SU1544383A1 - Method of forming stump of intestine - Google Patents

Method of forming stump of intestine Download PDF

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Publication number
SU1544383A1
SU1544383A1 SU874304711A SU4304711A SU1544383A1 SU 1544383 A1 SU1544383 A1 SU 1544383A1 SU 874304711 A SU874304711 A SU 874304711A SU 4304711 A SU4304711 A SU 4304711A SU 1544383 A1 SU1544383 A1 SU 1544383A1
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SU
USSR - Soviet Union
Prior art keywords
intestine
stump
intestinal
edge
branches
Prior art date
Application number
SU874304711A
Other languages
Russian (ru)
Inventor
Сергей Александрович Попов
Original Assignee
С. А.Попов
Priority date (The priority date 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 date listed.)
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Publication date
Application filed by С. А.Попов filed Critical С. А.Попов
Priority to SU874304711A priority Critical patent/SU1544383A1/en
Application granted granted Critical
Publication of SU1544383A1 publication Critical patent/SU1544383A1/en

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Abstract

Изобретение относитс  к медицине, а именно к хирургии. Цель изобретени  - формирование культи кишки с применением скобки без вскрыти  боковой стенки кишки. После удалени  пораженного участка кишки в культю кишки 1 завод т хирургическую скобку 2, к дужкам 3 которой прикреплены нити-держалки 4, провод т их через стенку кишки изнутри кнаружи в диаметрально противоположных точках, отсто щих от кра  кишки на рассто нии около 1 см и погружают скобку в просвет кишки. На край кишки накладывают обвивной шов 5 и зат гивают его. Развод т бранши 6 скобки за нити 4 и инвагинируют ст нутый обвивным швом край кишки, устанавлива  его между браншами. Сближают бранши 6 и сдавливают заключенный между ними участок кишки. Нити 4 отсекают у кра  кишки и их остатки на дужках 3 выпадают в просвет кишки. Вдоль линии прижати  накладывают серозно-мышечные швы. 1 ил.This invention relates to medicine, namely to surgery. The purpose of the invention is to form a bowel stump using a staple without opening the side wall of the intestine. After removal of the affected intestine section into the stump of the intestine 1, the surgical brace 2, to the arms 3 of which the holder-threads 4 are attached, is passed through the intestinal wall from the inside to the outside at diametrically opposite points located about 1 cm from the intestinal edge. immerse the bracket in the lumen of the intestine. On the edge of the intestine impose a wrapping seam 5 and tighten it. Dilute the branches 6 of the bracket for the threads 4 and invaginate the edge of the intestine, which is wrapped in a stitching seam, by placing it between the branches. Branches 6 bring together and squeeze the enclosed area of the intestine between them. Thread 4 cut off from the edge of the intestine and their remains on the arms 3 fall out into the intestinal lumen. Along the line press down sero-muscular sutures. 1 il.

Description

Изобретение относится к медицине, а именно к хирургии, и мозсет быть использовано при операциях на кишечнике. 5The invention relates to medicine, namely to surgery, and a mozet can be used for operations on the intestines. 5

Цель изобретения - снижение степени травмы культи кишки.The purpose of the invention is to reduce the degree of injury to the bowel stump.

Поставленная цель достигается тем, что скобу заводят в просвет кишки черёэ культю, причем нити-держалки, ук- ю р^пленные к дужкам скобки, проводят чфрез стенку культи-кишки в диаметрально противоположных точках изнутри кишки кнаружи, разводят бравши скобки за нити-держалки, прошивают 15 культю кишки обвивньии швом, затем шов затягивают и погружают стянутый к£ай кишки между браншами скобки, сводят бранши скобки, удаляют нитидёржалки, после чего культю укрепля- 20 ют серозно-мышечными швами.This goal is achieved by the fact that the bracket is inserted into the lumen of the intestine of the stump of the stump, and the filament-holders attached to the brackets of the brackets carry out the wall of the stump in diametrically opposite points from the inside of the intestine outward, braces are removed for brackets , stitch 15 stumps of the intestine with a suture, then tighten the suture and immerse the gut drawn between the brace branches, reduce the brace branches, remove the thread stitches, and then strengthen the stump with serous-muscular sutures.

На чертеже приведена схема операции, поясняющая способ.The drawing shows a diagram of an operation explaining the method.

Способ осуществляют следующим образом. 25The method is as follows. 25

При необходимости сформировать культю кишки после удаления пораженного участка кишки в культю кишки 1 заводят хирургическую скобку 2, к дужкам 3 которой укреплены нити-дер- 30 жалки 4.If it is necessary to form a stump of the intestine after removing the affected area of the intestine, a surgical bracket 2 is inserted into the stump of the intestine 1, to the arches 3 of which the threads-patches of the patches 4 are strengthened.

