JPH0450014Y2 - - Google Patents
Info
- Publication number
- JPH0450014Y2 JPH0450014Y2 JP9638787U JP9638787U JPH0450014Y2 JP H0450014 Y2 JPH0450014 Y2 JP H0450014Y2 JP 9638787 U JP9638787 U JP 9638787U JP 9638787 U JP9638787 U JP 9638787U JP H0450014 Y2 JPH0450014 Y2 JP H0450014Y2
- Authority
- JP
- Japan
- Prior art keywords
- isolation sheet
- sheet
- isolation
- organs
- string
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
- 238000002955 isolation Methods 0.000 claims description 43
- 230000002265 prevention Effects 0.000 claims description 9
- 229920003002 synthetic resin Polymers 0.000 claims description 4
- 239000000057 synthetic resin Substances 0.000 claims description 4
- 210000000056 organ Anatomy 0.000 description 11
- 210000000683 abdominal cavity Anatomy 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 9
- 238000000605 extraction Methods 0.000 description 8
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 210000003815 abdominal wall Anatomy 0.000 description 4
- 210000001015 abdomen Anatomy 0.000 description 3
- 230000003187 abdominal effect Effects 0.000 description 3
- 239000000853 adhesive Substances 0.000 description 3
- 230000001070 adhesive effect Effects 0.000 description 3
- 238000012084 abdominal surgery Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 208000008384 ileus Diseases 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 229920001268 Cholestyramine Polymers 0.000 description 1
- 208000005422 Foreign-Body reaction Diseases 0.000 description 1
- 208000036209 Intraabdominal Infections Diseases 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 108010023197 Streptokinase Proteins 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 1
- 229960003957 dexamethasone Drugs 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 210000000920 organ at risk Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 229960005202 streptokinase Drugs 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Description
【考案の詳細な説明】
〔産業上の利用分野〕
本考案は、手術時において閉腹前に腹腔内に留
置し、手術後一定期間経過後再び開腹することな
く、体内より容易に抜去することができる医療用
癒着防止シートに関する。[Detailed description of the device] [Field of industrial application] The device of the present invention is to be placed in the abdominal cavity before abdominal closure during surgery, and to be easily removed from the body after a certain period of time after surgery without having to open the abdomen again. This invention relates to a medical adhesion prevention sheet that can be used to prevent adhesion.
腹部外科手術後に、腸管が開腹創腹壁や腹腔内
臓器に癒着して、腸管の屈曲、狭窄、牽引などを
招くと、手術後癒着性イレウスを惹起し、症例に
よつては致命的な合併症をひきおこす。この癒着
性イレウス発症を予防するために腸管の癒着を防
止する目的で、従来より、ストレプトキナーゼ、
６％マクデツクス、コレスチラミン、デキサメサ
ゾンなどの薬物を、閉腹前に腹腔内に投与する方
法が試みられた。
After abdominal surgery, if the intestinal tract adheres to the abdominal wall of the laparotomy wound or internal organs, causing bending, narrowing, or traction of the intestinal tract, it can cause postoperative adhesive ileus, which can be a fatal complication in some cases. Arouse. In order to prevent the development of adhesive ileus, streptokinase,
Attempts have been made to administer drugs such as 6% Magdex, cholestyramine, and dexamethasone intraperitoneally before abdominal closure.
しかるに、その方法は、決して満足すべきもの
ではなく、さらに腹部外科手術後において、縫合
不全、腹腔内感染等、手術後合併症の発生が危惧
されるため、現在ほとんど実施されておらず、上
記のような手術後における臓器の癒着を防止する
医療器具の出現が望まれている。
However, this method is by no means satisfactory, and there are concerns that post-operative complications such as suture failure and intra-abdominal infection may occur after abdominal surgery, so it is rarely used at present. There is a desire for a medical device that prevents adhesion of organs after major surgery.
本考案は、かかる従来の要望に応じるものであ
り、手術後の臓器の癒着を防止し、手術後の向上
に寄与し、且つ患者に対する負担を軽減すること
を目的とするものである。
The present invention is in response to such conventional demands, and aims to prevent adhesion of organs after surgery, contribute to improvement after surgery, and reduce the burden on patients.
