CN108524059A - The sling operation method and device of ligamentum inguinale treats pelvic organ prolapse in front of ligamentum teres to anterior superior spine - Google Patents
The sling operation method and device of ligamentum inguinale treats pelvic organ prolapse in front of ligamentum teres to anterior superior spine Download PDFInfo
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- CN108524059A CN108524059A CN201810415243.XA CN201810415243A CN108524059A CN 108524059 A CN108524059 A CN 108524059A CN 201810415243 A CN201810415243 A CN 201810415243A CN 108524059 A CN108524059 A CN 108524059A
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- Prior art keywords
- prolapse
- tool
- supporting plate
- uterus
- mesh sheet
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- 208000013823 pelvic organ prolapse Diseases 0.000 title claims abstract description 15
- 238000000034 method Methods 0.000 title claims description 18
- 208000012287 Prolapse Diseases 0.000 claims abstract description 128
- 210000004291 uterus Anatomy 0.000 claims abstract description 76
- 210000001215 vagina Anatomy 0.000 claims description 27
- 239000000725 suspension Substances 0.000 claims description 12
- 238000001356 surgical procedure Methods 0.000 claims description 7
- 210000000505 parietal peritoneum Anatomy 0.000 claims description 6
- 208000010138 Diastema Diseases 0.000 claims description 3
- 210000000683 abdominal cavity Anatomy 0.000 claims description 3
- 210000000475 diastema Anatomy 0.000 claims description 3
- 239000004744 fabric Substances 0.000 claims description 3
- 210000004013 groin Anatomy 0.000 claims description 3
- 210000004400 mucous membrane Anatomy 0.000 claims description 3
- 229920000642 polymer Polymers 0.000 claims description 3
- 210000003195 fascia Anatomy 0.000 claims description 2
- 238000007912 intraperitoneal administration Methods 0.000 claims description 2
- 238000009958 sewing Methods 0.000 claims description 2
- 210000001015 abdomen Anatomy 0.000 abstract description 6
- 230000000694 effects Effects 0.000 abstract description 2
- 210000000056 organ Anatomy 0.000 description 9
- 210000003041 ligament Anatomy 0.000 description 6
- 210000003932 urinary bladder Anatomy 0.000 description 6
- 201000010099 disease Diseases 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 238000002224 dissection Methods 0.000 description 3
- 239000000203 mixture Substances 0.000 description 3
- 206010062575 Muscle contracture Diseases 0.000 description 2
- 208000000450 Pelvic Pain Diseases 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 208000006111 contracture Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000003628 erosive effect Effects 0.000 description 2
- 230000001568 sexual effect Effects 0.000 description 2
- 239000013589 supplement Substances 0.000 description 2
- 208000011580 syndromic disease Diseases 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 238000011888 autopsy Methods 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000007850 degeneration Effects 0.000 description 1
- 210000001624 hip Anatomy 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 210000003903 pelvic floor Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000009738 saturating Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0022—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed deep in the body opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
Abstract
Pelvic organ prolapse device, including mesh sheet, operation for prolapse of uterus tool, vault prolapse operation tool are treated the present invention relates to a kind of；Mesh sheet is " ten " font；The operation for prolapse of uterus tool is made of operation for prolapse of uterus tool supporting plate, operation for prolapse of uterus handle for tool；The vault prolapse operation tool is bored by vault prolapse operation tool, vault prolapse operation tool handle forms.Its advantage is shown：Compared with current " goldstandard " is through abdomen sacrum skeletal fixation, curative effect is identical, and can more effectively solve anterior vaginal wall bulging.Dissecting difficulty reduces, and is easy to grasp, and without severe complication, easily promotes.
Description
Technical field
The present invention relates to the field of medical instrument technology, specifically, being a kind of device that treating pelvic organ prolapse and edge
The sling operation method of ligamentum inguinale in front of ligamentum teres to anterior superior spine.
Background technology
Female pelvic cavity organ prolapse (pelvic organprolapse, POP) refers mainly to pelvic organs：Bladder, uterus,
Vagina and rectum are because of pelvic tissue degeneration, wound, congenital malformation or postpartum factor, caused uterus, vagina and/or adjacent
Organ occurs pathologic and declines.
