JP2012130387A - Surgical drape - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a surgical drape certainly covering both legs even when a patient opens both the legs, maintaining a superior wearing state of the drape without imposing a burden on the patient, and enabling a doctor positioned between the legs of the patient to smoothly perform work.SOLUTION: A width direction central part of a drape body 1 is disposed with a first opening part 2 allowing exposure of an abdominal part of the patient, and a position separate from the first opening part 2 is disposed with a second opening part 3 allowing exposure of the pubic region and/or the anus part of the patient. A pair of leg part covering pieces 18, 27 capable of individually covering two legs of the patient are provided on the second opening part 3 side of the drape body 1. Auxiliary pieces 20, 26 are respectively individually hanged down on respective one sides facing to each other of the pair of leg part covering pieces 18, 27, and continue to the leg part covering pieces 18, 27.

Description

  The present invention relates to a surgical drape that covers a patient during surgery.

  Conventionally, in surgery, urology, and obstetrics and gynecology, there are cases where both the abdomen and the pubic / anus of the patient are used as a surgical field in one operation. Therefore, in order to cope with such a surgery, a drape having openings formed at positions corresponding to the abdomen and pubic / anus of the patient as shown in FIG. 7 has been conventionally used. That is, this drape is formed by combining rectangular flat cloths as shown in FIG. 7, and has openings (40) and (41) at positions corresponding to the abdomen and pubic / anus of the patient. ing. And the slit etc. for individually covering the left and right feet are not formed.

  However, in the above-mentioned surgery, the patient often takes a posture in which the leg is opened, such as an open leg position or a crushed stone position. Therefore, when a conventional drape as shown in FIG. 7 is used, the legs that are opened from both sides of the drape are exposed, which causes a problem in infection control. Therefore, when performing surgery in the open leg position or the crushed position as described above, the socks that can cover the toes from the toes of the feet to the thighs are individually attached to each foot in advance, It was common practice to coat the drape of FIG.

  As another conventional example, as shown in Patent Document 1, a slit is provided on the foot covering side of the drape to divide it into two, and a pair of foot covering pieces formed thereby are individually covered on each foot of the patient. The thing for the purpose is known.

  In addition, as a conventional example different from Patent Document 1 and the above-described conventional example, in order to cover the patient's both legs with difficulty in exposure even when the patient takes an open leg position or a crushed stone position, A drape is known in which the formation width is wider than the formation width on the head side.

JP 2009-118934 A

  However, when the drape and the socks shown in FIG. 7 are used in combination as described above, two socks must be prepared separately and attached to the patient in addition to the drape, resulting in high cost and complicated preparation. It was something. In addition, depending on the surgical procedure, the patient's position may be changed during the operation. In such a case, it is necessary to add a drape in order to keep the drape sterilized, or to re-drape. It may not be possible. In addition, since it is necessary to pay attention to the state of wearing the socks worn on both feet, the operation takes extra time and effort and imposes an extra burden on the patient.

  Further, since the drape described in Patent Document 1 is formed by forming a foot covering piece simply by providing a slit in the drape, the formation width of each foot covering piece is half the formation width of the drape and is narrow. Become. Therefore, especially when the patient is in a crushed position, the patient's foot is opened and the body is folded in the height direction, so that the patient's foot is easily exposed from the foot covering piece. It becomes. Therefore, in order to ensure the cleanliness during the operation, when using the drape described in Patent Document 1, it is necessary to separately attach a socks to each foot of the patient. Therefore, even when the drape described in Patent Document 1 is used, the operation takes extra time and effort as in the case of the conventional example of FIG. 7, and the patient is burdened with extra burden.

  In addition, when the part of the drape that covers the foot is formed widely, it is possible to cover the leg that has been opened without wearing a tabi, but the drape is continuously between the legs of the patient who has opened the leg. It will hang down. For this reason, for a doctor who performs surgery between the patient's legs, the drape that hangs between the patients' legs has hindered the work.

