CN108714040B - Vaginal stump jacking device - Google Patents

Vaginal stump jacking device Download PDF

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Publication number
CN108714040B
CN108714040B CN201810508242.XA CN201810508242A CN108714040B CN 108714040 B CN108714040 B CN 108714040B CN 201810508242 A CN201810508242 A CN 201810508242A CN 108714040 B CN108714040 B CN 108714040B
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clamp
vaginal
clamp arm
liquid injection
long hole
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CN108714040A (en
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王聪
刘丽君
史惠蓉
贾艳艳
吴庆华
陈志敏
任芳
冯文龙
孙芳芳
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0493Protective devices for suturing, i.e. for protecting the patient's organs or the operator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Ophthalmology & Optometry (AREA)
  • Neurosurgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

The vaginal stump ejector comprises a left clamp part and a right clamp part, wherein the left clamp part and the right clamp part have the same structure and are symmetrically arranged left and right; the left clamp part comprises a clamp arm, the upper end of the clamp arm is fixedly connected with a clamp plate, the outline line of the clamp plate is a major arc, the left side of the upper end of the clamp arm is connected with a balloon positioned below the clamp plate, a first mounting hole and a second mounting hole are formed in the clamp arm along the length direction, a liquid injection interface is arranged on the left side of the lower part of the clamp arm, the liquid injection interface is connected with the balloon through a liquid injection pipeline, the liquid injection pipeline is arranged in the first mounting hole in a penetrating manner, and a plugging cap is arranged at the liquid injection interface; in conclusion, the invention has reasonable structural design, is convenient to use, can conveniently suture the vaginal stump, prevents the vaginal wall from being penetrated during suture, and has high safety.