With the trend of Chinese society aging of population, the incidence of basin bottom organ prolapse will be gradually increasing, and POP becomes woman
One of female's common disease, about 40% shows different degrees of basin bottom organ prolapse symptom, and operation is needed to solve.It is clinical at present normal
The modus operandi seen is mainly uterine neck or vagina mesh sheet sacrum skeletal fixation, uterosacral ligament ligamentopexis, sacrospinous ligament fixation and complete
Pelvic pain syndrome art etc. is that external expert is invented.The approach for the treatment of mainly passes through the normal anatomical structure of surgery recovery, from
And restore function, improve patients ' life quality.Since basin bottom organ prolapse surgery's mode is various, art formula is complicated, and dissection difficulty is big,
The complication such as rejection, the erosion of postoperative recurrence and presence synthesis mesh sheet, make existing operation method have some limitations.
In recent years, basin bottom in China's learns expert and has also carried out relevant research, such as Via vagina operation：It is " concord ", " virgin
The full Pelvic pain syndrome of formula ", achieves very big achievement.But mesh sheet, complication such as mesh sheet are placed in Via vagina operation in the world
It corrodes, expose, infecting and mesh sheet contracture rate is up to 10%, being especially the focus discussed at present to the influence of sexual life.
U.S. FDA proposes second of warning within 2011, and being implanted into mesh sheet treatment POP to vagina proposes limitation.So through abdomen rumpbone
Ligamentopexis has become current " goldstandard ", has obtained the extensive favor that expert is learned at vast basin bottom in recent years, but its dissection is difficult
Degree height, relatively low serious complication constrain the popularization of operation.So it is low to find simple easily grasp, few intercurrent disease, recurrence rate
And the low modus operandi of expense is a problem to be solved to treat basin bottom organ prolapse and be subject to specification.
It is outstanding that Chinese patent literature CN205054532U discloses a kind of ligamentum inguinale for female pelvic organ prolapse
Cat net piece, including uterine neck and anterior vaginal wall suspender；Ligamentum inguinale suspension arm, two ligamentum inguinale suspension arms are symmetrical arranged
In the side of uterine neck and anterior vaginal wall suspender；Sacrum ligament or posterior vaginal wall suspension arm, two sacrum ligaments or posterior vaginal wall suspention
Arm is symmetricly set on the both ends of uterine neck and anterior vaginal wall suspender.Chinese patent literature CN205814481U discloses one kind and is used for
The auxiliary device of female pelvic organ prolapse is repaired, including：Mutually matched suspention mesh sheet, fornix supporting plate and fornix cone.But
About the device for treating pelvic organ prolapse of the present invention and along ligamentum teres to the suspention hand of anterior superior spine front ligamentum inguinale
Art method yet there are no report.
Invention content
First purpose of the present invention be, for deficiency in the prior art, provides a kind of pelvic organ prolapse for the treatment of
Device.
Second object of the present invention is to provide a kind of suspention hand of the ligamentum inguinale in front of ligamentum teres to anterior superior spine
Art method.
To realize above-mentioned first purpose, the technical solution adopted by the present invention is that：A kind of dress for treating pelvic organ prolapse
It sets, the device includes mesh sheet, operation for prolapse of uterus tool, vault prolapse operation tool；The mesh sheet is " ten " font,
The mesh sheet has 2 mesh sheet long-armed and 2 mesh sheet galianconism, and 2 long-armed directions of mesh sheet are identical, 2 mesh sheet galianconism direction phases
Together, mesh sheet is long-armed intersects vertically between mesh sheet galianconism, and the long-armed length of mesh sheet is 12~14cm, width is 1.5~2.5cm,
The length of mesh sheet galianconism is 3~12cm, width is 2.5~4cm；The operation for prolapse of uterus tool is by operation for prolapse of uterus work
Having supporting plate, operation for prolapse of uterus handle for tool composition, operation for prolapse of uterus tool supporting plate is made of front end supporting plate and rear end supporting plate,
At angle α between front end supporting plate and rear end supporting plate, the length of α=30 °, front end supporting plate is 5cm, and the length of rear end supporting plate is 7cm,
The width of front end supporting plate and rear end supporting plate is 4~5cm, the rear end supporting plate of operation for prolapse of uterus tool supporting plate and operation for prolapse of uterus
Handle for tool connects, at angle β between the rear end supporting plate and operation for prolapse of uterus handle for tool of operation for prolapse of uterus tool supporting plate,
β=15 °, the length of operation for prolapse of uterus handle for tool is 25cm, width 1cm；The vault prolapse operation tool is by vault
The length of gallery prolapse surgery tool cone, vault prolapse operation tool handle composition, vault prolapse operation tool cone is 10~12cm,
Vault prolapse operation tool cone is connect with vault prolapse operation tool handle, and the length of vault prolapse operation tool handle is
25cm, width 1cm.
