CN113796908A - Novel tension-reducing stitching instrument and tension-reducing stitching method - Google Patents

Novel tension-reducing stitching instrument and tension-reducing stitching method Download PDF

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Publication number
CN113796908A
CN113796908A CN202111195769.XA CN202111195769A CN113796908A CN 113796908 A CN113796908 A CN 113796908A CN 202111195769 A CN202111195769 A CN 202111195769A CN 113796908 A CN113796908 A CN 113796908A
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China
Prior art keywords
suture
free end
absorbable
wound
reducing
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Withdrawn
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CN202111195769.XA
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Chinese (zh)
Inventor
高峰
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Ningbo Plastic Surgery Hospital Co ltd
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Ningbo Plastic Surgery Hospital Co ltd
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Priority to CN202111195769.XA priority Critical patent/CN113796908A/en
Publication of CN113796908A publication Critical patent/CN113796908A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/085Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • 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
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081Tissue approximator

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

Abstract

A novel tension-reducing stitching instrument comprises two stickers arranged on the left and right sides and locking pieces respectively connected with the two stickers, wherein the two stickers are mutually pulled close and fixed by the locking pieces, and a first absorbable stitching line and a second absorbable stitching line corresponding to the first absorbable stitching line are respectively arranged on the two stickers; the first absorbable suture and the second absorbable suture are respectively connected with the adhesive patch through connecting pieces, two ends of the first absorbable suture and the second absorbable suture are free ends, and the free ends are used for connecting suture needles; according to the invention, the absorbable suture group is arranged on the sticking pieces at the two ends of the tension reducing suture device, so that after the wound is sutured by the absorbable suture, the connection between the sticking pieces and the skin can be enhanced through the traction effect of the absorbable suture, the tension reducing suture device is prevented from falling off in use, the wound healing is promoted, the operation process can be simplified, the number of suture needles is reduced, and the scar formation is reduced.

