CN112315528A - Deep operation wound traceless auxiliary healing device and operation method thereof - Google Patents
Deep operation wound traceless auxiliary healing device and operation method thereof Download PDFInfo
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- CN112315528A CN112315528A CN202011209865.0A CN202011209865A CN112315528A CN 112315528 A CN112315528 A CN 112315528A CN 202011209865 A CN202011209865 A CN 202011209865A CN 112315528 A CN112315528 A CN 112315528A
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- wound
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
Abstract
The invention relates to a traceless auxiliary healing device for a deep operation wound and an operation method thereof, belonging to the field of medical instruments. Including two splint, two splint upper ends are articulated together, and two splint lower extremes all articulate the afterbody at sewing needle, and sewing needle is convex, and two sewing needles are crisscross to be set up, and the most advanced of two sewing needles corresponds the wound inner wall of opposition side respectively, and the afterbody of two sewing needles is connected respectively at the both ends of same stylolite. The wound healing device can assist in healing deep wounds, can not form new wounds on two sides of the wounds, keeps the attractiveness of the wounds, reduces scars as far as possible, and can not cause skin itching and ulceration due to ineffective use of adhesive.
Description
Technical Field
The invention relates to a traceless auxiliary healing device for a deep operation wound and an operation method thereof, belonging to the field of medical instruments.
Background
After surgery, the wound needs to be sutured to promote wound healing. Suturing is the process of coaptation or reconstruction of the passage of tissues and organs which have been cut or traumatized and broken to restore their function. Is a basic condition for ensuring good healing and is also one of the important basic operation techniques of the surgical operation. Different methods are adopted to suture tissues and organs at different parts. The suturing can be carried out by needle forceps or by directly holding a straight needle by bare hands. The suturing should be performed in layers, and the suturing should be performed according to the anatomical layers of the tissues, so that the tissue layers are tight.
The method for suturing the wound to promote the wound healing is very common, but a needle lead needs to be threaded on skin and flesh on two sides of the wound, and extra scars of puncture holes are left on two sides of the wound after the wound is healed, so that scars of centipede feet are formed, and the appearance is very unattractive. In addition, the suture is layered, other tissues are sometimes sutured together when the needle is threaded, so that malposition healing is caused, and the suture is seriously cut and even re-cut, thereby causing additional pain. When sewing, the skin and flesh are punctured, and when stitches are removed, the sewing threads and the skin and flesh tissues are severely rubbed, which causes additional pain.
Currently, there is a needleless skin suturing device, which is based on the principle that adhesive tapes are adhered to two sides of an incision, and then pull tapes fixed on the two adhesive tapes are tightened to draw the skin to the middle, so that the skin edges at two sides of the incision are turned outwards and are tightly closed in parallel. However, the method is only suitable for healing superficial wounds, subcutaneous cavities are easily caused by purely closing skin wounds with deeper wounds, the infection probability is increased, and the healing of subcutaneous tissues is incomplete. In addition, the suture instrument uses glue to stick to the skin, and a considerable part of patients are allergic to the adhesive tape, and the skin is itchy and ulcerated due to long-time sticking, so that the patients are painful. Therefore, the layered needle threading manner is still used for deep wounds at present.
Disclosure of Invention
According to the defects in the prior art, the technical problems to be solved by the invention are as follows: the deep operation wound traceless auxiliary healing device and the operation method thereof can assist in healing a deep operation wound, can not form new wounds on two sides of the wound, keep the beauty of the wound, reduce scars as far as possible, and can not cause skin itching and ulceration by using adhesive inefficiently.
The traceless auxiliary healing device for the deep operation wound comprises two clamping plates, wherein the upper ends of the two clamping plates are hinged together, the lower ends of the two clamping plates are hinged to the tail parts of sewing needles, the sewing needles are arc-shaped and are arranged in a staggered mode, the tip ends of the two sewing needles respectively correspond to the inner wall of the wound on the opposite side, and the tail parts of the two sewing needles are respectively connected to the two ends of the same sewing thread.