Description

Vaginal stump jacking device
Technical Field
The invention belongs to the technical field of medical treatment, and particularly relates to a vaginal stump jacking device.
Background
Pelvic organ prolapse (pelvic organ prolapse, POP for short) is a common gynecological disease, the risk of surgery treatment due to POP in the life of elderly women is 10%, 29% of them can undergo surgery 2 times in 2 years, and POP has seriously affected the life quality and physical and mental health of patients. The laparoscopic sacral colpitis (laparoscopic sacrocolpopexy, LSC for short) can strengthen the middle pelvic defect through a small-area mesh, and can strengthen the anterior and posterior walls of the vagina at the same time, so that a better clinical effect is achieved; in operation, firstly, the patient firstly moves to the separation of the sacral anterior region under the laparoscope, the patient takes the left lower part and the right higher part of the lower buttocks to expose the right side colonogenal gap, identifies the right ureter, opens the anterior peritoneum of the sacral promontory region longitudinally, exposes the anterior sacral region, takes the anterior avascular region of the first sacral (S1) vertebral body as a suture site, opens the lateral peritoneum along the inner side of the right uterosacral ligament (or passes the mesh below the lateral peritoneum) to the vaginal vault, has the uterus to conduct advanced hysterectomy, separates the bladder vaginal space and the rectum vaginal space under the laparoscope, for correcting the defect at the vaginal apex, generally considers that the separation of the mucosa at the vaginal apex is 3 cm from the vault, designs and cuts the polypropylene mesh into Y-shaped pieces with the width of 3 cm, folds the gauze mass by using oval forceps jaws, lifts the oval forceps handles horizontally and exposes the top of the vaginal stump to suture and fix the mesh on the fibrous muscle layer at the top of the vaginal stump, lifting and lifting the oval forceps handle to expose the anterior wall of the vagina, fixing the mesh on the anterior wall fiber muscle layer of the vagina, lifting the oval forceps handle to expose the posterior wall of the vagina, fixing the mesh on the posterior wall fiber muscle layer of the vagina, lifting the oval forceps handle to recover the residual end of the vagina to the physiological position, pulling up the mesh to the suture site, trimming the mesh to a proper length, intermittently suturing the other end of the mesh to the anterior longitudinal ligament in front of the S1 vertebral body by using the non-absorbable suture, wherein the suture depth comprises the whole anterior longitudinal ligament layer, fully flattening the mesh, generally requires 2-3 needles, and does not have excessive tension after the mesh is suspended and fixed, the most distal end of the vaginal tip is above-6 cm. The absorbable line closes the lateral peritoneum, and the net sheet is embedded behind the peritoneum; the above is a method of vaginal vault pressure stump in the prior art, which has the following drawbacks: (1) The suture needle is not easy to be perceived in time when penetrating the vaginal wall, if the suture-through phenomenon is detected at the end of the operation, the needle and the line at the penetrating part are removed, and even the rest of suture is re-sewed, so that the operation flow is increased, the operation time is prolonged, and the chances of serious complications such as net erosion, exposure and the like can be increased by repeatedly sewing and removing the same part for a plurality of times; (2) If the suture needle is used for suturing the gauze roll and the vaginal wall together after penetrating the vaginal wall, the patch is easy to break when the gauze is taken out, so that the front work is abandoned completely, the hospitalization cost of a patient is obviously increased, the risk of serious complications such as large blood burst of a postoperative sacrum pre-vascular plexus, erosion of a postoperative mesh, exposure of the mesh and the like can be increased when the patch is removed for re-operation, and meanwhile, the difficulty of re-operation caused by bleeding and the like is also obviously increased; (3) The gauze has relatively poor rolling and shaping property, and the front and rear walls of the vagina are difficult to be propped up to a position suitable for suturing; (4) The gauze roll does not have a clamping function, and the gauze roll cannot be ensured to be positioned right in the middle of the vaginal stump in the jacking process, so that the jacking effect is affected, and the suture operation process and the mesh length measurement process are not facilitated; (5) The clamp handles of the oval clamp after the gauze is rolled are fixed in the direction which is the up-down direction, so that the operations of pressing the clamp handles downwards to expose the back wall of the vagina, lifting the clamp handles upwards to expose the front wall of the vagina and the like are not facilitated, and an operator is not facilitated to hold the instrument according to the condition in operation.
Disclosure of Invention
The invention aims to solve the defects in the prior art, and provides the vaginal stump ejector which is convenient to use, reasonable in structural design and capable of preventing the suture needle from piercing the vaginal wall.
In order to solve the technical problems, the invention adopts the following technical scheme: the vaginal stump ejector comprises a left clamp part and a right clamp part, wherein the left clamp part and the right clamp part have the same structure and are symmetrically arranged left and right;
