CN203328747U

CN203328747U - Hernial sac neck high ligation operation instrument

Info

Publication number: CN203328747U
Application number: CN2013203088265U
Authority: CN
Inventors: 李利剑
Original assignee: SHIMIAN COUNTY HOSPITAL OF TRADITIONAL CHINESE MEDICINE
Current assignee: SHIMIAN COUNTY HOSPITAL OF TRADITIONAL CHINESE MEDICINE
Priority date: 2013-05-31
Filing date: 2013-05-31
Publication date: 2013-12-11
Anticipated expiration: 2023-05-31

Abstract

The utility model discloses a hernial sac neck high ligation operation instrument, relates to the field of medical instruments and provides a hernial sac neck high ligation operation instrument which is simple in structure and convenient to operate. The hernial sac neck high ligation operation instrument comprises one or two hollow operation needles, a line puller and a ligation line. Through guidance of the operation needles and the line puller, the ligation line is wound around a hernial sac neck for one round so as to ligature the hernial sac neck. The hernial sac neck high ligation operation instrument is particularly suitable for children hernial sac neck high ligation operations.

Description

Hernical sac neck high ligation operating theater instruments

Technical field

This utility model relates to medical implements and field, relates in particular to a kind of hernical sac neck high ligation operating theater instruments.

Background technology

Indirect inguinal hernia in children is the common disease of pediatric surgery, Chinese scholars is unanimously thought, indirect inguinal hernia in children is that congenital processus vaginalis patent forms, there is no groin tube wall weakness, therefore only need collar extension high ligation in simple hernical sac can reach therapeutic purposes, it is according to being: indirect inguinal hernia in children is different from the oblique hernia of adult, the reason that the adult forms oblique hernia is the damaged of inguinal region, when being the high ligation hernical sac, the principle of operative treatment repairs this damaged, children oblique hernia is different, except the hernical sac that growth course is left over, even inguinal region there is no the weak factor of muscle or stomach wall has weakness, also can be strengthened by growth later.

Therefore, traditional operative treatment indirect inguinal hernia in children is by operation high ligation hernical sac neck, but operation wound is larger, adopt in recent years peritoneoscope to carry out Wicresoft's hernical sac neck high ligation and treat children inguinal hernia, because not needing to cut groin, the method do not separate spermatic cord and blood vessel, wound is little, misery is few, recovers fast, postoperative without cicatrix.After operation in patients the hospital stays by the past within 5～7 days, shorten to 1～2 day, and do not destroy the groin anatomical structure, the lower operation of direct-view has reduced damage spermatic cord, nerve, blood vessel and has put forward the probability of testis flesh, operation safety is reliable, then gradually replace traditional open surgery, become the goldstandard of children oblique hernia treatment.

The laparoscopic repair of pediatric indirect inguinal hernia has following several method at present:

Be generally to cut the otch of 3 diameter 5～10mm at patient's abdominal part during beginning, can under the video-laparoscope direct-view, sew up the hernical sac cervical region through abdominal cavity.

The otch that adopts 1 5～10mm was arranged afterwards, 1 5mm otch, hernia internal ring top adds work one 1-2mm otch and carries out hernical sac neck high ligation through the hernia surface.

Through exploratory development, start to have many people only to punch from umbilical part at present, the 1-2mm miniature incision is made in inguinal hernia internal ring top, uses special apparatus to carry out hernical sac neck high ligation through this miniature incision at the hernical sac eck.

It is of a great variety that the hernia ring used is at present repaired apparatus, have the hospital to develop voluntarily transformation or manufacturer production, wherein commonly used with the sledge crochet hook, but sledge crochet hook outward appearance is comparatively heavy, outdoor handle is larger, cost higher and operate very inconvenient.Other apparatuses are rifle formula staight needle for example, and the syringe type pin also exists the higher and unhandy shortcoming of cost.

The utility model content

The technical problems to be solved in the utility model is: a kind of operation simple in structure hernical sac neck high ligation operating theater instruments easily is provided.

For the technical scheme that addresses the above problem employing is: hernical sac neck high ligation operating theater instruments comprises operation needle, and operation needle length direction two ends are respectively the syringe needle of backshank and tip shape, the inner cavity that connects operation needle from length direction that forms of operation needle.

Further: operation needle quantity is two, and two operation needles are respectively threading needle and the pull pin be used in conjunction with; The backshank of threading needle, syringe needle and cavity are respectively threading needle backshank, threading needle syringe needle and line chamber; The backshank of pull pin, syringe needle and cavity are respectively pull pin backshank, pull pin syringe needle and wire grip chamber, crooked or be arc near a kind of syringe needle in threading needle and pull pin.

