SU1600713A1 - Method of plasty of hernial hilus - Google Patents
Method of plasty of hernial hilus Download PDFInfo
- Publication number
- SU1600713A1 SU1600713A1 SU874347617A SU4347617A SU1600713A1 SU 1600713 A1 SU1600713 A1 SU 1600713A1 SU 874347617 A SU874347617 A SU 874347617A SU 4347617 A SU4347617 A SU 4347617A SU 1600713 A1 SU1600713 A1 SU 1600713A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- hernial
- rod
- abdominal cavity
- channel
- hilus
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Изобретение может быть использовано при операци х по поводу бедренной грыжи. Способ позвол ет выполнить операцию быстро, нетравматично, в последующем избежать местных осложнений и рецидива. После отсечени грыжевого мешка в грыжевом канале 5 устанавливают выполненный из биоинертного эластичного материала стержень 1 со сферическими опорными элементами 2, 4, при этом один из них располагают в брюшной полости, а другой у выхода из грыжевого канала. 2 ил.The invention can be used in operations for femoral hernia. The method allows the operation to be performed quickly, non-traumaticly, and subsequently to avoid local complications and relapse. After cutting off the hernial bag in the hernial channel 5, a rod 1 made of bioinert elastic material with spherical support elements 2, 4 is installed, one of which is placed in the abdominal cavity and the other at the exit of the hernial channel. 2 Il.
Description
(PU2. 1(PU2. 1
Изобретение относитс к медицине, в частности к хирургии брюшной полости, и мо- |(ет быть использовано дл пластики гры- севых ворот, преимущественно при лечении бедренных грыж.The invention relates to medicine, in particular to surgery of the abdominal cavity, and can be used for plastics of the hernial portal, mainly in the treatment of femoral hernias.
Цель изобретени - снижение травма- тичности операции и ее осложнений за счет бесшовной фиксации аллотрансплантата, котора достигаетс тем, что в качестве трансплантата используют выполненный из бйоинертного эластичного материала стер- )Нень со сферическими опорными элемента- на концах, который фиксируют в гры- 1|евом канале по типу «запонки.The purpose of the invention is to reduce the trauma of the operation and its complications due to the seamless fixation of the allograft, which is achieved by using a sterile, non-elastic elastic material with spherical support elements at the ends, which are fixed in a rat. Evo channel on the type of “cufflinks.
I На фиг. 1 показано используемое уст- рОйство, выполненное из биоинертного эластичного материала, общий вид; на фиг. 2 - установленный в грыжевом канале стержень с опорными элементами.I FIG. 1 shows the device used, made of bioinert elastic material, a general view; in fig. 2 - rod mounted in the hernial canal with supporting elements.
Устройство дл выполнени способа содержит стержень 1, несъемный опорный элемент 2, круговые выступы 3 на стержне, съемный опорный элемент 4 со сферический поверхностью. Из грыжевого канала 5 избыток 6 стержн удал етс после установки устройства.The device for performing the method comprises a rod 1, a fixed supporting element 2, circular projections 3 on the rod, a removable supporting element 4 with a spherical surface. From the hernial canal 5, an excess of 6 rods is removed after installing the device.
Способ осуществл ют следующим образомThe method is carried out as follows.
После отсечени грыжевого мешка через грыжевые ворота в брюшную полость ввод т несъемный опорный элемент 2, а стер- ж;ень 1 располагают в грыжевом канале 5. На стержень 1, снабженный круговыми выступами 3, фиксируют съемный сферический элемент 4 у выхода из грыжевого канала. Избыток 6 стержн иссекают. Рану ушивают .After the hernial sac is cut off, a fixed support element 2 is inserted into the abdominal cavity through the hernial gate, and the barrow 1 is placed in the hernial channel 5. A removable spherical element 4 is fixed to the stem 1, equipped with circular projections 3, at the exit of the hernial channel. Excess 6 rods are excised. The wound is sutured.