The working principle and the process are as follows:
the method comprises the following steps of firstly, suspending two splints above a wound, adjusting the angle between the two splints and the relative positions of two suture needles according to the depth of the wound and the size of an opening, enabling the two suture needles to smoothly extend into the wound, pinching the edges of the two splints with one hand, pinching the intersection of the two suture needles with the other hand, and fixing the positions of the two suture needles;
moving the clamping plate downwards to enable the two suture needles to extend into the wound until the needle points of the suture needles abut against the inner wall of the opposite surface of the wound, and the arc-shaped back surfaces of the suture needles abut against the inner wall of the corresponding surface of the wound;
pinching the clamping plates towards the middle to enable the two clamping plates to be close to the middle, driving the tail ends of the two suture needles to be close to the middle by the two clamping plates, enabling the suture needles to rotate by taking the contact positions of the arc-shaped back surfaces of the suture needles and the wound as sliding fulcrums, and enabling the needle tips to penetrate into muscle tissues on two sides of the wound;
pushing down the clamping plate after the two clamping plates are tightly closed, driving the tail ends of the two suture needles to move downwards by the two clamping plates, wherein the suture needles are arc-shaped, the front parts of the suture needles penetrate into muscular tissues in the previous step, the suture needles continuously penetrate into the muscular tissues along an arc-shaped track under the pushing of the clamping plates until the sharp ends of the suture needles penetrate out of the muscular tissues at the upper parts, and then separating the clamping plates from the suture needles and taking out the clamping plates;
and fifthly, the exposed end part of the suture needle is held by tweezers to be pulled out, the suture thread is respectively positioned in subcutaneous muscle tissues on two sides of the wound at the moment, the suture needle is tensioned in a staggered manner, then the muscle tissues on two sides of the wound are drawn close to the middle, the wound is finally closed, the suture thread is knotted and fixed after the wound is closed, and then the wound is sutured and fixed.
After the interior of the wound is closed, the surface skin loses tension, so that the skin wound can be conveniently closed. The wound is integrally sutured through the device, so that the wound is finally integrally closed, and the wound is convenient to heal. Therefore, new wounds cannot be formed on two sides of the wound, the attractiveness of the wound is maintained, scars are reduced as far as possible, the adhesive is not used effectively, and skin itching, ulceration and oxygen deficiency necrosis cannot be caused.
Furthermore, the wound protection device comprises two spacing pieces, wherein the spacing pieces are respectively attached to two side walls of a wound, two side edges of each spacing piece are curled to form a spacing tube, each spacing piece is made of a sheep intestine material, and small steel bars are inserted into the spacing tubes in a matched mode.
Before suturing, the two isolating pieces are respectively arranged on two sides of the inner wall of the wound at the position needing to be sutured, and then the puncture suturing is carried out by applying the suturing steps. The suture needle penetrates through the lower part of the barrier sheet at the lower part of the wound, penetrates out of the upper part of the barrier sheet after penetrating through muscle tissues, then pinches and draws the two barrier sheets together firstly, then pulls the two ends of the suture line outwards to tighten the suture line, then winds the suture line on the two barrier sheets, and tightens and fixes the two barrier sheets. The barrier sheet made of the sheep intestine is very thin, the barrier sheet is arranged to play a role in isolation and protection, the phenomenon that the suture needle scratches muscles when extending into a wound to cause extra injury is avoided, the sheep intestine can be absorbed by human tissues in about one month, the wound can be basically healed in 1-2 weeks, and the stitch removing condition is met. Therefore, by utilizing the time difference, the small steel bars are drawn out after the wound is basically healed, the spacer absorbs water and becomes soft and unsupported, and then the spacer is directly tied by the suture line to wait for the spacer to naturally fall off. The diameter of the small steel bar is below 0.5mm, the thickness of the sheep sausage casing is below 0.2, and the muscle tissue of a human body has elasticity, so that the healing of the wound is not influenced clinically. The small steel bars play a supporting role, the spacer is tightly attached to the side wall of the wound after the suture is tensioned, the inner wall of the wound is kept straight all the time by the small steel bars, and therefore the wound is in plane contact when closed, and a cavity is avoided.
