CN207666728U - Indirect inguinal hernia inner ring seals sticking patch - Google Patents
Indirect inguinal hernia inner ring seals sticking patch Download PDFInfo
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- CN207666728U CN207666728U CN201720694483.9U CN201720694483U CN207666728U CN 207666728 U CN207666728 U CN 207666728U CN 201720694483 U CN201720694483 U CN 201720694483U CN 207666728 U CN207666728 U CN 207666728U
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- inner ring
- adhesion
- inguinal hernia
- sticking patch
- indirect inguinal
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Abstract
The utility model belongs to the field of medical instrument technology,It is related to indirect inguinal hernia inner ring sealing sticking patch,Front for the elastic rack of circular good preset profiles memory function is provided with one layer of adhesion film,The back side is provided with one layer of adhesion membrane,Middle part is connected with miniature cylinder,One end of cylinder is stretched out outside adhesion membrane and is provided with blind hole on its end face,The absorbable fixing line of human body is connected on elastic rack at cylindrical body outer wall,The elastic rack is the Nitinol net holder of elastic foldable,The adhesion film is regenerated oxidised cellulose film or polytetrafluoroethylene film,The adhesion membrane is polypropylene nethike embrane,Minimally invasiveization for implementing the sealing of indirect inguinal hernia inner ring using the utility model blocks repairing,It can carry out under local anesthesia,Operation difficulty is low,Mitigate pain and complication,Shorten the hospital stays,Suitable for the sealing of indirect inguinal hernia inner ring and surgical repair,It is also applied for the surgical repair of all abdominal hernias simultaneously.
Description
Technical field
The utility model belongs to the field of medical instrument technology, refers in particular to a kind of indirect inguinal hernia inner ring sealing sticking patch.
Background technology
Modern indirect inguinal hernia surgical repair can be divided into two historical episodes：Groin pipe antetheca construction period and groin pipe
Rear wall construction period.The high recurrence rate that groin pipe antetheca is rebuild is up to 30% or more, offer limited effectiveness.Therefore, 1881
Championniere, which is put forward for the first time, should cut abdominal aponeurosis in groin pipe inner ring high ligation hernical sac, indicate groin
Herniorrhaphy enters groin pipe rear wall construction period.Bassini in 1889 is put forward for the first time by by oblique, musculus trasversus abdomins
It is contemporary to also have Halsted neoplastys with transverse fascia interrupted suture to ligamentum inguinale to reinforce groin pipe rear wall, by abdomen
Internal oblique muscle, musculus trasversus abdomins and transverse fascia interrupted suture to ligamentum inguinale to reinforce groin pipe rear wall while, will also be upper and lower
Two leaf musculus obliquus externus abdominis aponeurosis (aponeuroses)s make interrupted suture below spermatic cord, and spermatic cord is placed between musculus obliquus externus abdominis aponeurosis (aponeuroses) and subcutaneous fat to add
Strong groin pipe rear wall.Thereafter there are many Improved approach for reinforcing groin pipe rear wall, wherein more famous is
What Lotheissen and Mcvay was proposed is sewn onto Cooper ligaments by oblique and musculus trasversus abdomins.
With the development of allosome material, to transplant the tension-free hernioplasty that biosynthetic dressing reinforces groin pipe rear wall
Leading position is occupied in indirect inguinal hernia treatment.The Lichtenstein Herniorrhaphy of Inguinal Hernia that Liehtenstein was proposed in 1989,
It is the goldstandard of current indirect inguinal hernia operative treatment.In addition, also Routkow IM Ribbins AW.Mesh plug hernia repair (Rutkow operations),
Stoppa performs the operation and Kugel performs the operation etc..
Nineteen eighty-two RalphGer trial therapeutic laparoscopy indirect inguinal hernias under casual condition, have carried out clinical experimental study
And it is subject to perfect.1991, Arregui and Dulucq were proposed respectively through abdomen properitoneal hernia neoplasty
(transabdominalpreperitonealrepair, TAPP).1993, Philtips, Mekeman were proposed outside full peritonaeum
Herniorrhaphy (totalyextraperitonealrepair, TEP).Currently, Inguinal Hernia Herniorrhaphy formula has very much, but respectively have
Advantage and disadvantage.
Inguinal Hernia Herniorrhaphy is most ancient and common one of the art formula of department of general surgery.The high-tensions such as Bassini tissue repairing
Art is gradually eliminated due to recurrence rate, visceral complications and higher serious neurological pain incidence, the low-tensions such as Shouldice
Tissue repairing's art can be used as in some cases alternative, and the repairing of tension-free sticking patch has become mainstream.The application of sticking patch is very big
Ground reduces recurrence rate, and existing chronic ache incidence has replaced recurrence rate to become the leading indicator for evaluating herniorrhaphy quality.Together
When, the development of sticking patch and the improvement of fixed form are also to reduce chronic ache to play positive effect.