  Therefore, the present invention is intended to solve the above-described problems, and even if the patient opens both legs with the posture of the open leg position or the crushed stone position, the patient's both legs can be surely used without using the socks. It is possible to maintain a good drape wearing condition without imposing a burden on the patient, and to maintain cleanliness during the operation, and a doctor located between the patient's feet should be able to work smoothly It is intended to obtain a surgical drape that can.

  In order to solve the problems as described above, the present invention arranges a first opening that can expose the patient's abdomen at the center in the width direction of the drape body formed of a flat cloth, and the first opening is The 2nd opening part which can expose a patient's pubic area and / or anus part is arrange | positioned in the position through a space | interval. As described above, since two openings of the first opening and the second opening are formed in one drape, the abdominal perineum of the surgical operation in which both the abdomen and the pubic area / anus are operated. Rectal resection, lower anterior resection, sigmoid colectomy, laparoscopic assisted colectomy, urological total cystectomy, ileal duct construction, total prostatectomy, laparoscopic gynecology Can be used for departmental surgery. In the case of abdominal cesarean section, abdominal simple hysterectomy, and radical hysterectomy, the abdomen is used as the surgical field, but the second opening is also used to check the genital area / anus. There is.

  A pair of foot covering pieces that can individually cover the two feet of the patient are provided on the second opening side of the drape body, and the pair of foot covering pieces are provided on one side facing each other. Each piece is provided, and each auxiliary piece can be suspended between both legs of the patient. In this manner, by providing the auxiliary pieces on the pair of foot portion covering pieces, the portions that individually cover each foot can be widened. Therefore, even when the patient is in the open leg position or the crushed stone position, it is possible to maintain the drape wearing state well and keep clean without the exposed leg being exposed.

  In addition, as described above, since the auxiliary pieces are provided on the opposite sides of the pair of foot covering pieces, the foot covering pieces and the auxiliary pieces are attached to each foot even when the patient's foot is in the open leg state. It becomes possible to arrange | position separately for every. Therefore, since a large space can be secured in the interval between the patient's legs without the drape hanging continuously between the patient's legs, the doctor who performs the operation located between the patients' legs is bothered by the drape. Surgery can be performed smoothly without any problems.

  In addition, since the drape of the present invention has a flat configuration formed of a flat cloth as described above, unlike the bag-shaped configuration, it can be easily washed without soiling, and can be inspected after washing. Becomes easy. Moreover, since it is a planar structure, folding after washing becomes easy and folding work can be performed smoothly. Further, since the folded drape can be easily and smoothly covered on the patient at the time of use, the operation can be started quickly.

  In addition, the drape main body has a pair of cloth pieces arranged in parallel on one side of the side where the second opening is formed, with the facing portion side being overlapped, and one side excluding the overlapping portion of the pair of cloth pieces and the drape main body. One side may be connected and fixed to form a foot covering piece, and an overlapping piece of the pair of cloth pieces not connected to one side of the drape main body may be used as an auxiliary piece.

  As described above, since a pair of cloth pieces are arranged in parallel on one side of the drape body on the side where the second opening is formed, the cloth pieces are arranged at positions corresponding to the patient's foot. A pair of cloth pieces can be fixedly disposed on the drape main body so that the center portion in the width direction of the lay is positioned. Therefore, it is possible to arrange each piece of cloth on the patient's foot in a well-balanced and balanced manner, and keep the surgical drape in good condition without the piece of cloth slipping from the foot to one side due to its own weight. Is possible.

  Further, the pair of cloth pieces may be connected and fixed to the lower end of the drape main body via an arrangement interval. Thus, by providing an arrangement interval between the connection portions of the pair of cloth pieces, the auxiliary piece can be quickly suspended inward from the arrangement interval. Therefore, even when a pair of opposing auxiliary pieces overlap each other at the time of draping, it becomes difficult to cause a situation of rattling, and draping can be made smooth.