Пример. Больна М, 82 лет, оперирована в клинике по поводу ущемленной бедренной грыжи слева на фоне т желых сопутствующих заболеваний: ИБС, постинфарктный кардиосклероз (крупноочаговый инфаркт Миокарда в 1981 и 1986 гг.), хроническа коронарна недостаточность, пневмосклероз, эмфизема, легких. Содержимым грыжевого мешка вл лась петл тонкой кишки, котора признана жизнеспособной и погружена в брющную полость. После отсечени грыжевого мешка через грыжевое отверстие в брюшную полость ввели выполненный изExample. Patient M, 82 years old, was operated on at the clinic for a strangulated femoral hernia on the left against a background of serious comorbidities: coronary artery disease, postinfarction cardiosclerosis (myocardial myocardial infarction in 1981 and 1986), chronic coronary insufficiency, pneumosclerosis, emphysema, pulmonary. The contents of the hernial sac were the loop of the small intestine, which is recognized as viable and immersed in the hacking cavity. After cutting off the hernial bag, the hernial opening is made into the abdominal cavity.
силикона грибообразный элемент,- обращенный «шл пкой (несъемный элемент) в сторону брюшной полости, а на ножку (стержень ) его, снабженную круговыми выступа- ми, одели фиксирующую шайбу (съемный элемент) из силикона и избыток ножки срезали на уровне наружной поверхности шайбы. Каких-либо швов дл фиксации не использовали. Рану послойно ушили. Опера- ци длилась 12 мин. Послеоперационный период протекал гладко. Больна через 12 ч подн лась. Рана зажила первичным нат жением . На 6-е сутки больна переведена дл дальнейшего лечени в кардиологическое отделение.silicone mushroom-shaped element - facing the “head (non-removable element) towards the abdominal cavity, and on the leg (rod), provided with circular projections, put a fixing washer (removable element) made of silicone and excess legs were cut off at the outer surface of the washer . Any seams for fixing is not used. Wound layers have taken away. The operation lasted 12 minutes. The postoperative period was uneventful. Ill after 12 h rose. The wound healed by primary tension. On the 6th day, the patient was transferred to the cardiology department for further treatment.
5 Преимущества предлагаемого способа заключаютс в том, что в результате использовани грибообразного элемента, введенного в грыжевой канал, обеспечиваетс -прочное и надежное закрытие грыжевого дефекта индифферентным дл тканей и нерассасывающимс материалом. При этом значительно сокращаютс сроки оперативного вмешательства, исключаетс юзможность повреждени крупных сосудов, развити лигатурных свищей, нагноени ран и рецидива5 The advantages of the proposed method are that as a result of the use of a mushroom-shaped element inserted into the hernial canal, a firm and reliable closure of the hernial defect indifferent to the tissue and nonabsorbable material is ensured. At the same time, the terms of surgical intervention are significantly reduced, the possibility of damage to large vessels, the development of ligature fistulas, suppuration of wounds and recurrence is excluded.
5 грыжи.5 hernia.
Клинические испытани предлагаемого способа осуществлены на 45 больных. Осложнений не наблюдали. Способ рекомендован дл практического использовани .Clinical trials of the proposed method were carried out on 45 patients. Complications were not observed. The method is recommended for practical use.
