CN203388960U - Suspension mesh for treating female uterus and vaginae anterior prolapsus and stress incontinence - Google Patents

Suspension mesh for treating female uterus and vaginae anterior prolapsus and stress incontinence Download PDF

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Publication number
CN203388960U
CN203388960U CN201320385109.2U CN201320385109U CN203388960U CN 203388960 U CN203388960 U CN 203388960U CN 201320385109 U CN201320385109 U CN 201320385109U CN 203388960 U CN203388960 U CN 203388960U
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China
Prior art keywords
suspender belt
anterior
net sheet
vaginae
suspention
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Expired - Fee Related
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CN201320385109.2U
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Chinese (zh)
Inventor
张蕾
邵振堂
沈宇飞
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Nanjing Maternity and Child Healthcare Hospital
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Nanjing Maternity and Child Healthcare Hospital
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Priority to CN201320385109.2U priority Critical patent/CN203388960U/en
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Abstract

The utility model belongs to the field of medical appliances, and relates to a suspension mesh for treating female uterus and vaginae anterior prolapsus and stress incontinence. The suspension mesh adopts an I-shaped structure, and mainly comprises upper wing suspension belts, lower wing suspension belts and a main body part, wherein the upper wing suspension belts are positioned at the left side and the right side of the upper part of the I shape and are unfolded, the lower wing suspension belts are positioned at the left side and the right side of the lower part of the I shape and are unfolded, and the main body part is positioned in the middle part of the I shape and is connected with the upper wing suspension belts and the lower wing suspension belts. The suspension mesh has the advantages that the cost is lower, special operation instruments are not needed, closed holes and rear pubis paths are avoided, new simpler, more convenient and safer hypodermatic mesh fixing sites are adopted, the suspension mesh can be used for simultaneously or singly treating uterus and vaginae anterior prolapsus and stress incontinence, and is suitable for being popularized in grassroots level.

