SU774561A1

SU774561A1 - Abdominal cavity drain

Info

Publication number: SU774561A1
Application number: SU782633784A
Authority: SU
Inventors: Алексей Иванович Генералов; Владимир Иванович Ковалев; Владимир Евгеньевич Зеленецкий; Виктор Павлович Федюкин; Николай Михайлович Шишов
Original assignee: Всесоюзный научно-исследовательский институт медицинских полимеров
Priority date: 1978-06-23
Filing date: 1978-06-23
Publication date: 1980-10-30

Description

Изобретение относится к медицинской технике, а именно к средствам удаления из брюшной полости гноя и эксудата.The invention relates to medical equipment, namely to means for removing pus and exudate from the abdominal cavity.

Известен дренаж для брюшной полости, который содержит внутрибрюшную и внебрюшнуто трубки, соединенные с фиксатором [1]. ^{5 * * * *} Known drainage for the abdominal cavity, which contains the intra-abdominal and extra-abdominal tubes connected to the retainer [1]. ^{5 * * * *}

Однако при длительной аспирации происходит присасывание органов и стенок дренируемой полости к внутрибрюшной трубке известного дренажа, что может, привести к травмированию органов с образованием свища,. ¹⁰ However, with prolonged aspiration, the organs and walls of the drained cavity are sucked into the intraperitoneal tube of a known drainage, which can lead to injuries of organs with the formation of a fistula. ¹⁰

Целью изобретения является исключение присасывания органов и стенок дренируемой полости к внутрибрюшной трубке при длительной аспирации.The aim of the invention is to prevent the suction of organs and walls of the drained cavity to the intraperitoneal tube during prolonged aspiration.

Поставленная цель достигается тем, что в дренаже фиксатор выполнен в виде полого цилиндрического тела с патрубками, стабилизатором и пробкой, закрепленного на внебрюшной грубке, имеющей длину 900—1200 мм и внутренний диаметр 3—6 мм.This goal is achieved by the fact that in the drain the retainer is made in the form of a hollow cylindrical body with nozzles, a stabilizer and a stopper mounted on an extra-abdominal coarse having a length of 900-1200 mm and an inner diameter of 3-6 mm.

На фиг. 1 изображен дренаж для брюшной полости, продольное сечение; на фиг. 2 — дренаж, установленный на теле пациента.In FIG. 1 shows a drainage for the abdominal cavity, a longitudinal section; in FIG. 2 - drainage installed on the patient’s body.

Дренаж для брюшной полости состоит из внутрибрюшной трубки 1 с боковыми отверстиями, фиксатора 2 со стабилизатором 3. Вне-^Гбрюшной фиксатор 2 выполнен в виде полого цилиндрического· тела с патрубками 4 и 5. Причем фиксатор закреплен на внебрюшной трубке 6, которая имеет длину 900—1200 мм и внутренний диаметр 3—6 мм, и закрыт пробкой 7. Стабилизатор 3 состоит из держателя 8, защемляющего трубку на патрубке 4, и пластин 9, исключающих вращение всего дренажа вдоль оси.Drainage for the abdominal cavity consists of an intra-abdominal tube 1 with lateral openings, a retainer 2 with a stabilizer 3. Outside ^{D, the} abdominal retainer 2 is made in the form of a hollow cylindrical body with nozzles 4 and 5. Moreover, the retainer is fixed to the extra-abdominal tube 6, which has a length of 900 —1200 mm and an inner diameter of 3–6 mm, and is closed by a plug 7. The stabilizer 3 consists of a holder 8, pinching the tube on the pipe 4, and plates 9, which exclude the rotation of the entire drainage along the axis.

Дренаж для брюшной полости работает следующим образом. После оперативного вмешательства в брюшной полости, вводят конец дренажа в виде трубки 1 с боковыми отверстиями и укладывают его в оптимальном положении, проводя другой его конец через стенку брюшной полости в стороне от операционного доступа. Конец дренажной трубки 1, выведенный через стенку брюшной полости, соединяют с патрубком 5 фиксатора 2. При этом Пластины 9 стабилизатора 3 должны быть прижаты к коже. В таком положении дренаж пришивают к коже двумя швами ниже и выше стабилизатора 3. Стабилизатор 3 исключает всякое вращение дренажа и предупреждает от грубых перемещений изогнутый внутрибрюшной участок дре пажа. Для введения в дренируемую полость лекарственных растворов, а также получения отделяемого непосредственно из брюшной полости вводят эластичный катетер в патрубок 5 и внутренний канал внутрибрюшного конца дренажа без расстыковки дренажа.Drainage for the abdominal cavity works as follows. After surgery in the abdominal cavity, the end of the drainage is introduced in the form of a tube 1 with side openings and it is laid in the optimal position, passing its other end through the wall of the abdominal cavity away from the surgical access. The end of the drainage tube 1, brought out through the wall of the abdominal cavity, is connected to the nozzle 5 of the retainer 2. In this case, the plates 9 of the stabilizer 3 should be pressed to the skin. In this position, the drainage is sewn to the skin with two seams below and above the stabilizer 3. The stabilizer 3 excludes any rotation of the drainage and prevents a curved intra-abdominal section of the drainage from rough movements. To introduce medicinal solutions into the drained cavity, as well as to obtain detachable directly from the abdominal cavity, an elastic catheter is inserted into the nozzle 5 and the internal channel of the intraperitoneal end of the drainage without disconnecting the drainage.

