CN219594687U

CN219594687U - Mesh drag hook for laparoscopic lower abdominal wall suspension operation

Info

Publication number: CN219594687U
Application number: CN202321108964.9U
Authority: CN
Inventors: 冯丽霞
Original assignee: Individual
Current assignee: Individual
Priority date: 2023-05-09
Filing date: 2023-05-09
Publication date: 2023-08-29
Anticipated expiration: 2033-05-09

Abstract

The utility model discloses a mesh drag hook for laparoscopic lower abdominal wall suspension, which is characterized in that an outer sheath is of a hollow tube structure with two open ends, a seal cap for preventing pneumoperitoneum leakage is arranged at the tail part of the outer sheath, an inner core comprises a drag hook, a needle bar and an inner core handle which are sequentially connected from the head part to the tail part of the inner core, and the drag hook and the needle bar penetrate through the seal cap for preventing pneumoperitoneum leakage and are inserted into the outer sheath; the tail part of the outer sheath is provided with an outer sheath handle protruding outwards, and the diameter of the outer sheath handle is not more than 5mm. The utility model can lead the sheath to pass through the sleeve of the operation puncture outfit at the left side and the right side of the abdominal wall, stay outside the last layer of peritoneum in the abdominal wall after being guided by the sleeve of the puncture outfit, lead the inner core to pass through the sheath to reach the lower part of the round ligament, hook the net suspension arm by the drag hook at the head end of the inner core, and slowly pull and fix the net to the muscles and fascia under the puncture opening of the abdominal wall through the intraperitoneal clearance.

Description

Mesh drag hook for laparoscopic lower abdominal wall suspension operation

Technical Field

The utility model belongs to the technical field of medical equipment, and particularly relates to a mesh drag hook for a laparoscopic lower side abdominal wall suspension operation.

Background

Laparoscopic lower abdominal wall suspension is a new method of repairing prolapse of anterior vaginal wall and apical pelvic organs. The method is characterized in that the method passes through the peritoneal outer side wall under the peritoneal wall, by means of translucence of the peritoneal membrane, vulnerable parts such as blood vessels and the like can be accurately avoided under direct-view monitoring of a laparoscope, and the net piece fixed at the vaginal broken end and uterus can be easily pulled and fixed at muscles and fascia under the peritoneal wall puncture port through the peritoneal space, so that the operation mode has no risk of damage to the blood vessels, nerves and intestines. Is one of the operation methods for treating the prolapse of the anterior pelvic cavity and the middle pelvic cavity.

The existing operation is to make two puncture holes on the 4cm and 3cm outside of the anterior superior iliac spine of the two sides on the basis of four operation puncture holes on the abdominal wall, introduce a laparoscopic grasper or needle holder into the two new incisions, vertically penetrate the abdominal wall fat, fascia and muscle to the lower peritoneal, submerge the lower peritoneal, make a tunnel, reach the lower round ligament, and pull the two net side arms to the puncture holes by the forceps holder.

The operation defects are as follows: the number of abdominal wall incisions and abdominal wall injuries of the patient are additionally increased. Accordingly, there is a need for improvements in the art to reduce patient abdominal wall puncture incisions and to reduce trauma.

Disclosure of Invention

The utility model aims to provide a mesh drag hook for a laparoscopic lower abdominal wall suspension surgery, which is used for solving the problems in the prior art.

In order to achieve the above purpose, the present utility model adopts the following technical scheme:

the utility model provides a laparoscopic lower side abdominal wall suspension art net piece drag hook, includes outer sheath, inner core and prevents pneumoperitoneum and reveal the sealed cap, and the outer sheath is the hollow tube structure of both ends opening, prevents pneumoperitoneum and reveal the sealed cap and install in the afterbody of outer sheath, and the inner core includes drag hook, needle bar and the inner core handle that connects gradually from its head to afterbody, drag hook and needle bar all pass and prevent pneumoperitoneum and reveal the sealed cap and peg graft in the outer sheath; the tail part of the outer sheath is provided with an outer sheath handle protruding outwards, and the diameter of the outer sheath handle is not more than 5mm.

As a preferable technical scheme in the utility model, the front end of the outer sheath is provided with an arc-shaped head.

As a preferable technical scheme in the utility model, the length of the arc-shaped head is 1cm.

As a preferable technical scheme in the utility model, the arc-shaped head is a round head or an oval head.

As a preferable technical scheme in the utility model, the outer diameter of the outer sheath between the outer sheath handle and the arc-shaped head is 3mm-4mm.

As a preferable technical scheme in the utility model, the length of the outer sheath is 30cm.

As a preferred embodiment of the present utility model, the needle bar is made of stainless steel.

As a preferable technical scheme in the utility model, the mesh drag hook for the laparoscopic lower abdominal wall suspension surgery further comprises an annular limiting piece, the annular limiting piece is sleeved on the outer sheath at the front end of the outer sheath handle, and one side of the annular limiting piece is provided with an opening which is convenient for the annular limiting piece to be detachably connected on the outer sheath; the outer diameter of the annular limiting piece is larger than the diameter of the outer sheath handle.

