CN207666669U - Draft gear is lifted under laparoscope on uterus - Google Patents

Abstract

The utility model relates to a traction device for lifting the uterus under the laparoscope, which belongs to the technical field of lifting the uterus, and comprises a liner. The middle part of the liner is provided with a first pulling wire. The utility model has a simple structure and has the following advantages in use: 1. When lifting the fundus of the uterus, the uterus can be fully pulled, so that the operative field can be better exposed; 2. It is different from the traditional method of lifting the uterus. Compared with this method, the damage to the uterus of the patient is less; 3. It saves the lifting of the uterus and reduces the number of surgical assistants; 4. It can pull the uterus left and right to expose the operative field of the side wall of the pelvis; palace purpose.

Description

Laparoscopic Uterine Lifting and Traction Device

technical field

The utility model relates to a traction device for lifting the uterus under the laparoscope, which belongs to the technical field of lifting the uterus.

Background technique

In female laparoscopic surgery, it is often necessary to elevate the uterus in order to expose the operative field. The conventional way of lifting the palace adopts the bladder lithotomy position, and the operation is performed by a special person. This means that two conditions are required: 1. The operation position must be the bladder lithotomy position; 2. An assistant for lifting the palace is required. If the preoperative position is supine, it will be troublesome to change to the bladder lithotomy position during the operation.

In previous operations, in order to solve the above problems, the myometrium suspending method was often used through the abdominal wall to close the uterus to the anterior abdominal wall and expose the surgical field of the ovary or rectum. There are several problems in this way: first, the degree of lifting the uterus is not enough, and the surgical field cannot be well exposed; second, the damage to the uterus is relatively large, and the myometrium may be damaged during the lifting process; third, the lifted uterus cannot swing left and right , insufficient exposure of the left and right pelvic walls.

Previously, there were related patent technologies trying to solve these problems (the patent name is a uterine suspension device, and its application number is 201220298006.8; the patent name is a uterine suspension device, and its application number is 201120087236.5), but unfortunately only the first two problems are solved. Nothing can be done when the side walls of the pot are exposed.

Utility model content

According to the deficiencies in the prior art above, the technical problem to be solved by the utility model is: to provide a laparoscopic uterus lifting traction device, which has a simple structure and does not need a uterus lift assistant during laparoscopic pelvic surgery for women, and at the same time does not need Change the body position during the operation.

The traction device for raising the uterus under laparoscopy according to the utility model includes a lining board, and is characterized in that a first pulling wire is arranged in the middle of the lining board.

Compared with the patented technology with the patent application number 201220298006.8 and the patent application number 201120087236.5, the above-mentioned scheme adopts the left and right setting of the traction line, while the present scheme adopts the first traction line in the middle of the liner. It simplifies the operation steps when the uterus is raised, and at the same time lays a foundation for exposing the side wall of the pelvis.

Further, preferably, a left connecting piece is provided on the left side of the liner.

Further, preferably, the right side of the liner is provided with a right connecting piece.

Further, preferably, a needle is connected to the movable end of the first pulling wire.

Further, preferably, the left connecting piece is connected with a second pulling wire.

Further, preferably, a third pulling wire is connected to the right connecting member.

Compared with the prior art, the utility model has the following beneficial effects:

1. When lifting the fundus of the uterus, the uterus can be fully pulled, so that the operative field can be better exposed;

2. Compared with the traditional method of lifting the uterus, the damage to the uterus is smaller;

3. Save the palace lifters and reduce the number of surgical assistants;

4. The uterus can be stretched left and right, exposing the operative field of the side wall of the pelvis;

5. The purpose of lifting the palace can be achieved without using the bladder lithotomy position.

Description of drawings

Fig. 1 is the structural representation of the utility model;

Fig. 2 is a top view structural schematic diagram of the liner in Fig. 1;

Fig. 3 is the structural representation of liner plate in embodiment two;

Fig. 4 is the structural representation of liner plate in embodiment three;

Fig. 5 is the structural representation of liner plate in embodiment four;

In the figure: 1. Sewing needle 2. First puller wire 3. Second puller wire 4. Left connector 5. Lining plate 6. Right connector 7. Third puller wire.

Detailed ways

Below in conjunction with accompanying drawing, the utility model is further described:

The utility model will be further described below through specific examples, but it is not intended to limit the utility model. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention should be included in the protection of the utility model. within range.

Embodiment one

As shown in FIGS. 1 and 2 , the laparoscopic uterine lifting traction device includes a liner 5 , and a first puller wire 2 is arranged in the middle of the liner 5 .

