SU1316664A1 - Method of placing a suture - Google Patents

Abstract

This invention relates to medicine, namely to surgery. The purpose of the invention is to provide adaptation of the wound edges during its repeated revisions. For this, the suture material in the form of two occurring ligatures is carried out on the contralateral sides of the wound from one corner to the other with free fixation of the ends of the ligatures and the possibility of re-opening and tightening of the sutures. Fixation of the suture with knots allows revision of the wound during its suppuration, bleeding. The nodes at the corners of the wound are untied, the edges of the wound are severed, they are inspected. After manipulations in the wound, the ends of the suture material stretch, re-tie each other, adapt and fix the wound edges. The edges of the wound are held in contact. The ends of the filaments cause: In this way, it is possible to repeatedly carry out a dosed adaptation of the edges of the wound or its revision. g co oi ci 4

Description

This invention relates to medicine, namely to surgery.

The purpose of the invention is to provide adaptation of the wound edges during its repeated revisions due to the fact that the suture material in the form of two occurring ligatures is held along the contralateral sides of the wound from one corner of it to the other with free fixation of the ends of the ligatures and the possibility of re-opening and stitching. Fixing the suture with knots at the corners of the wound allows revision of the wound during its suppuration or bleeding. For this, the nodes are wound at the corners of the wound and, due to the peculiarity of the proposed way of applying the ligatures, they are relaxed, the edges of the wound are separated and are audited. After manipulations in the wound (doping of vessels, sanitation, etc.), the ends of the suture material tighten and tie together, thereby adapting and fixing in the former (initial) position of the wound edge. In case of severe wound edema, only the edges are adapted by opening and slightly loosening the ligatures. The edges of the wound are held in contact. The ends of the yarn are tied. In this way, it is possible to repeatedly carry out a dosed adaptation of the edges of the wound or its revision.

The method is carried out as follows.

A straight needle, 1-2 cm indent from the angle of the wound, is punctured into the skin to the middle of the dermis, parallel to the edge and the foot surface, the needle and ligature are drawn to the middle of the wound, where the puncture and puncture are done in the middle of the opposite edge of the wound, the needle is deployed in parallel the edge is made intradermally with a puncture of 1-2 cm from the opposite angle of the wound, here the second ligature is injected and the second ligature is pulled, similarly to the first wound on the contralateral sides, in the place of the initial injection. Ligatures at the corners of the wound are tied to rubber tubules.

Example. Patient S., 10 years old, was admitted to the surgical department of 02.02.85, with a diagnosis of injury to the right hand. 14 hours before hospitalization, he received a wound to the right hand (an explosion of a siphon can). Complaints to the right pain in the right hand, weakness, nausea. The general condition of the average weight is pale, moist, warm. On the internal organs without features, the pulse of satisfactory quality up to 90 beats per minute, HELL 100/70 mm Hg. Art. In the upper third of the right forearm a hemostat is applied. Radiographs show no damage to the hand bones. After the standard premedication, the patient underwent general anesthesia (mask anesthesia: halothane + oxygen). Removed dress. On the palmar surface of the right

five

hands linear wound (5X1.5 cm) under a blood clot. After processing the operative floor with antiseptic solutions, an economical excision of non-viable tissues, hemostasis, was performed. After that, a straight needle, an indentation of 1 cm from the angle of the wound, was performed vcol, parallel to the edge of the intradermal needle and ligature held to the middle, where the vycol and vcol were made in the middle of the opposite edge of the wound, the needle was expanded parallel to the edge, 1 cm from the angle of the wound, the second ligature was made here, which was carried out similarly to the first on the contralateral sides of the wound with the puncture in the place of the first ligature injection. The wounds are adapted by tying knots between the threads, at each corner, on rubber pads. Imposed aseptic dressing and plaster longget.

Q On the fifth day after surgery, marked swelling of the skin of the hand, hyperemia and increased pain in the suture area are noted. The suture was developed at one wound angle, the wound edges were relaxed and diluted, 10.0 ml of purulent hemorrhagic exudate were evacuated. The wound is sanitized with antiseptic solutions (hydrogen peroxide, furatsilin, chlorhexidine) of the stump and adapted by traction and tying the knot between rubber ligatures. Imposed hypertonic appearance. After which the wound process was uneventful. The wound healed for 12 days, removed the suture. The scar is hardly noticeable even.

This method operated on 5 children.

The average bed-day is 13 days. No complications. Long-term treatment results were studied in all 5 children in periods from 1 to 3 months. Only one child underwent a revision of the wound due to suppuration, which, after repeated processing, healed successfully with a positive cosmetic result.

Thus, the proposed method of application of the skin suture provides the possibility of repeated accurate adaptation of the wound edges after its revision. The method is convenient and acceptable for small wounds (up to 10 cm),

5 especially after the opening of the abscesses and primary surgical treatment for those wounds that are potentially dangerous in terms of infection, suppuration and bleeding. The method is recommended for clinical use.

Claims (1)

Invention Formula The method of applying a skin suture, including the intradermal conduction of two 5 occurring ligatures, characterized in that, in order to ensure the adaptation of the edges of the wound during its repeated revisions, the occipital material is carried out from corner to mid-season. 1316664 34 it is brought out into its lumen and then carried out logically by the first one on the contralateral side from the middle of the opposite edge of the wound to us, while both threads are temporarily fixed to a different angle, the second thread is passed to the skin.