Description

A kind of suspention net sheet that is used for the treatment of women uterus, descensus vaginae anterior and stress incontinence
Technical field
This utility model belongs to medical instruments field, relates to the suspention net sheet of a kind of women of being used for the treatment of uterus, descensus vaginae anterior and stress incontinence.
Background technology
Female pelvic functional disorder disease is middle aged and aged women common disease, has a strong impact on Health and Living quality , China of women, and it is occurred frequently that patient mostly is the rural women that particularly work for a long time of old people ,Qie moderate and low-income citizens.Traditional operation mode, for the organ of excision bulging, is reinforced weak natural tissues repeatedly, and the problem of unresolved structure recovery, and Postoperative recurrent rate is high, has the shortcomings such as stricture of vagina.In recent years, at the bottom of basin, defect repair and reconstruction operations have had larger progress, and the basic principle of operation is for maintaining dissection, correction of the defect, reconstruction structure, application tissue substituent and restore funcitons.At the bottom of basin as complete in Prolift, repair net sheet system, after closed pore or pubis, without Tension free vaginal tape for surgical art, apply at home, short run effect is remarkable, but its somewhat expensive, for non-direct-view operation, need be done by experienced patient behaviour, and rely on Special surgical equipment more, once there is hematoma after closed pore pubis, bladder, intestinal injury, process thornyly, is difficult to promote in basic unit.
Therefore, for China's actual conditions, multidigit scholar has proposed to select voluntarily to prune sticking patch, the art formula of designed, designed, but there is no at present the optimal material for reconstruction operations, there is no fixedly site of most suitable net sheet yet.
Summary of the invention
The purpose of this utility model is for China's actual conditions, provide a kind of expense lower, do not rely on Special surgical equipment, avoid closed pore and pubis rear path, adopt fixedly site of the new net sheet through subcutaneous more handy and safe, the suspention net sheet that can be used in simultaneously or treat separately women uterus, descensus vaginae anterior and stress incontinence, is applicable to basic unit and promotes.
The suspention net sheet of a kind of women of being used for the treatment of uterus, descensus vaginae anterior and stress incontinence that this utility model provides, for the suspention net sheet that can prune voluntarily, adopt " work " character form structure, mainly comprise: be positioned at the upper limb suspender belt 1 and 2 that launch the left and right sides, “Gong”Xing top, be positioned at the bottom wing suspender belt 3 that launches the left and right sides, “Gong”Xing bottom and 4 and be positioned at the main part 5 in the middle of " work " shape.On it, bottom wing suspender belt is strip; Upper limb suspender belt is compared with bottom wing suspender belt long (referring to free portion), and main part 5 is up-narrow and down-wide trapezium structure, and preferably main part 5 is up-narrow and down-wide trapezoid structure.
The example of a concrete size, described suspention net sheet, " upper limb " wide 1.5cm wherein, the beeline of every side length 5.5cm(from the connecting portion of main part and upper limb suspender belt to upper limb suspender belt one end, see Fig. 2, lower same), avoid closed pore and pubis rear path, adopt fixedly site of the new net sheet through subcutaneous more handy and safe, only need to use vascular forceps, can reduce according to urethra center line to distance subcutaneous outside ramus of pubis descending, " bottom wing " wide 1.5cm, the beeline of every side length 4cm(from the connecting portion of main part and bottom wing suspender belt to bottom wing suspender belt one end, see Fig. 2, lower same), can be placed in bilateral retropubic space, near sacrospinous ligament, " main part trapezium structure " height is 4-6cm, upper base 4cm, 7cm goes to the bottom, according to the Program design of bladder hernia, in operation process, terraced height can be pruned according to patient's concrete condition is personalized.
The suspention net sheet of a kind of women of being used for the treatment of uterus, descensus vaginae anterior and stress incontinence that this utility model provides, adopt polypropylene monofilament fiber and the braiding of absorbable poliglecaprone monfil of nonabsorable to form, for macroporous type net sheet (pitch-row 3-4mm), there is good infection and histocompatibility, and expense is cheap.
The beneficial effects of the utility model:
The suspention net sheet of a kind of women of being used for the treatment of uterus, descensus vaginae anterior and stress incontinence that this utility model provides, " upper limb " of its " work " shape structure and " the trapezoidal upper base of main part " tension-free urethra stage casing that is suspended to, " main part trapezium structure " reinforcing and repairing bladder, " bottom wing " of " work " shape structure is attached near both sides retropubic space, sacrospinous ligament, reaches thus the effect of simultaneously treating uterine prolapse, anterior vaginal wall bulging and stress incontinence.This suspention net sheet expense is lower, do not rely on Special surgical equipment, avoid closed pore and pubis rear path, adopt fixedly site of the new net sheet through subcutaneous more handy and safe, the suspention net sheet that can be used in simultaneously or treat separately women uterus, descensus vaginae anterior and stress incontinence, is applicable to basic unit and promotes.
Accompanying drawing explanation
Fig. 1 is this utility model structural representation.
Fig. 2 is this utility model reference dimension schematic diagram.
The specific embodiment
By the following examples this utility model is further elaborated.
Embodiment 1
As shown in Figure 1 and Figure 2, the suspention net sheet of a kind of women of being used for the treatment of uterus, descensus vaginae anterior and stress incontinence that this utility model provides, it mainly comprises: be positioned at the upper limb suspender belt 1 and 2 that launch the left and right sides, “Gong”Xing top, length is 5.5cm(also can be unequal), width is 1.5cm; Be positioned at the bottom wing suspender belt 3 and 4 that launch the left and right sides, “Gong”Xing bottom, length is 4cm(also can be unequal), width is 1.5cm, the width of upper bottom wing suspender belt also can be unequal; Be positioned at the middle main part 5 that is trapezium structure of " work " shape, height is 4-6cm, and upper base is 4cm, goes to the bottom as 7cm, is preferably trapezoid structure.
The suspention net sheet of a kind of women of being used for the treatment of uterus, descensus vaginae anterior and stress incontinence that this utility model provides can adopt the polypropylene monofilament fiber of nonabsorable and the braiding of absorbable poliglecaprone monfil to form, or adopts other to be suitable for the suspention net sheet material of this type of operation.
During use, first polypropylene mesh is trimmed to above-mentioned " work " font (or finished product of employing suitability for industrialized production), No. 7 silk threads are fixed on to Wang Pian upper end both wings.In 1.5cm place, external orifice of urethra below, inverted T-shaped cuts anterior vaginal wall mucosa, the other gap of the separated urethra of sharp property, free both sides vaginal mucosa, on reach pubic symphysis place, both sides reach ramus of pubis descending inner side, connective tissue between isolating bladder and cervix uteri, above pushes away bladder, and cuts skin 0.3cm in being parallel to 4cm place, clitoris both sides.Pocket or interrupted suture bladder seromuscular layer are to dwindle bladder.With curved forceps, from the other gap of right side urethra, penetrate, with offside first finger, in right side skin incisions, indicate, along ramus of pubis descending outside, in right skin incisions, pass, clamp No. 7 silk thread You Yuan roads and retract vagina, will " skin incision be pulled out on No. 7 silk threads of the work ”Xing Wangpian upper end ,Zai Youyuan road of tiing a knot with it; With curved forceps, from left side skin incision, penetrate, with offside first finger, in the other gap location of left side urethra, indicate, along ramus of pubis descending outside, in the other gap intravaginal of left side urethra, pass, " skin incision is pulled out on No. 7 silk thread You Yuan roads of work ”Xing Wangpian upper end opposite side in clamping.
Wang Pian lower end both wings are placed in bilateral retropubic space, near sacrospinous ligament.With nonabsorable line, be interrupted and tie under fixed network sheet because of on cervix uteri and cardinal ligament, above because of on the fascia of below, urethra stage casing.
No. 7 silk threads of tractive, make net sheet suspention correct position and flatten.Cut off unnecessary two upper limbs of " work " shape net sheet.Finally, on net sheet surface, sew up anterior vaginal wall mucosa, when vaginal mucosa is too much, also can suitably prune.

