CN110090090A - A kind of intravaginal mesh sheet cutting combined method suitable for full Pelvic pain syndrome art - Google Patents
A kind of intravaginal mesh sheet cutting combined method suitable for full Pelvic pain syndrome art Download PDFInfo
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- CN110090090A CN110090090A CN201910369119.9A CN201910369119A CN110090090A CN 110090090 A CN110090090 A CN 110090090A CN 201910369119 A CN201910369119 A CN 201910369119A CN 110090090 A CN110090090 A CN 110090090A
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- mesh sheet
- way
- escape
- road network
- intravaginal
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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
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
-
- 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
- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2240/001—Designing or manufacturing processes
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The embodiment of the invention discloses a kind of intravaginal mesh sheet suitable for full Pelvic pain syndrome art to cut combined method, belongs to full Pelvic pain syndrome art technical field.The method includes way of escape mesh sheet is unfolded, according to patient's cervical length, arc cutting is carried out in way of escape mesh sheet lower part, the length of way of escape mesh sheet lower part and form is made to coincide with uterine neck；The middle and back of preceding road network piece is overlapped with the top of the way of escape mesh sheet after cutting and stacks, and carries out surgery in the overlapping position of preceding road network piece and way of escape mesh sheet using nonabsorable line and knots to fix preceding road network piece and way of escape mesh sheet, obtains the integrated mesh sheet with six wing lattice bands.The one mesh sheet is under the premise of guaranteeing to perform the operation outcome, intravaginal incision length can be effectively reduced, reducing needs tissue space to be separated, reduces intraoperative hemorrhage, shortens operating time, there is mesh sheet contracture in reduction, mesh sheet pain, mesh sheet exposure, mesh sheet erosion etc. may, the generation for effectively reducing complication, evades operation risk.
Description
Technical field
The present embodiments relate to full Pelvic pain syndrome art technical fields, and in particular to a kind of suitable for full Pelvic pain syndrome art
Intravaginal mesh sheet cuts combined method.
Background technique
With the propulsion of the aging process of the society, investigation discovery, the disease incidence of elderly woman pelvic organ prolapse rises year by year
It is high.The quality of life of patient has been seriously affected by its bring controlled micturition obstacle and dysporia problem.Conventional therapy pelvic cavity
The modus operandi of internal organs prolapsus is female uterectomy and the repairing of vagina front and rear wall, and such modus operandi has higher recurrence rate.
Full Pelvic pain syndrome art refers to take into account before, during and after the multiple regio defects of pelvic cavity Reconstructive pelvic, be placed in mesh sheet
Full Pelvic pain syndrome art is more and more widely used due to more can thoroughly improve pelvic organ prolapse problem.
Full Pelvic pain syndrome art mostly uses two pieces of throwing the net to carry out basin bottom defect mending at present.Preceding pelvic cavity mesh sheet (road network piece before i.e.)
It is placed in bladder vagina gap, is individually fixed in visceral fascia of pelvis arcus tendineus away from pubic symphysis 1cm and away from ischium by front wing and wing centre section
At spine 1cm, rear pelvic cavity mesh sheet (i.e. way of escape mesh sheet) is placed in rectovaginal gap, is fixed on ligamentum sacrospinosum apart from ischium by rear wing
At spine 1cm.For the lighter patient of then pelvic organ prolapse heavier for preceding pelvic organ prolapse, the weight of pelvic cavity before simple row
Building operation may cause the recurrence of rear pelvic organ prolapse after the several years, and go forward and backward pelvic cavity reconstruction operations needs simultaneously in vagina
It is interior to open two and be about the intravaginal notch of 5cm or so, and not only need isolating bladder and vagina gap, also need separation rectum and
Vagina gap.In addition, there may be potential complication for the excessive mesh sheet tissue of intravaginal for the patient of short vagina length
Risk, such as mesh sheet contracture, pain, mesh sheet corrodes and exposure.
Summary of the invention
For this purpose, the embodiment of the present invention provides a kind of intravaginal mesh sheet cutting combined method suitable for full Pelvic pain syndrome art,
To solve in the prior art since the reconstruction operations of pelvic cavity before simple row may cause the recurrence of rear pelvic organ prolapse after the several years,
Or go that operating time caused by forward and backward pelvic cavity reconstruction operations is long, intraoperative hemorrhage is more and has potential complication wind simultaneously
The problem of danger.