II

Проводят их через стенку кишки изнутри кнаружи в диаметрально противоположных точках, отстоящих от края кишки на расстояние около 1 см и погружают скобку в просвет кишки.They are guided through the wall of the intestine from the inside outwards at diametrically opposite points, spaced about 1 cm from the edge of the intestine and immerse the bracket in the intestinal lumen.

На край кишки накладывают обвивной шов 5, затягивают его. Разводят бранши 6 скобки за нити 4 и инваги·* до нируют стянутый обвивным швом край кишки, устанавливая его меаду браншами. После этого бранши 6 сближают и сдавливают заключенный между ними участок кишки.A curvy suture 5 is applied to the edge of the intestine, and it is tightened. Branches 6 are bred for brackets 4 and invagi · * donut the edge of the intestine pulled together by an obtuse suture, setting its mead with branches. After this, the branches 6 bring together and squeeze the intestinal section between them.

Нити 4 отсекают у стенки кишки и их остатки на дужках 3 выпадают в просвет кишки, после чего вдоль линии прижатия накладывают серозномышечные швы.Filaments 4 are cut off from the wall of the intestine and their remains on the arches 3 fall into the lumen of the intestine, after which serous-muscular sutures are applied along the pressure line.

Предлагаемый способ формирования культи обеспечивает компрессионное формирование культи кишки без дополнительного вскрытия стенки полого органа и выполним на различных отделах кишечника.The proposed method of stump formation provides compression formation of the intestinal stump without additional opening of the walls of the hollow organ and is performed on various sections of the intestine.

Claims (1)

Формула изобретенияClaim Способ формирования культи кишки, включающий применение скобки, вводимой в просвет кишки, укрепление культи серозно-мышечными швами, отличающийся тем, что, с целью снижения степени травмы культи кишки, скобку вводят без вскрытия боковой стенки кишки, для чего укрепляют к дужкам скобки нити, проводят их через стенки культи кишки изнутри кнаружи в диаметрально противоположных точках и, потягивая за нити, заводят скобку в просвет кишки через ее культю, затем накладывают на культю кишки обвивной шов и затягивают его, после этого нитями-держалками разводят браним скобки, погружают между ними прошитый обвивным швом край кишки, сводят бранши скобки и накладывают серезно-мышечные швы.A method of forming a bowel stump, including the use of a bracket inserted into the intestinal lumen, strengthening the stump with sero-muscular sutures, characterized in that, in order to reduce the degree of trauma of the bowel stump, the bracket is inserted without opening the lateral wall of the intestine, for which the filament brackets are strengthened to the arches, they are passed through the walls of the intestinal stump from the inside outward at diametrically opposite points and, pulling the threads, a bracket is inserted into the intestinal lumen through its stump, then an upholstered suture is applied to the intestinal stump and tightened, then the holding threads we spread the brackets, immerse the edge of the intestine stitched between them with a twisted seam, reduce the brace branches and place serezno-muscular sutures.
SU874304711A 1987-09-08 1987-09-08 Method of forming stump of intestine SU1544383A1 (en)

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SU874304711A SU1544383A1 (en) 1987-09-08 1987-09-08 Method of forming stump of intestine

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SU874304711A SU1544383A1 (en) 1987-09-08 1987-09-08 Method of forming stump of intestine

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SU1544383A1 true SU1544383A1 (en) 1990-02-23

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US6355050B1 (en) 1992-12-10 2002-03-12 Abbott Laboratories Device and method for suturing tissue
US6358258B1 (en) 1999-09-14 2002-03-19 Abbott Laboratories Device and method for performing end-to-side anastomosis
US6517553B2 (en) 1993-11-08 2003-02-11 Abbott Laboratories Device and method for suturing of internal puncture sites
US6558399B1 (en) 2000-06-30 2003-05-06 Abbott Laboratories Devices and method for handling a plurality of suture elements during a suturing procedure
US6730102B1 (en) 2000-11-06 2004-05-04 Abbott Laboratories Systems, devices and methods for deploying needles
US6749615B2 (en) 2001-06-25 2004-06-15 Abbott Laboratories Apparatus and methods for performing an anastomosis
US7837696B2 (en) 1999-03-04 2010-11-23 Abbott Laboratories Articulating suturing device and method
US7842047B2 (en) 1999-03-04 2010-11-30 Abbott Laboratories Articulating suturing device and method
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US7842049B2 (en) 2002-12-31 2010-11-30 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US7846170B2 (en) 1999-03-04 2010-12-07 Abbott Laboratories Articulating suturing device and method
US7883517B2 (en) 2005-08-08 2011-02-08 Abbott Laboratories Vascular suturing device
US8038688B2 (en) 1999-03-04 2011-10-18 Abbott Laboratories Articulating suturing device and method
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US8211122B2 (en) 2003-09-26 2012-07-03 Abbott Laboratories Device for suturing intracardiac defects
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US10426449B2 (en) 2017-02-16 2019-10-01 Abbott Cardiovascular Systems, Inc. Articulating suturing device with improved actuation and alignment mechanisms

