CN117017525A - Circumcision fixing device - Google Patents
Circumcision fixing device Download PDFInfo
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- CN117017525A CN117017525A CN202311038382.2A CN202311038382A CN117017525A CN 117017525 A CN117017525 A CN 117017525A CN 202311038382 A CN202311038382 A CN 202311038382A CN 117017525 A CN117017525 A CN 117017525A
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- China
- Prior art keywords
- ring
- circumcision
- wound
- foreskin
- fixing
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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- 210000003953 foreskin Anatomy 0.000 claims abstract description 73
- 230000007246 mechanism Effects 0.000 claims abstract description 22
- 239000004677 Nylon Substances 0.000 claims description 28
- 229920001778 nylon Polymers 0.000 claims description 28
- 210000003899 penis Anatomy 0.000 claims description 23
- 210000001015 abdomen Anatomy 0.000 claims description 2
- 206010052428 Wound Diseases 0.000 abstract description 46
- 208000027418 Wounds and injury Diseases 0.000 abstract description 46
- 206010033675 panniculitis Diseases 0.000 abstract description 5
- 210000004304 subcutaneous tissue Anatomy 0.000 abstract description 5
- 230000029663 wound healing Effects 0.000 abstract description 4
- 208000015181 infectious disease Diseases 0.000 abstract description 3
- 206010067484 Adverse reaction Diseases 0.000 abstract description 2
- 206010061218 Inflammation Diseases 0.000 abstract description 2
- 208000031481 Pathologic Constriction Diseases 0.000 abstract description 2
- 208000005392 Spasm Diseases 0.000 abstract description 2
- 230000006838 adverse reaction Effects 0.000 abstract description 2
- 230000003111 delayed effect Effects 0.000 abstract description 2
- 230000002439 hemostatic effect Effects 0.000 abstract description 2
- 230000004054 inflammatory process Effects 0.000 abstract description 2
- 230000036262 stenosis Effects 0.000 abstract description 2
- 208000037804 stenosis Diseases 0.000 abstract description 2
- 238000004904 shortening Methods 0.000 abstract 1
- 238000000034 method Methods 0.000 description 10
- 239000000463 material Substances 0.000 description 9
- 206010036624 Prepuce redundant Diseases 0.000 description 6
- 210000004204 blood vessel Anatomy 0.000 description 6
- 206010002091 Anaesthesia Diseases 0.000 description 5
- 230000037005 anaesthesia Effects 0.000 description 5
- 230000000740 bleeding effect Effects 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 238000004804 winding Methods 0.000 description 5
- 210000001503 joint Anatomy 0.000 description 4
- 230000002792 vascular Effects 0.000 description 4
- 206010034878 phimosis Diseases 0.000 description 2
- 230000002441 reversible effect Effects 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010048038 Wound infection Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000011111 cardboard Substances 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
-
- 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
- A61B17/0491—Sewing machines for surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Neurosurgery (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a circumcision fixing device, which solves the problem that the operation efficiency is low due to complex operation and time consumption of circumcision operation; the subcutaneous tissue of the wound is exposed much, the exposure time is long, and the infection probability of the wound is increased; the technical problem of delayed wound healing caused by poor wound involution and inflammatory reaction of more foreign matters of the wound. The invention comprises an inner ring, an outer ring mechanism sleeved on the foreskin at the glans and used for fixing the wound suture of the foreskin, and an elastic thread matched with the inner ring and used for fixing the foreskin at the operation position. The invention can effectively improve the efficiency of surgical suture, reduce subcutaneous tissue exposure and reduce adverse reactions. The operation is succinct in the operation, has apparent hemostatic effect, and wound subcutaneous tissue exposes little, exposure time is short, can effectively reduce the probability of infection, and the wound is closed well and is helped shortening wound healing time, and after the operation, the foreskin incision is annular evenly to hang on outer loop mechanism, can avoid wound spasm stenosis, can absorb the line knot and is few, can exempt from the line of taking out entirely after the operation.
Description
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a circumcision fixing device.
Background
The foreskin, also called the penis foreskin, is a double-layer free annular fold formed by the skin in front of the penis neck and surrounds the glans. The foreskin is longer in the infant period, and the whole glans is wrapped. With age, the foreskin gradually retreats and the prepuce gradually enlarges until the whole glans is exposed. After adult, if the prepuce is too small, the prepuce completely wraps the glans, called phimosis; if the foreskin is retracted but the entire glans cannot be exposed, it is called foreskin overlength. Men with both conditions may choose to perform circumcision.