Claims (4)

1. a suspention net sheet that is used for the treatment of women uterus, descensus vaginae anterior and stress incontinence, it is characterized in that this suspention net sheet adopts " work " character form structure, mainly comprise: be positioned at the upper limb suspender belt (1,2) that launch the left and right sides, “Gong”Xing top; Be positioned at the bottom wing suspender belt (3,4) that launch the left and right sides, “Gong”Xing bottom; Be positioned at the main part (5) of bottom wing suspender belt in the connection that " work " shape is middle.
2. suspention net sheet according to claim 1, is characterized in that upper limb suspender belt (1,2) is long compared with bottom wing suspender belt (3,4), and main part (5) is up-narrow and down-wide trapezium structure.
3. suspention net sheet according to claim 1, is characterized in that bottom wing suspender belt is strip; Main part is up-narrow and down-wide trapezoid structure.
4. suspention net sheet according to claim 1, it is characterized in that described upper limb suspender belt (1,2) every side length is 5.5cm, width is 1.5cm, and the described every side length of bottom wing suspender belt (3,4) is 4cm, width is 1.5cm, the trapezium structure height of the main part between described upper bottom wing is 4-6cm, and upper base is 4cm, goes to the bottom as 7cm.
CN201320385109.2U 2013-06-28 2013-06-28 Suspension mesh for treating female uterus and vaginae anterior prolapsus and stress incontinence Expired - Fee Related CN203388960U (en)

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CN201320385109.2U CN203388960U (en) 2013-06-28 2013-06-28 Suspension mesh for treating female uterus and vaginae anterior prolapsus and stress incontinence

Applications Claiming Priority (1)

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CN201320385109.2U CN203388960U (en) 2013-06-28 2013-06-28 Suspension mesh for treating female uterus and vaginae anterior prolapsus and stress incontinence

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105012048A (en) * 2014-04-18 2015-11-04 林鹤雄 Implantation object preventing pelvis organs prolapsing
CN110090090A (en) * 2019-05-05 2019-08-06 中国医科大学附属盛京医院 A kind of intravaginal mesh sheet cutting combined method suitable for full Pelvic pain syndrome art

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105012048A (en) * 2014-04-18 2015-11-04 林鹤雄 Implantation object preventing pelvis organs prolapsing
CN110090090A (en) * 2019-05-05 2019-08-06 中国医科大学附属盛京医院 A kind of intravaginal mesh sheet cutting combined method suitable for full Pelvic pain syndrome art

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20140115

Termination date: 20180628

CF01 Termination of patent right due to non-payment of annual fee