To achieve the goals above, the embodiment of the present invention provides the following technical solutions:
According to a first aspect of the embodiments of the present invention, the embodiment of the invention provides a kind of suitable for full Pelvic pain syndrome art
Intravaginal mesh sheet cuts combined method, which comprises
Way of escape mesh sheet is unfolded, according to patient's cervical length, carries out arc cutting in way of escape mesh sheet lower part, makes under way of escape mesh sheet
The length and form and uterine neck in portion are coincide；
The middle and back of preceding road network piece is overlapped with the top of the way of escape mesh sheet after cutting and stacks, and uses the road nonabsorable Xian Qian
The overlapping position of mesh sheet and way of escape mesh sheet carries out surgery and knots with fixed preceding road network piece and way of escape mesh sheet, obtains with six wing lattice bands
Integrated mesh sheet.
Further, the middle and back of preceding road network piece be overlapped with the top of the way of escape mesh sheet after cutting when stacking, preceding road
The band spacing of the rear wing mesh belt of the wing centre section mesh belt and way of escape mesh sheet of mesh sheet is 0.8-1.2cm.
When preceding road network piece and way of escape mesh sheet suture, preset space is because the wing centre section mesh belt of preceding road network piece is needed in pelvic cavity
Fascia arcus tendineus is pierced by front of ischial spine apart from ischial spine 1cm, and then the rear wing mesh belt of road network piece needs at ischial spine rear
1cm is pierced by ligamentum sacrospinosum, has distance between two wing band exit points.In addition reserved distance can be very good covering palace
Throat fornix provides good supporting role for middle pelvic cavity.
Further, the nonabsorable line includes nylon suture, dacron polyester suture, any in prolene suture
Kind.
Further, using nonabsorable line respectively preceding road network piece and the overlapping position of way of escape mesh sheet 4 Jiao Chu and in
Heart position carries out surgery knotting.
According to a second aspect of the embodiments of the present invention, the embodiment of the invention provides one kind is obtained by above-mentioned cutting combined method
The intravaginal mesh sheet arrived, the mesh sheet are suitable for full Pelvic pain syndrome art.
The embodiment of the present invention has the advantages that
The embodiment of the present invention carries out cutting combination to the mesh sheet for being traditionally used for forward and backward pelvic cavity, has obtained integrated mesh sheet, should
Mesh sheet can carry out freely cutting to coincide with uterine neck according to the cervical length and form of patient, and operation can be effectively reduced
The generation of complication.The one mesh sheet remains the six wing lattice bands that can fix forward and backward pelvic cavity viscera, and full basin bottom weight of being expert at
When building operation, it is only necessary to it can be placed in mesh sheet in the notch that anterior vaginal wall oddi's sphincteroplasty is 5cm or so, mesh sheet entire area reduces,
But function is constant.Under the premise of guaranteeing to perform the operation outcome, intravaginal incision length can be effectively reduced, reduction needs to separate
Tissue space, reduce intraoperative hemorrhage, shorten operating time.It reduces and is placed in intracorporal mesh sheet dosage, effectively reduce and net occur
Piece contracture, mesh sheet pain, mesh sheet exposure, mesh sheet erosion etc. is possible, effectively evades operation risk.
Detailed description of the invention
It, below will be to embodiment party in order to illustrate more clearly of embodiments of the present invention or technical solution in the prior art
Formula or attached drawing needed to be used in the description of the prior art are briefly described.It should be evident that the accompanying drawings in the following description is only
It is merely exemplary, it for those of ordinary skill in the art, without creative efforts, can also basis
The attached drawing of offer, which is extended, obtains other implementation attached drawings.
Structure depicted in this specification, ratio, size etc., only to cooperate the revealed content of specification, for
Those skilled in the art understands and reads, and is not intended to limit the invention enforceable qualifications, therefore does not have technical
Essential meaning, the modification of any structure, the change of proportionate relationship or the adjustment of size are not influencing the function of the invention that can be generated
Under effect and the purpose that can reach, should all still it fall in the range of disclosed technology contents obtain and can cover.