  In addition, the drape main body is provided with a foot covering portion by forming a slit from the lower end to the second opening side and separating a part thereof, and an auxiliary piece is extended on the slit side of the foot covering portion. It may be what you did.

  In addition, the drape main body is formed by connecting and fixing one side of the opening covering piece that can selectively cover the first opening and the second opening between the first opening and the second opening. May be. Thus, by providing an opening covering piece between the first opening and the second opening, when performing an operation in the surgical field of the first opening, the opening covering piece is placed on the second opening. Cover and keep the surgical field on the second opening side clean, and when performing surgery in the surgical field of the second opening, cover the first opening with an opening covering piece. The surgical field on the first opening side can be kept clean. Therefore, it is not necessary to prepare a separate cloth for covering the first opening or the second opening, and the work can be performed efficiently.

  For example, in the case of laparoscopic cholecystectomy, only the first opening is used at the time of surgery, and in the case of abdominal simple hysterectomy and extensive hysterectomy, only the first opening is used at the time of surgery. Therefore, when only one opening is used at the time of surgery in this way, cleanliness can be maintained by covering the other opening with an opening covering piece.

  The present invention is configured as described above, and by providing the auxiliary pieces on the pair of foot portion covering pieces, it is possible to widely form the portions that individually cover each foot. Therefore, even when the patient takes the posture of the open leg position or the crushed stone position, the leg with the open leg becomes difficult to be exposed from the drape, so that the drape wearing state can be maintained well and cleanliness can be maintained.

  In addition, as described above, not only in the supine position, but also in all open and crushed positions, extra members such as tabi and square cloth can be added even if the position is changed during surgery. It is possible to change to any of the above positions with only one drape without need. Accordingly, it is possible to reduce the cost and labor required for the operation and the burden on the patient.

  In addition, since the auxiliary pieces are individually hung on the opposite sides of the pair of foot covering pieces, the foot covering pieces and the auxiliary pieces are separated into the legs even when the patient's foot is opened. Can be arranged. Therefore, it becomes possible to secure a wide space without the drape hanging continuously between both feet of the patient. Therefore, a doctor who performs an operation located between both feet of a patient can perform the operation smoothly without being bothered by drape.

  In addition, since the drape of the present invention has a flat configuration formed of a flat cloth, unlike a bag-shaped configuration, it can be easily washed without soiling and easy to check after washing. Become. Moreover, since it is a planar structure, folding after washing becomes easy and folding work can be performed smoothly. Further, since the folded drape can be easily and smoothly covered on the patient at the time of use, the operation can be started quickly.

The top view which shows Example 1 of this invention. FIG. 3 is a partially enlarged side view showing a use state of Examples 1 and 2. The expansion conceptual diagram which shows the arrangement | positioning state of the cloth piece of Example 1. FIG. FIG. 3 is a conceptual diagram illustrating a usage state of the first embodiment. The top view which shows Example 2 of this invention. The conceptual diagram which shows the use condition of Example 2. FIG. The top view which shows a prior art example.

  Referring to Example 1 of the present invention, the surgical drape of this example is a surgical abdominal perineal rectal resection, low anterior resection, sigmoid colectomy, laparoscopic assisted colectomy, urology Used for total cystectomy, ileal conduit construction, total prostatectomy, obstetrics and gynecology abdominal cesarean section, abdominal simple hysterectomy, extensive hysterectomy, laparoscopic gynecological surgery As shown in FIG. 1, the drape body (1) is formed with a first opening (2) and a second opening (3) and a pair of foot covering pieces (18). It is. In the present embodiment, in the drape main body (1), the side covering the patient's head is set upward, and the side covering the patient's foot is set downward.