そこで本考案では、比較的薄い柔軟な合成樹脂
製のフイルム状シートよりなる隔離シートの面上
に、抜去紐の一端を設けた医療用癒着防止シート
としたことにより、手術時において閉腹前に腹腔
内留置し、抜去紐の一部を体外に露出しておき一
定期間経過後、該抜去紐を引くことによつて容易
に隔離シートを抜去できるようにして前期目的を
達成しようとするものである。 Therefore, in the present invention, by creating a medical adhesion prevention sheet with one end of a removal string on the surface of an isolation sheet made of a relatively thin and flexible synthetic resin film sheet, the sheet can be used to prevent abdominal closure during surgery. The first objective is to be achieved by placing the isolation sheet in the abdominal cavity and exposing a part of the removal string outside the body so that after a certain period of time, the isolation sheet can be easily removed by pulling the removal string. be.
以下、本考案の実施例を第１図乃至第１０図に
基づいて説明する。
Embodiments of the present invention will be described below with reference to FIGS. 1 to 10.
隔離シート１及び抜去紐２より、本考案の癒着
防止用シートが構成されている。 The isolation sheet 1 and the removal string 2 constitute the adhesion prevention sheet of the present invention.
隔離シート１は略方形状（長方形、正方形等）
に形成され、合成樹脂等よりなり、極めて薄く、
柔軟性があり且つ人体の生体組織に対して異物反
応がなく、周囲臓器に全く癒着しない材質が使用
され、具体的には医療用サイラステイツクシート
が採用されている。この隔離シート１には、第１
図乃至第３図に示すように、必要に応じて副隔離
シート３が１乃至複数溶着されることが多い。具
体的には、該隔離シート１と副隔離シート３と
は、隔離シート１の一側面の略中間より、第１図
の上下方向に対して略水平状となるように、副隔
離シート３の一辺が溶着されている。また、第１
図、第２図に示すように、隔離シート１の上下方
向に対して副隔離シート３の一辺が傾斜状に溶着
されることもある。 Isolation sheet 1 is approximately rectangular (rectangle, square, etc.)
It is made of synthetic resin, etc., and is extremely thin.
A material is used that is flexible, does not react with foreign body tissues in the human body, and does not adhere to surrounding organs at all, and specifically, a medical Silastack sheet is used. This isolation sheet 1 includes a first
As shown in Figures 3 to 3, one or more sub-separation sheets 3 are often welded as needed. Specifically, the isolation sheet 1 and the sub-isolation sheet 3 are arranged such that the sub-isolation sheet 3 is formed from approximately the middle of one side of the isolation sheet 1 so that the sub-isolation sheet 3 is approximately horizontal with respect to the vertical direction in FIG. One side is welded. Also, the first
As shown in FIGS. 2 and 2, one side of the sub-isolation sheet 3 may be welded in an inclined manner with respect to the vertical direction of the isolation sheet 1.
さらに、第３図に示すように、隔離シート１の
上下方向に沿つて副隔離シート３の一辺が溶着さ
れることもある。この隔離シート１と副隔離シー
ト３とを溶着したものは、体内組織に合わせて多
くの別の実施例が存在し、図面の形状に限定され
ない。 Furthermore, as shown in FIG. 3, one side of the sub-isolation sheet 3 may be welded along the vertical direction of the isolation sheet 1. There are many other embodiments of the isolation sheet 1 and the sub-isolation sheet 3 welded to each other depending on the body tissue, and the shape is not limited to the shape shown in the drawings.
抜去紐２は、隔離シート１と同様に人体の生体
組織に対して異物反応がなく、周囲臓器に全く癒
着しない材質が使用され、隔離シート１の面上に
設けられている。具体的には、第６図に示すよう
に、人体組織に異物反応を生じない接着剤Ｓによ
つて抜去紐２の一端側の大部分又は一部がが隔離
シート１に固着されたり、抜去紐２が隔離シート
１に溶着されたり、或は第７図に示すように、隔
離シート１を形成するときに、抜去紐２が同時に
一体形成されることもある。 Similar to the isolation sheet 1, the extraction string 2 is made of a material that does not react with foreign body tissue to the living tissue of the human body and does not adhere to surrounding organs at all, and is provided on the surface of the isolation sheet 1. Specifically, as shown in FIG. 6, most or a part of one end of the extraction cord 2 is fixed to the isolation sheet 1 with an adhesive S that does not cause a foreign body reaction in human tissue, or The string 2 may be welded to the isolation sheet 1, or the removal string 2 may be integrally formed at the same time as the isolation sheet 1 is formed, as shown in FIG.
抜去紐２は、隔離シート１の面上より、適宜の
長さが突出しており、この隔離シート１を体内に
留置したときに抜去紐２の一端が体外に出せる長
さとなつている。 The extraction string 2 protrudes from the surface of the isolation sheet 1 by an appropriate length, and has a length such that one end of the extraction string 2 can be taken out of the body when the isolation sheet 1 is placed in the body.
