SU1387994A1 - Method of suturing an operation wound - Google Patents

Abstract

The invention relates to medicine, namely to surgery, intended for the suturing of surgical wounds. The purpose of the invention is to prevent the formation of "blind pockets and the displacement of homogeneous fabrics. To do this, when conducting a subcutaneous zigzag continuous suture, the thread is held at an acute angle through all layers of the wound edges with the bottom of the wound seized and the thread is pulled to the opposite side at the same angle. After that, starting from the bottom of the wound on the other side, the thread is drawn perpendicular to the fabric symmetrically to the hatch point, with the removal of the thread from both sides to the outer edge of the dermal wound layer. 1 il.

Description

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The invention relates to medicine, namely to surgery, and can be used in the suturing of surgical wounds.

The purpose of the invention is to prevent the formation of "blind pockets and the displacement of uniform fabrics.

The drawing shows a diagram of the implementation of method A - wound, top view; B - frontal incision of the wound; С - ligature position at wound closure). .

The method is carried out as follows.

The first injection 1 is carried out from the outside, 3-4 mm indented from the angle of the step, obliquely so that the ligature is derived 3-4 mm from the angle of the wound 2 on one of its walls in the outer edge of the dermal layer a. After that, perpendicular second vcol 2 is performed through the dermis, subcutaneous fatty tissue with capture of the bottom of the wound 3 and perpendicular percussion of 4 all tissues on the opposite side of the wound corresponding to the second vcol 2. Then the needle is held at an angle of 40-45 ° relative to to the surface of the skin 5 through the subcutaneous tissue of the given and opposite edges of the wound with the capture of the bottom of the wound 6. The hole 7 is also carried out to the outer edge of the dermal layer on the opposite side of the dermal layer, after which the edges approach. These actions are repeated until the wound is completely filled. Then, sweating the scraps of the yarns in different directions, the final edges of the wound are approached. The ends of the filaments are fixed to the skin with adhesive tape.

In order to facilitate the removal of the needle, every 6-8 cm, a loop of the thread located on the skin surface is carried out over a thin PVC-tube.

When the suture is removed, 5-6 days after application, the thread above the tubule is cut and removed at one end, while the other hand displaces the wound edges in the opposite direction.

Example. Patient A., 12 years old, underwent an upper laparotomy, selective proximal vagotomy with a dissection of the Treitz coupling and correction of the cardia to Nissep. Brushu cavity is drained and continuous cat gut is applied on the brillum.

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tovay seam. The aponeurosis is sutured by individual knotty pits. The laparotomy wound is sutured with a cosmetic scar: a cutting needle, charged with nylon thread No. 1, was injected at the lower corner of the wound, 4 mm indent from the skin side, through the subcutaneous tissue to the dermal layer of the left edge of the wound. After removal of the filament, the injection was performed with the capture of an aponeurosis in the center of the wound through the subcutaneous tissue, starting from the bottom of the opposite wound edge, to the dermal layer. The thread is bred in front of the place of the ejection located on the left edge of the wound. Next, the thread is held from the place of the vykola on the right edge through the fiber at an angle of 40-45 ° with the capture of the aponeurosis in the center of the bottom of the wound and through the fiber of the left edge with the shot in the dermal edge. After complete stitching, the thread is drawn on the skin 4 mm from the top corner of the wound. When pulled out of the ends of the filaments in different directions, a good adaptation of the wound edges occurred without undergoing. The ends of the threads are fixed to the skin with adhesive tape. The wound is treated with iodine, aseptic dressing is applied.

The postoperative period was uneventful. The wound healed by primary tension. The thread was removed on the 6th day after surgery.

The patient was examined 3 months after the intervention. Between the xiphoid process and the navel is a gentle linear scar pink.

Claims (1)

Invention Formula A method of inflicting an operative wound, comprising zigzag continuous shchi, characterized in that, in order to prevent the formation of "blind pockets and the displacement of homogeneous tissues, the thread is passed through the edge of the dermis and subcutaneous fatty tissue with the capture of the bottom of the wound, for which the puncture of the tissues within the wall perpendicular, and when moving to the next stitch, the fabric is pierced at an acute angle with respect to the incision line, and the points of puncture and puncture from the edge of the derma coincide.