner ring body surface projection, and ligature is after sleeve upper-side hole is penetrated, by line
Head is stayed and in patient's body, sleeve pipe drives the midpoint that ligature is pierced into front of abdominal hernia inner ring, and the top of sleeve pipe reaches peritonaeum outer room
Gap, interior in this gap gradually to stab the midpoint at inner ring rear from the side separation side of hernia ring, laparoscope uses haemostatic clamp after sending into
The fixed ligature of pressing, then sleeve is released, then same method stabs the midpoint at inner ring rear from opposite side, sends into crochet hook
Body, is hooked by the piercing needle of crochet hook body and is received into after ligature in sleeve pipe, and sleeve pipe is exited into stomach wall together with crochet hook body
Outside, in this operation, sleeve pipe needs to puncture infant abdominal skin, hypodermis, musculature twice, and when being knotted,
Hypodermis, abdominal wall musculature etc. can be more or less squeezed into knot so that knot can not be bounced back in peritonaeum external fat layer,
Peritonaeum at interior collar extension is by hypodermis, abdominal wall musculature Suspending fixation at interior collar extension, and anatomical layer is disorderly, is unfavorable for suffering from
The development of youngster's peritonaeum and abdominal wall muscle, also easily causes the recurrence of indirect inguinal hernia.
The content of the invention
The present invention provides a kind of laparoscope high ligation of hernial sac external member, by way of fit pin, it is only necessary to infant abdomen
Wall skin, hypodermis, musculature carry out one-time puncture, will not be by hypodermis, abdominal wall musculature when ligature knots
Etc. squeezing into knot, the development of infant peritonaeum and abdominal wall muscle is not influenceed, also reduces the recurrence of indirect inguinal hernia.
The technical solution adopted by the present invention is：
A kind of laparoscope high ligation of hernial sac external member, including line taking pin, put line pin, ligature and wire taking hook, line taking pin and
Put line pin and be equipped with tube chamber, line taking pin and put line pin and be combined into fit pin, line taking pin and to put end after the combination of line pin be puncture needle
Head, line taking pin and puts handle is respectively provided with line pin, and handle is disposed relative to the other end of piercing needle, line taking pin and puts line pin
Combined using slide rail mode.
It is preferred that, line taking pin is provided with slide rail with line pin is put, and line taking pin is engaged with line pin is put in junction.
It is preferred that, the handle of line taking pin is provided with ligature neck.
It is preferred that, piercing needle is passivity structure.
It is preferred that, ligature is made of macromolecule or biomaterial, and the ligation line absorption cycle is more than 3 months.
The beneficial effects of the invention are as follows：
The present invention is by way of combining pin, it is only necessary to which infant abdominal skin, hypodermis, musculature are carried out once
Puncture, when ligature knots, hypodermis, abdominal wall musculature etc. will not be squeezed into knot, infant peritonaeum and stomach wall are not influenceed
The development of muscle, also reduces the recurrence of indirect inguinal hernia.
Brief description of the drawings
The present invention is further detailed explanation with reference to the accompanying drawings and detailed description.
Fig. 1 is the laparoscope high ligation of hernial sac external member schematic diagram with ligature.
Fig. 2 is laparoscope high ligation of hernial sac external member schematic diagram.
Fig. 3 is laparoscope high ligation of hernial sac external member sectional view.
Fig. 4 is line taking pin schematic diagram.
Fig. 5 is line taking pin sectional view.
Fig. 6 is the line taking pin schematic diagram with wire taking hook.
Fig. 7 is to put line pin schematic diagram.
In figure：1st, line taking pin, 2, put line pin, 3, handle, 4, tube chamber, 5, piercing needle, 6, ligature, 7, wire taking hook, 8,
Ligature neck.
Embodiment
Embodiments of the invention are described in detail below in conjunction with accompanying drawing, but the present invention can be defined by the claims
Implement with the multitude of different ways of covering.
As shown in Fig. 1~Fig. 7, the present invention discloses a kind of laparoscope high ligation of hernial sac external member, including line taking pin 1, puts line
Pin 2, ligature 6 and wire taking hook 7, line taking pin 1 and put line pin 2 and are equipped with tube chamber 4, line taking pin 1 and put line pin 2 and are equipped with tube chamber 4,
Line taking pin 1 and put line pin 2 and be combined into fit pin, in order to puncture into behind abdominal cavity, reduce the damage to abdominal viscera, piercing needle 5
It is set to passivity structure, line taking pin 1 and puts handle 3 is respectively provided with line pin 2, handle 3 is disposed relative to the another of piercing needle 5
End, position is outside abdominal cavity handle 3 after piercing, line taking pin 1 and puts line pin 2 and is combined using slide rail mode, line taking pin 1 and puts line
Pin 2 is equipped with slide rail, and line taking pin 1 is engaged with line pin 2 is put in joint.
For convenience of the fixation of ligature 6, the handle 3 of line taking pin 1 is provided with ligature neck 8, before puncture, by ligature 6
On the ligature neck 8 being fixed on, convenient operation.
