首页> 外国专利> SURGICAL METHOD FOR TREATING PELVIC PROLAPSE AND RECTOCELE CASES

SURGICAL METHOD FOR TREATING PELVIC PROLAPSE AND RECTOCELE CASES

机译：治疗上睑下垂和直肠癌的手术方法

页面导航

摘要
著录项
相似文献

摘要

FIELD: medicine.;SUBSTANCE: method involves carrying out combined spinal and intravenous anesthesia. Greater sexual lips are sutured to perineal skin on both sides. Diamond-shaped incision is done on posterior vaginal wall, the incision grows wide from top to bottom, and the incision bottom edge corresponds to the posterior vaginal wall bottom edge, and the incision top edge corresponds to the posterior vaginal wall bulging top edge. Rectovaginal partition is exposed upwards to posterior vaginal vault top, anterior muscle portions of rectum-lifting muscles are mobilized, and anterior fascia portions of the rectum-lifting muscles are cut along muscular fibers. Mirror is introduced into wound and vagina is lifted as high as possible towards entrance into small pelvis and then exposed posterior leaflets of the right and left anterior fascia portions of the rectum-lifting muscles are sutured to each other with absorbable synthetic sutures. Implant, surgical wavy trapezoid Prolene gauze is placed in wound with wider trapeze base being individually selected with distance between anterior portions of the rectum-lifting muscles in their attachment places adjacent to bottom branches of patient pubic bones, taken into account. The gauze has perpendicular arrangement of its fibers. The wider trapeze base is placed in proximal position and stretched from the posterior vaginal vault top to the operational access bottom edge. Its lateral edges are proximally fixed to periosteum of internal surface of the right and left pubic bone bottom branches at the places the rectum-lifting muscles are attached to them and also fixed with 2-5 interrupted sutures to the posterior vaginal vault and to the anterior rectum wall with nonabsorbable suture. Distal redundant narrow portion of stretched implant is dissected in the middle at the level of 1 cm above the lower edge of vaginal wound giving the implant trousers shape. Tunnels are bluntly created through the available separate 10-15 mm long incisions in internal sciatic tubercles edges projection area from skin to the lower lateral edges of rectovaginal partition wound and then each leg of trousers-shaped implant is brought out through the created tunnels to pireneal skin with some excess left. The implant is pulled catching each of the implant legs, straightened and stretched in operation wound on posterior fascia leaflets sutured to each other of the anterior portions of the rectum-lifting muscles with two longitudinal central absorbable suture rows 10-15 cm far from each other. Then anterior levatoroplasy is carried out above the implant with 3-4 interrupted absorbable sutures and implant legs are fixed through incisions in sciatic tubercles projection with interrupted nonabsorbable sutures to sciatic tubercles periosteum. Unused implant rest is cut off. Skin wounds are sutured. Redundant posterior vaginal wall residue restricted by incision is excised and the vaginal wound is repaired with isolated interrupted sutures.;EFFECT: provided sufficient blood supply to the implant-surrounding tissues; reliable engraftment conditions; reduced risk of rectocele and metroptosis relapses.;2 cl

机译：领域：医学。;实质：该方法涉及进行脊髓和静脉联合麻醉。将较大的性爱嘴唇缝合到会阴两侧的皮肤上。在阴道后壁上做菱形切口，切口从顶部到底部逐渐变宽，切口底部边缘对应于阴道后壁底部边缘，切口顶部边缘对应于阴道后壁凸起的顶部边缘。直肠阴道分隔物向上暴露于阴道后穹top顶部，动员直肠提肌的前肌部分，并沿肌纤维切开直肠提肌的前筋膜部分。将镜子插入伤口，并向着小骨盆的入口尽可能高地提起阴道，然后用可吸收的合成缝线将直肠提肌的左右前筋膜部分的暴露后叶相互缝合。考虑将植入的外科手术波浪形梯形Prolene纱布放在伤口上，并选择较宽的梯形基底，并考虑到直肠提升肌肉前部在靠近患者耻骨底部分支的附着位置之间的距离。纱布的纤维垂直排列。较宽的空中飞人基地被放置在近端位置，并从后阴道穹顶顶部延伸到手术通道底部边缘。它的侧边缘在直肠提肌附着的位置近端固定在左右耻骨底部分支的骨膜的内表面，并用2-5条间断缝合线固定在阴道后穹and和前部直肠壁不可吸收的缝合线。将伸展的植入物的远端多余狭窄部分在阴道伤口下边缘上方1 cm处的中间解剖，从而获得植入物裤子的形状。通过坐骨结节内缘边缘投影区域（从皮肤到直肠阴道分隔伤口的下侧边缘）中可用的单独的10-15 mm长切口，直截了当地创建隧道，然后将裤子形植入物的每条腿从创建的隧道中引出至胸膜剩余一些多余的皮肤。牵拉植入物，抓住每个植入物腿，在手术中拉直并拉伸，缠绕在直肠提肌的前部彼此缝合的后筋膜小叶上，两个纵向中央可吸收缝合线彼此相距10-15 cm 。然后，用3-4个可吸收的间断缝合线在植入物上方进行前上睑提肌，并通过用不可吸收的间断缝合线将坐骨结节突出处的切口固定到坐骨结节骨膜上。未使用的种植体支架被切除。缝合皮肤伤口。切除切口限制的多余的阴道后壁残余物，并用孤立的间断缝合线修复阴道伤口。效果：为种植体周围组织提供足够的血液;可靠的植入条件;减少直肠膨出和牙髓病复发的风险。; 2 cl

著录项

公开/公告号RU2308242C2

专利类型
公开/公告日2007-10-20

原文格式PDF
申请/专利权人 KITAEV ALEKSANDR VASILEVICH;PETROV VALENTIN PAVLOVICH;LEONOV SERGEJ VITALEVICH;SHVETS ELENA VIKTOROVNA;
展开▼

申请/专利号RU20050119486
发明设计人 SHVETS ELENA VIKTOROVNA;PETROV VALENTIN PAVLOVICH;KITAEV ALEKSANDR VASILEVICH;LEONOV SERGEJ VITALEVICH;
展开▼

申请日2005-06-23
分类号A61B17/42;
国家 RU
入库时间 2022-08-21 20:30:26

相似文献

专利
外文文献
中文文献