  The surgical drape of the present embodiment will be described in detail below. (1) is a drape body, which is formed of a flat cloth. By forming the flat cloth in this way, unlike the bag-like configuration, washing does not accumulate, and washing can be easily performed and inspection after washing is facilitated. Moreover, since it is a planar structure, the folding after washing becomes easy and the folding work can be performed smoothly. In addition, since the patient can be easily and smoothly covered with the folded surgical drape at the time of use, the operation can be started quickly.

  Then, as shown in FIG. 1, a rectangular upper cloth (5) which is wide from the patient's head to the abdomen side in the left-right direction of the patient is disposed, and the upper cloth (5) is disposed from the abdomen to the pubic / anus side. A rectangular lower cloth (12) having a narrower width is arranged. Incidentally, the drape body (1) of this example is made of polyester long fiber, and consists of a part having air permeability and water repellency and a part that is hydrophilic but waterproof, and is washed. Is reusable. Further, the above-mentioned polyester long fibers are difficult to obtain compared to the case of non-woven fabric, and there is little risk that the surgical drape will open and burn due to a spark such as an electric knife used in surgery.

  As shown in FIG. 1, a substantially rectangular first opening (2) is formed at the center of the drape body (1) as described above, and this first opening (2) The abdominal surgical field can be exposed. Further, a second opening (3) is formed below the first opening (2) with a gap therebetween. This second opening (3) can be placed in the patient's genital area and / or anal area with the first opening (2) positioned in the patient's abdominal field. It is said.

  Further, an outer peripheral flap (4) is disposed on the outer periphery of the first opening (2) formed as described above. This outer peripheral flap (4) is sewn only on the outer periphery of the first opening (2) to the drape body (1), and both sides of the first opening (2) are separated from the drape body (1). A piece (6) is used. In addition, a plurality of snaps (7) are arranged on each free piece (6), and by fastening these snaps (7), a pair of pockets are formed on both sides of the first opening (2) as shown in FIG. (8) is formed. Therefore, by receiving the cleaning liquid, blood, and body fluid flowing out from the first opening (2) in the pocket (8), it is possible to suppress the outflow of the cleaning liquid, blood, and body fluid to the floor surface and prevent contamination. In addition, since the instrument used during the operation can be temporarily inserted and held in the pocket (8), work efficiency can be improved.

  Further, a buffer sheet (10) having a waterproof sheet (15) bonded to the back side is disposed on the outer periphery of the second opening (3). This buffer sheet (10) is formed in a substantially rectangular shape as shown in FIG. 1, and is arranged on the side (11) on the arrangement side of the second opening (3) and outside the second opening (3). The periphery is sewn to the drape body (1), and the lower part of the second opening (3) is a separation piece (13) separated from the drape body (1).

  The surface of the buffer sheet (10) is unevenly formed by weaving, so that when the cleaning liquid, blood, body fluid, etc. are discharged from the second opening (3), the discharged liquid is It becomes easy to be buffered by the sheet (10). Moreover, the waterproof sheet (15) bonded to the back side prevents infection of the discharged liquid and prevents infection. Therefore, it is difficult for the cleaning liquid, blood, body fluid and the like to rebound around the second opening (3), and it is possible to prevent contamination and infection during surgery.

  Further, a substantially rectangular opening covering piece (14) is disposed between the first opening (2) and the second opening (3) as shown in FIG. The opening covering piece (14) is formed into a flap shape by sewing one end of the opening covering piece (14) to the drape main body (1) between the first opening (2) and the second opening (3). Then, by arranging the opening covering piece (14) formed and arranged in this way on the first opening (2) side, the first opening (2) can be covered and the second opening (3). By disposing on the side, the second opening (3) can be covered.

  By providing the opening covering piece (14) in this way, the opening covering piece (14) is covered on the second opening (3) when performing surgery in the surgical field of the first opening (2). Thus, the surgical field on the side of the second opening (3) can be kept clean, and the first opening (2) when operating in the surgical field of the second opening (3) By covering the opening covering piece (14), the surgical field on the first opening (2) side can be kept clean. Therefore, it is not necessary to separately prepare a covering cloth for covering the first opening (2) or the second opening (3), and the work can be performed efficiently. When both the first opening (2) and the second opening (3) are opened, as shown in FIG. 2, the opening covering pieces (14) are combined into a roll shape and cloth forceps ( Keep it at 16).