Description

Novel tension-reducing stitching instrument and tension-reducing stitching method
Technical Field
The invention relates to the technical field of medical instruments, in particular to a novel tension reducing suturing device and a tension reducing suturing method.
Background
Traditional tension-reducing stitching instrument is stuck on skin through the adhesive patches on both sides, and is drawn together with the closed wound through the adhesive patches on both sides, but the adhesive patches on both sides fall off easily when the wound tension is large, and the adhesion is unstable, and when skin sweats, sweat, grease and the like can influence the adhesion effect, thereby influencing the use effect and being difficult to popularize clinically.
The traditional suture technology uses suture to suture muscle, deep fascia, fat, skin and the like layer by layer or carries out subcutaneous tension reduction, has the defects of complex operation, long operation time, insufficient tension reduction time, insufficient subcutaneous tension reduction and the like, and can cause the skin to have suture marks or scar formation and even generate scar aggravation.
Disclosure of Invention
The invention aims to solve the technical problem of providing a novel tension reducing stitching instrument and a tension reducing stitching method which are simple to operate and good in stitching effect aiming at the problems in the prior art.
The technical scheme adopted by the invention for solving the technical problems is as follows:
a novel tension-reducing stitching instrument comprises two stickers arranged on the left and right sides and locking pieces respectively connected with the two stickers, wherein the two stickers are mutually pulled close and fixed by the locking pieces, and a first absorbable stitching line and a second absorbable stitching line corresponding to the first absorbable stitching line are respectively arranged on the two stickers; the first absorbable suture line and the second absorbable suture line are connected with the adhesive patch through connecting pieces respectively, the two ends of the first absorbable suture line and the two ends of the second absorbable suture line are free ends, and the free ends are used for being connected with suture needles.
Preferably, the connector is a suture.
Preferably, the two adhesive patches are provided with more than one suture group consisting of one first absorbable suture and one second absorbable suture corresponding to the first absorbable suture, and the suture groups are arranged at intervals.
A novel tension reducing suturing method based on the novel tension reducing suturing device comprises the following steps:
(1) sterilizing the wound conventionally;
(2) in one suture group, two free ends of the first absorbable suture are marked as a first free end and a second free end, two free ends of the second absorbable suture are marked as a third free end and a fourth free end, and the first free end, the second free end, the third free end and the fourth free end are respectively connected with a suture needle;
(3) respectively inserting the suture needles at the first free end and the second free end from the same position of the epidermis to the dermis layer at a position 0.5-1.0 cm away from the skin edge of one side of the wound, allowing the suture needles at the first free end to move 0.5-1.0 cm far away in the dermis layer and then enter subcutaneous tissue, and then taking out the suture needles from the skin edge of the subcutaneous tissue; the suture needle at the second free end is extended to the near end in the dermis layer for 0.5-1.0 cm, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(4) at the position 0.5-1.0 cm away from the skin edge on the other side of the wound, respectively inserting the suture needles at the third free end and the fourth free end into the dermis layer from the same position of the epidermis, moving the suture needles at the third free end to the far end in the dermis layer by 0.5-1.0 cm, then entering subcutaneous tissue, and then taking out the suture needles from the skin edge of the subcutaneous tissue; the suture needle at the fourth free end is extended to the near end in the dermis layer for 0.5-1.0 cm, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(5) knotting the first free end and the third free end after the needle is withdrawn, and knotting the second free end and the fourth free end after the needle is withdrawn;
(6) performing tension-reducing suture by using the suture groups one by one according to the steps (2) to (5) to close the wound;
(7) pasting the adhesive patches on the two sides of the novel tension reducing closer on the two sides of the wound, and further closing the wound through a locking piece;
(8) and 7-14 days after the wound is healed, removing the suture and removing the tension-reducing closer.
Compared with the prior art, the invention has the beneficial effects that: the suture group is arranged on the adhesive sheets at the two ends of the tension reducing suture device, the wound is sutured by the suture group, and after the tension reducing closure device is attached to the two sides of the wound, the connection between the adhesive sheets of the tension reducing closure device and the skin can be enhanced through the traction effect of the absorbable suture, so that the tension reducing suture device is prevented from falling off in use, and the wound healing is promoted; by combining the tension reducing suture device with the absorbable suture, the operation process can be simplified, the number of the suture needles can be reduced, no suture trace is left on the epidermis, and the scar formation can be reduced.
Drawings
FIG. 1 is a schematic view of a novel tension reducing suturing device and a novel tension reducing suturing method according to the present invention.
Detailed Description
The invention is described in further detail below with reference to the accompanying examples.
Example 1
As shown in fig. 1, a novel tension reducing suture device, including two stickers 2 that control the setting, connect respectively locking piece 1 of two stickers 2, locking piece 1 draws two stickers 2 each other to be close and fixed, be equipped with respectively on two stickers 2 one first absorbable suture 31 and with first absorbable suture 32 that can absorb the corresponding second of suture 31, first absorbable suture 31, second absorbable suture 32 are connected with stickers 2 through connecting piece 4 respectively, connecting piece 4 is the suture, the both ends of first absorbable suture 31, second absorbable suture 32 are the free end, the free end is used for connecting the sewing needle.
