SU1755791A1 - Method for suturing soft tissue wounds - Google Patents

Abstract

The invention relates to surgery and can be used in suturing the soft tissues of the foreskin and scrotum. The goal is to reduce the trauma when suturing the scrotum or foreskin wound and removing the sutures. Kra wounds stitch double thin synthetic or silk thread. The first of the ends of the double thread is disconnected, forming a gap between the threads, the other end is placed in the gap between the fibers of the first end, and both ends of the thread are set in the opposite direction. The edges of both ends of the thread are tightened, bringing the edges of the wound closer. On the surface of the wound is laid PVC tube, which is installed coaxially with the axis of the wound. Both ends of the doubled ligature firmly tie on the surface of the tube. In the postoperative period, the surface of the wound and the tube are washed with an antiseptic solution. The cut from the side of the tube, simultaneously cut through the thread, which is then removed from the wound. ate with

Description

t The invention relates to medicine and can be used in wound closure of soft tissues of the foreskin and scrotum.

The aim of the present invention is to reduce the trauma when suturing the wound of the scrotum or foreskin and removing the sutures, which is achieved by stitching the wound edges with a thin double synthetic (or silk) thread, one end of the double thread disconnecting, and between the disjoint nit: The second double end of the thread is installed, the polyvinyl chloride tube is installed on the wound coaxially with the wound, both ends of the double thread are tied on the tube.

Kra wounds stitch double thin synthetic (or silk) thread.

One of the ends of the double thread is disconnected, forming a gap between the threads. The second end of the string is installed in the gap between the split thread (first end) and both ends of the thread are set in the opposite direction. The edges of both ends of the thread tighten, bring the edges of the wound together. On the surface of the wound is laid PVC tube, which is installed coaxially with the axis of the wound. Both ends of the doubled ligature (yarn) are firmly tied on the surface of the tube.

3 postoperatively, the surface of the wound, the tube is washed with antiseptic solutions, for example, 1% solution of chlorhexodine, etc.). The cut from the side of the tube, simultaneously cut

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the thread, which is then removed from the wound after additional dissection of the removed end of the thread near the skin.

Example. Bolshoi K., 14 years old, was admitted to the urology department of the Rivne Provincial Hospital due to recurrent phimosis. Operations - excision of the foreskin. Kra wounds, both leaves of the foreskin, sutured with a thin silk thread - double. One end of the thread broke out and a second double end of the thread was installed among the ends of the thread. A tube (polyvinyl chloride) was placed on the wound on the surface of which two twin ends of the silk ligature were tied. At the same time, the wound was stretched, as it were, placed in a position that prevented cicatricial (recurrent) healing of the wound surface.

In the postoperative period, the wound was washed with an antiseptic solution (chlorhexidine 1%). On the 7th day you are stitching. The patient was discharged home in good condition. The inflammatory reaction of the foreskin, characterized by the imposition of a catgut suture, was absent.

The use of a removable seam of biologically inactive material (such as fishing sand) does not cause an inflammatory tissue reaction, and the use of a polyvinyl chloride (or other) tube ensures the stability of the wound of soft displaced tissues.

The use of the described suture greatly facilitates the removal of the suture from the wound, prevents pain reactions during the removal of the sutures, as well as the inflammatory tissue reactions observed with the use of absorbable suture from the catgut yarn.

Claims (1)

The invention of the method of suturing a wound of soft tissues, including an 8-shaped suture and tying the ends of the ligature on the bridge with its subsequent dissection, distinguishing it from the fact that, with a suturing injury of the scrotum or foreskin and the removal of sutures The edges of the sleeves are stitched with a double thread, during the formation of an eight-shaped seam, one double end is held inside the bifurcated other end, and a synthetic tube is used as a bridge, which, when the seams are removed, is cut at the same time as the ligature is cut.