The tail part of the sewing needle is respectively provided with a hinge hole and a threading hole, the sewing thread passes through the threading hole to be connected with the sewing needle, a small iron wire is vertically fixed on the side edge of the lower end of the clamping plate and passes through the hinge hole to form a hinge, and the end part of the small iron wire is bent to avoid the sewing needle from being separated. In the above operation step 4, when the clamping plate is taken out, the clamping plate is firmly pinched by hand, then the clamping plate is rotated, and the small iron wire is deformed under force and directly falls out of the hinge hole. Therefore, the splint and the suture needle can be conveniently separated, and no additional injury can be caused to the wound.
When the two spacers are closed, the small steel bars of the two spacers are staggered, so that the overall thickness of the two spacers can be further reduced, and the wound can be conveniently healed.
The suture line is made of sheep intestines, can be absorbed by a human body, and avoids the pain caused by the stitch removal.
Compared with the prior art, the invention has the beneficial effects that:
according to the traceless auxiliary healing device for the deep operation wound and the operation method thereof, the surface skin loses tension after the inside of the wound is closed, so that the skin wound can be closed conveniently. The wound is integrally sutured through the device, so that the wound is finally integrally closed, and the wound is convenient to heal. Therefore, new wounds cannot be formed on two sides of the wound, the attractiveness of the wound is maintained, scars are reduced as far as possible, the adhesive is not used effectively, and skin itching, ulceration and oxygen deficiency necrosis cannot be caused. The wound healing device can assist in healing deep wounds, can not form new wounds on two sides of the wounds, keeps the attractiveness of the wounds, reduces scars as far as possible, and can not cause skin itching and ulceration due to ineffective use of adhesive.
Drawings
FIG. 1 is a schematic diagram of an embodiment of the present invention (corresponding to steps 1 and 2 of the working process);
FIG. 2 is an enlarged view of a portion of embodiment B shown in FIG. 1;
FIG. 3 is a schematic diagram of an embodiment of the present invention (corresponding to step 3 of the working process);
FIG. 4 is a schematic diagram of an embodiment of the present invention (corresponding to step 4 of the working process);
FIG. 5 is a schematic diagram of an embodiment of the present invention (corresponding to step 5 of the working process);
FIG. 6 is a schematic cross-sectional view of the embodiment A-A shown in FIG. 1;
FIG. 7 is a schematic cross-sectional view of embodiment C-C of FIG. 2.
In the figure: 1. a splint; 2. a suture; 3. small reinforcing steel bars; 4. an isolation pipe; 5. a separator; 6. a suture needle; 7. a wound; 8. small iron wires; 9. a hinge hole; 10. and (6) threading holes.
Detailed Description
Embodiments of the invention are further described below with reference to the accompanying drawings:
the traceless auxiliary healing device for the deep operation wound comprises two clamping plates 1, wherein the upper ends of the two clamping plates 1 are hinged together, the lower ends of the two clamping plates 1 are hinged to the tail parts of sewing needles 6, the sewing needles 6 are arc-shaped, the two sewing needles 6 are arranged in a staggered mode, the tip ends of the two sewing needles 6 correspond to the inner walls of the wound 7 on opposite sides respectively, and the tail parts of the two sewing needles 6 are connected to the two ends of the same sewing thread 2 respectively.