Дренаж обеспечивает отток выделений из брюшной полости самотеком непрерывно без иопользования принудительных аспираторов.Drainage provides an outflow of discharge from the abdominal cavity by gravity continuously without the use of forced aspirators.

При использовании дренажа исключена опасность смещения внутрибрюшной трубки из оптимального места его установки с последующим пережатием кишечных петель, а также травмирование дренируемой .полости при длительной аспирации.When using drainage, the risk of displacement of the intraperitoneal tube from the optimal installation site with subsequent compression of the intestinal loops, as well as injury to the drained cavity during prolonged aspiration, is eliminated.

Применение дренажа для брюшной полости в практическом здравоохранении может дать экономию более 1 млн. рублей в год.The use of drainage for the abdominal cavity in practical public health can save more than 1 million rubles a year.

Claims

The invention relates to medical technology, namely to the means of removing pus and exudate from the abdominal cavity. A drainage for the abdominal cavity is known, which contains intra-abdominal and extra-abdominal tubes connected to fixer 1. However, prolonged aspiration causes organs and steiocs to be drained from the cavity to be sucked into the intra-abdominal tube of known drainage, which can lead to injury of organs with fistula formation. There is an exception when sucking the organs and walls of the drainage cavity to the intra-abdominal tube with prolonged aspiration. The goal is achieved by the fact that in the drainage the retainer is made in the form of a hollow cylindrical body with nozzles, a stabilizer and a stopper, fixed to the non-abdominal coarse, having a length of 900-1200 mm and an internal diameter of 3-6 mm. FIG. 1 shows a drainage for the abdominal cavity, a longitudinal section; in fig. 2 - drainage installed on the patient's body. Drainage for the abdominal cavity consists of an intra-abdominal tube 1 with lateral apertures, a fixer 2 with a stabilizer 3. The abdominal fixer 2 is made in the form of a hollow cylindrical body with nozzles 4 and 5. Moreover, the fixator is fixed on the extra-abdominal tube 6, which has a length of 900 1200 mm and an internal diameter of 3-6 mm, and is closed by a stopper 7. Stabilizer 3 consists of a holder 8, clamping the tube on the nozzle 4, and plates 9, which exclude rotation of the entire drainage along the axis. Drainage to the abdominal cavity works as follows. After the surgical intervention in the abdominal cavity, the end of the drainage is inserted in the form of a tube 1 with lateral openings and is placed in the optimal position, the wire of its other end through the wall of the abdominal cavity aside from the surgical approach. The end of the drainage tube 1, bred through the wall of the abdominal cavity, is connected to the nozzle 5 of the retainer.

2. At the same time, the insulations of the 9th stabilizer 3 should be pressed against the skin. In this position, the drainage is sewn to the skin 377 with two seams below and above the stabilizer.

3. Stabilizer 3 eliminates any drainage and warns the curved intra-abdominal area of the drainage against rough movements. To introduce medicinal solutions into the drainable cavity, as well as to obtain a separable catheter directly from the abdominal strips, insert an elastic catheter into the nozzle 5 and the internal channel of the intra-abdominal drainage end without disconnecting the drainage. Drainage provides an outflow of discharge from the abdominal cavity by gravity continuously without using forced aspirators. When using drainage, the risk of displacement of the intra-abdominal tube from the optimal place of its installation with subsequent compression of the intestinal loops, as well as trauma to the drained cavity during prolonged aspiration, is eliminated. The use of drainage for the abdominal cavity in practical health care can save more than 1 million rubles a year. Claims Drainage for the abdominal cavity containing intra-abdominal and extra-abdominal tubes connected to a fixator, characterized in that, in order to prevent organs and walls of the cavity to be sucked to the intra-abdominal tube during prolonged aspiration, the fixator is made in the form of a hollow cylindrical body with branch pipes, stabilizer and stopper, fixed with an extra-belly tube, having a length of 900-1200 mm and an internal diameter of 3-6 mm Sources of information taken into account in the examination 1. USSR Author's Certificate No. 543401, cl. A 61 M 27/00, 1975 (prototype).