The mesh sheet is artificial polymer fabric piece or biological mesh sheet.
The middle part of the operation for prolapse of uterus handle for tool has an operation for prolapse of uterus tool annulus, the vault
There are one vault prolapse operation tool annulus for the middle part tool of gallery prolapse surgery handle for tool.
The front end supporting plate of operation for prolapse of uterus tool supporting plate and the width of rear end supporting plate are 4cm.
The front end supporting plate of operation for prolapse of uterus tool supporting plate and the width of rear end supporting plate are 4.5cm.
The front end supporting plate of operation for prolapse of uterus tool supporting plate and the width of rear end supporting plate are 5cm.
The top cross section of vault prolapse operation tool cone is the ellipse of a length of 0.8cm of minor axis, a length of 4cm of major diameter, by
Gradually diagonal 5cm, make cross section become the long 2cm of minor axis, a length of 4cm of major diameter ellipse and extend in parallel 7cm.
The top cross section of vault prolapse operation tool cone is the ellipse of a length of 0.8cm of minor axis, a length of 5cm of major diameter, by
Gradually diagonal 5cm, make cross section become the long 2cm of minor axis, a length of 5cm of major diameter ellipse and extend in parallel 7cm.
To realize above-mentioned second purpose, the technical solution adopted by the present invention is that：A kind of hand for treating pelvic organ prolapse
Art method, the operation method include the vault prolapse for cutting off uterus and ametria, and steps are as follows：With vault prolapse operation work
Tool, in intraperitoneal opening bladder reflexed peritonaeum, isolating bladder anterior diastema and rectovaginal septum, by the cross center of mesh sheet with can not
Then mesh sheet galianconism is stitched respectively to the front and rear wall of vagina, sutured by Absorption Line interrupted suture to vaginal vault or fornix end
Pay attention to that vagina front and rear wall mucous membrane cannot be penetrated in journey；If the prolapsus of Reservations uterus, mesh sheet galianconism is cut off into two " T " from centre
Shape, and by mesh sheet galianconism rotating around vagina front and rear wall and isthmus uteri is sewn to by palace, in pressing anterior superior spine front 1 outside abdominal cavity
At~2cm, ligamentum inguinale region is positioned, so that it is determined that the point of suspension in ligamentum inguinale；Groin flank parietal peritoneum is opened,
Fully exposure ligamentum inguinale and fascia；Mesh sheet is long-armed in being drawn out to femoral canal entrance along ligamentum teres direction outside flank parietal peritoneum
Outside then reaches ligamentum inguinale point of suspension, after Via vagina measures vagina length, by the long-armed use of mesh sheet along peritonaeum outer tunnel
Nonabsorable suture in ligamentum inguinale in suturing.
The invention has the advantages that：
1, compared with current " goldstandard " is through abdomen sacrum skeletal fixation, curative effect is identical, and can more effectively solve anterior vaginal wall
Bulging.
2, dissection difficulty reduces, and is easy to grasp, and without severe complication.
3, operation method of the invention is easily promoted.
Description of the drawings
Attached drawing 1 is the structural schematic diagram of mesh sheet.
Attached drawing 2 is the vertical view of operation for prolapse of uterus tool.
Attached drawing 3 is the side view of operation for prolapse of uterus tool.
Attached drawing 4 is the vertical view of vault prolapse operation tool.
Attached drawing 5 is the side view of vault prolapse operation tool.
Specific implementation mode
It elaborates to specific implementation mode provided by the invention with reference to embodiment.
Reference numeral and component part involved in attached drawing is as follows：
1, mesh sheet
11, mesh sheet is long-armed
12, mesh sheet galianconism
2, operation for prolapse of uterus tool
21, operation for prolapse of uterus tool supporting plate
22, operation for prolapse of uterus handle for tool
23, operation for prolapse of uterus tool annulus
3, vault prolapse operation tool
31, vault prolapse operation tool is bored
32, vault prolapse operation tool handle
33, vault prolapse operation tool annulus
POP is one of old women common disease and frequently-occurring disease, seriously affects the quality of life of patient.Via vagina hysterectomy
It removes and colporrhaphia anterior-posterior recurrence rate 40~60%, the operative treatment based on sticking patch can provide enough for pelvic floor tissue
Support, preferably restore pelvic organ anatomical structure.But Via vagina Reconstructive pelvic, complication such as mesh sheet erosion,
Exposure, infection and mesh sheet contracture rate are up to 10%, influence sexual life rate 13%.Currently, through abdomen sacrum skeletal fixation and its improvement art
Formula is identified the standard art formula of severe POP in treatment.But the operation is high to patient's anatomical requirements, operation difficulty is larger, hand
Art implementation process is complicated, though complication is few very serious, makes it difficult to carry out extensively.Inventor first proposed with bilateral abdomen stock
Ditch ligament is the modus operandi for suspending region in midair, to repair the pelvic organ of prolapsus.