Mesh repair is suitable for complicated multiple relapse hernia and cardiopulmonary insufficiency patient before open peritonaeum；Laparoscope
Herniorrhaphy spends height, and operating time is long, very high to the technology and skill requirement of doctor, studies have found that through laparoscopic hernia repair
The visceral injury of art, deep infection, the incidence of Hemorrhage in Deep are higher, so the development with instrument and equipment and doctor abdominal cavity
The raising of mirror technology, through laparoscopic hernia repair by constantly improve.
Although opening mesh repair occupies leading position in the treatment of indirect inguinal hernia at present, which kind of side selected
Formula and art formula should formulate Individualized program according to the concrete condition of patient.How it, which selects, is affected by many factors, such as society
Economic factor, patient's ability to pay, patient's general state, the type of hernia, level of medical and health, doctors experience etc., and different states
There are prodigious differences between family.
Chinese Medical Association's surgery branch hernia and stomach wall surgery group and Chinese doctors'associations' surgeon branch hernia and abdomen
The treatment guidelines that the wall surgeon committee formulated adult inguinal hernia in 2014, the guide is to the idicatio of hernia, hernia
The problems of the related indirect inguinal hernia treatment such as type and modus operandi are discussed and make recommendation.Wherein, with operation side
Formula selects relevant principle as follows：(1) long term clinical results of sticking patch repairing are more preferable, and adult patient's (18~21 years old disputable) answers
This uses sticking patch, and for less than 18 years old patient, if defect is larger, multiple relapse, tissue weakness should also use sticking patch.Synthesis is mended
Piece is better than biological sticking patch.(2) to there is symptom hernia all should operative treatment；Asymptomatic hernia is recommended to perform the operation, because of most of no diseases
Shape hernia develops to the situation for being forced to need to perform the operation at last.
In conclusion Inguinal Hernia Herniorrhaphy experienced a series of historical development, it is developed so far, mainly there are 3 kinds of operations
Method, i.e. traditional hernioplasty, tension-free hernioplasty and through laparoscopic hernia repair.But there is disadvantage in current various art formulas
End, traditional hernioplasty Postoperative recurrent rate and postoperative pain, local hematoma incidence are high；And tension-free hernioplasty makes groin
Hernia recurrence rate drops to l%-4% by original 10%-20%；But postoperative chronic ache becomes another huge challenge, has
Research shows that groin art area paresthesia of skin is up to 14%.The postoperative pain rate at a specified future date of laparoscopic surgery is low, to movable limit
System is less, but the disadvantage is that the physiology interference of general anesthesia, patient is big, performing the operation, it is high to spend, and operating time is long, to the technology of doctor
It is higher with skill requirement, studies have found that the incidence of visceral injury, deep infection, Hemorrhage in Deep through laparoscopic hernia repair
It is higher, therefore we are seeking new approach and method.
Invention content
The purpose of this utility model is to provide a kind of indirect inguinal hernia inner ring sealing sticking patch.
What the purpose of this utility model was realized in：
Indirect inguinal hernia inner ring seals sticking patch, is 5-10cm for circular outer diameter and has good preset profiles memory function
Elastic rack, the front of elastic rack are provided with one layer and the adhesion film of intestinal tube class internal organs adhesion, the back side are provided with one layer
Miniature cylinder can be connected with the adhesion membrane of peritoneal adhesion, middle part, one end of cylinder is stretched out outside adhesion membrane, and at its end
It is provided with blind hole on face, the absorbable fixing line of human body is connected on the elastic rack at cylindrical body outer wall, this fixing line energy edge
Intervention pipe tunnel extension extends in vitro, and fixed for knotting, the elastic rack is the Nitinol net holder of elastic foldable,
The adhesion film is regenerated oxidised cellulose film (ORC) or polytetrafluoroethylene film, and the adhesion membrane is polypropylene nethike embrane.
Above-mentioned elastic rack, adhesion film, adhesion membrane thickness be 0.05-0.2mm.
It is provided with poly- two Nian Jie with adhesion film and adhesion membrane in the mesh of above-mentioned elastic rack and in upper and lower surface
Six cyclic amides of oxygen.
The overall thickness of above-mentioned poly- dioxane amide and elastic rack is 0.07-0.2mm.
Above-mentioned cylinder is made of Nitinol or stainless steel material.
Above-mentioned fixing line is absorbable 910 line of glycan lactic acid of human body or 25 line of glycan beta-lactam.