Circumcision refers to an operation of cutting redundant prepuce at the head of a penis to expose the head of the penis, and can treat phimosis, overlong prepuce and prevent complications. The surgical procedure is performed for about 10 to 30 minutes with relatively little risk of surgery. The circumcision method is a plurality of methods, the most common method is a primary circumcision method of the inner and outer plates of the foreskin, and the second method is a separate circumcision method of the inner and outer plates. The purpose of the operation is to expose the glans completely through the operation.
At present, the circumcision has the technical problems that the operation efficiency is low, the exposure of subcutaneous tissues of a wound is more, the exposure time is long, the probability of wound infection is increased, the postoperative wound is poor in involution and the wound is more in foreign body inflammatory reaction, so that the wound healing is delayed in the operation process due to complicated operation and time consumption.
Disclosure of Invention
The invention aims to solve the technical problems that: a circumcision fixation device is provided to solve at least some of the above-mentioned technical problems.
In order to achieve the above purpose, the technical scheme adopted by the invention is as follows:
a circumcision fixing device comprises an inner ring which is matched with a penis coronary sulcus and is sleeved on the penis coronary sulcus, an outer ring mechanism which is sleeved on a prepuce at a glans and is used for fixing a prepuce wound suture, and an elastic thread which is matched with the inner ring and is used for fixing a prepuce at an operation position.
Further, the device also comprises a bandage which is fixed on the penis of the patient and is positioned between the coronary sulcus and the abdomen of the penis, and the outer ring mechanism is connected with the bandage through a suture.
Further, the outer ring mechanism comprises a rear ring connected with the foreskin wound suture and a front ring connected with the rear ring for mutually matching to fix the foreskin wound suture.
Further, a front ring nut is arranged on the outer wall of the front ring, a rear ring nut matched with the front ring nut is arranged on the outer wall of the rear ring, and a stud is connected between the front ring nut and the rear ring nut.
Further, a plurality of threading loops are circumferentially and equidistantly distributed on the outer wall of the rear ring, and the prepuce wound suture is threaded in the threading loops.
Further, nylon ribbon for fixing prepuce wound suture is further included, a plurality of buckle mechanisms matched with the nylon ribbon are circumferentially distributed on the outer wall of the rear ring at equal intervals, and the nylon ribbon is clamped in the buckle mechanisms.
Further, the buckle mechanism comprises a pair of clamping plates arranged on the outer wall of the rear ring, clamping limiting protrusions are arranged on the clamping plates, and the outer wall of the rear ring, the pair of clamping plates and the two clamping limiting protrusions jointly enclose a clamping groove with an opening at the top and matched with the nylon ribbon.
Further, a pair of front ring connecting plates are fixedly connected between the outer wall of the front ring and the front ring nut, a pair of rear ring connecting plates are fixedly connected between the outer wall of the rear ring and the rear ring nut, and the front ring connecting plates and the rear ring connecting plates are the same in size.
Further, the outer wall of the rear ring, the rear ring nuts and a pair of rear ring connecting plates are fixedly connected together to form a clamping hole matched with the nylon ribbon. The tongue end of the nylon ribbon can pass through the clamping hole, and the self-locking ring of the nylon ribbon cannot pass through the clamping hole.
Further, a circle of V-shaped ring grooves are arranged on the outer wall of the inner ring, and the foreskin at the operation part is fixed in the V-shaped ring grooves through elastic wires; at least two lacing fixing grooves for fixing the prepuce lacing are formed on the inner ring.
Compared with the prior art, the invention has the following beneficial effects:
the invention has simple structure, scientific and reasonable design, convenient use, simple operation in operation, obvious hemostatic effect, less wound suturing and knot tying and high operation efficiency, and can effectively improve the operation suturing efficiency; the exposure of subcutaneous tissues of the wound is less, the exposure time is short, and the infection probability can be effectively reduced; good wound involution, less wound suturing foreign matters, less adverse reaction and contribution to wound healing; after the operation, the prepuce incision is uniformly suspended on the fixed ring in a ring shape, so that the stenosis of the wound spasm can be avoided, fewer knot can be absorbed, and the suture can be completely removed after the operation.