  Specifically, for example, in the case of abdominal perineal rectal resection using both the first opening (2) and the second opening (3) as an operating field, the opening covering piece (14) is After being rolled together and fixed on both sides with cloth forceps (16), first, surgery on the abdomen is performed at the first opening (2). Next, the operation at the perineum is performed at the second opening (3). When the operation at the perineum is completed, the cloth forceps (16) holding the opening covering piece (14) is removed and the opening covering is removed. A piece (14) is covered on the second opening (3).

  In the above description, the case where both the first opening (2) and the second opening (3) are used as the surgical field has been described. However, only the first opening (2) is operated as in the case of laparoscopic cholecystectomy. Even if only the second opening (3) is used as a surgical field, such as a vaginal total hysterectomy, cervical cerclage (such as rocker, McDonald's), or cervical conicectomy. The surgical drape of the present embodiment can be used by covering the opening on the side not to be used with the opening covering piece (14).

  A pair of substantially square cloth pieces (21) are connected to the lower end side of the drape body (1). That is, as shown in FIGS. 1 and 3, a pair of cloth pieces (21) are arranged in parallel on one side of the lower end side of the drape main body (1), with each opposing portion (22) side being overlapped. The overlapping width of the overlapping portion (25) is substantially the same as the formation width of the buffer sheet (10).

  Then, by sewing the upper edge (23) of each of the pair of cloth pieces (21) excluding the overlapping portion (25) and one side of the lower end side of the drape body (1), the pair of cloth pieces (21) is sewn. Each drape body (1) is fixedly arranged. The pair of cloth pieces (21) are arranged on both sides of the arrangement interval (24) via an arrangement interval (24) of a certain length at the center of the lower end of the drape body (1) as shown in FIG. Sewing. By providing the arrangement interval (24) between the pair of cloth pieces (21) in this way, a situation in which the pair of opposing auxiliary pieces (20) overlap each other during draping does not occur, The auxiliary piece (20) can be quickly suspended inward from the arrangement interval (24). Therefore, draping can be made smooth.

  By connecting the pair of cloth pieces (21) to the drape main body (1) as described above, in each cloth piece (21), the rectangular overlapping portion (25) shown in FIG. In addition, the portion other than the auxiliary piece (20) becomes the foot covering piece (18). Thus, by providing the foot covering pieces (18) and the auxiliary pieces (20) individually for each foot, the area of the portion of the drape body (1) covering each foot becomes wide. Therefore, even when the patient takes the open leg position or the crushed stone position as shown in FIG. 4, the drape can be satisfactorily maintained and the cleanliness can be maintained without exposing the legs that have been opened.

  In addition, as described above, the foot can be completely covered not only in the supine position but also in the open leg position and the crushed stone position. Even when the posture is changed from another position to another, such as changing to a crushed stone position, it is possible to immediately cope with all of the above-mentioned positions with one drape without separately requiring a tabi or another drape. Therefore, it is possible to perform the surgery efficiently without extra costs, labor, and burden on the patient.

  Further, even when the patient's foot is in the open state, the auxiliary piece (20) separated from the drape main body hangs down, and the foot covering piece (18) and the auxiliary piece (20) are attached to each of them. It can be placed separately for each foot. Therefore, a large space can be ensured between both feet without causing a situation in which the drape hangs continuously between both feet of the patient. Therefore, a doctor who performs an operation located between both feet of a patient can work in close proximity to the patient's operative field without being bothered by surgical drape, and the work can proceed smoothly.

