CN108013908A

CN108013908A - Diplopore hysteroscope indirect hernia high ligation of hernial sac sutures staight needle

Info

Publication number: CN108013908A
Application number: CN201610926838.2A
Authority: CN
Inventors: 张金成
Original assignee: Individual
Current assignee: Individual
Priority date: 2016-10-31
Filing date: 2016-10-31
Publication date: 2018-05-11

Abstract

Indirect hernia high ligation of hernial sac sutures staight needle under a kind of medical operation device diplopore laparoscope of invention.Be mainly used for the suture of the high ligation of hernial sac of laparoscopic hernia capsule high ligation, for solve the secondary inserting needle of current laparoscopic hernia capsule high ligation sewing needle, enter pin resistance is big, ligature into adipose tissue and suture intersection the problems such as.It is on the basis of original high ligation of hernial sac pin, adds a fairlead, wire casing, section line identification point and buttock line fixator.Suture staight needle by indirect hernia high ligation of hernial sac under the diplopore laparoscope of the invention, in operation an inserting needle, enter that pin resistance is small, fat-free mass penetrates and suture is without intersection, it is more convenient operation, simple, practical.Achieve the purpose that to shorten operating time, made operation safer, comfortable.

Description

Diplopore hysteroscope indirect hernia high ligation of hernial sac sutures staight needle

Technical field

Patent of the present invention is related to indirect hernia hernia under a kind of medical surgical instrument, more particularly to a kind of laparoscope of diplopore The staight needle of capsule high ligation suture.

Background technology

At present, domestic and international infant and it is not resistant to the elderly of herniorrhaphy operation preferred during indirect hernia occurs Treatment method is simple high ligation of hernial sac.Simple high ligation of hernial sac be divided into again traditional simple high ligation of hernial sac and Laparoscopic hernia capsule high ligation.Traditional simple high ligation of hernial sac is under general anesthesia, is cut on the skin at groin The notch of 3-4cm, then finds hernical sac, and separation carries out high ligation up to collar extension in hernia.This surgical result is affirmed, insufficient Part is heavier for postoperative pain, scar is left at groin, and mismatch if infant can run into when taking out stitches Situation.Laparoscopic hernia capsule high ligation is under general anesthesia, cuts the peep hole of a 0.5cm in umbilical region, stomach wall is right or left The via hole of 0.3cm is cut in lateral incision.That then cuts 0.1cm on the skin of collar extension in iliac region can make what sewing needle entered Stitching holes, with staight needle with holes or operation diplopore Suture needle with double tips, around interior collar extension 1 week, band line went out skin, ligatures suture, hand Art terminates.The sense of direction of inserting needle is good during staight needle with holes suture, and suturing needs to stay on line after inner ring 1 half intraperitoneal, and pin is transferred to, Enter pin after threading at groin incision again and suture another 1 half inner ring（At this moment it is possible to twice that inserting needle is not in same hole, two pins Centre may accompany adipose tissue）, then will stay to go out in intraperitoneal tape, that is inserting needle twice.Since pin is put on After line, line adds the diameter for entering tissue of pin, so resistance is larger.Penetrated when knotting after being sutured with the method in ligature The possibility of adipose tissue, thus it is likely to become a major reason of recurrence after operation.Diplopore Suture needle with double tips is used in operation, due to It is to be clamped with needle holder, so the easy left-hand seat of general surgeon in application, but enter abdominal cavity rear direction sense not from skin It is good to grasp, easily there is big blood vessel around accidental injury, cause bleeding.

In conclusion deficiency of the various operating theater instruments used at present there are security, comfort, practicality etc.. Overall effect is still undesirable.

The content of the invention

In order to solve the secondary inserting needle of laparoscopic hernia capsule high ligation sewing needle, enter that pin resistance is big, ligatures into fatty group Knit and the problems such as suture intersects, spy invents indirect hernia high ligation of hernial sac suture staight needle, this hair under a kind of diplopore laparoscope Indirect hernia high ligation of hernial sac suture staight needle makes simple, operation flexibly under the diplopore laparoscope of bright offer, solves seam Close the secondary inserting needle of pin, enter that pin resistance is big, the problems such as ligaturing into adipose tissue and suture intersection.