Drawings
Fig. 1 is a schematic diagram of a rear ring structure scheme 2 of the present invention.
Fig. 2 is a schematic side view of the card board in fig. 1.
Fig. 3 is a schematic diagram of a rear ring structure scheme 1 of the present invention.
Fig. 4 is a schematic cross-sectional view of the rear ring structure of the invention at the joint plate of scheme 2.
FIG. 5 is a schematic view of a cross section of a nut part in a rear ring structure scheme 2 of the present invention
Fig. 6 is a schematic diagram of a front ring structure scheme 1 of the present invention.
Fig. 7 is a schematic diagram of a front ring structure scheme 2 of the present invention.
FIG. 8 is a schematic view of the inner ring structure of the present invention.
FIG. 9 is a schematic diagram of the connection between the front ring and the rear ring according to the present invention.
Fig. 10 is a schematic view of an outer ring structure scheme 1 of the present invention.
FIG. 11 is a schematic view of the use of the bandage and elastic strands of the present invention.
Wherein, the names corresponding to the reference numerals are:
1-an inner ring; 2-an outer ring mechanism; 3-elastic lines; 4-bandages; 5-rear ring; 6-front ring; 7-a front ring nut; 8-a rear ring nut; 9-stud; 10-threading the coil; 11-nylon ribbon; 12-clamping plates; 13-clamping the limiting bulge; 14-clamping grooves; 15-V-shaped ring grooves; 16-lacing fixation slots; 17-a front ring connection plate; 18-a rear ring connection plate; 19-clamping holes.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings, in order to make the objects, technical solutions and advantages of the present invention more apparent. It will be apparent that the described embodiments are only some, but not all, embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In the description of the present invention, it should be noted that the directions or positional relationships indicated by the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation or be constructed and operated in a specific orientation, and thus they should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; of course, it may be mechanically or electrically connected; in addition, the connection may be direct, indirect via an intermediate medium, or communication between two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
The inner ring 1 is made of hard safety material (material capable of contacting human tissues, such as stainless steel, PE and the like), the inner ring 1 is provided with an outward V-shaped ring groove 15, and at least two lacing fixing grooves 16 for fixing lacing are formed on the inner ring 1. The inner ring 1 is adapted to fit over the penis coronary sulcus.
The thickness of the inner ring 1 is one millimeter, the width is five to six millimeters, the front edge of the groove bottom of the V-shaped annular groove 15 on the inner ring 1 is four to five millimeters, the rear edge is three to four millimeters, and the plane of the groove edge is two to three millimeters from the groove bottom.
The outer ring mechanism 2 is likewise made of a hard safety material and is composed of two concentric front and rear rings 6 and 5 of equal size. The inner radius of the outer ring mechanism 2 is three to five millimeters more than the outer radius of the inner ring 1 (the inner and outer ring spacing is three to five millimeters). The front ring 6 and the rear ring 5 are respectively provided with fixed screws at three equal parts of the outer edge (twelve points, four points and eight points sleeved outside the penis); studs 9 may longitudinally pass through the front ring nut 7 and the rear ring nut 8 to secure the front ring 6 and the rear ring 5. Nuts (four millimeters in diameter and two millimeters in screw holes) are longitudinally arranged at the same position of the front ring 6 and the rear ring 5, the diameter (including threads) of the stud 9 is two millimeters, and the screw is convenient to fix by hand-hold screwing.
The back ring 5 is used for fixing the surgical suture for the first time, and the following two structural schemes are available.
The structure scheme 1 is that a threading ring 10 (made of hard safety materials) with a diameter of two millimeters is fixedly connected on the outer wall of a rear ring 5 three millimeters away from each nut, the diameter of a central hole of the threading ring 10 is one millimeter, and the central holes are longitudinally arranged along the front ring and the rear ring when the threading ring 10 is connected with the rear ring 5. The back ring 5 is fixedly connected with the threading rings 10 at a position three millimeters away from each threading ring 10 in the same way as the front standard, and is fully distributed with the back ring 5 for one circle.