Further: hernical sac neck high ligation operating theater instruments comprises wire grip, and an end of wire grip length direction is provided with the bracing wire hole, and the end that wire grip has the bracing wire hole is inserted into the wire grip intracavity from the pull pin backshank.

Further: hernical sac neck high ligation operating theater instruments comprises ligature, and ligature one end is inserted into the line intracavity from the threading needle backshank.

Further: wire grip is made by elastomeric material, and the bracing wire hole is for can open and close hole.

The beneficial effects of the utility model are: the primary clustering of hernical sac neck high ligation operating theater instruments is only two hollow needle tubings, and structure is than the sledge crochet hook, and rifle formula staight needle and syringe type pin have obvious simplification, simple in structure and low in cost.Because the simple small and exquisite operation facility of operation needle also is beneficial to the simplification operation technique.

The accompanying drawing explanation:

Fig. 1 is the schematic diagram that utilizes the linear operation needle to be performed the operation;

Fig. 2 is hernical sac neck high ligation operation method step b schematic diagram;

Fig. 3 is hernical sac neck high ligation operation method step c schematic diagram;

Fig. 4 is hernical sac neck high ligation operation method steps d schematic diagram;

Fig. 5 is that hernical sac neck high ligation operation method step e(operation needle 3 is linear) schematic diagram;

Fig. 6 is crooked near hernical sac neck high ligation operation method step e(operation needle 3 syringe needles) schematic diagram;

Fig. 7 is near hernical sac neck high ligation operation method step e(operation needle 3 syringe needles, to be arc) schematic diagram;

Fig. 8 is that hernical sac neck high ligation operation method step f(operation needle 3 is linear) schematic diagram;

Fig. 9 is crooked near hernical sac neck high ligation operation method step f(operation needle 3 syringe needles) schematic diagram;

Figure 10 is near hernical sac neck high ligation operation method step f(operation needle 3 syringe needles, to be arc) schematic diagram;

Figure 11 is hernical sac neck high ligation operation method step g schematic diagram;

Figure 12 is hernical sac neck high ligation operation method step h schematic diagram;

In figure, be labeled as: threading needle backshank 1, backshank 2, operation needle 3, threading needle 4, hernical sac neck 5, ligature 6, line chamber 7, threading needle syringe needle 8, syringe needle 9, cavity 10, bracing wire hole 11, pull pin syringe needle 12, pull pin 13, wire grip 14, wire grip chamber 15, pull pin backshank 16.

The specific embodiment

Below in conjunction with the drawings and specific embodiments, this utility model is further illustrated.

For a kind of operation simple in structure hernical sac neck high ligation operating theater instruments easily is provided, hernical sac neck high ligation operating theater instruments comprises operation needle 3, operation needle 3 length direction two ends are respectively the syringe needle 9 of backshank 2 and tip shape, the inner cavity 10 that connects operation needle 3 from length direction that forms of operation needle 3.As shown in Figure 1, operation needle 3 can be only the hollow cylinder structure, simple in structure and low in cost.Can complete operation with an operation needle 3, sometimes for two operation needles 3 of more convenient needs of performing the operation.

While selecting two operation needles, two operation needles 3 are respectively threading needle 4 and the pull pin 13 be used in conjunction with; The backshank 2 of threading needle 4, syringe needle 9 and cavity 10 are respectively threading needle backshank 1, threading needle syringe needle 8 and line chamber 7; The backshank 4 of pull pin 13, syringe needle 2 and cavity 10 are respectively pull pin backshank 16, pull pin syringe needle 12 and wire grip chamber 15, crooked or be arc near a kind of syringe needle in threading needle 4 and pull pin 13 9.Operation needle 3 can be hollow cylinder, more soft because of the human muscle, still can make ligature 6 around hernical sac neck 5 one weeks by operation needle 3 and wire grip 14 guiding ligatures 6.Crooked or for arc can alleviate the pullling and reduce possible that deferent duct, spermatic cord blood vessel are damaged of patient's muscle near a kind of syringe needle in threading needle 4 and pull pin 13 9, be convenient to ligature 6 is penetrated to bracing wire hole 11.

