CN103989498B - Guide suture instrument for anorectal PPH operation - Google Patents
Guide suture instrument for anorectal PPH operation Download PDFInfo
- Publication number
- CN103989498B CN103989498B CN201410177274.8A CN201410177274A CN103989498B CN 103989498 B CN103989498 B CN 103989498B CN 201410177274 A CN201410177274 A CN 201410177274A CN 103989498 B CN103989498 B CN 103989498B
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- China
- Prior art keywords
- split ring
- anorectal
- rod
- pph
- adjust
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 210000002255 anal canal Anatomy 0.000 claims description 14
- 239000013536 elastomeric material Substances 0.000 claims description 8
- 238000005452 bending Methods 0.000 claims description 2
- 239000000463 material Substances 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 6
- 230000006378 damage Effects 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 3
- 239000013013 elastic material Substances 0.000 abstract description 3
- 208000027418 Wounds and injury Diseases 0.000 abstract 1
- 208000014674 injury Diseases 0.000 abstract 1
- 210000004400 mucous membrane Anatomy 0.000 description 9
- 208000014617 hemorrhoid Diseases 0.000 description 8
- 210000004877 mucosa Anatomy 0.000 description 8
- 210000000436 anus Anatomy 0.000 description 5
- 238000007142 ring opening reaction Methods 0.000 description 3
- 208000012287 Prolapse Diseases 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 230000000968 intestinal effect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 238000003908 quality control method Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 206010061149 Female genital tract fistula Diseases 0.000 description 1
- 208000003776 Rectovaginal Fistula Diseases 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 238000013467 fragmentation Methods 0.000 description 1
- 238000006062 fragmentation reaction Methods 0.000 description 1
- 201000007772 internal hemorrhoid Diseases 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 238000009527 percussion Methods 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physiology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a guide suture instrument for an anorectal PPH operation. The guide suture instrument comprises an open ring which is made of elastic materials and can stretch into the anal tube, rods capable of being held by human hands are arranged at the two ends of the open position of the open ring respectively, and the caliber of the open ring can be adjusted by adjusting the distance between the two rods. According to the guide suture instrument for the anorectal PPH operation, a doctor can be assisted in guaranteeing the purse string suture position and depth and the purse string completeness precision in the PPH operation process, and the situation that the operation effect is poor, and the subsidiary injury occurs due to the fact that the purse string suture position and depth are controlled improperly in the former PPH operation is effectively avoided.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, more particularly, to a kind of anorectal PPH operation guiding stiching instrument.
Background technology
Minimally invasive hemorrhoid operation (PPH), also known as Procedure for prolapse hemorrhoid, is with anastomat treatment ring-type prolapsus hemorrhoid
New technique.It is widely used in all kinds of hemorrhoid, the especially patient of Severe internal hemorrhoids and part prolapse of rectal mucosa in recent years.PPH
Operation principle be：Retain anus pad, while by part internal hemorrhoid and mucous membranes on haemorrhoids, sub-mucosal tissues belt resection and anastomosis, carry out
Moment coincide.Both blocked the blood supply of hemorrhoid, and tissue Suspending fixation will have been slipped, the anorectal region of pathological state had been returned to
Normal anatomic statuses.In the past carrying out PPH operation, it is necessary to respectively using anorectal in addition to needing most basic PPH anastomat
Dilator, anorectal introducer and anorectal tie device to assist PPH anastomat, make operation smooth.
The operation method of prior art is：By the special transparent annular anorectal dilator insertion anal canal being used for PPH operation,
Take out anorectal introducer, anorectal is tied in device insertion anorectal dilator.Stitched by rotation with suture at about 4cm on pectinate line
Prick device and do purse string suture under 1 circle or 2 circle mucosas clockwise.Take out anorectal and tie device, PPH anastomat is opened to the limit
Afterwards, its head end extend into above purse string suture line per anum intestinal dilator, tightens up suture and ties a knot.Passed through with supporting line device of holding
Suture is pulled out by PPH anastomat side opening, suitably draws ligature, makes the mucosa of prolapsus enter anastomat sleeve pipe, tightens up anastomat
And fire.Keep it closing head status about 20s, prevent bleeding.Hemorrhoid anastomat is partially opened, gently extracts.