The structure scheme 2 is that the rear ring is widened by 5 to four millimeters, three pairs of nuts fixedly connected with the front ring and the rear ring are respectively fixed with the front ring and the rear ring through two connecting plates with the thickness of one millimeter, wherein the fixed connecting plate for connecting the front ring nut 7 and the front ring 6 is a front ring connecting plate 17, the fixed connecting plate for connecting the rear ring nut 8 and the rear ring 5 is a rear ring connecting plate 18, the thickness of the rear ring nut 8 fixedly connected with the rear ring 5 is set to four millimeters, and square clamping holes 19 with the side length of two millimeters are formed among the rear ring nut 8, the rear ring connecting plate 18 and the rear ring; the outer sides of the reverse V-shaped clamping plates 12 are fixedly connected with the edge of the rear ring 5 at the two sides of the outer surface of the rear ring 5, which are positioned at a distance of ten millimeters from the rear ring nut 8, and the inner side parts of the reverse V-shaped clamping plates 12 are truncated in the middle to form opposite convex clamping limit protrusions 13; the self-locking nylon ribbon 11 with the width of approximately two millimeters and the thickness of one millimeter is inserted into the clamping hole 19 between the rear ring nut 8 and the rear ring 5, and the self-locking nylon ribbon 11 can be clamped and pressed between the pair of inverted V-shaped clamping plates 12 on the rear ring 5 in sequence after intermittently winding a suture in the operation process.
The abutting ring surface of the front ring 6 and the rear ring 5 is polished.
The following is a table of the corresponding dimensions (unit: mm) of the inner ring 1 and the outer ring mechanism 2 when the material of the foreskin retaining ring is stainless steel.
Structural scheme 1:
inner diameter of inner ring 1: 12. 14, 16, 18, 20, 22, 24, 26, 28, 30, 32
Corresponding to the inner diameter of the outer ring mechanism 2: 26. 28, 30, 32, 34, 36, 38, 40, 42, 44, 46
The front ring 6 is two millimeters wide, the rear ring 5 is two millimeters wide, and the front and rear ring fixing nuts are two millimeters wide and the stud is five millimeters long. The thickness of the front ring and the rear ring is one millimeter, and the thickness of the outer ring is one millimeter.
Structural scheme 2:
inner diameter of inner ring 1: 12. 14, 16, 18, 20, 22, 24, 26, 28, 30, 32
Corresponding to the inner diameter of the outer ring mechanism 2: 26. 28, 30, 32, 34, 36, 38, 40, 42, 44, 46
The front ring 6 is two millimeters wide, the rear ring 5 is four millimeters wide, and the screw cap is seven millimeters long. The thickness of the front ring and the rear ring is one millimeter, and the thickness of the outer ring is one millimeter.
The following are the corresponding dimensional gauges (unit: mm) of the inner ring 1 and the outer ring mechanism 2 when the foreskin retaining ring material of each type is made of plastic material such as PE.
Structural scheme 1:
inner diameter of inner ring 1: 12. 14, 16, 18, 20, 22, 24, 26, 28, 30, 32
Corresponding to the inner diameter of the outer ring mechanism 2: 26. 28, 30, 32, 34, 36, 38, 40, 42, 44, 46
The front ring 6 is two millimeters wide, the rear ring 5 is two millimeters wide, and the front and rear ring fixing nuts are two millimeters wide and the stud is five millimeters long. The front and rear ring thickness increased to two millimeters and the outer ring thickness increased to two millimeters.
Structural scheme 2:
inner diameter of inner ring 1: 12. 14, 16, 18, 20, 22, 24, 26, 28, 30, 32
Corresponding to the inner diameter of the outer ring mechanism 2: 26. 28, 30, 32, 34, 36, 38, 40, 42, 44, 46
The front ring 6 is two millimeters wide, the rear ring 5 is four millimeters wide, and the screw cap is seven millimeters long. The front and rear ring thickness increased to two millimeters and the outer ring thickness increased to two millimeters.