the left clamp part comprises a clamp arm, the upper end of the clamp arm is fixedly connected with a clamp plate, the outline line of the clamp plate is a major arc, the left side of the upper end of the clamp arm is connected with a balloon positioned below the clamp plate, a first mounting hole and a second mounting hole are formed in the clamp arm along the length direction, a liquid injection interface is arranged on the left side of the lower part of the clamp arm, the liquid injection interface is connected with the balloon through a liquid injection pipeline, the liquid injection pipeline is arranged in the first mounting hole in a penetrating manner, and a plugging cap is arranged at the liquid injection interface; the left side of the lower part of the clamp arm is provided with a lower long hole above the liquid injection interface along the length direction, the left side of the upper part of the clamp arm is provided with an upper long hole below the saccule along the length direction, the upper long hole and the lower long hole are communicated with a second mounting hole, a metal push rod is arranged in the second mounting hole in a sliding way, the upper end of the metal push rod is connected with a push plate through an upper short rod, the upper short rod is arranged in the upper long hole in a penetrating way and is in sliding fit with the upper long hole, the push plate is arranged outside the upper long hole and is mutually perpendicular to the clamp arm, the lower end of the metal push rod is connected with a push handle through a lower short rod, the lower short rod is arranged in the lower long hole in a penetrating way and is in sliding fit with the lower long hole, and the push handle is arranged outside the upper long hole; the lower end of the clamp arm is provided with a finger ring handle which can rotate around the lower end of the clamp arm;
the rear side of the middle part of the forceps arm of the left forceps component is hinged with the front side of the middle part of the forceps arm of the right forceps component.
The clamp arm is provided with length scale marks positioned at one side of the lower long hole.
A pawl is arranged between the lower part of the clamp arm of the left clamp part and the lower part of the clamp arm of the right clamp part.
The right side face of the nipper of the left nipper part and the left side face of the nipper of the right nipper part are respectively provided with a plurality of anti-skid convex edges.
The lower extreme of pincers arm is equipped with the ball bowl, and the top of ring handle articulates in the ball bowl through the bulb, has seted up the screw hole along radial direction on the ball bowl, and threaded hole threaded connection has positioning bolt, and positioning bolt's inner and bulb surface roof pressure contact.
The inner end of the positioning bolt is provided with a rubber pad.
By adopting the technical scheme, the invention has the following beneficial effects:
(1) The device has the advantages that by injecting the methylene blue solution into the saccule, an operator can observe whether the methylene blue solution overflows or not to judge whether the suture needle penetrates through the vaginal wall, and the suture process is stopped at the moment, so that the suture can be prevented from being dismantled only by re-suturing, the operation time can be shortened, repeated suturing and dismantling of the same part are avoided, and the chances of serious complications such as vaginal mesh erosion and exposure are reduced;
(2) The balloon is combined with the push plate, so that the vaginal wall can be shaped to a shape which is favorable for suturing, the operation difficulty is greatly reduced, the operation time is shortened, the probability of suturing through the vaginal wall is reduced, and the chances of serious complications such as corrosion, exposure and the like of the vaginal mesh are reduced;
(3) The novel technology has the function of clamping, and the middle part of the jacking device can be ensured to be exactly positioned in the middle of the vaginal stump in the jacking process, so that the jacking effect is ensured, and the suturing operation process and the mesh length measurement process are facilitated;
(4) The finger ring handle of the device is hinged at the end part of the forceps arm through the ball hinge, and the rotatable handle is beneficial to the operation of pressing down the forceps handle to expose the rear wall of the vagina, lifting up the forceps handle to expose the front wall of the vagina and the like, so that an operator can hold the instrument according to the condition in operation, and the device is convenient and labor-saving;
(5) The length scale marks positioned on one side of the lower long hole are arranged on the clamp arm, and an operator can observe the pushing distance of the pushing handle through the length scale marks;
(6) A pawl is arranged between the lower part of the clamp arm of the left clamp part and the lower part of the clamp arm of the right clamp part, and the pawl is a pawl on the oval clamp and is used for positioning the two clamp arms;
(7) And a rubber pad is arranged at the inner end of the positioning bolt and used for increasing the friction force between the positioning bolt and the ball head so as to realize a better and more stable positioning effect.
In conclusion, the invention has reasonable structural design, is convenient to use, can conveniently suture the vaginal stump, prevents the vaginal wall from being penetrated during suture, and has high safety.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
fig. 2 is an enlarged view at H in fig. 1;
FIG. 3 is a right side view of FIG. 1;
FIG. 4 is a schematic view of the structure of the nipper;
FIG. 5 is a schematic illustration of the installation of a metal push rod with a liquid injection pipe.
Detailed Description
As shown in fig. 1 to 5, the vaginal stump ejector of the present invention comprises a left jaw and a right jaw, which have the same structure and are arranged in bilateral symmetry;
the left clamp part comprises a clamp arm 1, the upper end of the clamp arm 1 is fixedly connected with a clamp plate 2, the outer contour line of the clamp plate 2 is a major arc, the left side of the upper end of the clamp arm 1 is connected with a balloon 3 positioned below the clamp plate 2, a first mounting hole 4 and a second mounting hole 5 are formed in the clamp arm 1 along the length direction, a liquid injection interface is arranged on the left side of the lower part of the clamp arm 1, the liquid injection interface is connected with the balloon 3 through a liquid injection pipeline 6, the liquid injection pipeline 6 is arranged in the first mounting hole 4 in a penetrating manner, and a plugging cap 7 is arranged at the liquid injection interface; the left side of the lower part of the clamp arm 1 is provided with a lower long hole 8 above the liquid injection interface along the length direction, the left side of the upper part of the clamp arm 1 is provided with an upper long hole 9 below the saccule 3 along the length direction, the upper long hole 9 and the lower long hole 8 are communicated with a second mounting hole 5, a metal push rod 10 is arranged in the second mounting hole 5 in a sliding penetrating manner, the metal push rod 10 has certain toughness, the metal push rod 10 has certain friction with the hole wall of the second mounting hole 5, the upper end of the metal push rod 10 is connected with a push plate 11 through an upper short rod, the upper short rod is arranged in the upper long hole 9 in a penetrating manner and is in sliding fit with the upper long hole 9, the push plate 11 is arranged outside the upper long hole 9 and is mutually perpendicular with the clamp arm 1, the lower end of the metal push rod 10 is connected with a push handle 12 through a lower short rod, the lower short rod is arranged in the lower long hole 8 in a penetrating manner and is in sliding fit with the lower long hole 8, and the push handle 12 is arranged outside the upper long hole 9; the lower end of the clamp arm 1 is provided with a finger ring handle 13 which can be rotationally adjusted around the lower end of the clamp arm 1;