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Авторское свидетельство СССР № 1377054, кл. А 61 В 17/00, 1985. *

Cited By (56)

* Cited by examiner, † Cited by third party
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US6355050B1 (en) 1992-12-10 2002-03-12 Abbott Laboratories Device and method for suturing tissue
US6517553B2 (en) 1993-11-08 2003-02-11 Abbott Laboratories Device and method for suturing of internal puncture sites
US9301747B2 (en) 1999-03-04 2016-04-05 Abbott Laboratories Articulating suturing device and method
US7850701B2 (en) 1999-03-04 2010-12-14 Abbott Laboratories Articulating suturing device and method
US8172860B2 (en) 1999-03-04 2012-05-08 Abbott Laboratories Articulating suturing device and method
US9993237B2 (en) 1999-03-04 2018-06-12 Abbott Laboratories Articulating suturing device and method
US7837696B2 (en) 1999-03-04 2010-11-23 Abbott Laboratories Articulating suturing device and method
US7842047B2 (en) 1999-03-04 2010-11-30 Abbott Laboratories Articulating suturing device and method
US8323298B2 (en) 1999-03-04 2012-12-04 Abbott Laboratories Articulating suturing device and method
US9282960B2 (en) 1999-03-04 2016-03-15 Abbott Laboratories Articulating suturing device and method
US7846170B2 (en) 1999-03-04 2010-12-07 Abbott Laboratories Articulating suturing device and method
US8663248B2 (en) 1999-03-04 2014-03-04 Abbott Laboratories Articulating suturing device and method
US8057491B2 (en) 1999-03-04 2011-11-15 Abbott Laboratories Articulating suturing device and method
US8038688B2 (en) 1999-03-04 2011-10-18 Abbott Laboratories Articulating suturing device and method
US8048092B2 (en) 1999-03-04 2011-11-01 Abbott Laboratories Articulating suturing device and method
US6358258B1 (en) 1999-09-14 2002-03-19 Abbott Laboratories Device and method for performing end-to-side anastomosis
US6558399B1 (en) 2000-06-30 2003-05-06 Abbott Laboratories Devices and method for handling a plurality of suture elements during a suturing procedure
US6730102B1 (en) 2000-11-06 2004-05-04 Abbott Laboratories Systems, devices and methods for deploying needles
US6749615B2 (en) 2001-06-25 2004-06-15 Abbott Laboratories Apparatus and methods for performing an anastomosis
US7842049B2 (en) 2002-12-31 2010-11-30 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8202281B2 (en) 2002-12-31 2012-06-19 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8998932B2 (en) 2002-12-31 2015-04-07 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US9889276B2 (en) 2002-12-31 2018-02-13 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US9155535B2 (en) 2003-09-26 2015-10-13 Abbott Laboratories Device and method for suturing intracardiac defects
US8211122B2 (en) 2003-09-26 2012-07-03 Abbott Laboratories Device for suturing intracardiac defects
US8361088B2 (en) 2003-09-26 2013-01-29 Abbott Laboratories Device and method for suturing intracardiac defects
US8257368B2 (en) 2003-09-26 2012-09-04 Abbott Laboratories Device for suturing intracardiac defects
US10245022B2 (en) 2003-09-26 2019-04-02 Abbott Laboratories Device and method for suturing intracardiac defects
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US9375211B2 (en) 2003-12-23 2016-06-28 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8597309B2 (en) 2003-12-23 2013-12-03 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US10413288B2 (en) 2003-12-23 2019-09-17 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8313498B2 (en) 2005-08-08 2012-11-20 Abbott Laboratories Vascular suturing device
US7883517B2 (en) 2005-08-08 2011-02-08 Abbott Laboratories Vascular suturing device
US9592038B2 (en) 2005-08-08 2017-03-14 Abbott Laboratories Vascular suturing device
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US8252008B2 (en) 2006-08-18 2012-08-28 Abbott Laboratories Articulating suturing device and method
US8430893B2 (en) 2006-08-18 2013-04-30 Abbott Laboratories Articulating suturing device and method
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US11647997B2 (en) 2010-09-01 2023-05-16 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US10463353B2 (en) 2010-09-01 2019-11-05 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US11154293B2 (en) 2012-04-10 2021-10-26 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US10111653B2 (en) 2012-05-31 2018-10-30 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US10980531B2 (en) 2012-05-31 2021-04-20 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US11839351B2 (en) 2012-05-31 2023-12-12 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US10426449B2 (en) 2017-02-16 2019-10-01 Abbott Cardiovascular Systems, Inc. Articulating suturing device with improved actuation and alignment mechanisms

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