The utility model is prominent and beneficial compared with prior art to be had the technical effect that：
1, the utility model indirect inguinal hernia inner ring sealing sticking patch adhesion film can make adhesion film not with it is intraperitoneal
Organ adhesion, protect intraperitoneal organ injury-free, adhesion membrane use polypropylene nethike embrane, it can be ensured that adhesion membrane and peritonaeum
Reliable bonding, be conducive to the closure growth of hernia internal orifice, and elastic rack uses the Nitinol net holder of elastic foldable, i.e.,
May insure Nitinol net holder will not to the infection and damage of human body, and can ensure its intervention pipe in gathering,
The stretching, extension of hernia internal orifice and resilient support not only ensure to block internal orifice, but also reinforce the intensity of stomach wall, can be repaired to abdominal-wall defect,
Prevent hernia from recurring.
2, the utility model is the closure of indirect inguinal hernia internal orifice and abdominal-wall defect repairing technique based on ultrasound guidance, is utilized
Three-layer combined sticking patch is sent to indirect inguinal hernia internal orifice and implements to block by intubation intervention mode, while repairing defect stomach wall, because sharp
Operation is can avoid with the utility model, wound only has 0.5cm, and can carry out under local anesthesia, accomplishes real minimally invasiveization,
Operation difficulty is reduced, patient's postoperative pain is mitigated, reduces complication, shortens the hospital stays, economic benefit is greatly improved, mitigates disease
People's pain.
3, the utility model is that the treatment of indirect inguinal hernia opens completely new approach, is suitable for sealing indirect inguinal hernia inner ring
And defect stomach wall is repaired, while being also applied for the surgical repair of all abdominal hernias.
Description of the drawings
Fig. 1 is the sectional view of the indirect inguinal hernia inner ring sealing sticking patch of the utility model.
Fig. 2 is that the indirect inguinal hernia inner ring sealing sticking patch of the utility model imports cuing open in intervention pipe and after being connect with release lever
View.
Fig. 3 is that the indirect inguinal hernia inner ring of the utility model seals sticking patch from the broken section after intervention pipe inside points release
Figure.
Fig. 4 is that the indirect inguinal hernia inner ring of the utility model seals the broken section after sticking patch is all released out of intervention pipe
Figure.
Fig. 5 is the main view of the indirect inguinal hernia inner ring sealing sticking patch when sticking patch adhesion membrane side of the utility model is facing forward
Figure.
Specific implementation mode
The utility model is further described with specific embodiment below in conjunction with the accompanying drawings, referring to Fig. 1-Fig. 5：
Indirect inguinal hernia inner ring seals sticking patch, is 5-10cm for circular outer diameter and has good preset profiles memory function
Elastic rack 20, front be provided with one layer the adhesion film 10 of intestinal tube class internal organs adhesion, the back side are provided with one layer can be with
The adhesion membrane 30 of peritoneal adhesion, middle part are connected with miniature cylinder 40 (the smaller cylinder of outer diameter), one end of cylinder 40
It stretches out outside adhesion membrane 30, and is provided with blind hole 41 on its end face, someone is connected on the elastic rack 20 at 40 outer wall of cylinder
The absorbable fixing line 42 of body, this fixing line 42 can be extend out in vitro along tunnel is punctured for fixed, the described elastic network(s) that knots
Frame 20 is the Nitinol net holder of elastic foldable, the adhesion film 10 be regenerated oxidised cellulose film (ORC films) or
Polytetrafluoroethylene film, the adhesion membrane 30 are polypropylene nethike embranes.
Above-mentioned elastic rack 20, adhesion film 10, adhesion membrane 30 thickness be 0.05-0.2mm.
Be provided in the mesh of above-mentioned elastic rack 20 and in upper and lower surface can respectively with adhesion film 10 and adhesion membrane
The poly- dioxane amide of 30 bondings.
The overall thickness of above-mentioned poly- dioxane amide and elastic rack 20 is 0.07-0.2mm.
Above-mentioned cylinder 40 is made of Nitinol or stainless steel material.
Above-mentioned fixing line is absorbable 910 line of glycan lactic acid of human body or 25 line of glycan beta-lactam.