Inventor has found the specific region of anatomy of ligamentum inguinale point of suspension by women autopsy and zoopery,
Confirm that the vagina front and rear wall prolapsus that the art formula can effectively treat the prolapse of uterus and vaginal vault prolapse and merge simultaneously is (swollen
Go out).The smooth implementation of this operation is expected to set up a kind of completely new Reconstructive pelvic mode, and pelvic cavity device is treated for clinician
Official, which prolapses, provides a kind of safer surgical selection, and can at home and abroad wide popularization and application.
A kind of device for treating pelvic organ prolapse, the device include mesh sheet 1, operation for prolapse of uterus tool 2, fornix
Prolapse surgery tool 3.
1 mesh sheet of embodiment
Attached drawing 1 is please referred to, attached drawing 1 is the structural schematic diagram of mesh sheet.
A kind of mesh sheet 1, the mesh sheet 1 can be artificial polymer fabric piece or biological mesh sheet, and the mesh sheet 1 is " ten " word
Shape, the mesh sheet 1 have the long-armed 11 and 2 mesh sheet galianconism 12 of 2 mesh sheet.2 mesh sheet long-armed 11 are in same plane and direction
It is identical, 2 mesh sheet galianconism 12 same plane and direction it is identical, intersect vertically between mesh sheet long-armed 11 and mesh sheet galianconism 12.Net
The length of piece long-armed 11 is 12~14cm, width is 1.5~2.5cm, and the length of mesh sheet galianconism 12 is 3~12cm, width 2.5
~4cm.
2 operation for prolapse of uterus tool of embodiment
Attached drawing 2, attached drawing 3 are please referred to, attached drawing 2 is the vertical view of operation for prolapse of uterus tool, and attached drawing 3 is operation for prolapse of uterus
The side view of tool.
A kind of operation for prolapse of uterus tool 2, the operation for prolapse of uterus tool 2 is by operation for prolapse of uterus tool supporting plate
21, operation for prolapse of uterus handle for tool 22, operation for prolapse of uterus tool annulus 23 form.Operation for prolapse of uterus tool supporting plate 21 by
Front end supporting plate and rear end supporting plate composition are at angle α, the length of α=30 °, front end supporting plate between front end supporting plate and rear end supporting plate
The length of 5cm, rear end supporting plate are 7cm.The rear end supporting plate of operation for prolapse of uterus tool supporting plate 21 and operation for prolapse of uterus tool hand
Handle 22 connects, at angle β between the rear end supporting plate and operation for prolapse of uterus handle for tool 22 of operation for prolapse of uterus tool supporting plate 21,
β=15 °.The length of operation for prolapse of uterus handle for tool 22 is 25cm, width 1cm.The operation for prolapse of uterus tool hand
The middle part of handle 22 has an operation for prolapse of uterus tool annulus 23.
There are three models for the tool of operation for prolapse of uterus tool 2：
It is small size：The front end supporting plate of operation for prolapse of uterus tool supporting plate 21 and the width of rear end supporting plate are 4cm.
Medium size：The front end supporting plate of operation for prolapse of uterus tool supporting plate 21 and the width of rear end supporting plate are 4.5cm.
Large size：The front end supporting plate of operation for prolapse of uterus tool supporting plate 21 and the width of rear end supporting plate are 5cm.
3 vault prolapse operation tool of embodiment
Attached drawing 4, attached drawing 5 are please referred to, attached drawing 4 is the vertical view of vault prolapse operation tool, and attached drawing 5 is vault prolapse operation
The side view of tool.
A kind of vault prolapse operation tool 3, the vault prolapse operation tool 3 by vault prolapse operation tool cone 31,
Vault prolapse operation tool handle 32 and vault prolapse operation tool annulus 33 form.Vault prolapse operation tool cone 31 and fornix
Prolapse surgery handle for tool 32 connects, and the length of vault prolapse operation tool cone 31 is 10~12cm, vault prolapse operation tool
The length of handle 32 is 25cm, width 1cm.There are one vault prolapses to perform the operation for the middle part tool of vault prolapse operation tool handle 32
Tool annulus 33.