A novel tension reducing suturing method based on the novel tension reducing suturing device comprises the following steps:
(1) sterilizing the wound conventionally;
(2) marking the two free ends of the first absorbable suture 31 as a first free end and a second free end, and marking the two free ends of the second absorbable suture 32 as a third free end and a fourth free end, and respectively connecting the first free end, the second free end, the third free end and the fourth free end with suture needles;
(3) respectively inserting the suture needles at the first free end and the second free end into the dermis layer from the same position of the epidermis at a position 0.5cm away from the skin edge on one side of the wound, allowing the suture needles at the first free end to form a shape of 0.5cm towards the far end in the dermis layer, allowing the suture needles to enter subcutaneous tissues, and then allowing the suture needles to exit from the skin edge of the subcutaneous tissues; the suture needle at the second free end is shifted to the near end by 0.5cm in the dermis layer, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(4) at the position 0.5cm away from the skin edge on the other side of the wound, respectively inserting the suture needles at the third free end and the fourth free end into the dermis layer from the same position of the epidermis, moving the suture needles at the third free end to the far end in the dermis layer by 0.5cm, then entering subcutaneous tissue, and then taking out the suture needles from the skin edge of the subcutaneous tissue; the suture needle at the fourth free end is shifted to the near end by 0.5cm in the dermis layer, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(5) knotting the first free end and the third free end after the needle is withdrawn, and knotting the second free end and the fourth free end after the needle is withdrawn;
(6) sticking the adhesive patches 2 on two sides of the novel tension-reducing closer on two sides of the wound, and further closing the wound through the locking piece 1;
(7) after 7 days after wound healing, the suture 4 was removed and the hypotonic occlusive device was removed.
The observation shows that the wound has no suture trace and obvious scar.
Example 2
A novel tension-reducing stitching instrument comprises two stickers arranged on the left and right sides and locking pieces respectively connected with the two stickers, wherein the locking pieces enable the two stickers to be close to each other and fixed, a first absorbable suture line and a second absorbable suture line corresponding to the first absorbable suture line are respectively arranged on the two stickers, the first absorbable suture line and the second absorbable suture line are respectively connected with the stickers through connecting pieces, and the connecting pieces are sutures; the two ends of the first absorbable suture and the second absorbable suture are free ends, and the free ends are used for being connected with a suture needle.
Two suture groups consisting of a first absorbable suture and a second absorbable suture corresponding to the first absorbable suture are arranged on the two adhesive sheets, and the suture groups are arranged at intervals.
A novel tension reducing suturing method based on the novel tension reducing suturing device comprises the following steps:
(1) sterilizing the wound conventionally;
(2) in one suture group, two free ends of the first absorbable suture are marked as a first free end and a second free end, two free ends of the second absorbable suture are marked as a third free end and a fourth free end, and the first free end, the second free end, the third free end and the fourth free end are respectively connected with a suture needle;
(3) respectively inserting the suture needles at the first free end and the second free end into the dermis layer from the same position of the epidermis at a position 1.0cm away from the skin edge on one side of the wound, allowing the suture needles at the first free end to form a shape of 1.0cm towards the far end in the dermis layer, allowing the suture needles to enter subcutaneous tissues, and then allowing the suture needles to exit from the skin edge of the subcutaneous tissues; the suture needle at the second free end is extended to the near end by 1.0cm in the dermis layer, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(4) at the position 1.0cm away from the skin edge on the other side of the wound, respectively inserting the suture needles at the third free end and the fourth free end into the dermis layer from the same position of the epidermis, allowing the suture needles at the third free end to form a shape of 1.0cm towards the far end in the dermis layer, then allowing the suture needles to enter subcutaneous tissues, and then allowing the suture needles to exit from the skin edge of the subcutaneous tissues; the suture needle at the fourth free end is extended to the near end by 1.0cm in the dermis layer, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(5) knotting the absorbable sutures at the first free end and the third free end after the needle is withdrawn in the steps (3) and (4), and knotting the absorbable sutures at the second free end and the fourth free end after the needle is withdrawn;
(6) performing tension-reducing suture by using the suture groups one by one according to the steps (2) to (5) to close the wound;
(7) pasting the adhesive patches on the two sides of the novel tension reducing closer on the two sides of the wound, and closing the wound through a locking piece;
(8) after 14 days after wound healing, the sutures were removed and the hypotonic occlusive device was removed.
The observation shows that the wound has no suture trace and obvious scar.
According to the invention, the suture group is arranged on the adhesive sheets at the two ends of the tension-reducing suture device, the wound is sutured by using the suture group, and after the tension-reducing closure device is attached to the two sides of the wound, the connection between the adhesive sheets of the tension-reducing closure device and the skin can be enhanced through the traction effect of the absorbable suture, so that the tension-reducing suture device is prevented from falling off in use, and the wound healing is promoted; by combining the tension reducing suture device with the absorbable suture, the operation process can be simplified, the number of the suture needles can be reduced, no suture trace is left on the epidermis, and the scar formation can be reduced.

