SU1616612A1 - Method of suturing abdominal wall in draining through wound - Google Patents

Abstract

The invention relates to medicine, namely to surgery, and can be used to close the wounds of the abdominal wall with drainage. The purpose of the invention is the prevention of postoperative hernia. Stitches the abdominal musculoaponeurotic layer around the drainage with a purse-string suture, sticking the ends of the thread out of the wound and fixing it, and after removing the drainage and tightening the purity stitch, a collagen sponge is inserted into the wound canal, after which the string of suture is fixed on the strap. The ligature of the purse-string suture is removed after aponeurosis is regenerated. The method was applied in 11 patients in the presence of drainage in the wound and allowed to warn ligature fistula, as well as postoperative hernia. The method is recommended for practical use.

Description

The invention relates to surgery and can be used for suturing wounds of the anterior abdominal wall when draining through a wound.

The purpose of the invention is the prevention of postoperative hernia.

The method is as follows.

Sutured the abdominal wall wound to drainage. A removable pouch suture with nonabsorbable material is applied around the wound canal in which the drainage is located, using a curved surgical needle to capture the entire thickness of the peritoneal musculoaponeurotic layer, after which the ends of the filament are brought to the aponeurosis surface, crossed and crossed by means of a straight surgical needle. soft tissue with a shot on the skin outside the wound. After removal of the abdominal cavity drainage (for 6-7 days), the ends of the filaments located on the skin tighten, closing the wound channel,

and fix them dermally on the plank. The remaining defect in the soft tissues of the abdominal wall is filled with a collagen sponge with the biomaterial, thus sealing the residual wound channel. A dry aseptic dressing is applied to the wound. The biomaterial can be impregnated with antibacterial drugs. After aponeurosis is regenerated, the purse string is removed by intersecting one end and pulling the ligature out of the soft tissue at the opposite end.

Example. Patient M., 36 years old. He was admitted with a diagnosis of acute destructive appendicitis, peritonitis. Appendectomy was produced, and a purulent effusion was found in the abdominal cavity during a revision. Gauze-glove drainage is brought to the bed of the remote process. After suturing the peritoneum and muscles to drainage around the latter, a removable pouch string with a capture of the peritoneal musculoaponeurotic layer is applied. Konsl

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The threads of the filaments are brought to the surface of the aponeurosis, crossed and brought out by a direct surgical needle to the skin outside the wound. The operation is completed by stitching a wound, on top of the drainage aseptic dressing. After 6 days, drainage was removed, the wound was dried, and the ends of the purse-string sutures were tightened and fixed on the plank in the tension state. A collagen sponge was inserted into the wound channel in accordance with its depth and width. Aseptic dressing is applied to the wound. After 5 days, wound healing was ascertained. After 12 days from the moment of tying up the purse-string suture, the latter was removed by crossing one end and sweating behind the other.

The patient was examined in time after 3 months and after 2 g of abdominal wall defects in the postoperative scar no.

The method was applied in 11 patients, while observing them for up to 2 years of signs of a hernia

not you imputed. Recommended for clinical use.

Claims (1)

Invention Formula The method of suturing the abdominal wall during drainage through the wound, including the imposition of a purity stitch on the aponeurosis, different from the fact that, in order to prevent postoperative hernia, a ventral musculo-aponeurotic layer is stitched around the drainage and the ends of the thread of this suture are punctured outside wounds where they are fixed, and the final tightening of the purse-string suture is carried out after removal of the drainage with additional plugging of the wound channel by the biomaterial, while prolonged the ligature is removed after aponeurosis is regenerated.