As a preferable technical scheme in the utility model, the pneumoperitoneum leakage prevention sealing cap (4) is a cross sealing cap.

The beneficial effects are that: when the utility model is operated, the sheath can pass through the sleeves of ready-made operation puncture outfits on the left side and the right side of the abdominal wall, the sheath is guided by the sleeves of the puncture outfits to stay outside the last layer of peritoneum in the abdominal wall, then the sleeves of the puncture outfits on the abdominal wall are pulled out, the sheath can be pressed down at the moment to be tightly attached to the abdominal wall, the puncture outfits are submerged under the peritoneum, a tunnel is made, the sheath reaches the lower part of the round ligament, at the moment, the inner core is placed into the inner core through the opening of the sealing cap for preventing pneumoperitoneum leakage, the inner core reaches the lower part of the round ligament, the drag hook at the head end of the inner core is used for hooking the mesh suspension arm, and the mesh is slowly pulled and fixed on the muscle and fascia under the puncture opening of the abdominal wall through the extraperitoneal gap. Compared with the prior art, the method reduces the number of the puncture incisions on the abdominal wall of the patient, reduces the trauma, achieves the real minimally invasive effect and improves the abdominal beauty of the patient.

Drawings

FIG. 1 is a schematic view of the interior of an outer sheath of the present utility model without an annular stop tab;

fig. 2 is a schematic structural view of the present utility model when the annular limiting plate is mounted.

In the figure: 1-an outer sheath; 101-an outer sheath handle; 102-an arc-shaped head; 2-an inner core; 201-drag hook; 202-a needle bar; 203-an inner core handle; 3-annular limiting pieces; 4-a seal cap for preventing pneumoperitoneum leakage.

Detailed Description

In order to more clearly illustrate the embodiments of the present utility model or the technical solutions in the prior art, the present utility model will be briefly described below with reference to the accompanying drawings and the description of the embodiments or the prior art, and it is obvious that the following description of the structure of the drawings is only some embodiments of the present utility model, and other drawings can be obtained according to these drawings without inventive effort to a person skilled in the art. It should be noted that the description of these examples is for aiding in understanding the present utility model, but is not intended to limit the present utility model.

Examples:

as shown in fig. 1 and 2, the embodiment provides a mesh drag hook for laparoscopic lower abdominal wall suspension surgery, which comprises an outer sheath 1, an inner core 2 and an anti-pneumoperitoneum leakage sealing cap 4, wherein the outer sheath 1 and the inner core 2 are matched for use, the outer sheath 1 is of a hollow pipe structure with two open ends, the inner core 2 conveniently passes through the outer sheath 1 to drag a mesh boom, the anti-pneumoperitoneum leakage sealing cap 4 is arranged at the tail part of the outer sheath 1, when the inner core 2 is used, the inner core needs to pass through the opening of the anti-pneumoperitoneum leakage sealing cap 4, the anti-pneumoperitoneum leakage sealing cap 4 can prevent pneumoperitoneum leakage, the inner core 2 comprises a drag hook 201, a needle bar 202 and an inner core handle 203 which are sequentially connected from the head to the tail, the drag hook 201 and the needle bar 202 pass through the anti-pneumoperitoneum leakage sealing cap 4 and are inserted into the outer sheath 1, and when the mesh is pulled, the inner core handle 203 is conveniently held to operate the inner core 2; the tail of the sheath 1 is provided with an outwards-protruding sheath handle 101, the diameter of the sheath handle 101 is not larger than 5mm, when the operation is performed, the whole sheath 1 can completely penetrate through the sleeves of ready-made operation puncture outfits on the left side and the right side of the abdominal wall, the puncture outfits stay outside the last layer of peritoneum in the abdominal wall through the guidance of the puncture outfits sleeves, and then the puncture outfits sleeves are pulled out, so that the sheath 1 and the inner core 2 can be controlled, and the sheath 1 and the inner core 2 can smoothly submerge to the lower parts of bilateral round ligaments through the peritoneum, so that the drag hook 201 hooks the mesh suspension arm, and the mesh is slowly pulled to the position of the puncture hole.

When the utility model is operated, the sheath can pass through the sleeves of ready-made operation puncture outfits on the left side and the right side of the abdominal wall, the sheath is guided by the sleeves of the puncture outfits to stay outside the last layer of peritoneum in the abdominal wall, then the sleeves of the puncture outfits on the abdominal wall are pulled out, the sheath can be pressed down at the moment to be tightly attached to the abdominal wall, the puncture outfits are submerged under the peritoneum, a tunnel is made, the sheath reaches the lower part of the round ligament, at the moment, the inner core is placed into the inner core through the opening of the sealing cap for preventing pneumoperitoneum leakage, the inner core reaches the lower part of the round ligament, the drag hook at the head end of the inner core is used for hooking the mesh suspension arm, and the mesh is slowly pulled and fixed on the muscle and fascia under the puncture opening of the abdominal wall through the extraperitoneal gap. Compared with the prior art, the method reduces the number of the puncture incisions on the abdominal wall of the patient, reduces the trauma, achieves the real minimally invasive effect and improves the abdominal beauty of the patient.