In the practical application of the present invention,
as shown in fig. 3, 6, 8, 9, 10 and 11, the present invention provides two technical solutions used in structural scheme 1 of the rear ring 5:
the first kind of the method is that,
in circumcision, two circles of bandages 4 are wrapped at the position of the middle part of the penis near the coronary sulcus after anesthesia; the inner ring 1 which is matched with the size of the coronary sulcus is sleeved in the coronary sulcus; resetting after covering the inner ring 1 with the foreskin; the elastic thread 3 is tightly tensioned and knotted after one to two circles of the inner ring 1 are wound outside the foreskin, and the foreskin is annularly fixed at the coronary sulcus; a rear ring 5 with the inner radius being three to five millimeters larger than the outer radius of the inner ring 1 is sleeved at the position of the penis surface close to the coronary sulcus; the common silk threads of the needle threading belts are respectively sewn and knotted with the nearby bandage 4 through three back ring nuts 8 to be fixed properly; the absorbable thread with the needle is used for stopping bleeding by transversely stitching the obvious foreskin blood vessel near the fixed position of the elastic thread 3; cutting off a part of the foreskin by about ten millimeters at the distal end of the ring-shaped binding part of the elastic wire 3 and close to the elastic wire 3 and the vascular suture; properly pulling the distal end of the redundant prepuce forward; tying a first knot with an inner plate and an outer plate of a prepuce wound near a loop ligature position of an absorbable suture elastic line 3 with a needle, and leaving a residual thread at the non-needle end for about fifteen millimeters; continuously suturing the inner and outer plates of the foreskin by the butt joint, after one to two needles are sewn, penetrating the needle thread through the central hole of the threading ring 10 on the outer surface of the nearby rear ring 5, properly tensioning the suture thread, and then sewing the next needle; about ten millimeters of foreskin is completely sutured, and then the next section is cut off for suturing; until the redundant foreskin is completely sheared off; repeatedly suturing the foreskin for one circle to the knotting position of the first needle, and properly tensioning the suture and knotting and fixing the suture and the first knotting residual thread; cutting off a fixing thread between a rear ring nut 8 and a fixing bandage 4, enabling a stud 9 to penetrate through a front ring nut 7 corresponding to a front ring 6 and a rear ring nut 8 corresponding to a rear ring 5, connecting the two nuts, then rotating and screwing, and sequentially screwing and fixing three pairs of nuts of the front ring and the rear ring by using the stud 9 in the same operation; cutting off a fixed elastic thread 3 outside the foreskin of the inner ring 1, removing the inner ring 1, and removing a fixed bandage 4; after the wound is disinfected, the wound is properly bound by pressurization around the wound by using a sterile sliver; after the operation is finished.
The second kind of the material is that,
in circumcision, two circles of bandages 4 are wrapped at the position of the middle part of the penis near the coronary sulcus after anesthesia; the inner ring 1 which is matched with the size of the coronary sulcus is sleeved in the coronary sulcus; resetting after covering the inner ring 1 with the foreskin; the elastic thread 3 is tightly tensioned and knotted after one to two circles of the inner ring 1 are wound outside the foreskin, and the foreskin is annularly fixed at the coronary sulcus; a rear ring 5 with the inner radius being three to five millimeters larger than the outer radius of the inner ring 1 is sleeved at the position of the penis surface close to the coronary sulcus; the common silk threads of the needle threading belts are respectively sewn and knotted with the nearby bandage 4 through three back ring nuts to be fixed properly; the absorbable thread with the needle is used for stopping bleeding by transversely stitching the obvious foreskin blood vessel near the fixed position of the elastic thread 3; cutting off a part of the foreskin by about ten millimeters at the distal end of the ring-shaped binding part of the elastic wire 3 and close to the elastic wire 3 and the vascular suture; properly pulling the distal end of the redundant prepuce forward; tying a first knot with an inner plate and an outer plate of a prepuce wound near a loop ligature position of an absorbable suture elastic line 3 with a needle, and leaving a residual thread at the non-needle end for about fifteen millimeters; continuously suturing the inner and outer plates of the foreskin by the butt joint, winding the needle wire around the joint of the threading ring 10 and the rear ring 5 on the outer surface of the rear ring 5 after one to two needles are sutured, and properly tensioning the suture and suturing the next needle; about ten millimeters of foreskin is completely sutured, and then the next section is cut off for suturing; until the redundant foreskin is completely sheared off; repeatedly suturing the foreskin for one circle to the knotting position of the first needle, and properly tensioning the suture and knotting and fixing the suture and the first knotting residual thread; cutting off a fixing thread between a rear ring nut 8 and a fixing bandage 4, enabling a stud 9 to pass through a front ring nut 7 corresponding to a front ring 6 and a rear ring nut 8 corresponding to a rear ring 5, rotating and screwing up, and sequentially screwing up and fixing three pairs of nuts of the front ring and the rear ring by using the stud 9 in the same operation; cutting off a fixed elastic thread 3 outside the foreskin of the inner ring 1, removing the inner ring 1, and removing a fixed bandage 4; after the wound is disinfected, the wound is properly bound by pressurization around the wound by using a sterile sliver; after the operation is finished.