隔離シート１には、第１図、第２図、第４図に
示すように、その４角或いは外周又は外周寄りに
適宜の間隔をおいて周囲よりも一段と肉厚が厚く
なる、肉厚部４，４，……が形成されることもあ
る。また、この肉厚部４，４，……には、必要に
応じて小孔が穿設され、ナイロン等よりなる結合
糸５の取付用とされることもある。 As shown in FIGS. 1, 2, and 4, the isolation sheet 1 has thick parts that are thicker than the surrounding area at appropriate intervals at its four corners or on the outer periphery or near the outer periphery. 4, 4, ... may also be formed. In addition, small holes may be made in the thick portions 4, 4, . . . if necessary, for attaching binding threads 5 made of nylon or the like.
まず、手術時に開腹した腹腔内に、本考案の医
療用癒着防止シートを入れて、癒着する危険のあ
る臓器間或は臓器と皮膚内壁との間に配置し、そ
の肉厚部４，４，……に、結合糸５をリング状に
設けつつ、この結合糸５を腹壁を経て皮膚に各々
固定し、腹腔内に固定する。次に、隔離シート１
に設けられた抜去紐２の一端を体外に露出して閉
腹する。次に、手術後一定期間経過し、臓器間の
癒着する危険のなくなつたときに、抜去紐２を体
外に引き出すと隔離シート１が同時に体外に抜去
できる。
First, the medical adhesion prevention sheet of the present invention is inserted into the abdominal cavity that is opened during surgery, and placed between organs at risk of adhesion or between organs and the inner wall of the skin. ..., the binding threads 5 are provided in a ring shape, and the binding threads 5 are each fixed to the skin through the abdominal wall and fixed within the abdominal cavity. Next, isolation sheet 1
The abdomen is closed by exposing one end of the extraction string 2 provided outside the body. Next, when a certain period of time has passed after the surgery and there is no longer any risk of adhesion between the organs, when the removal string 2 is pulled out of the body, the isolation sheet 1 can be removed out of the body at the same time.
本考案は、以上の構成としたので、本考案の医
療用癒着防止シートを手術時に腹腔内に留置し、
癒着する可能性のある臓器間を隔離し、抜去紐２
の一端のみを体外に露出して閉腹し、所定期間経
過後に、抜去紐２を引き出すことによつて、体内
より容易に隔離シート１を抜去することができ
る。
Since the present invention has the above configuration, the medical adhesion prevention sheet of the present invention is placed in the abdominal cavity during surgery,
Isolate organs that may adhere to each other, and remove the removal cord 2.
The isolation sheet 1 can be easily removed from the body by exposing only one end to the outside of the body, closing the abdomen, and pulling out the removal string 2 after a predetermined period of time.
即ち、隔離シート１は、極めて薄く柔軟な合成
樹脂のフイルム状シートよりなるものであり、該
隔離シート１が第８図に示すように、腹腔内で開
いた状態であつても、創Ｐの一部より抜去紐２を
引き出すときには、第９図に示すように、該隔離
シート１は、抜去紐２を中心に束状となり、抜去
紐２と略同一体となつて、創Ｐより抜け出し、こ
のときには、創Ｐには負担を与えず、創Ｐが大き
く広がることもなく、腹腔外に隔離シート１を容
易に取り出すことができる。 That is, the isolation sheet 1 is made of an extremely thin and flexible synthetic resin film sheet, and even when the isolation sheet 1 is opened in the abdominal cavity, as shown in FIG. When the extraction string 2 is partially pulled out, as shown in FIG. 9, the isolation sheet 1 forms a bundle around the extraction string 2, becomes substantially the same body as the extraction string 2, and comes out of the wound P. At this time, the isolation sheet 1 can be easily taken out of the abdominal cavity without placing any burden on the wound P and without causing the wound P to spread significantly.
なお、隔離シート１に副隔離シート３を１乃至
複数溶着したものを使用すれば、体内の臓器を３
箇所以上で隔離し、同時に複数箇所の臓器の癒着
を防止することができる。即ち、隔離シート１の
みの場合では、隔離シート１の両面にて臓器は２
ケ所に隔離できるが、隔離シート１に副隔離シー
ト３を溶着しておくことで臓器の隔離箇所を３ケ
所、４ケ所と増加することができ、臓器の癒着が
予想される箇所が多数あつても、一つの医療用癒
着防止シートで処理することができる。 In addition, if one or more sub-isolation sheets 3 are welded to the isolation sheet 1, three internal organs can be separated.