  Further, by arranging a pair of cloth pieces (21) on one side of the drape body (1) where the second opening (3) is formed as described above, each cloth is placed at a position corresponding to the patient's foot. The pair of cloth pieces (21) can be fixedly arranged on the drape main body (1) so that the center part in the width direction of the piece (21) is located. Therefore, it becomes possible to arrange each piece of fabric (21) on the patient's foot in a well-balanced and balanced manner, so that the cloth piece (21) does not slide from the foot to one side due to its own weight, and the foot is attached to the foot. Can be held well.

  When using the one configured as described above, first, the first opening (2) is placed facing the surgical field of the patient's abdomen, and the outer periphery of the first opening (2) is placed on a double-sided tape. By attaching and fixing to the outer periphery of the abdominal operative field, the operative field can be secured more safely. It should be noted that the surgical drape of the present embodiment can be used without the outer periphery of the first opening being stuck and fixed with double-sided tape as described above. Then, the upper part of the drape main body (1) is covered on the patient's head side, and the pair of foot covering pieces (18) and the auxiliary piece (20) are respectively covered on the patient's both legs. Next, the second opening (3) is placed facing the patient's genital / anal operative field. Finally, the opening covering piece (14) is arranged in the first opening (2) or the second opening (3), or is put together in a roll shape and fastened with cloth forceps (16). This completes the mounting of the drape of this embodiment to the patient.

  Referring to Example 2 of the present invention, the surgical drape of this example is a surgical abdominal perineal rectal resection, low anterior resection, sigmoid colectomy, laparoscopic assisted colectomy, urology Used for total cystectomy, ileal conduit construction, total prostatectomy, obstetrics and gynecology abdominal cesarean section, abdominal simple hysterectomy, extensive hysterectomy, laparoscopic gynecological surgery As shown in FIG. 5, the drape body (1) is formed with a first opening (2) and a second opening (3) and a pair of foot covering pieces (27). It is. In this embodiment, in the drape main body (1), the side covering the patient's head is set upward, and the side covering the patient's foot is set downward.

  The surgical drape of the present embodiment will be described in detail below. (1) is a drape main body, which is formed of a flat cloth. In contrast, washing does not accumulate, and washing can be performed easily and inspection after washing is facilitated. Moreover, since it is a planar structure, the folding after washing becomes easy and the folding work can be performed smoothly. In addition, since the patient can be easily and smoothly covered with the folded surgical drape at the time of use, the operation can be started quickly.

  Then, as shown in FIG. 5, a rectangular upper cloth (30) which is wide from the patient's head to the abdomen side in the left-right direction of the patient is disposed, and the foot side from the abdomen is elongated in the height direction of the patient. A rectangular lower cloth (31) narrower than the upper cloth (30) is disposed. Incidentally, the drape body (1) of this example is made of polyester long fiber, and consists of a part having air permeability and water repellency and a part that is hydrophilic but waterproof, and is washed. Is reusable. In addition, the polyester filaments are less flammable than in the case of non-woven fabrics, and there is less risk that the surgical drape will be punctured and spread by a spark such as an electric knife used in surgery.

  The central portion of the drape body (1) as described above is formed with a substantially rectangular first opening (2), and this first opening (2) opens the surgical field of the patient's abdomen. It can be exposed. Further, a second opening (3) is formed below the first opening (2) with a gap therebetween. This second opening (3) can be placed in the patient's genital area and / or anal area with the first opening (2) positioned in the patient's abdominal field. It is said.

  Further, on the outer periphery of the first opening (2) formed as described above, an outer peripheral flap (4) is arranged as shown in FIG. The outer peripheral flap (4) is a free piece in which only the outer peripheral edge of the first opening (2) is sewn to the drape body (1) and both sides of the first opening (2) are separated from the drape body (1). (6). A plurality of snaps (7) are arranged on each of the pair of free pieces (6), and by fastening these snaps (7), a pair is formed on both sides of the first opening (2) as shown in FIG. Pockets (8) are formed.