As shown in fig. 1, 2, 4, 5, 7, 8, 9, 10, 11, the present invention provides a technical solution used in the structural solution 2 of the rear ring 5:
the scheme is that,
in circumcision, two circles of bandages 4 are wrapped at the position of the middle part of the penis near the coronary sulcus after anesthesia; the inner ring 1 which is matched with the size of the coronary sulcus is sleeved in the coronary sulcus; resetting after covering the inner ring 1 with the foreskin; the elastic thread 3 is tightly tensioned and knotted after one to two circles of the inner ring 1 are wound outside the foreskin, and the foreskin is annularly fixed at the coronary sulcus; the rear ring 5 with the inner radius being three to five millimeters larger than the outer radius of the inner ring 1 is sleeved at the position of the surface of the penis near the coronary sulcus, so that the rear ring nut 8 on the outer surface of the rear ring 5 is positioned at the position of the coronary sulcus near twelve o' clock; the common silk threads of the needle threading belts are respectively sewn and knotted with the nearby bandage 4 through three back ring nuts 8 to be fixed properly; the absorbable thread with the needle is used for stopping bleeding by transversely stitching the obvious foreskin blood vessel near the fixed position of the elastic thread 3; a part of the foreskin is cut off by ten millimeters when the distal foreskin is near the twelve o' clock of the coronary sulcus and is close to the elastic thread 3 and the blood vessel ligature; properly pulling the distal end of the redundant prepuce forward; tying a first knot with an inner plate and an outer plate of a prepuce wound near a loop ligature position (near twelve o' clock of a coronary sulcus) of an elastic thread 3 with a needle absorbable thread, and leaving a residual thread at the non-needle end for about fifteen millimeters; the thinner end of the nylon ribbon 11 is pulled out after passing through the clamping hole 19 under the back ring nut 8 near twelve o' clock of the coronary sulcus, and the self-locking ring end of the nylon ribbon 11 is fixed at one side of the clamping hole 19; continuously suturing the inner and outer plates of the foreskin along the foreskin incision after winding the absorbable wire with the needle around the proximal end of the nylon ribbon 11 for one circle, winding the needle wire around the proximal end of the nylon ribbon 11 for one circle after each stitch of one to two needles, and properly tensioning the suture and then suturing the next needle; after the foreskin is about ten millimeters to the joint, the near-end nylon ribbon 11 is pressed down into the centers of two adjacent inverted V-shaped clamping plates 12 to be fixed; then cutting the next section of foreskin for suturing; until the redundant foreskin is completely sheared off; repeatedly suturing the foreskin to the knotted position of the first needle in a circle, properly tensioning the suture, enabling the thinner end of the nylon ribbon 11 to pass through a self-locking ring at the other end of the nylon ribbon 11, tensioning the nylon ribbon 11, and cutting off the thinner end of the redundant nylon ribbon 11 near the self-locking ring; the absorbable thread is properly tensioned and knotted and fixed with the residual thread of the first thread knot; cutting off a fixing thread between a rear ring nut 8 and a fixing bandage 4, enabling a stud 9 to pass through a front ring nut 7 corresponding to a front ring 6 and a rear ring nut 8 corresponding to a rear ring 5, rotating and screwing up, and sequentially screwing up and fixing three pairs of nuts of the front ring and the rear ring by using the stud 9 in the same operation; cutting off a fixed elastic thread 3 outside the foreskin of the inner ring 1, removing the inner ring 1, and removing a fixed bandage 4; after the wound is disinfected, the wound is properly bound by pressurization around the wound by using a sterile sliver; after the operation is finished.