Fig. 1 is the structural schematic diagram provided in an embodiment of the present invention for cutting out the preceding road network piece before combination；
Fig. 2 is the structural schematic diagram provided in an embodiment of the present invention for cutting out the way of escape mesh sheet before combination；
Fig. 3 is the structural schematic diagram of the way of escape mesh sheet after provided in an embodiment of the present invention cut out；
Fig. 4 is the integrated mesh sheet with six wing lattice bands that clipped combination provided in an embodiment of the present invention obtains；
In figure: 1, the front wing mesh belt of preceding road network piece；2, the wing centre section mesh belt of preceding road network piece；3, preceding road network piece top；4, preceding road
Mesh sheet lower part；5, the rear wing mesh belt of way of escape mesh sheet；6, way of escape mesh sheet top；7, way of escape mesh sheet lower part；8, stitch points.
Specific embodiment
Embodiments of the present invention are illustrated by particular specific embodiment below, those skilled in the art can be by this explanation
Content disclosed by book is understood other advantages and efficacy of the present invention easily, it is clear that described embodiment is the present invention one
Section Example, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art are not doing
Every other embodiment obtained under the premise of creative work out, shall fall within the protection scope of the present invention.
Embodiment
The preceding road network piece and way of escape mesh sheet that the present embodiment uses originate from Italian He Mei HERNIAMESH company, model difference
For PM30830 and PM41230.
The intravaginal mesh sheet suitable for full Pelvic pain syndrome art of the present embodiment cuts combined method
Step 1: road network piece (as shown in Figure 1) and way of escape mesh sheet (as shown in Figure 2) before getting ready.
Step 2: expansion way of escape mesh sheet carries out arc cutting in way of escape mesh sheet lower part, after making according to patient's cervical length
The length and form and uterine neck of road network piece lower part are coincide, and way of escape mesh sheet as shown in Figure 3 is obtained after cutting.
It is stacked Step 3: the middle and back of preceding road network piece is overlapped with the front of the way of escape mesh sheet after cutting, in order to guarantee to obtain
Integrated mesh sheet can preferably play a supporting role, be combined stack when, as shown in figure 4, the middle wing lattice of preceding road network piece
Band spacing with 2 and the rear wing mesh belt 5 of way of escape mesh sheet is 0.8-1.2cm.Then nonabsorable line is used, for example, nylon suture,
Any one of dacron polyester suture, prolene suture, at 4 angles of preceding road network piece and the overlapping position of way of escape mesh sheet and center
Position (stitch points 8 as shown in Figure 4) progress surgery knots with fixed preceding road network piece and way of escape mesh sheet to get to six wing lattices
The integrated mesh sheet of band.
Application examples
1 clinical data
Female pelvic cavity organ prolapse patient 160 that our hospital in May, 2016~2018 year are accepted for medical treatment May are chosen as research pair
As, patient age 50~80 years old, average age (68.3 ± 3.27) year.All patients are divided at random according to different treatment methods
For treatment group and control group, every group each 80.The general information comparison of two groups of patients, no significant difference (P > 0.05).
2 treatment methods
Treatment group patient cuts 5cm or so notch, isolating bladder and anterior vaginal wall in anterior vaginal wall, is placed in the present invention and implements
The integrated mesh sheet that example obtains, the front wing mesh belt and wing centre section mesh belt of the one mesh sheet are individually fixed in visceral fascia of pelvis arcus tendineus and join away from pubis
It closes at 1cm and away from ischial spine 1cm, rear wing mesh belt is fixed on ligamentum sacrospinosum at ischial spine 1cm, and fixed mesh sheet, suture is cut
Mouthful, art finishes.
Control group patient uses traditional Reconstructive pelvic, i.e. forward and backward pelvic cavity reconstruction operations of row simultaneously, beats in intravaginal
Two intravaginal notch for being about 5cm or so are opened, successively isolating bladder and vagina gap, rectum and vagina gap, by preceding road network
Piece is placed in bladder vagina gap, and the front wing mesh belt and wing centre section mesh belt of preceding road network piece are individually fixed in visceral fascia of pelvis arcus tendineus and join away from pubis
It closes at 1cm and away from ischial spine 1cm, way of escape mesh sheet is placed in rectum and vagina gap, and the rear wing mesh belt of way of escape mesh sheet is fixed on sacrum
Spine ligament is at ischial spine 1cm, and fixed mesh sheet is sewed up the incision, and art finishes.