the rear side of the middle part of the forceps arm 1 of the left forceps part is hinged with the front side of the middle part of the forceps arm 1 of the right forceps part.
The caliper arm 1 is provided with length graduation marks 14 positioned on one side of the lower long hole 8.
A pawl 15 is arranged between the lower part of the clamp arm 1 of the left clamp part and the lower part of the clamp arm 1 of the right clamp part.
The right side surface of the nipper 2 of the left nipper part and the left side surface of the nipper 2 of the right nipper part are respectively provided with a plurality of anti-slip convex edges 16.
The lower extreme of tong arm 1 is equipped with ball bowl 17, and the top of ring handle 13 articulates in ball bowl 17 through bulb 18, has seted up the screw hole along radial direction on the ball bowl 17, and threaded hole internal thread connection has positioning bolt 19, and the inner and the outer surface roof pressure contact of bulb 18 of positioning bolt 19.
The inner end of the positioning bolt 19 is provided with a rubber pad.
In laparoscopic sacral colpitis, first, the separation of the sacral anterior region under the laparoscope is carried out, the patient takes the left lower position, the right higher position and the left lower position of the lower buttocks to expose the right side colonogenal lateral gap, identifies the right ureter, opens the anterior peritoneum of the sacral promontory longitudinally, exposes the anterior sacral region, takes the anterior avascular region of the first sacral (S1) vertebral body as a suture site, opens the lateral peritoneum along the inner side of the right uterosacral ligament (or passes the mesh below the lateral peritoneum) to the vaginal fornix, has the uterus in advance hysterectomy, separates the bladder vaginal gap and the rectal vaginal gap under the laparoscope, for correcting the defect at the vaginal apex, generally considers that the separation of the mucosa at the vaginal apex is 3 cm long from the fornix, designs and cuts the polypropylene mesh into Y-shaped, has the width 3 cm, the vaginal retractor exposes the vaginal stump, the forceps plate 2 of the forceps of the invention is used to clamp the median tissue at the vaginal stump, then opening the plugging cap 7, connecting the liquid injection interface, injecting methylene blue solution into the two balloons 3 through the liquid injection pipeline 6 until the balloons 3 are filled with the methylene blue solution, stopping injection, pushing the two pushing handles 12, moving the pushing handles 12 upwards along the lower long holes 8, pushing the pushing handles 12 upwards through the metal pushing rods 10 to push the pushing plates 11, moving the pushing plates 11 upwards and pushing the balloons 3 to enable the balloons 3 to push and shape the front and rear walls of the vagina, adjusting the ring handles 13 to a convenient and labor-saving position (generally horizontal position) according to actual conditions in operation by an operator, only loosening the positioning bolts 19 during adjustment, rotating the ring handles 13 around the lower ends of the forceps arms 1 until the positioning bolts 19 are screwed after the positioning bolts 19 are at proper positions, positioning the ball heads 18, the position adjustment of the finger ring handle 13 is completed; intermittently suturing and fixing the net sheet on the fiber muscle layer at the top of the residual end of the vagina by horizontally and lifting the clamp arm 1 to expose the top of the residual end of the vagina, paying attention to that the suture cannot penetrate the vaginal mucosa layer, if blue liquid flowing out of needle eyes or vaginal wall collapse is found in the suturing process, indicating that the suture needle is sewn through the vaginal wall, timely dismantling the needle suture, replacing the saccule 3 of the device or the device, lifting and lifting the clamp handle to expose the front wall of the vagina to fix the net sheet on the fiber muscle layer at the front wall of the vagina in a split-row intermittent manner, paying attention to that the suture cannot penetrate the vaginal mucosa layer, and pressing and lifting the oval clamp handle to expose the back wall of the vagina to fix the net sheet on the fiber muscle layer at the back wall of the vagina in a split-row intermittent manner, and paying attention to that the suture cannot penetrate the vaginal mucosa layer; similarly, if blue liquid flowing out of the needle eye or vaginal wall collapse is found in the process of suturing the front and rear vaginal wall and the mesh, the corresponding suture is required to be removed in time and the balloon 3 or the device is required to be replaced; the forceps handles are lifted horizontally to restore the residual vagina to the physiological position, the net sheet is pulled upwards to a suture position, the net sheet is trimmed to a proper length, the other end of the net sheet is intermittently sutured and fixed on the anterior longitudinal ligament of the sacrum in front of the S1 vertebral body by using non-absorbable suture, the suture depth comprises the whole anterior longitudinal ligament, the net sheet is fully flattened, generally 2-3 needles are needed, the net sheet is not excessively tensioned after being suspended and fixed, the most distal end of the top of the vagina reaches more than-6 cm, the absorbable suture closes the lateral peritoneum, and the net sheet is embedded behind the peritoneum.
The present embodiment is not limited in any way by the shape, material, structure, etc. of the present invention, and any simple modification, equivalent variation and modification made to the above embodiments according to the technical substance of the present invention are all included in the scope of protection of the technical solution of the present invention.