On pectinate line, the height of purse string suture, depth and pocket integrity are to ensure that PPH surgical effect, avoid secondary damage of performing the operation
The committed step of wound.There is following problem in the PPH operation using prior art：1), when performing the operation, purse string suture line requires
At more than pectinate line about 4cm, anastomotic stoma 1～2cm on pectinate line is advisable, and position is too low to make anastomotic position be related to anus pad, due to
In anus pad, blood vessel is more, postoperative easy bleeding；Position is too high, tractive upwards and the suspension function to anus pad produced by operation
Weaken, surgical effect is inconspicuous, even invalid.Due to the experience manual operations completely with doctor for the seam pocket process, lack auxiliary
Help device, when therefore performing the operation, purse string suture line position cannot be accomplished accurately；2), when performing the operation, the depth requirements of purse string suture are in mucosa
Lower floor, sutured the shallow tear easily causing mucosa in tractive, too deep easy damage intestinal wall muscle layer, using existing anorectal seam
Prick the depth that device cannot ensure purse string suture；3) female patient drag wire should avoid positioned at rectum front wall, coincide in closing simultaneously
Should will check whether posterior vaginal wall is pulled in anastomat before device and anastomat percussion, prevent posterior vaginal wall from being excised in the lump,
Cause postoperative recto-vaginal fistula.Some problem above-mentioned, tying device by existing anorectal cannot solve.
For the problems referred to above, the present inventor devises a kind of structure simply, and doctor can be assisted to guarantee purse string suture quality
On the premise of efficiently complete perform the operation anorectal PPH operation guide stiching instrument.
Content of the invention
In view of this, it is an object of the invention to provide a kind of anorectal PPH operation guiding stiching instrument, assisted by this apparatus
Accurately the height of purse string suture, depth and pocket integrity on pectinate line can be carried out with accurate quality control, solve to adopt
During prior art operation, purse string suture height and depth are difficult the problems such as hold.
The present invention is solved the above problems by following technological means：
The invention provides a kind of anorectal PPH operation guiding stiching instrument, including extending into of being made up of elastomeric material
Split ring in anal canal, the two ends at described split ring opening are each provided with the body of rod being available for human hand held, adjust two bars
The distance between body can adjust the caliber size of described split ring.
Further, described split ring is evenly arranged with along the axially extended catch of split ring.
Further, the free end of described catch is to the axle center bending of split ring.
Further, described split ring is bent by flaky elastic material and forms, and the outer circumference surface of described split ring offers
Strip through-hole groove, the length direction of described through-hole groove is perpendicular with the axial direction of split ring.
Further, described split ring is axially set side by side with two along itself, and the two ends at each split ring opening respectively set
It is equipped with the body of rod being available for human hand held, at one of split ring opening, the body of rod at two ends is arranged to cylindrical shape, this cylindrical shape
Two bodies of rod be respectively sleeved on the body of rod at another split ring two ends.
Beneficial effects of the present invention：The present invention anorectal PPH operation with guiding stiching instrument, ensure that PPH operation when pair
On pectinate line, the height of purse string suture, depth and pocket integrity carry out accurate quality control, it is to avoid in conventional PPH operation
Generation because of purse string suture position and the improper malpractice leading to of depth.
Brief description,
The invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is the perspective view that in embodiment 1, anorectal PPH operation of the present invention guides stiching instrument, in figure opening
Loop section is in deployed condition；
Fig. 2 is the perspective view that in embodiment 1, anorectal PPH operation of the present invention guides stiching instrument, in figure opening
Loop section is in crimped configuration；
Fig. 3 is knot when anorectal PPH operation of the present invention guides stiching instrument and anorectal dilator to use cooperatively in embodiment 1
Structure schematic diagram；
Fig. 4 is the perspective view that in embodiment 2, anorectal PPH operation of the present invention guides stiching instrument, in figure opening
Loop section is in deployed condition；
Fig. 5 is the perspective view that in embodiment 3, anorectal PPH operation of the present invention guides stiching instrument, in figure opening
Loop section is in crimped configuration；
Fig. 6 is the perspective view that in embodiment 4, anorectal PPH operation of the present invention guides stiching instrument, in figure opening
Loop section is in crimped configuration；
Fig. 7 is the structural representation that in embodiment 4, anorectal PPH operation guiding stiching instrument of the present invention extend into during anal canal inside
Figure.
Specific embodiment
Below with reference to drawings and Examples, the present invention is described in detail：
Embodiment 1 anorectal PPH operation guiding stiching instrument
As shown in Figures 1 to 3, the anorectal PPH operation guiding stiching instrument of the present embodiment, can including be made up of elastomeric material
It extend into the split ring 1 in anal canal, the two ends at described split ring 1 opening are each provided with a body of rod 2a being available for human hand held,
Adjust the caliber size that the distance between two body of rod 2a can adjust described split ring 1.During operation, anorectal dilator inserts anus
Guan Hou, the distance between two bodies of rod of scalable make split ring bore diminish and put into anorectal dilator rear portion, discharge two bars
Body is so that the split ring of crimped configuration relies on its own resilient to launch to amplify, and then enables split ring and mucosa group in anal canal
Knit contact, pull out the body of rod can make part mucosal tissue be compressed in split ring end face and anorectal dilator 5 inner side end it
Between, form protuberance state, now doctor can enter pin at the mucosa of protuberance, you can make the position into pin accurate, ensure that simultaneously
Accurately, the depth for making purse string suture is accurate, and the height of above-mentioned anorectal dilator 5 should compare prior art for the depth of purse string suture
The height of middle anorectal dilator is big, and that is, anorectal dilator distal end end face should be just at the above 4cm of pectinate line.