As a preferred implementation manner in this example, it should be further explained that the front end of the outer sheath 1 is provided with the arc-shaped head 102, so that the pushing of the outer sheath 1 does not easily damage the peritoneum.

As a preferred implementation of this embodiment, it should be further noted that the length of the arcuate head 102 is 1cm, and the arcuate head 102 does not need to be too large, so as to ensure the toughness of the structure.

As a preferred implementation manner in this embodiment, it should be further described that the arcuate head 102 is a round head or an oval head, and both shapes may be, without specific limitation, or other structures, and mainly ensures that the arcuate head 102 will not damage the peritoneum during stable propulsion.

As a preferred embodiment of the present embodiment, it should be further described that the outer diameter of the outer sheath 1 between the outer sheath handle 101 and the arcuate head 102 is 3mm-4mm, and may be about 3mm, so that the outer sheath 1 may pass through the puncture outfit cannula, and may also enable the inner core 2 to hook out of the mesh.

As a preferred embodiment of the present example, it should be further explained that the length of the outer sheath 1 is 30cm, so that the tail of the outer sheath 1 is still outside the patient's body when the head of the outer sheath 1 stays at the last peritoneal membrane of the abdominal wall, and the smooth operation is not affected.

As a preferred embodiment of the present example, it should be further explained that the needle bar 202 is made of stainless steel, so as to ensure the stability of the needle bar 202.

As a preferred implementation manner in this example, it should be further explained that the mesh retractor for laparoscopic lower abdominal wall suspension surgery further includes an annular limiting piece 3, the annular limiting piece 3 is sleeved on the outer sheath 1 at the front end of the outer sheath handle 101, and an opening for facilitating detachable connection of the annular limiting piece 3 on the outer sheath 1 is provided on one side of the annular limiting piece 3; the external diameter of annular spacing piece 3 is greater than the diameter of sheath handle 101, and annular spacing piece 3 preferably medical plastics can, can be relaxed realization annular spacing piece 3 loading and unloading on sheath 1 through the opening, and also can form spacing effect through annular spacing piece 3 for sheath handle 101 of sheath 1 stably stops outside the patient, avoids the unexpected emergence that sheath handle 101 got into the patient.

As a preferable technical scheme in the utility model, the pneumoperitoneum leakage prevention sealing cap 4 is a cross sealing cap, and has low cost and practicability in the prior art.

Finally, it should be noted that: the foregoing description is only of the preferred embodiments of the utility model and is not intended to limit the scope of the utility model. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present utility model should be included in the protection scope of the present utility model.

Claims

1. The utility model provides a laparoscopic lower side abdominal wall suspension art net sheet drag hook which is characterized in that, including outer sheath (1), inner core (2) and prevent pneumoperitoneum and reveal sealed cap (4), outer sheath (1) is the hollow tube structure of both ends open-ended, prevent pneumoperitoneum and reveal sealed cap (4) and install in the afterbody of outer sheath (1), inner core (2) include drag hook (201), needle bar (202) and inner core handle (203) that connect gradually from its head to afterbody, drag hook (201) and needle bar (202) all pass prevent pneumoperitoneum and reveal sealed cap (4) and peg graft in outer sheath (1); the tail part of the outer sheath (1) is provided with an outer sheath handle (101) protruding outwards, and the diameter of the outer sheath handle (101) is not more than 5mm.

2. The laparoscopic lower abdominal wall suspension mesh retractor according to claim 1, wherein the front end of the outer sheath (1) is provided with an arc-shaped head (102).

3. A laparoscopic lower abdominal wall suspension mesh retractor according to claim 2, wherein the arcuate head (102) has a length of 1cm.

4. A laparoscopic lower abdominal wall suspension mesh retractor according to claim 2, wherein the arcuate head (102) is a round head or an oval head.

5. A laparoscopic lower abdominal wall suspension mesh retractor according to claim 2, wherein the outer diameter of the outer sheath (1) between the outer sheath handle (101) and the arcuate head (102) is 3mm-4mm.

6. A laparoscopic lower abdominal wall suspension mesh retractor according to claim 1, wherein the length of the sheath (1) is 30cm.

7. The laparoscopic lower abdominal wall suspension mesh retractor according to claim 1, wherein the needle bar (202) is made of stainless steel.

8. The laparoscopic lower abdominal wall suspension mesh retractor according to any one of claims 1 to 7, further comprising an annular limiting piece (3), wherein the annular limiting piece (3) is sleeved on the outer sheath (1) at the front end of the outer sheath handle (101), and an opening for facilitating detachable connection of the annular limiting piece (3) on the outer sheath (1) is formed in one side of the annular limiting piece (3); the outer diameter of the annular limiting piece (3) is larger than the diameter of the outer sheath handle (101).

9. A laparoscopic lower abdominal wall suspension mesh retractor according to claim 1, wherein the pneumoperitoneum leakage prevention sealing cap (4) is a cross sealing cap.