There are two models for the tool of vault prolapse operation tool 3：
It is small size：Vault prolapse operation tool cone 31 top cross section be a length of 0.8cm of minor axis, a length of 4cm of major diameter it is ellipse
Circle, gradual diagonal 5cm, make cross section become the long 2cm of minor axis, a length of 4cm of major diameter ellipse and extend in parallel 7cm.
Medium size：Vault prolapse operation tool cone 31 top cross section be a length of 0.8cm of minor axis, a length of 5cm of major diameter it is ellipse
Circle, gradual diagonal 5cm, make cross section become the long 2cm of minor axis, a length of 5cm of major diameter ellipse and extend in parallel 7cm.
4 operation method of embodiment
Modus operandi is 2 kinds：1. excision uterus or the vault prolapse ligamentum inguinale suspension for having cut off uterus, 2. protect
Stay uterus ligamentum inguinale suspension.
1. opening bladder reflexed peritonaeum, isolating bladder anterior diastema and rectovaginal gap.If there is uterus person first to cut off uterus
Afterwards by mesh sheet can according to vagina front and rear wall prolapse degree adjust netting length, by among the hip cross of mesh sheet between not Absorption Line
Breaking joint is bonded to fornix vaginae end, then mesh sheet galianconism is stitched respectively to the front and rear wall of vagina.Pay attention to wear in sewing process
Saturating vagina front and rear wall mucous membrane.If vault prolapse prolapses II~III degree with vagina front and back walls, mesh sheet galianconism extend to vagina before,
Rear wall lower portion；If descensus vaginae anterior IV degree, mesh sheet galianconism extends to vagina traverse furrow (Urinary Bladder intersection) level, if
Descent vaginae posterior IV degree, mesh sheet galianconism, which is extended to, to be fixed on away from suture at 2cm above perineal body above musculus levator ani.
2. Reservations uterus patient, mesh sheet galianconism is cut off from centre it is "T"-shaped as two, and by mesh sheet galianconism rotating around palace
Side is sewn to vagina front and rear wall and isthmus uteri.In being pressed outside abdominal cavity in front of anterior superior spine at 1~2cm, ligamentum inguinale is positioned
Region, so that it is determined that the point of suspension in ligamentum inguinale.Open groin flank parietal peritoneum, fully exposure ligamentum inguinale and muscle
Film.By the long-armed in being drawn out to femoral canal along ligamentum teres direction outside flank parietal peritoneum of mesh sheet, then along arrival abdomen stock outside peritonaeum
Ditch ligament point of suspension (in front of anterior superior spine in the ligamentum inguinale away from 1.5~3cm of anterior superior spine).It can not by long-armed use of mesh sheet
Suture is absorbed in suturing about 2~3 needles in ligamentum inguinale.The same method of offside.In entire operative process, make vagina front and rear wall and
Vaginal vault exposure is clear.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
Member, under the premise of not departing from the method for the present invention, can also make several improvement and supplement, these are improved and supplement also should be regarded as
Protection scope of the present invention.
Claims (9)
1. a kind of device for treating pelvic organ prolapse, which is characterized in that the device includes mesh sheet, operation for prolapse of uterus work
Tool, vault prolapse operation tool；The mesh sheet is " ten " font, and the mesh sheet has 2 mesh sheet long-armed and 2 mesh sheet are short
Arm, 2 long-armed directions of mesh sheet are identical, and 2 mesh sheet galianconism directions are identical, and mesh sheet is long-armed intersects vertically between mesh sheet galianconism, net
The long-armed length of piece is 12~14cm, width is 1.5~2.5cm, the length of mesh sheet galianconism is 3~12cm, width be 2.5~
4cm；The operation for prolapse of uterus tool is made of operation for prolapse of uterus tool supporting plate, operation for prolapse of uterus handle for tool, son
Palace prolapse surgery tool supporting plate is made of front end supporting plate and rear end supporting plate, at angle α between front end supporting plate and rear end supporting plate, α=
30 °, the length of front end supporting plate is 5cm, and the length of rear end supporting plate is 7cm, and the width of front end supporting plate and rear end supporting plate is 4~5cm,
The rear end supporting plate of operation for prolapse of uterus tool supporting plate is connect with operation for prolapse of uterus handle for tool, operation for prolapse of uterus tool supporting plate
Rear end supporting plate and operation for prolapse of uterus handle for tool between at angle β, β=15 °, the length of operation for prolapse of uterus handle for tool
For 25cm, width 1cm；The vault prolapse operation tool is by vault prolapse operation tool cone, vault prolapse operation tool
Handle forms, and the length of vault prolapse operation tool cone is 10~12cm, and vault prolapse operation tool cone is performed the operation with vault prolapse
Handle for tool connects, and the length of vault prolapse operation tool handle is 25cm, width 1cm.