Present invention solves the technical problem that used technical solution is：Indirect hernia hernical sac is high under this diplopore laparoscope Position ligation suture staight needle is collectively constituted by needle point, shank, handle.There are the double lead hole of right-angled intersection, wire casing, section line to know on shank Other point and buttock line fixator.First to make the medical metal wire of a suitable stiffness and thickness, one end is fabricated to needle point Shape, is on shank apart from needle point certain distance and makes a call to first fairlead, and wire casing is ground by the two lateral backshanks in hole are oblique, then Make a call to second fairlead in the backshank direction a certain distance in this hole, also by hole two lateral backshanks it is oblique grind wire casing, herein A slightly deep short-term identification point is made a call at the needle point direction in hole and is dyed, card one is by elastic sheet metal at the nearly handle of shank The line tail fixator of making, completes to make.In use, indirect hernia high ligation of hernial sac sutures first under diplopore laparoscope Suitable suture is penetrated on first fairlead of staight needle, the both ends of line are tensed and are caught on buttock line fixator, will be used for The suture of suitable ligation hernical sac is penetrated in second fairlead, has the line drawing of short-term identification point short at this time, then line is used Brine drenches.During operation, pin is pierced into stomach wall again in abdomen wall puncture point and is reached outside peritonaeum, from the outside of the interior collar extension of hernia（Or inner side）Into Enter after reaching half-turn, stick a needle into abdominal cavity, the one end for not having short-term identification point by the second hole will be stayed in intraperitoneal through pulling out.Backward Outside the peritonaeum that the withdraw of the needle is pierced into first time, then the opposite side of inside collar extension enters pin, will up to entering abdominal cavity for the first time and stay to enter abdominal cavity at line Line tail in first hole discharges one end from line tail fixator, line is pulled in intraperitoneal a little into wire loop, makes to stay in abdomen for the first time The line tail of intracavitary is penetrated in this wire loop, goes out pin and the line tail in abdominal cavity will be stayed to take stomach wall out of for the first time, and then line knots in abdomen At film, high ligation of hernial sac is completed, operation terminates.

The beneficial effect of patent of the present invention is：Firstth, wire casing reduces the section into tissue, makes the resistance into pin obvious Reduce；Secondth, diplopore band line, reduces the time for line of once threading a needle again, reduces once again from the time of new inserting needle, also prevent The possibility of adipose tissue is sandwiched when having stopped inserting needle again；3rd, short-term identification point, makes operator can easily find short-term head, pulls out The time of pin hole is obviously shortened；4th, buttock line fixator fixes first bar of line, and first line is no longer with operation in operation Hand removes fixing line tail, makes more convenient operation, succinct, two sutures will not produce " fighting ", so as to reduce operating time.

Brief description of the drawings

Patent of the present invention is further illustrated with reference to the accompanying drawings and examples.

Fig. 1 is the overall structure figure of patent of the present invention.

Fig. 2 is the enlarged drawing in patent A areas of the present invention.

Fig. 3 is the enlarged drawing in patent B areas of the present invention.

1. needle point in Fig. 1,2. first fairleads, 3. first fairlead wire casings, 4. short-term identification points, 5. second are drawn String holes, 6. second fairlead wire casings, 7. shanks, 8. line tail fixators, 9. handles.

2. first fairlead in Fig. 2,3. first fairlead wire casings, 4. short-term identification points, 5. second fairleads, 6. Second fairlead wire casing.

8. line tail fixator in Fig. 3.

Embodiment

Using it is preceding in Fig. 1, two sutures are penetrated into two fairleads（2）（5）, by the first fairlead（2）Line draw It is snugly within line tail fixator（8）.By the second fairlead（5）Line have a short-term identification point（4）A drawing it is short.

In use, pin is pierced into outside peritonaeum from stomach wall, under the observation under laparoscope, by needle point（1）In outside peritonaeum around interior Abdominal cavity is partly ensphered on the outside of collar extension, it will be seen that short-term identification point（4）The second fairlead（5）Line pull in abdominal cavity, then by pin Return to outside the peritonaeum at pin, then to penetrating on the inside of hernia collar extension, abdominal cavity is penetrated at abdominal cavity again up to penetrating for the first time, release the One fairlead（2）Line, pull out a little, form coil, will stay and pulled out since then in coil with intraperitoneal line, then connect pin With the first fairlead（2）Interior line pulls out together, by the second fairlead（5）Stay and take stomach wall out of in the lump in intraperitoneal the end of a thread, By the second fairlead under direct-view（5）Line knot outside the stomach wall, complete operation.

Points for attention：

In using this device, necessarily it is noted that preventing from being accidentally injured blood vessel and spermatic cord.

Claims

1. indirect hernia high ligation of hernial sac sutures staight needle under a kind of new diplopore laparoscope, common by needle point, shank, handle Form, there is double lead hole, wire casing, section line identification point and the buttock line fixator of right-angled intersection on shank, it is characterized in that：On shank There is the double lead hole of right-angled intersection（2）（5）.

2. indirect hernia high ligation of hernial sac sutures staight needle, its feature under the diplopore laparoscope according to claims 1 It is：There is the wire casing of the double lead hole of right-angled intersection to the tail end of pin on shank（3）（6）.

3. indirect hernia high ligation of hernial sac sutures staight needle, its feature under the diplopore laparoscope according to claims 1 It is：There is a section line identification point on shank（4）.

4. indirect hernia high ligation of hernial sac sutures staight needle, its feature under the diplopore laparoscope according to claims 1 It is：There is buttock line fixator on shank（8）.