30thirty
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Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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SU874347617A SU1600713A1 (en) | 1987-12-21 | 1987-12-21 | Method of plasty of hernial hilus |
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SU874347617A SU1600713A1 (en) | 1987-12-21 | 1987-12-21 | Method of plasty of hernial hilus |
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SU1600713A1 true SU1600713A1 (en) | 1990-10-23 |
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SU874347617A SU1600713A1 (en) | 1987-12-21 | 1987-12-21 | Method of plasty of hernial hilus |
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Cited By (18)
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DE19626397C1 (en) * | 1996-07-01 | 1998-05-20 | Huschang Dr Med Elhami | Device for closing post-operative opening in bronchial stump |
US5800436A (en) * | 1996-02-03 | 1998-09-01 | Lerch; Karl-Dieter | Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation |
US6258091B1 (en) | 1996-02-14 | 2001-07-10 | Walter Lorenz Surgical Inc. | Bone fastener and instrument for insertion thereof |
US6379363B1 (en) | 1999-09-24 | 2002-04-30 | Walter Lorenz Surgical, Inc. | Method and apparatus for reattachment of a cranial flap using a cranial clamp |
US6685707B2 (en) | 2001-09-25 | 2004-02-03 | Walter Lorenz Surgical, Inc. | Cranial clamp and method for fixating a bone plate |
US7048737B2 (en) | 2002-06-11 | 2006-05-23 | Bioplate, Inc. | Cranial bone flap fixation system and method |
US7048738B1 (en) | 2002-07-23 | 2006-05-23 | Bioplate, Inc. | Cranial bone flap fixation |
US7993349B2 (en) | 2000-07-27 | 2011-08-09 | Synthes Usa, Llc | Cranial flap clamp instrument |
US8062334B2 (en) | 2004-06-02 | 2011-11-22 | Kfx Medical Corporation | Suture anchor |
US8100942B1 (en) | 2004-06-02 | 2012-01-24 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8801755B2 (en) | 2004-04-06 | 2014-08-12 | Arthrex, Inc. | Suture anchor |
US9179907B2 (en) | 2000-06-22 | 2015-11-10 | Arthrex, Inc. | Knotless graft fixation assembly |
US9351765B2 (en) | 2007-04-06 | 2016-05-31 | DePuy Synthes Products, Inc. | Securing device to secure fixation devices to bone portions |
US9521999B2 (en) | 2005-09-13 | 2016-12-20 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
US9526493B2 (en) | 1999-02-02 | 2016-12-27 | Arthrex, Inc. | Suture anchor with insert-molded rigid member |
US9717491B2 (en) | 2014-03-10 | 2017-08-01 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US9936940B2 (en) | 2013-06-07 | 2018-04-10 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US10052143B2 (en) | 2014-04-30 | 2018-08-21 | DePuy Synthes Products, Inc. | Tensioning instrument and related bone fixation systems and methods |
-
1987
- 1987-12-21 SU SU874347617A patent/SU1600713A1/en active
Non-Patent Citations (1)
Title |
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Патент FR № 2208299 кл. А 61 В 17/00, 1974. Тоскин К. Д. и др. Грыжи живота. - М.: 1983, с. 198-200. * |
Cited By (46)
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---|---|---|---|---|
US5800436A (en) * | 1996-02-03 | 1998-09-01 | Lerch; Karl-Dieter | Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation |
US6068631A (en) * | 1996-02-03 | 2000-05-30 | Lerch; Karl-Dieter | Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation |
US6270500B1 (en) | 1996-02-03 | 2001-08-07 | Karl-Dieter Lerch | Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation |
US6328743B2 (en) | 1996-02-03 | 2001-12-11 | Karl-Dieter Lerch | Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation |
US6726688B2 (en) | 1996-02-03 | 2004-04-27 | Karl-Dieter Lerch | Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation |
US6962591B2 (en) | 1996-02-03 | 2005-11-08 | Karl-Dieter Lerch | Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation |
US6258091B1 (en) | 1996-02-14 | 2001-07-10 | Walter Lorenz Surgical Inc. | Bone fastener and instrument for insertion thereof |
US6589244B1 (en) | 1996-02-14 | 2003-07-08 | Walter Lorenz Surgical, Inc. | Bone fastener and instrument for insertion thereof |