3 observation index
Record two groups of patients surgery required times, intraoperative hemorrhage situations, hospital stays, complication rate.
4 statistical methods
Data are handled using 19.0 statistics software of SPSS.
5 results
Two groups of patients are after treating, and as a result record is shown in Table 1.
Table 1
The result shows that: it is (59 ± 13) minute the time required to treatment group's patients surgery, intraoperative blood loss is (80 ± 17) mL,
Hospital stays is (4.4 ± 1.5) day, is (75 ± 21) minute the time required to control group patients surgery, intraoperative blood loss be (97 ±
19) mL, hospital stays are (5.1 ± 1.2) day, and two groups of each evaluation index compares that there are statistical significance (p < 0.05), explanations
Intraoperative blood loss can be effectively reduced by cutting out the full Pelvic pain syndrome art of integrated mesh sheet progress that combination obtains using the embodiment of the present invention, be contracted
Short operating time is conducive to patient's recovery.
Treatment group patient occurs the retention of urine 1, complication rate 1.25%；Control group patient occurs the retention of urine 1,
Basin bottom chronic hematoma: case report, mesh sheet contracture pain 1, complication rate 3.75% illustrate to cut out using the embodiment of the present invention
The integrated mesh sheet that combination obtains, which carries out full Pelvic pain syndrome art, can effectively reduce the generation of complication.
Although above having used general explanation and specific embodiment, the present invention is described in detail, at this
On the basis of invention, it can be made some modifications or improvements, this will be apparent to those skilled in the art.Therefore,
These modifications or improvements without departing from theon the basis of the spirit of the present invention are fallen within the scope of the claimed invention.
Claims (5)
1. a kind of intravaginal mesh sheet suitable for full Pelvic pain syndrome art cuts combined method, which is characterized in that the described method includes:
Way of escape mesh sheet is unfolded, according to patient's cervical length, carries out arc cutting in way of escape mesh sheet lower part, makes way of escape mesh sheet lower part
Length and form and uterine neck coincide；
The middle and back of preceding road network piece is overlapped with the top of the way of escape mesh sheet after cutting and stacks, using nonabsorable line in preceding road network piece
Surgery is carried out with the overlapping position of way of escape mesh sheet to knot with fixed preceding road network piece and way of escape mesh sheet, obtains the one with six wing lattice bands
Mesh sheet.
2. the intravaginal mesh sheet according to claim 1 suitable for full Pelvic pain syndrome art cuts combined method, feature exists
In the middle and back of preceding road network piece be overlapped with the top of the way of escape mesh sheet after cutting when stacking, the wing centre section mesh belt of preceding road network piece
Band spacing with the rear wing mesh belt of way of escape mesh sheet is 0.8-1.2cm.
3. the intravaginal mesh sheet according to claim 1 suitable for full Pelvic pain syndrome art cuts combined method, feature exists
In the nonabsorable line includes any one of nylon suture, dacron polyester suture, prolene suture.
4. the intravaginal mesh sheet according to claim 1 suitable for full Pelvic pain syndrome art cuts combined method, feature exists
In, using nonabsorable line respectively at 4 angles of preceding road network piece and the overlapping position of way of escape mesh sheet and center carry out surgery
It knots.
5. a kind of intravaginal mesh sheet suitable for full Pelvic pain syndrome art, which is characterized in that by any sanction of claim 1-4
Combined method is cut to obtain.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910369119.9A CN110090090B (en) | 2019-05-05 | 2019-05-05 | Combined method for cutting mesh in vagina suitable for total pelvic floor reconstruction |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910369119.9A CN110090090B (en) | 2019-05-05 | 2019-05-05 | Combined method for cutting mesh in vagina suitable for total pelvic floor reconstruction |
Publications (2)
| Publication Number | Publication Date |
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| CN110090090A true CN110090090A (en) | 2019-08-06 |
| CN110090090B CN110090090B (en) | 2021-07-09 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201910369119.9A Active CN110090090B (en) | 2019-05-05 | 2019-05-05 | Combined method for cutting mesh in vagina suitable for total pelvic floor reconstruction |
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