EA201600086A1 - METHOD OF APPLICATION OF AN INCORRUPTIVE AVAIL SCRAP, BASED ON SURFACE LOWER EPIGASTRAL ARTERY - Google Patents
METHOD OF APPLICATION OF AN INCORRUPTIVE AVAIL SCRAP, BASED ON SURFACE LOWER EPIGASTRAL ARTERYInfo
- Publication number
- EA201600086A1 EA201600086A1 EA201600086A EA201600086A EA201600086A1 EA 201600086 A1 EA201600086 A1 EA 201600086A1 EA 201600086 A EA201600086 A EA 201600086A EA 201600086 A EA201600086 A EA 201600086A EA 201600086 A1 EA201600086 A1 EA 201600086A1
- Authority
- EA
- Eurasian Patent Office
- Prior art keywords
- flap
- inguinal
- upper limb
- cutting
- pnea
- Prior art date
Links
Abstract
Изобретение относится к медицине, реконструктивно-пластической и восстановительной хирургии, а именно к хирургическому устранению дефектов мягких тканей верхней конечности. Цель изобретения заключается в разработке нового способа выкраивания несвободного пахового лоскута с альтернативным источником кровоснабжения. Сущность изобретения: суть способа заключается в использовании в качестве питающего паховый лоскут сосуда поверхностной нижней эпигастральной артерии для укрытия дефекта кожи верхней конечности различной этиологии. Перед операцией при помощи портативного допплеровского датчика определяется ось прохождения ПНЭА, затем маркируются границы выкраивания пахового лоскута с планированием длины ножки для придания лоскуту достаточной мобильности и размерами, достаточными для укрытия дефекта верхней конечности. Разрез выполняется вдоль нижней границы лоскута, начиная с сосудистой ножки на уровне паховой складки, продолжаясь вверх, дойдя до самой верхней точки. В глубину разрез после рассечения поверхностной фасции (фасции Томпсона) проникает до апоневроза. Тупым путем производится отсепаровка лоскута от апоневроза наружной косой мышцы живота над всей площадью маркированного лоскута. Дополнительная диафаноскопия путем просматривания через все слои отсепарованного лоскута на фоне освещения операционной лампы позволяет визуально установить точную проекцию прохождения ПНЭА. Это позволит без особого риска выкроить оставшуюся часть лоскута путем соединения нижней и верхней точки путем разреза вдоль верхней границы лоскута.The invention relates to medicine, reconstructive plastic and reconstructive surgery, namely to the surgical removal of soft tissue defects of the upper limb. The purpose of the invention is to develop a new method of cutting out a non-free inguinal flap with an alternative source of blood supply. The essence of the invention: the essence of the method is to use as a feed inguinal flap of a vessel of the superficial lower epigastric artery to cover the skin defect of the upper limb of various etiologies. Before the operation, using the portable Doppler sensor, the axis of PNEA passage is determined, then the borders of the inguinal flap cutting are marked with the planning of the leg length to give the flap sufficient mobility and dimensions sufficient to cover the defect of the upper limb. The incision is made along the lower border of the flap, starting from the vascular pedicle at the level of the inguinal fold, continuing upward, reaching the highest point. The incision after dissection of the superficial fascia (Thompson fascia) penetrates to the depth of the aponeurosis. In a blunt way, the flap is separated from the aponeurosis of the external oblique abdominal muscle over the entire area of the marked flap. Additional diaphanoscopy by looking through all the layers of the separated flap against the background of the illumination of the operating lamp allows you to visually establish the exact projection of the passage of the PNEA. This will make it possible to cut out the rest of the flap without special risk by connecting the lower and upper points by cutting along the upper border of the flap.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TJ1500949 | 2015-05-05 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EA201600086A1 true EA201600086A1 (en) | 2016-11-30 |
Family
ID=57391614
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EA201600086A EA201600086A1 (en) | 2015-05-05 | 2015-12-16 | METHOD OF APPLICATION OF AN INCORRUPTIVE AVAIL SCRAP, BASED ON SURFACE LOWER EPIGASTRAL ARTERY |
Country Status (1)
| Country | Link |
|---|---|
| EA (1) | EA201600086A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113384365A (en) * | 2021-06-15 | 2021-09-14 | 霍君艺 | Skin flap is repaiied into skin piece auxiliary instrument |
-
2015
- 2015-12-16 EA EA201600086A patent/EA201600086A1/en unknown
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113384365A (en) * | 2021-06-15 | 2021-09-14 | 霍君艺 | Skin flap is repaiied into skin piece auxiliary instrument |
| CN113384365B (en) * | 2021-06-15 | 2023-04-11 | 霍君艺 | Skin flap is repaiied into skin piece auxiliary instrument |
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