The method of selecting single operation needle 3 to be performed the operation comprises the steps:

A, make a little otch at the umbilicus upper limb and play a 5mm stamp card, put into peritoneoscope, do from hernical sac neck 5 body surface projections under direct-view that 1-2mm is small enters the pin mouth;

B, operation needle 3 is thrust from entering the pin mouth, reach tailing edge hernical sac neck 5 outsides under peritoneum and make under peritoneum to move under water the separation half-turn, then puncture peritoneum and enter abdomen, avoid having influence on deferent duct, spermatic cord blood vessel during operation;

C, propelling movement wire grip 14(wire grip 14 can be special operating theater instruments assembly, also can be by user's self manufacture, for example, with being about the doubling of 40cm orthopaedics finer wire, to near the steel wire fold position, clamp and make two sections of steel wire to be adjacent to pincers, elasticity is separately voluntarily to unclamp pliers steel wire fold position end, minute beginning kink by steel wire, make the separately about 10cm of segment length of fold position end, make wire grip 14) make it along cavity 10, and make bracing wire hole 11 enter (steel wire fold position end separately forms bracing wire hole 11 voluntarily after entering in abdomen) in abdomen;

D, exit operation needle 3, stay wire grip 14 in abdomen;

E, same operation needle 3 is thrust from entering the pin mouth again, reach tailing edge hernical sac neck 5 inboards under peritoneum and make under peritoneum to move under water the separation half-turn, then puncture peritoneum and enter abdomen, and the syringe needle of operation needle 39 is aimed to bracing wire holes 11 or inserted bracing wire hole 11;

F, propelling movement ligature 6(ligature 6 can be special operating theater instruments assembly, also can be by user's self manufacture, for example with No. 7, admire the silk thread half a head and smear with biogum with laparoscopic surgery, after its drying, the appropriateness sclerosis straightens) it is moved along cavity 10, and make ligature 6 penetrate bracing wire hole 11;

G, exit operation needle 3, stay ligature 6 in abdomen;

H, wire grip 14 is pulled out to patient body, ligature 6 one ends are with wire grip 14 outside patient body, and now ligature 6 is around hernical sac neck 5 one weeks;

I, tied a knot in subcutaneous hernical sac neck 5 high ligations in ligature 6 two ends.

Selecting two operation needles 3 is that the operation needle 3 that threading needle 4 and pull pin 13 are used in above-mentioned steps b while being performed the operation is pull pin 13, and the operation needle 3 used in above-mentioned steps e is threading needle 4.If select threading needle 4 and pull pin 13 to be performed the operation, above-mentioned steps d can carry out when step g.

As previously mentioned, wire grip 14 and ligature 6 can, by user's self manufacture, can be also special operating theater instruments assembly.In order to reduce medical worker's workload and wire grip 14 and ligature 6 itself to be more suitable in operation, hernical sac neck high ligation operating theater instruments comprises wire grip 14, one end of wire grip 14 length directions is provided with bracing wire hole 11, and the end that wire grip 14 has bracing wire hole 11 is inserted in wire grip chamber 15 from pull pin backshank 16; Hernical sac neck high ligation operating theater instruments comprises ligature 6, and ligature 6 one ends are inserted in line chamber 7 from threading needle backshank 1.Wire grip 14 by have certain elasticity and pliability and rustless metal material make more suitable, make elongated shape and beat bracing wire hole 11 at one section, bracing wire hole 11 makes threading needle 4 can penetrate bracing wire hole 11 more preferably greater than threading needle 4 diameters to be convenient to ligature 6 and to enter bracing wire hole 11, but bracing wire hole 11 is opening and closing structure like this.Bracing wire hole 11 is subject to the compression close of pull pin 13 pin walls while being positioned at wire grip chamber 15, can save 15 spaces, wire grip chamber, makes pull pin 13 can do carefullyyer.

Claims

1. hernical sac neck high ligation operating theater instruments, it is characterized in that: comprise operation needle (3), operation needle (3) length direction two ends are respectively the syringe needle (9) of backshank (2) and tip shape, the inner cavity (10) that connects operation needle (3) from length direction that forms of operation needle (3).

2. hernical sac neck high ligation operating theater instruments according to claim 1, it is characterized in that: described operation needle (3) quantity is two, two operation needles (3) are respectively threading needle (4) and the pull pin (13) be used in conjunction with; The backshank (2) of threading needle (4), syringe needle (9) and cavity (10) are respectively threading needle backshank (1), threading needle syringe needle (8) and line chamber (7); The backshank (4) of pull pin (13), syringe needle (2) and cavity (9) are respectively pull pin backshank (16), pull pin syringe needle (12) and wire grip chamber (15), crooked or be arc near a kind of syringe needle (9) in threading needle (4) and pull pin (13).

3. hernical sac neck high ligation operating theater instruments according to claim 2, it is characterized in that: comprise wire grip (14), one end of wire grip (14) length direction is provided with bracing wire hole (11), and the end that wire grip (14) has bracing wire hole (11) is inserted in wire grip chamber (15) from pull pin backshank (16).

4. hernical sac neck high ligation operating theater instruments according to claim 3, it is characterized in that: comprise ligature (6), ligature (6) one ends are inserted in line chamber (7) from threading needle backshank (1).

5. hernical sac neck high ligation operating theater instruments according to claim 4 is characterized in that: described wire grip (14) is made by elastomeric material, and described bracing wire hole (11) is for can open and close hole.