SU1426555A1 - Method of placing framework removable surgical suture - Google Patents

Abstract

The invention relates to surgery. The purpose of the invention is the prevention of ligature fistulas. The doubled suture ligature is inserted into the eye of the needle so that the area represented by the free ends 1-2 is shorter than the area of the suture ligature containing the inflection point 3 ligatures and the edge of aponeurosis A is stitched. the inflection point 3 is passed through a frame metal wire 4, which is placed on the flap of aponeurosis B. The free end 2 of the ligature is placed under the wire 4, overlapped with the end 1 and tightened. The free ends 1-2 again overlap and tighten. One of the free ends of the ligature is cut, and the other end is threaded into the needle and punctured onto the surface of the skin. Similarly, stitches on the wire 4. 6 Il. se

Description

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The invention relates to medicine, namely to surgery, and can be used when suturing a wound of the anterior abdominal wall.

The purpose of the invention is to prevent ligature fistulas by using removable ligatures.

FIG. Figure 1-b shows the sequence for performing a removable frame surgical stitch.

I Frame removable surgical suture is performed as follows. I Double the suture ligature into the eye of the surgical needle so that the area represented by the free ends 1 and 2 of the suture ligature is significantly shorter than the area of the suture ligature containing the place of the 3 bend of the doubled li- gatura (Fig. 1), and flush the edges of the apo: neurosis A, B, located deep in the formational wound. Then the needle is removed from the Free ends 1 and 2 of the doubled suture ligature, and a metal wire 4 is passed through position 3 of the bend, which, drawn at the free ends 1 and 2 of the doubled suture ligature, is placed on the aponeurosis B in the depth of the surgical wound (Fig. 2). Then, the free end 2 of the doubled seam ligature is guided under the frame metal wire 4 (Fig. 3) and is overlapped with the second free end 1 (Fig. 4) and tightened (Fig. 5), thereby matching the stitched edges to the required contact. aponeurosis of A and B (Fig. 5). The free ends 1 and 2 are again overlapped (Fig. 5) and tightened (Fig. 6). Then, one of the free ends (1 or 2) is cut near the injected node, and the other free end is inserted into the surgical needle and punctured from the depth of the wound onto the skin surface at a distance of 23 cm from the incision line. After, similarly to the above-described seam, the required number of seams will be laid on the frame wire 4, one

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from its ends, they are punctured to the skin surface in the angle of the wound (3-4 cm) and fixed to the skin with adhesive tape. The ends of the doubled suture ligatures drawn onto the skin are not required to be fixed. After the time required for the reliable splicing of the stitched fabrics (8-20 days), the end of the frame metal wire 4 pulled onto the body surface is removed and removed, which releases a double suture ligature (in the case of one frame metal wire). if several removable suture ligatures are fixed, then a few

5 removable double suture ligatures). The double suture ligature that has become unfixed is pulled over the free end 1 or 2 brought to the surface of the skin and removed from the body tissues. The skin sutures, applied in the usual way, are removed on day 6-7 from the moment of the operation. The proposed frame removable surgical suture is applied in 39 patients (442 sutures). In all patients, the wounds healed by primary tension; removable sutures were removed.

5 (18-21st day) easily and painlessly.

Claims (1)

Invention Formula The method of imposing a detachable surgical suture, including a single overlap of the thread at the first and after knots, characterized in that, in order to prevent ligature fistulas by using removable ligatures, wound edges are forgiven with a double ligature with a loop through which wire is laid and laid along the wound , then one of The 5 ends of the ligature are folded under the wire and the first and second knots are formed on it, the wound edges are pulled, then one of the ends of the ligature is cut off near the knot, and the other end and the wire are pulled out through the fabric with a needle, the ligature is removed after removing the wire , podiviva her for the outer end. S.f 0ae.S Fie.b