2. the apparatus according to claim 1, which is characterized in that the mesh sheet is artificial polymer fabric piece or biological mesh sheet.
3. the apparatus according to claim 1, which is characterized in that the middle part of the operation for prolapse of uterus handle for tool has
One operation for prolapse of uterus tool annulus, there are one vault prolapses to perform the operation for the middle part tool of the vault prolapse operation tool handle
Tool annulus.
4. the apparatus according to claim 1, which is characterized in that the front end supporting plate of operation for prolapse of uterus tool supporting plate and rear end
The width of supporting plate is 4cm.
5. the apparatus according to claim 1, which is characterized in that the front end supporting plate of operation for prolapse of uterus tool supporting plate and rear end
The width of supporting plate is 4.5cm.
6. the apparatus according to claim 1, which is characterized in that the front end supporting plate of operation for prolapse of uterus tool supporting plate and rear end
The width of supporting plate is 5cm.
7. the apparatus according to claim 1, which is characterized in that the top cross section of vault prolapse operation tool cone is minor axis
The ellipse of a length of 4cm of a length of 0.8cm, major diameter, gradual diagonal 5cm make cross section become the long 2cm of minor axis, major diameter a length of 4cm
Ellipse simultaneously extends in parallel 7cm.
8. the apparatus according to claim 1, which is characterized in that the top cross section of vault prolapse operation tool cone is minor axis
The ellipse of a length of 5cm of a length of 0.8cm, major diameter, gradual diagonal 5cm make cross section become the long 2cm of minor axis, major diameter a length of 5cm
Ellipse simultaneously extends in parallel 7cm.
9. a kind of operation method for treating pelvic organ prolapse with any device of claim 1~8, feature exist
In the operation method includes the vault prolapse for cutting off uterus and ametria, and steps are as follows：With vault prolapse operation tool,
In intraperitoneal opening bladder reflexed peritonaeum, isolating bladder anterior diastema and rectovaginal septum, by the cross center of mesh sheet can not inhale
Then mesh sheet galianconism is stitched respectively to the front and rear wall of vagina, sewing process by take-up interrupted suture to vaginal vault or fornix end
Middle attention cannot penetrate vagina front and rear wall mucous membrane；If the prolapsus of Reservations uterus, mesh sheet galianconism is cut off into two " T " from centre
Shape, and by mesh sheet galianconism rotating around vagina front and rear wall and isthmus uteri is sewn to by palace, in pressing anterior superior spine front 1 outside abdominal cavity
At~2cm, ligamentum inguinale region is positioned, so that it is determined that the point of suspension in ligamentum inguinale；Groin flank parietal peritoneum is opened,
Fully exposure ligamentum inguinale and fascia；Mesh sheet is long-armed in being drawn out to femoral canal entrance along ligamentum teres direction outside flank parietal peritoneum
Outside then reaches ligamentum inguinale point of suspension, after Via vagina measures vagina length, by the long-armed use of mesh sheet along peritonaeum outer tunnel
Nonabsorable suture in ligamentum inguinale in suturing.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810415243.XA CN108524059A (en) | 2018-05-03 | 2018-05-03 | The sling operation method and device of ligamentum inguinale treats pelvic organ prolapse in front of ligamentum teres to anterior superior spine |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810415243.XA CN108524059A (en) | 2018-05-03 | 2018-05-03 | The sling operation method and device of ligamentum inguinale treats pelvic organ prolapse in front of ligamentum teres to anterior superior spine |
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| Publication Number | Publication Date |
|---|---|
| CN108524059A true CN108524059A (en) | 2018-09-14 |
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| CN201810415243.XA Pending CN108524059A (en) | 2018-05-03 | 2018-05-03 | The sling operation method and device of ligamentum inguinale treats pelvic organ prolapse in front of ligamentum teres to anterior superior spine |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109498080A (en) * | 2019-01-03 | 2019-03-22 | 四川省妇幼保健院 | A kind of operation separation bar, the U-shaped baffle of operation stitching and its application method |
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| US6808486B1 (en) * | 2002-12-03 | 2004-10-26 | Pat O'Donnell | Surgical instrument for treating female urinary stress incontinence |
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