The working principle and the process are as follows:
firstly, suspending the two splints 1 above a wound 7, adjusting the angle between the two splints 1 and the relative positions of the two suture needles 6 according to the depth and the opening size of the wound 7 so that the two suture needles 6 can smoothly extend into the wound 7, and then pinching the edges of the two splints 1 with one hand and pinching the intersection of the two suture needles 6 with the other hand to fix the positions;
moving the splint 1 downwards to enable the two suture needles 6 to extend into the wound 7 until the needle points of the suture needles 6 are abutted against the inner wall of the opposite surface of the wound 7, and then the arc-shaped back surfaces of the suture needles 6 are abutted against the inner wall of the corresponding surface of the wound 7;
pinching the clamping plates 1 towards the middle to enable the two clamping plates 1 to approach towards the middle, the two clamping plates 1 drive the tail ends of the two suture needles 6 to approach towards the middle, the suture needles 6 rotate by taking the contact part of the arc-shaped back surfaces of the suture needles 6 and the wound 7 as a sliding fulcrum, and the needle points penetrate into muscle tissues at two sides of the wound 7;
pushing down the splint 1 after the two splints 1 are tightly closed, driving the tail ends of the two suture needles 6 to move downwards by the two splint 1, wherein the suture needles 6 are arc-shaped, the front parts of the suture needles 6 penetrate into muscular tissues in the previous step, the suture needles 6 continuously penetrate into the muscular tissues along an arc-shaped track under the pushing of the splint 1 until the sharp ends of the suture needles 6 penetrate out of the muscular tissues at the upper part, then separating the splint 1 from the suture needles 6 and taking out the splint 1;
and fifthly, the exposed end of the suture needle 6 is held by tweezers to be pulled out, the suture thread 2 is respectively positioned in subcutaneous muscle tissues at two sides of the wound 7 at the moment, the suture needle 6 is tensioned in a staggered manner, then the muscle tissues at two sides of the wound 7 are close to the middle, finally the wound 7 is closed, the suture thread 2 is knotted and fixed after the wound 7 is closed, and then the wound 7 is sutured and fixed.
After the interior of the wound 7 is closed, the surface skin loses tension, so that the skin wound can be closed conveniently. The wound 7 is integrally sutured through a plurality of devices, so that the wound 7 is finally integrally closed, and the healing is facilitated. Therefore, new wounds cannot be formed on two sides of the wound 7, the attractiveness of the wound 7 is maintained, scars are reduced as far as possible, the adhesive is not used effectively, and skin itching and ulceration and oxygen-poor necrosis cannot be caused.
Further, including two spacers 5, spacers 5 are attached respectively on 7 both sides walls of wound, and 5 both sides edges curl and form spacing tube 4 of spacers 5, and spacers 5 are the sheep intestines material, and little reinforcing bar 3 is inserted to spacing tube 4 fit in.
Before suturing, the two isolation sheets 5 are respectively placed on two sides of the inner wall of the wound 7 to be sutured, and then the puncture suturing is carried out by applying the suturing steps. Wherein, the suture needle 6 is punctured from the lower part of the isolation sheet 5 to enter at the lower part of the wound 7, the suture needle 6 penetrates out from the upper part of the isolation sheet 5 after penetrating through muscle tissue, then the two isolation sheets 5 are pinched close together firstly, then the two ends of the suture thread 2 are pulled outwards to tighten up the suture thread 2, then the suture thread 2 is wound on the two isolation sheets 5, and the two isolation sheets 5 are tightly bound and fixed. The barrier sheet 5 made of the sheep intestine is very thin, the barrier sheet is arranged to play a role in isolation and protection, the phenomenon that the suture needle 6 scratches muscles when extending into the wound 7 to cause extra injury is avoided, the sheep intestine can be absorbed by human tissues in about one month, and the wound 7 can be basically healed in 1-2 weeks to meet the stitch removing condition. Therefore, by utilizing the time difference, the wound 7 is basically healed and then the small steel bar 3 is drawn out, at the moment, the isolation tube 7 is not completely absorbed, the isolation tube 7 isolates the small steel bar 3 from muscle tissue, the small steel bar 3 cannot rub against the muscle tissue when being drawn out, no pain is caused when being drawn out, the isolation sheet 5 absorbs water and becomes soft and is not supported, and then the isolation sheet 5 is directly tied by the suture 2 to wait for the natural falling off. The diameter of the small steel bar 3 is less than 0.5mm, the thickness of the sheep sausage skin is less than 0.2, and the muscle tissue of a human body has elasticity, so that the healing of the wound 7 cannot be influenced clinically. The small steel bars 3 play a supporting role, the isolating sheet 5 is tightly attached to the side wall of the wound 7 after the suture lines 2 are tensioned, the small steel bars 3 enable the inner wall of the wound 7 to be kept straight all the time, and therefore the wound 7 is in plane contact when being closed, and a cavity is avoided.