As shown in fig. 3, 6, 8 and 11, the present invention provides two technical solutions of using the front ring 6 or the rear ring 5 alone as an outer ring mechanism in the structural solution 1 of the rear ring 5:
the first kind of the method is that,
in circumcision, two circles of bandages 4 are wrapped at the position of the middle part of the penis near the coronary sulcus after anesthesia; the inner ring 1 which is matched with the size of the coronary sulcus is sleeved in the coronary sulcus; resetting after covering the inner ring 1 with the foreskin; the elastic thread 3 is tightly tensioned and knotted after one to two circles of the inner ring 1 are wound outside the foreskin, and the foreskin is annularly fixed at the coronary sulcus; a front ring 6 with the inner radius being three to five millimeters larger than the outer radius of the inner ring 1 is sleeved at the position of the penis surface close to the coronary sulcus; the common silk threads of the needle threading belts are respectively sewn and knotted with the nearby bandages 4 through three front ring nuts 7 to be fixed properly; the absorbable thread with the needle is used for stopping bleeding by transversely stitching the obvious foreskin blood vessel near the fixed position of the elastic thread 3; cutting off a part of the foreskin by about ten millimeters at the distal end of the ring-shaped binding part of the elastic wire 3 and close to the elastic wire 3 and the vascular suture; properly pulling the distal end of the redundant prepuce forward; tying a first knot with an inner plate and an outer plate of a prepuce wound near a loop ligature position of an absorbable suture elastic line 3 with a needle, and leaving a residual thread at the non-needle end for about fifteen millimeters; continuously suturing the inner and outer plates of the foreskin by the butt joint, winding the needle around the nearby front ring 6 one circle after each suture is one to two needles, suspending the suture on the front ring 6, properly tensioning the suture, and then suturing the next needle; about ten millimeters of foreskin is completely sutured, and then the next section is cut off for suturing; until the redundant foreskin is completely sheared off; repeatedly suturing the foreskin for one circle to the knotting position of the first needle, and properly tensioning the suture and knotting and fixing the suture and the first knotting residual thread; cutting off the fixing silk threads between the three front ring nuts 7 and the fixing bandage 4, cutting off the fixing elastic thread 3 outside the foreskin of the inner ring 1, removing the inner ring 1, and removing the fixing bandage 4; after the wound is disinfected, the wound is properly bound by pressurization around the wound by using a sterile sliver; after the operation is finished.
The second kind of the material is that,
in circumcision, two circles of bandages 4 are wrapped at the position of the middle part of the penis near the coronary sulcus after anesthesia; the inner ring 1 which is matched with the size of the coronary sulcus is sleeved in the coronary sulcus; resetting after covering the inner ring 1 with the foreskin; the elastic thread 3 is tightly tensioned and knotted after one to two circles of the inner ring 1 are wound outside the foreskin, and the foreskin is annularly fixed at the coronary sulcus; a rear ring 5 with the inner radius being three to five millimeters larger than the outer radius of the inner ring 1 is sleeved at the position of the penis surface close to the coronary sulcus; the common silk threads of the needle threading belts are respectively sewn and knotted with the nearby bandage 4 through three back ring nuts 8 to be fixed properly; the absorbable thread with the needle is used for stopping bleeding by transversely stitching the obvious foreskin blood vessel near the fixed position of the elastic thread 3; cutting off a part of the foreskin by about ten millimeters at the distal end of the ring-shaped binding part of the elastic wire 3 and close to the elastic wire 3 and the vascular suture; properly pulling the distal end of the redundant prepuce forward; tying a first knot with an inner plate and an outer plate of a prepuce wound near a loop ligature position of an absorbable suture elastic line 3 with a needle, and leaving a residual thread at the non-needle end for about fifteen millimeters; continuously suturing the inner and outer plates of the foreskin by the butt joint, passing the needle and line through the nearby threading ring 10 to wind the back ring 5 for one turn after each stitch of one to two needles, properly tensioning the suture and then suturing the next needle; about ten millimeters of foreskin is completely sutured, and then the next section is cut off for suturing; until the redundant foreskin is completely sheared off; repeatedly suturing the foreskin for one circle to the knotting position of the first needle, and properly tensioning the suture and knotting and fixing the suture and the first knotting residual thread; cutting off the fixing wires between the three rear ring nuts 8 and the fixing bandage 4, cutting off the fixing elastic wires 3 outside the foreskin of the inner ring 1, removing the inner ring 1, and removing the fixing bandage 4; after the wound is disinfected, the wound is properly bound by pressurization around the wound by using a sterile sliver; after the operation is finished.
The elastic thread, the fixing screw, the stud, the nut, the screw head, the threading coil, the self-locking nylon ribbon and the needle absorbable suture are the prior known technology, so the elastic thread, the fixing screw, the stud, the nut, the screw head, the threading coil, the self-locking nylon ribbon and the needle absorbable suture are not repeated here.