In this embodiment, a left connector 4 is provided on the left side of the liner 5; a right connector 6 is provided on the right side of the liner 5;

During use, if the uterus needs to be moved laterally, a pulling wire can be set on the above-mentioned left connector 4 or right connector 6, so as to facilitate pulling the uterus to the left or right. When not in use, there is no need to set pull wires on the left connecting piece 4 and the right connecting piece 6, and the operation is also very convenient.

The movable end of the first puller wire 2 is connected with a suture needle 1; the suture needle 1 can be straight or bent, long or short, preferably a straight needle, and is mainly used for moving from the abdominal cavity to the outside of the abdomen (from inside to outside). ), guiding the first puller wire 2 through the abdominal wall.

Above-mentioned left connecting piece 4 and right connecting piece 6 are connecting rings, also can be the existing connecting technology such as connecting lug seat, also can directly offer a traction hole respectively at the left and right ends of liner plate 5;

The liner 5 is disc-shaped, and its diameter is not greater than 10 mm, which is convenient for passing through a laparoscopic trocar with an aperture of 10-12 mm.

In laparoscopic rectal surgery or adnexal surgery, the device can be used when the uterus needs to be lifted during the operation to keep the uterus away from the rectum or bilateral adnexal areas and expose the corresponding operation field.

When in use, when the laparoscopic endoscope is placed and the puncture device is placed in place, the device is sent into the abdominal cavity through a 10-12mm aperture puncture device. The needle holder passes the suture needle 1 through the fundus of the uterus from bottom to top through the myometrium, and continues to pass through the abdominal wall skin from the inside to the outside to reach the outside of the abdominal wall. The first puller wire 2 is lifted up, and the liner 5 supports the uterus close to the abdominal wall under the traction of the first puller wire 2 . Cut off the suture needle 1 outside the abdominal wall, and use curved forceps to clamp the traction line and fix it outside the abdominal wall. Adjust the degree of traction according to the needs of the operation to complete the purpose of elevating the uterus.

After completing the above steps, use laparoscopic forceps to pull the traction wire out of the abdominal wall through the 5mm puncture device on one side of the abdomen. After traction to a suitable position, the middle-curved forceps are fixed to achieve lateral traction of the uterus, thereby exposing the lateral pelvic wall. After the operation is over, unclamp the middle curved forceps, pull the liner 5 and the traction wire, and take it out through a 10mm trocar.

Embodiment two

Changes are made on the basis of Embodiment 1, as shown in Figure 3, the lining plate 5 is selected as a cuboid structure, the length of the structure is not greater than 40mm, and the width is not greater than 10mm; the left connector 4 is connected with a second pulling wire 3; the third pulling wire 7 is connected to the right connecting member 6 .

In application, in order to facilitate the use of the second pulling wire 3 and the third pulling wire 7, the technical scheme like the first pulling wire 2 can also be adopted, and the second pulling wire 3 and the third pulling wire The movable end of 7 connects sewing needle. During use, if the uterus needs to be moved laterally, it can be accomplished by adjusting the second puller wire 3 and the third puller wire 7 at the same time. Others are the same as embodiment one.

Embodiment three

Changes are made on the basis of Embodiment 1, as shown in Figure 4, the lining plate 5 is selected as a disc-shaped structure, its upper surface is a spherical concave surface, and its diameter is not greater than 10mm.

Others are the same as embodiment one.

Embodiment Four

On the basis of the first embodiment, as shown in Figure 4, the liner 5 is selected as a cylindrical structure, the length of which is not greater than 40mm, and the diameter of the cylinder is not greater than 10mm.

Others are the same as embodiment one.

The basic principles, main features and advantages of the present utility model have been shown and described above. Those skilled in the industry should understand that the utility model is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principles of the present invention. Without departing from the spirit and scope of the utility model, the utility model There will also be various changes and improvements, and these changes and improvements all fall within the scope of the claimed utility model. The scope of protection required by the utility model is defined by the appended claims and their equivalents.

Claims (6)

1. draft gear is lifted under a kind of laparoscope on uterus, including liner plate (5), it is characterised in that：The is provided in the middle part of liner plate (5) One drag wire (2).

2. lifting draft gear on uterus under laparoscope according to claim 1, it is characterised in that：On the left of the liner plate (5) It is provided with left connector (4).

3. lifting draft gear on uterus under laparoscope according to claim 1 or 2, it is characterised in that：The liner plate (5) is right Side is provided with right connector (6).

4. lifting draft gear on uterus under laparoscope according to claim 3, it is characterised in that：First drag wire (2) movable end is connected with suture needle (1).

5. lifting draft gear on uterus under laparoscope according to claim 2, it is characterised in that：The left connector (4) It is connected with the second drag wire (3).

6. lifting draft gear on uterus under laparoscope according to claim 3, it is characterised in that：The right connector (6) On be connected with third drag wire (7).