6 afterbody of sewing needle sets up hinge hole 9 and through wires hole 10 respectively, and stylolite 2 passes through wires hole 10 and is connected with sewing needle 6, and 1 lower extreme side vertical fixation of splint little iron wire 8, little iron wire 8 pass hinge hole 9 and form the hinge, and 8 tip of little iron wire are buckled, avoid sewing needle 6 to deviate from. In the above operation 4, when the splint 1 is taken out, the splint 1 is pinched by hand, and then the splint 1 is rotated, and the small iron wire 8 is deformed by force and directly released from the hinge hole 9. This facilitates separation of the splint 1 from the suture needle 6 without causing additional injury to the wound 7.
When the two spacers 5 are closed, the small steel bars 3 of the two spacers 5 are staggered, so that the overall thickness of the two spacers 5 can be further reduced, and the wound 7 is convenient to heal.
The suture 2 is made of sheep intestines and can be absorbed by human body, so that the pain caused by the stitches removing is avoided.
These and other changes can be made to the present apparatus with reference to the above detailed description. While the above detailed description describes certain embodiments of the invention and describes the best mode contemplated, no matter how detailed the above appears in text, the system can be practiced in many ways. The details of the local-based support device, although considerable variation in its implementation details is possible, are nevertheless contained within the device disclosed herein. As noted above, particular technical terms used in describing particular features or aspects of the present apparatus do not imply that the terms are redefined herein to be restricted to specific characteristics, features, or aspects of the system with which the terms are associated. In general, the terms used in the following claims should not be construed to limit the system to the specific embodiments disclosed in the specification, unless the above detailed description section explicitly defines such terms. Accordingly, the actual scope of the system encompasses not only the disclosed embodiments, but also all equivalent ways of practicing or implementing the apparatus covered by the claims.
Claims (8)
1. The utility model provides a deep position operation wound does not have trace and assists healing device which characterized in that: including two splint (1), two splint (1) upper ends articulate together, and two splint (1) lower extreme all articulates the afterbody in sewing needle (6), and sewing needle (6) are arc, and two sewing needle (6) are crisscross to be set up, and the most advanced of two sewing needle (6) corresponds wound (7) inner wall of opposition side respectively, and the both ends at same stylolite (2) are connected respectively to the afterbody of two sewing needles (6).