The application method of above-mentioned indirect inguinal hernia inner ring sealing sticking patch, including have the following steps：
As preparation, preoperative imageological examination is first carried out, then carries out work of the following step (1) to step (4), institute
The preoperative imageological examination stated is three-D CT imaging inspection or ultrasonic examination or herniography inspection, according to the abdomen stock for checking discriminating
Ditch hernia type measures hernia internal orifice size, selects the size of indirect inguinal hernia inner ring sealing sticking patch, prepares for further treatment；
(1) indirect inguinal hernia inner ring sticking patch and fixing line 42 is sealed to import from one end of intervention pipe 50 as head, until
Indirect inguinal hernia inner ring seals sticking patch and collapses into strips and all import in the intervention pipe 50 of outer diameter about 3.5mm；
(2) release lever 51 is inserted into from the other end of intervention pipe 50, and 51 head of release lever for entering intervention pipe 50 is inserted
Enter in the blind hole 41 of cylinder 40；
(3) under the guiding of B ultrasound, one end of the intervention pipe 50 of indirect inguinal hernia inner ring sealing sticking patch will is directed into through puncturing
Enter in human body indirect inguinal hernia in collar extension, then fixed intervention pipe 50 uses release lever 51 to push cylinder 40, and then drive groin
Hernia inner ring is sealed sticking patch and is gradually released from the end of intervention pipe 50, and the indirect inguinal hernia inner ring sealing sticking patch for releasing part leans on elastic network(s)
The elasticity of frame 20 is gradually opened around, is all released from the end of intervention pipe 50 until indirect inguinal hernia inner ring seals sticking patch,
Indirect inguinal hernia inner ring sealing sticking patch leans on the elasticity of elastic rack 20 is automatically smooth to strut so that indirect inguinal hernia inner ring seals sticking patch
Adhesion membrane 30 is bonded with the peritonaeum in collar extension in hernia, and blocks collar extension in hernia；
(4) intervention pipe 50 and release lever 51 are extracted out out of hernia in collar extension, fixing line takes puncture tunnel out of therewith, will fix
Line 42 is subcutaneous in vitro to knot, indirect inguinal hernia inner ring sealing sticking patch to be fixed, until the outer wall of adhesion membrane and hernia inner ring
Peritonaeum growth in mouthful is integral, after 7-20 days, cuts external extra fixing line 42, while also completing to defect stomach wall
Repairing.
The above method is suitable for various abdominal hernias.
Above-described embodiment is only the preferred embodiment of the utility model, not limits the protection model of the utility model according to this
It encloses, therefore：The equivalence changes that all structures, shape, principle according to the utility model are done, should all be covered by the protection of the utility model
Within the scope of.
Claims (6)
1. indirect inguinal hernia inner ring seals sticking patch, it is characterised in that：It is 5-10cm for circular outer diameter and there are good preset profiles
The elastic rack of memory function, front are provided with one layer and the adhesion film of intestinal tube class internal organs adhesion, the back side are provided with one
Layer can be connected with miniature cylinder with the adhesion membrane of peritoneal adhesion, middle part, and one end of cylinder is stretched out outside adhesion membrane, and at it
It is provided with blind hole on end face, the absorbable fixing line of human body, the elasticity are connected on the elastic rack at cylindrical body outer wall
Rack is the Nitinol net holder of elastic foldable, and the adhesion film is regenerated oxidised cellulose film or polytetrafluoroethylene (PTFE)
Film, the adhesion membrane are polypropylene nethike embranes.
2. indirect inguinal hernia inner ring according to claim 1 seals sticking patch, it is characterised in that：The elastic rack does not glue
Connect film, the thickness of adhesion membrane is 0.05-0.2mm.
3. indirect inguinal hernia inner ring according to claim 1 seals sticking patch, it is characterised in that：The mesh of the elastic rack
The poly- dioxane amide Nian Jie with adhesion film and adhesion membrane is provided in interior and upper and lower surface.
4. indirect inguinal hernia inner ring according to claim 3 seals sticking patch, it is characterised in that：The poly- dioxane amide
Overall thickness with elastic rack is 0.07-0.2mm.
5. indirect inguinal hernia inner ring according to claim 1 seals sticking patch, it is characterised in that：The cylinder is to use NiTi
Made of alloy or stainless steel material.
6. indirect inguinal hernia inner ring according to claim 1 seals sticking patch, it is characterised in that：The fixing line is that human body can
25 line of 910 line of glycan lactic acid or glycan beta-lactam of absorption.
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| CN201720694483.9U CN207666728U (en) | 2017-06-15 | 2017-06-15 | Indirect inguinal hernia inner ring seals sticking patch |
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| CN201720694483.9U CN207666728U (en) | 2017-06-15 | 2017-06-15 | Indirect inguinal hernia inner ring seals sticking patch |
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| CN207666728U true CN207666728U (en) | 2018-07-31 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107088109A (en) * | 2017-06-15 | 2017-08-25 | 莫经刚 | Indirect inguinal hernia inner ring seals sticking patch and its application method |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107088109A (en) * | 2017-06-15 | 2017-08-25 | 莫经刚 | Indirect inguinal hernia inner ring seals sticking patch and its application method |
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