  By forming pockets (8) on both sides of the first opening (2) as described above, washing water, blood, and body fluids flowing out from the first opening (2) are received by the pocket (8). Contamination can be prevented by suppressing the outflow of washing water, blood and body fluid to the floor. Moreover, since the instrument used during the operation can be temporarily inserted and held in the pocket (8), the work can be performed efficiently.

  In addition, a buffer sheet (10) having a waterproof sheet (not shown) on the back is bonded to the outer periphery of the second opening (3). This buffer sheet (10) is formed in a substantially rectangular shape as shown in FIG. 5, and is arranged on the edge (11) on the arrangement side of the second opening (3) and outside the second opening (3). The periphery is sewn to the drape body (1), and the lower part of the second opening (3) is a separation piece (13) separated from the drape body (1).

  And the surface of this buffer sheet (10) is formed uneven by weaving, so that when the washing water, blood, body fluid, etc. are discharged from the second opening (3), the discharged liquid is It becomes easy to be buffered by the buffer sheet (10). In addition, the waterproof sheet bonded to the back side prevents infection of the discharged liquid and prevents infection. Therefore, it is difficult for the washing water, blood, body fluid, and the like to rebound around the second opening (3), and it is possible to keep contamination and prevention of infection during the operation.

  Further, an approximately rectangular opening covering piece (14) is arranged between the first opening (2) and the second opening (3) as shown in FIG. The opening covering piece (14) is formed into a flap shape by sewing one end of the opening covering piece (14) to the drape main body (1) between the first opening (2) and the second opening (3). Then, by arranging the opening covering piece (14) formed and arranged in this way on the first opening (2) side, the first opening (2) can be covered and the second opening (3) side is provided. The second opening (3) can be covered by arranging in the above.

  By providing the opening covering piece (14) in this way, the opening covering piece (14) is covered on the second opening (3) when performing surgery in the surgical field of the first opening (2). Thus, the surgical field on the side of the second opening (3) can be kept clean, and the first opening (2) when operating in the surgical field of the second opening (3) By covering the opening covering piece (14), the surgical field on the first opening (2) side can be kept clean. Therefore, it is not necessary to prepare a separate cloth for covering the first opening (2) or the second opening (3), and the work can be performed efficiently. When both the first opening (2) and the second opening (3) are opened, as shown in FIG. 2, the opening covering pieces (14) are combined into a roll shape and cloth forceps ( Keep it at 16).

  Specifically, for example, in the case of abdominal perineal rectal resection using both the first opening (2) and the second opening (3) as an operation field, an opening covering piece (14) Are combined into a roll and fixed on both sides with cloth forceps (16), and then the abdomen is operated on the first opening (2). Next, the operation of the perineum is performed at the second opening (3). When the operation at the perineum is completed, the cloth forceps (16) holding the opening covering piece (14) is removed, and the opening covering piece is removed. (14) is coated on the second opening (3).

  In the above description, the case where both the first opening (2) and the second opening (3) are used as the surgical field has been described. However, only the first opening (2) is operated as in the case of laparoscopic cholecystectomy. Even if only the second opening (3) is used as a surgical field, such as a vaginal total hysterectomy, cervical cerclage (such as rocker, McDonald's), or cervical conicectomy. The surgical drape of the present embodiment can be used by covering the opening on the side not to be used with the opening covering piece (14).

  In addition, as shown in FIG. 5, a slit (17) is formed from the lower end of the drape body (1) to the lower side of the second opening (3), thereby separating the lower end side of the drape body (1). A foot covering piece (27) is formed. An auxiliary piece (26) is extended on one side of the foot covering piece (27) on the slit (17) side. This auxiliary piece (26) has a rectangular shape as shown by a two-dot chain line in FIG. 5, and its formation length is substantially the same as the formation length of the foot covering piece (27) and the formation width is the foot covering. The width is slightly narrower than the width of the piece (27).

  The foot covering piece (27) and the auxiliary piece (26) are arranged with the first opening (2) and the second opening (3) facing the abdominal and genital / anal operative fields. In this state, the length is such that the patient's foot can be completely covered.

