SU1438724A1 - Arrangement for suturing the wounds of parenchymatous organs of the abdominal cavity - Google Patents

Abstract

The invention relates to the medical technique and can be used: surgery in surgery for traumatic injuries of the spleen and liver. The aim of the invention is to reduce trauma by preventing damage to the blood vessels of parenchymal organs. The device contains two parallel-connected needles 1 with thickenings 2 in the form of an olive, behind which an opening 3 is placed, and along the entire length of the cylindrical part of the needle 1 is made a longitudinal groove 11. The device is threaded with suture threads, one end of which is tucked into a groove 11.8 or more.

Description

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The invention relates to medical technology, and more specifically to devices for suturing wounds of parenchymal abdominal organs.

The purpose of the invention is to reduce trauma by preventing damage to blood vessels,

FIG. 1 shows the device, a general view in axonometry; in fig. 2 and 3 - half split housing, top view; in fig. 4 - the rod of the device, side view; in fig. 5 is a section A-A in FIG. four; in fig. 6 78section bb in fig. 4; - in FIG. four; FIG. Cross section of FIG. four.

A device for stitching wounds of parenchymal abdominal organs consists of two parallel-connected needles 1 with olive 2 and a hole 3 at the end of the body 4, which includes symmetrical half 5 and 6 and presses the screw 7, One half of the detachable body is symmetrical to the other and has on the inner surface 8 parallel longitudinal grooves 9 with a threaded bore 10 located between them. Each needle 1 has a longitudinal groove 11.

The device is used as follows. The needles 1 are placed into the grooves 9 of the casing 4 so that the inner surfaces of each half of its 5 and 6 are tightly in contact with one another, after which the needles 1 advance along the grooves 9 up to the stop of the cannula 1. into the split housing 4 and The clamping screw 7 is screwed into the hole 10 of one half of the housing 4 until it stops, as a result of which the needles 1 are held and immobilized. Having assembled the device, they proceed to filling the needles 1 with suture threads (catgut). To do this, one end of the thread is drawn through the transverse through hole 3 on the side of the longitudinal groove 11, leaving the end of the thread 1.0 cm long, and the other end of the thread is guided in the longitudinal groove 11 at the end of the needle 1 and through the cannula of the needle 1. d t out. Thereafter, the suture thread is threaded into the longitudinal groove 11, some

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In the movement of the fingers on the needle, before the thread is immersed in the longitudinal groove 11. The end of the suture thread is pulled along the axis of the needle 1 as necessary, leaving the end of the thread 15 cm long. After filling both needles with a suture thread, the device for stitching wounds is prepared for surgery on the injured parenchymal organ.

The device works as follows.

For example, to stitch injuries to an injured spleen, the ends of needles 1 are inserted into the organ parenchyma at a distance from the wounds and the needles are held perpendicular to the plane of damage until the needle leaves the organ parenchyma. The ends of suture threads on the opposite side from vcol capture the clamp Villrot and holding them, remove the needles from the parenchyma in the opposite direction. The ends of the threads are released from the retaining clip and are connected to each other on one side of the organ, and the long ends of the threads are interconnected on each other. to the other side of the organ with such an effort that is sufficient to bring the edges of the wounds together in this case, the spleen. The hemostasis applied in this way: the ticus suture is in the form of an elongation and performs a good adjustment of the wound edges close to the anatomical rate.

Claims (1)

Invention Formula A device for stitching wounds of parenchymal organs of the abdominal cavity, containing two parallel-connected needles with thickening at the end, characterized in that, in order to reduce trauma by preventing the damage of the blood vessels of the parenchymal organs, the needles are filled directly with thickening at the end In the form of an olive, behind which a hole is placed, along the entire cylindrical part of each needle there is a longitudinal groove connected to the hole. eight Fm, 2 9 Phage.3 Fig, 1 Editor N. Dumbass Compiled by V. Baganov Tehred M. Didyk i Corrector, Shekmar Order 5987/5 Circulation 655 VNIIPI USSR State Committee for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., d, 4/5 Fi9.5 FIG 6 Theb.7 F1 / GW Subscription