SU1389760A1 - Arrangement for forming intestine stump - Google Patents

Abstract

The invention is intended for surgery. The purpose of the invention is to form a bowel stump in a deep cavity. The device has a body 1 with guiding elements 2 in the form of racks 3, rings 4 and jumpers 5 for the main ligature 6 fixed to the body. The housing 1 is made in the form of a flexible guide tube with a slit 7, a probe 8 is installed inside the tube with a removable nozzle 9 and a stopper 10. Between the rings there is an additional ligature II, passed in the form of a loop under the main ligature and fixed in the traction mechanism 12. The device ensures aseptic invagination of the intestinal stump. 1 il.

Description

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This invention relates to medicine, in particular to surgical instruments.

The aim of the invention is to form a bowel stump in deep ground.

The drawing shows the device, the overall appearance.

The device has a body 1 with guiding elements 2 in the form of racks 3, rings 4 and jumpers 5 for the main ligature 6 fixed to the body. Moreover, case I is made in the form of a flexible guide tube with a slit 7, a ZO.ND 8 is installed inside the tube with a removable nozzle 9 and a stopper 10. Between the rings there is an additional ligature 1 1, passed as a loop under the main ligature and fixed in the traction mechanism 12 In addition, the cylinders 13 and 14 of the traction mechanism are shown in the drawing.

The device works as follows.

If necessary, to form the stump of the colon in a seamless way prepare the device to work. For this, the main ligature 6 is conducted through the rings 4 and is fixed on the body 1. Then, under the ligature 6, the rings 4 are drawn up to a positive piece 11, the free ends of which are passed along the channel of the traction mechanism 12 and fixed on its end face at Cylinders 13 and 14 are brought together. The device is brought into the lumen of the rectum and further into the colon to the lower boundary of the intended resection. On the resection line, the intestine is ligated with a ligature over the umbrella 8 so that the nozzle 9 is located above the ligature 6 and cross the gut above the nozzle. Holding the case 1 with one hand, the assistant doesn’t have probe 8 until the stopper 10 comes out of slot 7

and unfolds it, providing a fixation. At the same time, the part of the debris attached to the probe 8 is invaginated into the lumen of the underlying area and installed between the supports 3.

below jumpers 5. Then the ligature 6 is removed and the cylinders 14 and 13 are diluted, tensioning the ligature loop 11. The loop decreases in length and pinches the invaginate above the nozzle 9. After the loop is completely tensioned, the surgeon from the abdominal cavity squeezes

the wall of the intestine, fixes the nozzle 9, and the assistant, rotating the probe 8, screw it with the nozzle. The probe 8 with the housing 1 is removed from the lumen of the intestine and a closed loop remains on the invaginate with the nozzle. In the future, rejection of invaginate and the seamless formation of the stump.

The proposed device facilitates, accelerates, and ensures aseptic invagination of the intestinal stump, and also provides for the imposition of a squeezing loop on the invaginate at different depths.

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Claims (1)

Invention Formula A device for forming a bowel stump, comprising a body with guiding elements under the main ligature fixed to the body, characterized in that, in order to form the bowel stump in a deep cavity, the body is made in the form of a flexible guide tube with a slot, a probe is mounted inside the tube with a removable nozzle and a stopper, the guide elements are made in the form of struts with rings and jumpers, an additional ligature is inserted between the rings, passed in the form of a loop under the main ligature and fixed in the traction section Haniz.me