  By extending the auxiliary pieces (26) individually on the pair of foot covering pieces (27) as described above, the area of the portion of the drape body (1) covering each foot can be widened. . Therefore, even when the patient is in the open leg position or the crushed stone position as shown in FIG. 6, the open leg is not exposed and the drape wearing state can be well maintained and cleanliness can be maintained.

  In this way, the drape of the present embodiment can completely cover the foot even when it is in the supine position, the open leg position, or the lithotripsy position. For example, even when the posture is changed to another position such as changing from the supine position to the crushed stone position, it is possible to immediately cope with all of the above positions with one drape without requiring a socks or another drape. Therefore, it is possible to perform the surgery efficiently without extra costs, labor, and burden on the patient.

  Further, as described above, the auxiliary piece (26) is formed by connecting only one side of the slit (17) side to the foot covering piece (27), and the other side is a free end. Even when the foot is in the open leg state, the other side of the auxiliary piece (26) hangs down, so that the foot covering piece (27) and the auxiliary piece (26) can be arranged separately for each foot. Therefore, a large space can be ensured between both feet without causing a situation in which the drape hangs continuously between both feet of the patient. Therefore, a doctor who performs an operation positioned between both feet of a patient can smoothly work near the patient's operative field without being bothered by drape.

  When using the one configured as described above, first, the first opening (2) is placed facing the surgical field of the patient's abdomen, and the outer periphery of the first opening (2) is placed on a double-sided tape. By attaching and fixing to the outer periphery of the abdominal operative field, the operative field can be secured more safely. It should be noted that the surgical drape of the present embodiment can be used without the outer periphery of the first opening being stuck and fixed with double-sided tape as described above. Then, the upper part of the drape main body (1) is covered on the patient's head side, and the pair of foot covering pieces (27) and the auxiliary piece (26) are respectively covered on both feet of the patient. Next, the second opening (3) is placed facing the patient's genital / anal operative field. Finally, the opening covering piece (14) is arranged in the first opening (2) or the second opening (3), or is put together in a roll shape and fastened with cloth forceps (16). This completes the mounting of the drape of this embodiment to the patient.

1 Drape body
2 First opening 3 Second opening 14 Opening covering piece 17 Slit 18, 27 Foot covering piece 20, 26 Auxiliary piece 21 Cloth piece 22 Opposing portion 24 Arrangement interval 25 Overlapping portion

Claims (5)

  A first opening that allows the patient's abdomen to be exposed is disposed at the center in the width direction of the drape main body formed of a flat cloth, and the patient's genital area and / or at a position spaced from the first opening. Alternatively, in the case where the second opening that allows the anus to be exposed is disposed, a pair of foot covering pieces that can individually cover the two legs of the patient are provided on the second opening side of the drape body. A surgical drape characterized in that auxiliary pieces are respectively provided on opposite sides of the pair of foot covering pieces, and each auxiliary piece can be suspended between both feet of a patient.   The drape body has a pair of cloth pieces arranged in parallel on one side of the side where the second opening is formed, with the opposing part side being overlapped, and one side excluding the overlapping part of the pair of cloth pieces and one side of the drape body. The surgical drape according to claim 1, wherein a pair of cloth pieces not connected to one side of the drape body is used as an auxiliary piece.   The surgical drape according to claim 2, wherein the pair of cloth pieces are connected and fixed to the lower end of the drape main body through an arrangement interval.   The drape body is provided with a pair of foot covering pieces by forming a slit on the second opening side from the lower end and separating a part thereof, and an auxiliary piece is extended to the slit side of the foot covering piece. The surgical drape according to claim 1, wherein the surgical drape is provided.   The drape main body is characterized in that one side of an opening covering piece that selectively covers the first opening and the second opening is connected and fixed between the first opening and the second opening. The surgical drape of Claims 1-3.

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