Claims (4)

1. A novel tension-reducing stitching instrument comprises two sticking pieces arranged on the left and the right, and locking pieces respectively connected with the two sticking pieces, wherein the two sticking pieces are mutually pulled close and fixed by the locking pieces; the first absorbable suture line and the second absorbable suture line are connected with the adhesive patch through connecting pieces respectively, the two ends of the first absorbable suture line and the two ends of the second absorbable suture line are free ends, and the free ends are used for being connected with suture needles.
2. A novel tension reducing suture as claimed in claim 1 wherein said connecting member is a suture.
3. A novel tension reducing suture as claimed in claim 1, wherein the two patches are provided with one or more suture groups consisting of a first absorbable suture and a second absorbable suture corresponding thereto, the suture groups being spaced apart from each other.
4. A novel tension reducing suture method based on the novel tension reducing suture device as claimed in any one of claims 1 to 3, characterized by comprising the steps of:
(1) sterilizing the wound conventionally;
(2) in one suture group, two free ends of the first absorbable suture are marked as a first free end and a second free end, two free ends of the second absorbable suture are marked as a third free end and a fourth free end, and the first free end, the second free end, the third free end and the fourth free end are respectively connected with a suture needle;
(3) respectively inserting the suture needles at the first free end and the second free end from the same position of the epidermis to the dermis layer at a position 0.5-1.0 cm away from the skin edge of one side of the wound, allowing the suture needles at the first free end to move 0.5-1.0 cm far away in the dermis layer and then enter subcutaneous tissue, and then taking out the suture needles from the skin edge of the subcutaneous tissue; the suture needle at the second free end is extended to the near end in the dermis layer for 0.5-1.0 cm, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(4) at the position 0.5-1.0 cm away from the skin edge on the other side of the wound, respectively inserting the suture needles at the third free end and the fourth free end into the dermis layer from the same position of the epidermis, moving the suture needles at the third free end to the far end in the dermis layer by 0.5-1.0 cm, then entering subcutaneous tissue, and then taking out the suture needles from the skin edge of the subcutaneous tissue; the suture needle at the fourth free end is extended to the near end in the dermis layer for 0.5-1.0 cm, enters the subcutaneous tissue and is withdrawn from the skin edge of the subcutaneous tissue;
(5) knotting the first free end and the third free end after the needle is withdrawn, and knotting the second free end and the fourth free end after the needle is withdrawn;
(6) performing tension-reducing suture by using the suture groups one by one according to the steps (2) to (5) to close the wound;
(7) pasting the adhesive patches on the two sides of the novel tension reducing closer on the two sides of the wound, and further closing the wound through a locking piece;
(8) and 7-14 days after the wound is healed, removing the suture and removing the tension-reducing closer.
CN202111195769.XA 2021-10-14 2021-10-14 Novel tension-reducing stitching instrument and tension-reducing stitching method Withdrawn CN113796908A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111195769.XA CN113796908A (en) 2021-10-14 2021-10-14 Novel tension-reducing stitching instrument and tension-reducing stitching method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111195769.XA CN113796908A (en) 2021-10-14 2021-10-14 Novel tension-reducing stitching instrument and tension-reducing stitching method

Publications (1)

Publication Number Publication Date
CN113796908A true CN113796908A (en) 2021-12-17

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CN202111195769.XA Withdrawn CN113796908A (en) 2021-10-14 2021-10-14 Novel tension-reducing stitching instrument and tension-reducing stitching method

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Application publication date: 20211217

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