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首页> 外国专利> METHOD OF INTRAOPERATIVE DETERMINATION OF MESH IMPLANT DIMENSIONS IN LAPAROSCOPIC HERNIOPLASTY OF UMBILICAL AND POSTOPERATIVE VENTRAL HERNIAS

METHOD OF INTRAOPERATIVE DETERMINATION OF MESH IMPLANT DIMENSIONS IN LAPAROSCOPIC HERNIOPLASTY OF UMBILICAL AND POSTOPERATIVE VENTRAL HERNIAS

机译：术中和手术后疝的腹腔镜疝修补术中网状植入尺寸的术中测定

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FIELD: medicine.;SUBSTANCE: invention relates to medicine and can be used in endoscopic surgery. In course of endoscopic operation in order to measure dimensions of hernial orifice or zone with several hernial orifices sterile lavsan thread is taken. Indenting 1 cm from one end of thread, knot is tied. Through trocar thread is introduced into abdominal cavity. Two soft endoscopic clips, one of which is provided with rack mechanism, are introduced into abdominal cavity. Clip without rack mechanism is used to take thread end 1 cm long to knot. Thread is passed to hernial orifice in such a way that knot is located near its border, if there is one orifice, or near the border of extreme orifice of zone if there are several. After that by means of clip with rack mechanism thread is stretched in hernial orifice or through several hernial orifices by the greatest size on orifice length or zone. Thread is fixed in clip with rack mechanism. Clip without rack mechanism is opened, releasing end of thread with knot, and by means of clip with rack mechanism thread is removed from abdominal cavity. By means of sterile ruler distance between tied knot and clip branches, fixing thread, is measured. Dimensions of hernial orifice or zone with several orifices on length are obtained. Thread is re-introduced into abdominal cavity and similar manipulations are carried out in order to measure the greatest dimension on width. 2-4 cm are added to obtained measurements and dimensions of mesh implant are obtained.;EFFECT: method makes it possible to measure any configuration of hernial orifice and select transplant of optimal size.;2 ex
机译：技术领域本发明涉及医学并且可以用于内窥镜手术。在内窥镜手术过程中，为了测量具有多个疝气孔的疝气孔或区域的尺寸，采用了无菌的lavsan线。从线的一端缩进1厘米，打结。通过套管针将线引入腹腔。将两个软的内​​窥镜夹子插入腹腔，其中一个带有齿条机构。不带齿条机构的夹子用于将线头拉长1厘米以打结。线以这样的方式传递到疝气口：如果有一个孔，则结位于边界附近;如果有多个孔，则位于区域的极端孔的边界附近。之后，通过带有齿条机构的夹子，将螺纹在疝气孔中或穿过几个疝气孔中拉伸，使其在孔的长度或区域上最大。螺纹通过齿条机构固定在夹子中。打开不带齿条机构的线夹，松开带结的线端，并通过带齿条机构的线夹将腹腔中的线去除。通过无菌尺子测量扎结和夹子分支之间的距离，确定固定螺纹。获得了在长度上具有多个孔的疝气孔或区域的尺寸。将线重新引入腹腔，并进行类似的操作以测量最大的宽度尺寸。 2-4厘米添加到获得的测量结果中，并获得网状植入物的尺寸。效果：该方法可以测量疝气口的任何构型并选择最佳尺寸的移植物。2ex

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