Finally, it should be noted that: the above embodiments are merely preferred embodiments of the present invention for illustrating the technical solution of the present invention, but not limiting the scope of the present invention; although the invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some or all of the technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit of the corresponding technical solutions; that is, even though the main design concept and spirit of the present invention is modified or finished in an insubstantial manner, the technical problem solved by the present invention is still consistent with the present invention, and all the technical problems are included in the protection scope of the present invention; in addition, the technical scheme of the invention is directly or indirectly applied to other related technical fields, and the technical scheme is included in the scope of the invention.
Claims (10)
1. The circumcision fixing device is characterized by comprising an inner ring (1) which is matched with the penis coronary sulcus and is sleeved on the penis coronary sulcus, an outer ring mechanism (2) which is sleeved on the foreskin at the glans and is used for fixing a foreskin wound suture, and an elastic thread (3) which is matched with the inner ring (1) and is used for fixing the foreskin at the operation position.
2. A circumcision aid according to claim 1, further comprising a bandage (4) secured to the patient's penis between the coronary sulcus and the abdomen, the outer ring means (2) being connected to the bandage (4) by means of a suture.
3. A circumcision fixation device according to claim 2, characterised in that the outer ring means (2) comprises a rear ring (5) connected to the circumcision suture and a front ring (6) connected to the rear ring (5) for cooperation with each other for fixation of the circumcision suture.
4. A circumcision fixing device according to claim 3, characterized in that the outer wall of the front ring (6) is provided with a front ring nut (7), the outer wall of the rear ring (5) is provided with a rear ring nut (8) which is matched with the front ring nut (7), and a stud (9) is connected between the front ring nut (7) and the rear ring nut (8).
5. A circumcision fixing device according to claim 3, characterized in that a plurality of threading coils (10) are circumferentially equidistantly distributed on the outer wall of the rear ring (5), and the circumcision suture is threaded in the threading coils (10).
6. A circumcision fixing device according to claim 3, further comprising a nylon ribbon (11) for fixing the suture of the circumcision wound, wherein a plurality of fastening mechanisms matched with the nylon ribbon (11) are circumferentially and equidistantly distributed on the outer wall of the rear ring (5), and the nylon ribbon (11) is fastened in the fastening mechanisms.
7. The circumcision fixing device according to claim 6, wherein the buckling mechanism comprises a pair of buckling plates (12) arranged on the outer wall of the rear ring (5), buckling limiting protrusions (13) are arranged on the buckling plates (12), and the outer wall of the rear ring (5), the pair of buckling plates (12) and the two buckling limiting protrusions (13) jointly enclose a clamping groove (14) with an opening at the top and matched with the nylon ribbon (11).
8. A circumcision fixing device according to claim 6, characterised in that a pair of front ring connection plates (17) is fixedly connected between the outer wall of the front ring (6) and the front ring nut (7), a pair of rear ring connection plates (18) is fixedly connected between the outer wall of the rear ring (5) and the rear ring nut (8), and the front ring connection plates (17) and the rear ring connection plates (18) are the same size.
9. Circumcision fixing device according to claim 6, characterized in that the outer wall of the back ring (5), the back ring nut (8) and a pair of back ring connection plates (18) are fixedly connected together and enclose a clamping hole (19) adapted to the nylon tie (11). The tongue end of the nylon ribbon (11) can pass through the clamping hole (19), and the self-locking ring of the nylon ribbon (11) cannot pass through the clamping hole (19).
10. A circumcision fixing device according to claim 1, characterized in that the outer wall of the inner ring (1) is provided with a circle of V-shaped ring groove (15), and the foreskin at the operation site is fixed in the V-shaped ring groove (15) through an elastic thread (3); at least two lacing fixing grooves (16) for fixing the prepuce lacing are formed on the inner ring (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311038382.2A CN117017525A (en) | 2023-08-17 | 2023-08-17 | Circumcision fixing device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311038382.2A CN117017525A (en) | 2023-08-17 | 2023-08-17 | Circumcision fixing device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN117017525A true CN117017525A (en) | 2023-11-10 |
Family
ID=88624212
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202311038382.2A Pending CN117017525A (en) | 2023-08-17 | 2023-08-17 | Circumcision fixing device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN117017525A (en) |
-
2023
- 2023-08-17 CN CN202311038382.2A patent/CN117017525A/en active Pending
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