Ligature 6 is the absorbable thread that macromolecule or biomaterial are made, and soak time is more than 3 months, both can guarantee that knot
Prick position healing firm, the complete knot response light of absorption is can guarantee that again.
Before puncture, ligature 6 is pre-filled with putting in the tube chamber of line pin 2 for fit pin, by fit pin through infant abdominal skin,
Hypodermis, musculature are inserted, when observing that piercing needle 5 is reached outside peritonaeum through laparoscope direct-view is lower, in the separation of this level
Afterwards around interior collar extension edge inserting needle half-turn, wear out peritonaeum and send into ligature 6 to intraperitoneal, extracted along fit pin slide rail and put line pin
2, retain line taking pin 1, line taking pin 1 is separated to interior collar extension half-turn outside another lateral edges peritonaeum of interior collar extension, peritonaeum is worn out again, is adopted
Ligature 6 is pulled out outside abdominal cavity with wire taking hook 7, line taking pin 1 is extracted, ligature knots outside abdominal cavity, the height of hernical sac is completed
Position ligation.
Claims (5)
1. a kind of laparoscope high ligation of hernial sac external member, it is characterised in that including line taking pin, put line pin, ligature and wire taking hook,
Line taking pin and put line pin and be equipped with tube chamber, line taking pin and put line pin and be combined into fit pin, line taking pin and put end after the combination of line pin
For piercing needle, line taking pin and put handle is respectively provided with line pin, handle is disposed relative to the other end of piercing needle, line taking pin
Combined with line pin is put using slide rail mode.
2. a kind of laparoscope high ligation of hernial sac external member according to claim 1, it is characterised in that line taking pin and put line pin and set
There is slide rail, line taking pin is engaged with line pin is put in junction.
3. a kind of laparoscope high ligation of hernial sac external member according to claim 1, it is characterised in that set on the handle of line taking pin
There is ligature neck.
4. a kind of laparoscope high ligation of hernial sac external member according to claim 1, it is characterised in that piercing needle is passivity knot
Structure.
5. a kind of laparoscope high ligation of hernial sac external member according to claim 1, it is characterised in that ligature uses macromolecule
Or biomaterial is made, the ligation line absorption cycle is more than 3 months.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510779017.6A CN105286942B (en) | 2015-11-13 | 2015-11-13 | A kind of laparoscope high ligation of hernial sac external member |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510779017.6A CN105286942B (en) | 2015-11-13 | 2015-11-13 | A kind of laparoscope high ligation of hernial sac external member |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105286942A CN105286942A (en) | 2016-02-03 |
| CN105286942B true CN105286942B (en) | 2017-10-17 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201510779017.6A Active CN105286942B (en) | 2015-11-13 | 2015-11-13 | A kind of laparoscope high ligation of hernial sac external member |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105534554A (en) * | 2016-02-29 | 2016-05-04 | 上海交通大学医学院附属上海儿童医学中心 | Apparatus of hernia laparoscopic surgery for children |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0140557A3 (en) * | 1983-09-12 | 1986-09-03 | Edward Lee Blackwood | Surgical instrument |
| CN2822532Y (en) * | 2005-06-10 | 2006-10-04 | 吴礼武 | Sewing needle for laparoscope herniorrhaphy |
| CN101437458A (en) * | 2006-05-16 | 2009-05-20 | M·A·苏拉马尼德兹 | Operation oversewing material and application method thereof |
| CN201127626Y (en) * | 2007-10-12 | 2008-10-08 | 刘国庆 | Puncture fixing needle of tablet for hernia |
| JP5738039B2 (en) * | 2011-03-31 | 2015-06-17 | 日本コヴィディエン株式会社 | Medical suture tool |
| CN203263502U (en) * | 2013-04-08 | 2013-11-06 | 赣南医学院第一附属医院 | Multi-channel operation cannula |
| CN203468663U (en) * | 2013-09-12 | 2014-03-12 | 汪代文 | Disposable fiber ring suturing instrument |
| CN204192692U (en) * | 2014-10-30 | 2015-03-11 | 李述剑 | A kind of children inguinal hernia trocar combination |
| CN205198063U (en) * | 2015-11-13 | 2016-05-04 | 合肥达米医疗科技有限公司 | High -order ligature external member of peritoneoscope hernical sac |
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Effective date of registration: 20201027 Address after: 230000 No. 9, Lujiang Road, Luyang District, Anhui, Hefei Patentee after: The First Affiliated Hospital of University of science and technology of China Address before: 230000, 69, Wangjiang West Road, Shushan District, Anhui, Hefei Province, impression 1203, building 2, blue county, West Lake Garden Patentee before: HEFEI DAMI MEDICAL SCIENCE & TECHNOLOGY Co.,Ltd. |
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Address after: 230001 No. 17, Lujiang Road, Luyang District, Anhui, Hefei Patentee after: Anhui Provincial Hospital (the First Affiliated Hospital of China University of science and Technology) Address before: 230000 No.9 Lujiang Road, Luyang District, Hefei City, Anhui Province Patentee before: The First Affiliated Hospital of University of science and technology of China |