DE19626397C1 (en) * | 1996-07-01 | 1998-05-20 | Huschang Dr Med Elhami | Device for closing post-operative opening in bronchial stump |
US9526493B2 (en) | 1999-02-02 | 2016-12-27 | Arthrex, Inc. | Suture anchor with insert-molded rigid member |
US9549726B2 (en) | 1999-02-02 | 2017-01-24 | Arthrex, Inc. | Suture anchor with insert-molded rigid member |
US6379363B1 (en) | 1999-09-24 | 2002-04-30 | Walter Lorenz Surgical, Inc. | Method and apparatus for reattachment of a cranial flap using a cranial clamp |
US9775599B2 (en) | 2000-06-22 | 2017-10-03 | Arthrex, Inc. | Knotless tissue fixation assembly |
US10716556B2 (en) | 2000-06-22 | 2020-07-21 | Arthtrex, Inc. | Knotless tissue fixation assembly |
US10709436B2 (en) | 2000-06-22 | 2020-07-14 | Arthrex, Inc. | Graft fixation using a plug against suture |
US10052091B2 (en) | 2000-06-22 | 2018-08-21 | Arthrex, Inc. | Knotless suture or tissue fixation using an implant having a pointed tip |
US9706986B2 (en) | 2000-06-22 | 2017-07-18 | Arthrex, Inc. | Knotless suture and tissue securing method |
US9179907B2 (en) | 2000-06-22 | 2015-11-10 | Arthrex, Inc. | Knotless graft fixation assembly |
US7993349B2 (en) | 2000-07-27 | 2011-08-09 | Synthes Usa, Llc | Cranial flap clamp instrument |
US6685707B2 (en) | 2001-09-25 | 2004-02-03 | Walter Lorenz Surgical, Inc. | Cranial clamp and method for fixating a bone plate |
US7048737B2 (en) | 2002-06-11 | 2006-05-23 | Bioplate, Inc. | Cranial bone flap fixation system and method |
US7048738B1 (en) | 2002-07-23 | 2006-05-23 | Bioplate, Inc. | Cranial bone flap fixation |
US10537319B2 (en) | 2004-04-06 | 2020-01-21 | Arthrex, Inc. | Suture anchor |
US8801755B2 (en) | 2004-04-06 | 2014-08-12 | Arthrex, Inc. | Suture anchor |
US9622739B2 (en) | 2004-04-06 | 2017-04-18 | Arthrex, Inc. | Suture anchor |
US8951287B1 (en) | 2004-06-02 | 2015-02-10 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8267964B2 (en) | 2004-06-02 | 2012-09-18 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8062334B2 (en) | 2004-06-02 | 2011-11-22 | Kfx Medical Corporation | Suture anchor |
US8100942B1 (en) | 2004-06-02 | 2012-01-24 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US9044226B2 (en) | 2004-06-02 | 2015-06-02 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US8926663B2 (en) | 2004-06-02 | 2015-01-06 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US9655611B2 (en) | 2004-06-02 | 2017-05-23 | Kfx Medical, Llc | System and method for attaching soft tissue to bone |
US8529601B2 (en) | 2004-06-02 | 2013-09-10 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US10561409B2 (en) | 2004-06-02 | 2020-02-18 | Kfx Medical, Llc | System and method for attaching soft tissue to bone |
US8512378B2 (en) | 2004-06-02 | 2013-08-20 | Kfx Medical Corporation | Suture anchor |
US8109969B1 (en) | 2004-06-02 | 2012-02-07 | Kfx Medical Corporation | System and method for attaching soft tissue to bone |
US9414835B1 (en) | 2004-06-02 | 2016-08-16 | Kfx Medical, Llc | System and method for attaching soft tissue to bone |
US10595847B2 (en) | 2005-09-13 | 2020-03-24 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
US9521999B2 (en) | 2005-09-13 | 2016-12-20 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
US11324493B2 (en) | 2005-09-13 | 2022-05-10 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
US9351765B2 (en) | 2007-04-06 | 2016-05-31 | DePuy Synthes Products, Inc. | Securing device to secure fixation devices to bone portions |
US9936940B2 (en) | 2013-06-07 | 2018-04-10 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US10842481B2 (en) | 2013-06-07 | 2020-11-24 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US9717491B2 (en) | 2014-03-10 | 2017-08-01 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US10893857B2 (en) | 2014-03-10 | 2021-01-19 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US10052143B2 (en) | 2014-04-30 | 2018-08-21 | DePuy Synthes Products, Inc. | Tensioning instrument and related bone fixation systems and methods |
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