Claims (6)

1. The vaginal stump ejector is characterized in that: the clamping device comprises a left clamping part and a right clamping part, wherein the left clamping part and the right clamping part have the same structure and are symmetrically arranged left and right;
the left clamp part comprises a clamp arm, the upper end of the clamp arm is fixedly connected with a clamp plate, the outline line of the clamp plate is a major arc, the left side of the upper end of the clamp arm is connected with a balloon positioned below the clamp plate, a first mounting hole and a second mounting hole are formed in the clamp arm along the length direction, a liquid injection interface is arranged on the left side of the lower part of the clamp arm, the liquid injection interface is connected with the balloon through a liquid injection pipeline, the liquid injection pipeline is arranged in the first mounting hole in a penetrating manner, and a plugging cap is arranged at the liquid injection interface; the left side of the lower part of the clamp arm is provided with a lower long hole above the liquid injection interface along the length direction, the left side of the upper part of the clamp arm is provided with an upper long hole below the saccule along the length direction, the upper long hole and the lower long hole are communicated with a second mounting hole, a metal push rod is arranged in the second mounting hole in a sliding way, the upper end of the metal push rod is connected with a push plate through an upper short rod, the upper short rod is arranged in the upper long hole in a penetrating way and is in sliding fit with the upper long hole, the push plate is arranged outside the upper long hole and is mutually perpendicular to the clamp arm, the lower end of the metal push rod is connected with a push handle through a lower short rod, the lower short rod is arranged in the lower long hole in a penetrating way and is in sliding fit with the lower long hole, and the push handle is arranged outside the upper long hole; the lower end of the clamp arm is provided with a finger ring handle which can rotate around the lower end of the clamp arm;
the rear side of the middle part of the forceps arm of the left forceps component is hinged with the front side of the middle part of the forceps arm of the right forceps component;
the forceps plates of the vaginal stump ejector clamp the tissue in the middle of the vaginal stump, then open the plugging cap, connect the liquid injection interface, inject methylene blue solution into two saccules through the liquid injection pipeline until the saccules are full of methylene blue solution, then push two pushing handles, the pushing handles move upwards along the lower long holes, the pushing handles push the pushing plate upwards through the metal pushing rod, the pushing plate moves upwards and pushes the saccules, so that the saccules push and shape the front and rear walls of the vagina;
if blue liquid flowing out of the needle eye or vaginal wall collapse is found in the suturing process, the needle is required to be removed in time and the saccule of the vaginal stump ejector or the vaginal stump ejector is replaced when the needle is sutured through the vaginal wall;
the vaginal stump jacking device is characterized in that the methylene blue solution is injected into the saccule, an operator can observe whether the methylene blue solution overflows or not to judge whether the suture needle penetrates through the vaginal wall, at the moment, the suture process is stopped, the suture is prevented from being dismantled only by re-suturing, the operation time is shortened, and the repeated suturing and dismantling of the same part are avoided;
the balloon is combined with the push plate, so that the shape of the vaginal wall is good, the shape of the vaginal wall is good for suturing, the operation difficulty is greatly reduced, the operation time is shortened, and the probability of suturing through the vaginal wall is reduced;
the vaginal stump jacking device has a clamping function, and the middle part of the jacking device can be ensured to be exactly positioned in the middle of the vaginal stump in the jacking process, so that the jacking effect is ensured, and the suture operation process and the mesh length measurement process are facilitated.
2. The vaginal stump jack of claim 1, wherein: the clamp arm is provided with length scale marks positioned at one side of the lower long hole.
3. The vaginal stump jack of claim 1, wherein: a pawl is arranged between the lower part of the clamp arm of the left clamp part and the lower part of the clamp arm of the right clamp part.
4. The vaginal stump jack of claim 1, wherein: the right side face of the nipper of the left nipper part and the left side face of the nipper of the right nipper part are respectively provided with a plurality of anti-skid convex edges.
5. The vaginal stump jack of claim 1, wherein: the lower extreme of pincers arm is equipped with the ball bowl, and the top of ring handle articulates in the ball bowl through the bulb, has seted up the screw hole along radial direction on the ball bowl, and threaded hole threaded connection has positioning bolt, and positioning bolt's inner and bulb surface roof pressure contact.
6. The vaginal stump jack of claim 5, wherein: the inner end of the positioning bolt is provided with a rubber pad.
CN201810508242.XA 2018-05-24 2018-05-24 Vaginal stump jacking device Active CN108714040B (en)

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CN114391924B (en) * 2022-01-18 2024-05-14 湖州市妇幼保健院 Clamping device for assisting laparoscopic vaginal stump suturing

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