RU29844U1 - Bandage for inguinal and inguinal-scrotal hernia - Google Patents

Description

20O2126432

ШШШРРРРн-а .., .- - МгаС7 A61F 5/03, 5/24

Bandage for inguinal and inguinal-scrotal hernia.

The utility model relates to medicine and can be used in surgery and therapy to prevent the intestinal loop from passing through the inguinal canal into the scrotum.

Surgical treatment of inguinal and inguinal-scrotal hernias is fraught with the risk of serious complications both during the operation and in the postoperative period, and in some cases it cannot be carried out due to concomitant diseases, as well as in old age. Therefore, the palliative method of conservative treatment of hernias using bandages is important.

Known bandages have clamps in the form of hollow elastic chambers filled with air, and fastening elements of the bandage to the patient’s body (IF Borodin and others. Postoperative hernia hernia. - Minsk, 1986, p. 33; FR, Patent No. 2643914, cl. A61F 5 / 34.1989).

Bandages have the following disadvantages: they cause irritation and intertrigo of the skin, are not reliable when preventing the passage of the intestinal loop through the inguinal canal into mosh, the possibility of a clamp bias and, as a result, the exit and pinching of the hernia are likely.

A well-known bandage having a clip in the form of a hollow from the base side of the hemispherical elastic chamber with a fitting for air injection and mono.catches the upper part of the chamber. The base of the chamber corresponds to the base of the external inguinal canal. The clip is mounted on a dense textile base in the form of a tape, which is attached

To the belt and is additionally fixed by aids (RU, Patent No. 2060724, class A61F5 / 24, priority dated 05.06.1992).

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-There is no rigid fixation of the clip, as a result of which the shift of the bandage or its rotation along the axis is possible. So when the patient is tilted, the braces are weakened and, accordingly, the bandage is displaced and the hernia comes out from under it, so with severe coughing of the patient, as a result of increasing internal pressure, squeezing is squeezed and the hernia is extruded.

-Pressure pressure perpendicular to the plane of the hernia, which creates irritation of the sore spot, discomfort and contributes to further rupture of tissues.

- The design of the clamp in the form of an elastic hemispherical chamber on the base side with a nozzle for air injection is rather cumbersome and not reliable enough, since it requires constant pumping with air, moreover, it loses its original functions over time, which makes the further use of the bandage unsuitable at home.

The closest technical solution is a bandage with tfizhim made of wood. Moreover, for continuous access of air to the contact surface of the body-clamp, a lot of through-holes of small diameter are made in it (RU, Application No. 94045187, class A61F5 / 03, priority dated 12/27/1994).

The disadvantages of this technical solution include the likelihood of mixing ui-jim in view of the absence of its rigid fixation and, as a result, the inability to carry out a targeted constant effect on the weight, preventing it from sagging, as well as the impossibility of accretion of dispersed tissues.

The technical result of the claimed technical solution is to minimize the likelihood of a hernia being extruded from the abdominal cavity, creating an alphanumeric effect on the hernia and diverging tissues, which promotes tissue fusion, as well as creating comfortable conditions for wearing a bandage.

The technical result is achieved by the fact that in the bandage for an inguinal and inguinal-scrotal hernia having a clamp and an attachment element, according to the invention, the clamp is made monolithic, having a triangular profile and a tresting contact surface, and the attachment element has the shape of swimming trunks formed by stiffeners.

The solidity of the clamp is ensured by combining in one unit a rigid, solid base and dense elastic packing.

The triangular contact surface is made with a small convexity.

In FIG. 1 shows a bandage in an expanded state, a top view; figure 2 presents the clip, a perspective view; in Fig.Z - clip, side view; in FIG. 4 - clip in a section; in FIG. 5 is a diagram of the effect of the clamp on the treated area of the body; figure 6 presents the bandage in working condition.

The bandage for inguinal and inguinal-scrotal hernias consists of a clamp 1 and an element txr & alenia 2, which has the shape of swimming trunks formed by stiffness belts. This is the upper stiffening belt 3, which has an arcuate shape, the lower belt, consisting of two sections converging on the clamp, and the rear belts 5. The belts are made of dense material, which excludes deformation and stretching, and two rigid triangles are formed. The dense fabric sewn into trizotniki, tefid designs even more rigidity and provides comfort when wearing a bandage. The stiffening belt 6 is designed to pull up the tfizhima 1 (see Fig. 1 and 6). The clamp 1 is made monolithic, having a triangular schzofil 7 and a triangular contact surface 8, completely: woven with low convexity (see. Fig. 2 and 3). The monolithicity of the clamp 1 is ensured by combining a rigid, solid base 9 and dense elastic packing 10 (see Fig. 4).

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Previously, carefully in the horizontal position of the patient, the hernial contents are adjusted. Then, in the same position of the patient, a bandage is carefully put on, a clamp is applied to the treated area, bringing its contact surface with sharp tip 11 (see Fig. 2) under the pubic bone 12 (see Fig. 5) and, using the lever principle, stretch more long upper shoulder 13 and close the hernial opening. Daire using belts 3, 4, 6 and, using the shoulders 13 and 14 of both arms, finally fix the clamp at the desired angle, ensuring its effectiveness on the treated area, (see Fig.6).

The bandage in working condition should ensure that the probability of extinction of the hernia from the abdominal cavity is minimized, create a targeted effect on the hernia and the parted tissue, promoting tissue fusion, and should also create comfortable conditions for wearing the bandage.

The bandage was tested in private medical practice for 204 patients. Immediately after fitting the bandage, a feeling of convenience and reliability is observed in all patients with an initial stage of hernia (when vysokoletnost does not exceed the size of a chicken egg). In the case of a launched hernia due to the fact that the rupture of living tissues is quite large and the patient does not feel a hernia, a sense of reliability occurs on the second, less often third day of wearing the bandage. After 3-4 months, in patients with an initial stage of a hernia, almost complete retraction of the rupture of living tissues occurs, and in patients with an advanced hernia, retraction is observed after 8-10 months.

Thus, the hliflagable bandage provides reliable retention of the hernia in the abdominal cavity, completely eliminates the possibility of its infringement and contributes to the fusion of living tissues. In addition, the bandai design creates comfortable conditions for wearing it.

Claims (3)

1. A bandage for inguinal and inguinal-scrotal hernias having a clamp and a fastening element, characterized in that the clamp is made monolithic, having a triangular profile and a triangular contact surface, and the fastening element has the shape of swimming trunks formed by stiffening belts. 2. The bandage for inguinal and inguinal-scrotal hernias according to claim 1, characterized in that the monolithic clamp is ensured by combining a rigid, solid base and dense elastic packing. 3. The bandage for inguinal and inguinal-scrotal hernias according to claim 1, characterized in that the contact surface of the clip is made with a small bulge.