2. The operation method of the traceless auxiliary healing device for the deep surgical wound according to claim 1, characterized in that:
the method comprises the following steps of firstly, suspending two splints (1) above a wound (7), adjusting the angle between the two splints (1) and the relative positions of two suture needles (6) according to the depth and the opening size of the wound (7) to enable the two suture needles (6) to smoothly extend into the wound (7), and then pinching the edges of the two splints (1) with one hand and pinching the intersection of the two suture needles (6) with the other hand to fix the positions of the two suture needles (6);
secondly, the splint (1) is moved downwards, so that the two suture needles (6) extend into the wound (7) until the needle points of the suture needles (6) are abutted against the inner wall of the opposite surface of the wound (7), and the arc-shaped back surfaces of the suture needles (6) are abutted against the inner wall of the corresponding surface of the wound (7);
pinching the clamping plates (1) towards the middle to enable the two clamping plates (1) to approach towards the middle, the two clamping plates (1) drive the tail ends of the two suture needles (6) to approach towards the middle, the suture needles (6) rotate by taking the contact part of the arc-shaped back surfaces of the suture needles and the wound (7) as a sliding fulcrum, and the needle points penetrate into muscle tissues on two sides of the wound (7);
fourthly, pushing down the splint (1) after the two splints (1) are tightly closed, driving the tail ends of the two suture needles (6) to move downwards by the two splint (1), wherein the suture needles (6) are arc-shaped, and the front parts of the suture needles (6) are already deeply inserted into muscle tissues in the previous step, the suture needles (6) continuously penetrate into the muscle tissues along the arc-shaped tracks under the pushing of the splint (1) until the sharp ends of the suture needles (6) penetrate out of the muscle tissues at the upper part, then separating the splint (1) from the suture needles (6) and taking out the splint (1);
and fifthly, pinching the exposed end part of the suture needle (6) by using forceps to pull out the suture needle, wherein the suture thread (2) is respectively positioned in subcutaneous muscle tissues at two sides of the wound (7), and the suture needle (6) is tensioned in a staggered manner, so that the muscle tissues at two sides of the wound (7) are close to the middle, the wound (7) is finally closed, the suture thread (2) is knotted and fixed after the wound (7) is closed, and the wound (7) is sutured and fixed.
3. The deep surgical wound traceless assisted healing device of claim 1, wherein: the wound healing instrument comprises two spacers (5), wherein the spacers (5) are respectively attached to two side walls of a wound (7), the edges of two sides of each spacer (5) are curled to form an isolation tube (4), the spacers (5) are made of sheep intestines, and small steel bars (3) are inserted into the isolation tubes (4) in a matched mode.
4. The deep surgical wound traceless assisted healing device of claim 3, wherein: before suturing, the two isolation pieces (5) are respectively placed on two sides of the inner wall of a wound (7) to be sutured, then the operation method is applied to puncture and suture, wherein a suture needle (6) penetrates into the lower portion of the wound (7) from the lower portion of the isolation pieces (5), the suture needle (6) penetrates through muscle tissues and then penetrates out of the upper portions of the isolation pieces (5), then the two isolation pieces (5) are pinched and closed, then two ends of a suture line (2) are pulled outwards, the suture line (2) is tightened, then the suture line (2) is wound on the two isolation pieces (5), the two isolation pieces (5) are tightly bound and fixed, a small reinforcing steel bar (3) is pulled out after the wound (7) is basically healed, then the isolation pieces (5) are directly tied through the suture line (2), and natural falling is waited.
5. The deep surgical wound traceless assisted healing device of claim 1, wherein: the tail of the sewing needle (6) is provided with a hinge hole (9) and a threading hole (10) respectively, the sewing thread (2) penetrates through the threading hole (10) to be connected with the sewing needle (6), the small iron wire (8) is vertically fixed on the side edge of the lower end of the splint (1), the small iron wire (8) penetrates through the hinge hole (9) to form a hinge, and the end part of the small iron wire (8) is bent to avoid the sewing needle (6) from being separated.
6. The deep surgical wound traceless assisted healing device of claim 5, wherein: when the splint (1) is taken out, the splint (1) is firmly pinched by hands, then the splint (1) is rotated, and the small iron wires (8) are stressed to deform and directly fall out of the hinge holes (9).
7. The deep surgical wound traceless assisted healing device of claim 4, wherein: when the two spacers (5) are closed, the small steel bars (3) of the two spacers (5) are staggered, so that the overall thickness of the two spacers (5) can be further reduced, and the wound (7) can be healed conveniently.
8. The deep surgical wound traceless assisted healing device of claim 3, wherein: the suture (2) is made of sheep intestines.
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CN109875735A (en) * | 2019-03-08 | 2019-06-14 | 王翔宇 | A kind of Wholly-degradable overlay film frame and overlay film frame system |
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