It is possible to isolate multiple locations and prevent adhesion of organs at multiple locations at the same time. In other words, in the case of only isolation sheet 1, two organs are placed on both sides of isolation sheet 1.
However, by welding the secondary isolation sheet 3 to the isolation sheet 1, the number of organ isolation locations can be increased to 3 or 4 locations, and there are many locations where organs are expected to adhere. can also be treated with a single medical adhesion prevention sheet.
さらに、隔離シート１の４角或いは外周又は外
周寄りに適宜の間隔をおいて肉厚部４，４，……
を形成すれば、この肉厚部４，４，……に、結合
糸５をリング状に設けつつ、この結合糸５を腹壁
を経て皮膚に各々固定し、腹腔内に固定でき、こ
れによつて、本考案の医療用癒着防止シートを体
内に留置したときに、第１０図に示すように、結
合糸５，５，……を腹壁を径て皮膚に各々固定で
き、たとえ患者が激しく動いても、隔離シート１
が体内で変位したり、ずれたり、変形することな
く、一定の状態を保つことができ、このように張
力が加わる結合糸５，５，……を取り付けた肉厚
部４，４存在のために、結合糸５，５，……が引
張られても隔離シート１に亀裂が生じたり、結合
糸５，５，……が外れることを防止できるような
充分に強度ある肉厚部４，４，……を有した医療
用癒着防止シートを提供できる利点がある。 Further, thick portions 4, 4, .
By forming the thick parts 4, 4, . . . , the binding threads 5 can be provided in a ring shape, and each of the binding threads 5 can be fixed to the skin through the abdominal wall and fixed in the abdominal cavity. Therefore, when the medical adhesion prevention sheet of the present invention is placed in the body, the binding threads 5, 5, ... can be fixed to the skin through the abdominal wall, as shown in Fig. 10, even if the patient moves violently. However, isolation sheet 1
can maintain a constant state without being displaced, shifted, or deformed within the body, and due to the presence of the thick parts 4, 4 attached with the binding threads 5, 5, . . . which are subjected to tension in this way In addition, the thick wall portions 4, 4 have sufficient strength to prevent cracks from occurring in the isolation sheet 1 and to prevent the binding threads 5, 5, . . . from coming off even if the binding threads 5, 5, . . . are pulled. There is an advantage that a medical adhesion prevention sheet having the following properties can be provided.
第１図は本考案の実施例を示す正面図、第２図
は第１図の斜視図、第３図は第１図とは別の実施
例の斜視図、第４図は第１図の−矢視断面
図、第５図は第１図の−矢視断面図、第６図
は第５図とは別の実施例の要部断面図、第７図は
本考案の第１図とは別の実施例の斜視図、第８
図、第９図は本考案の作用を示す斜視図、第１０
図は本考案を腹腔内に取り付けたところの概略図
である。
１……隔離シート、２……抜去紐。
Fig. 1 is a front view showing an embodiment of the present invention, Fig. 2 is a perspective view of Fig. 1, Fig. 3 is a perspective view of an embodiment different from Fig. 1, and Fig. 4 is a perspective view of Fig. 1. 5 is a sectional view taken in the direction of the - arrow in FIG. 1, FIG. is a perspective view of another embodiment, No. 8
Figure 9 is a perspective view showing the function of the present invention, Figure 10 is a perspective view showing the operation of the present invention.
The figure is a schematic diagram of the present invention installed in the abdominal cavity. 1...Isolation sheet, 2...Removal string.
Claims (1)
トよりなる隔離シートの面上に、抜去紐の一端を
設けたことを特徴とした医療用癒着防止シート。 A medical adhesion prevention sheet characterized in that one end of a removal string is provided on the surface of an isolation sheet made of a relatively thin and flexible synthetic resin film sheet.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP9638787U JPH0450014Y2 (en) | 1987-06-22 | 1987-06-22 |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP9638787U JPH0450014Y2 (en) | 1987-06-22 | 1987-06-22 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS64910U JPS64910U (en) | 1989-01-06 |
| JPH0450014Y2 true JPH0450014Y2 (en) | 1992-11-25 |
Family
ID=30962077
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP9638787U Expired JPH0450014Y2 (en) | 1987-06-22 | 1987-06-22 |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH0450014Y2 (en) |
-
1987
- 1987-06-22 JP JP9638787U patent/JPH0450014Y2/ja not_active Expired
Also Published As
| Publication number | Publication date |
|---|---|
| JPS64910U (en) | 1989-01-06 |
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