Anorectal PPH operation guiding stiching instrument in the present embodiment have structure be simple and convenient to operate, pocket seam guide accurate
High the advantages of.
Embodiment 2 anorectal PPH operation guiding stiching instrument
As shown in figure 4, the anorectal PPH operation guiding stiching instrument of the present embodiment, including stretching of being made up of elastomeric material
Enter the split ring 1 in anal canal, the two ends at described split ring 1 opening are each provided with a body of rod 2a being available for human hand held, adjust
The distance between two body of rod 2a of section can adjust the caliber size of described split ring 1, described split ring 1 is evenly arranged with many
Individual along the axially extended catch 3 of split ring 1, catch is set so that being exposed to split ring 1 and anorectal dilator distal end end face
Between mucosal tissue assume fragmentation state, solve to enter pin on the mucosa of continuous protuberance, be difficult to hold the problem into pin depth.
Preferably, the free end of described catch bends so that when pulling out body of rod 2a, catch 3 tip will not to the axle center of split ring
Puncture mucous membrane of anal canal.
Embodiment 3 anorectal PPH operation guiding stiching instrument
As shown in figure 5, the anorectal PPH operation guiding stiching instrument of the present embodiment, including stretching of being made up of elastomeric material
Enter the split ring 1 in anal canal, the two ends at described split ring 1 opening are each provided with a body of rod 2a being available for human hand held, adjust
Section the distance between two body of rod 2a can adjust the caliber size of described split ring 1, and described split ring 1 is by flaky elastic material
Bend and form, the outer circumference surface of described split ring 1 uniformly offers three strip through-hole grooves 4, the length of described through-hole groove 4
Direction is perpendicular with the axial direction of split ring 1, specifically, can smoothly take out for convenience of suture after-opening ring 1, often two neighboring logical
The thin seam allowing stitching thread to pass through should be offered between hole slot 4.PPH operation in the present embodiment is being used with anorectal seam guide device
When, its split ring 1 need not make mucosal tissue swell with the clamping cooperation of anorectal dilator distal end end face, but by discharging two bars
Body 2a, launch split ring 1, so that the lateral wall of split ring 1 is close on mucosal tissue in anal canal, thus oppress mucosal tissue from
Come out in through-hole groove 4.In the present embodiment, the advantage of PPH operation anorectal seam guide device is：1) split ring 1 is inserted into anal canal
Interior depth can arbitrarily be adjusted；2) by way of increasing split ring bore and oppressing exposure mucosal tissue, compare using clamping
Mode, that can improve sewing needle further enters pin depth, and then significantly improves success rate and the degree of safety of operation.
Embodiment 4 anorectal PPH operation guiding stiching instrument
As shown in Figures 6 and 7, the anorectal PPH operation guiding stiching instrument of the present embodiment, can including be made up of elastomeric material
It extend into the split ring 1 in anal canal, the two ends at described split ring 1 opening are each provided with a body of rod 2a being available for human hand held,
Adjust the caliber size that the distance between two body of rod 2a can adjust described split ring 1, described split ring 1 is along itself axially simultaneously
Row are provided with two, and the two ends at each split ring 1 opening are each provided with the body of rod 2a, a 2b being available for human hand held, and wherein one
At individual split ring 1 opening, the body of rod 2b at two ends is arranged to cylindrical shape, and this columnar two body of rod 2b is respectively sleeved at another
On the body of rod 2a at split ring 1 two ends.In operation process, by push-and-pull columnar body of rod 2b, between two split rings 1 of scalable
Distance, and then adjust and be clamped in the bump height of mucosal tissue between two split rings 1, equally can improve suture further
The success rate and the degree of safety that enter pin depth, significantly improve operation of pin.
Finally illustrate, above example only in order to technical scheme to be described and unrestricted, although with reference to relatively
Good embodiment has been described in detail to the present invention, it will be understood by those within the art that, can be to the skill of the present invention
Art scheme is modified or equivalent, the objective without deviating from technical solution of the present invention and scope, and it all should be covered at this
In the middle of the right of invention.
Claims (4)
1. a kind of anorectal PPH operation with guiding stiching instrument it is characterised in that：Including the extend into anal canal being made up of elastomeric material
In split ring（1）, described split ring（1）Two ends at opening are each provided with the body of rod being available for human hand held（2a）, adjust
Two bodies of rod（2a）The distance between can adjust described split ring（1）Caliber size, described split ring（1）On be uniformly arranged
Have multiple along split ring（1）Axially extended catch（3）.
2. anorectal PPH according to claim 1 operation with guiding stiching instrument it is characterised in that：Described catch（3）Freedom
Hold to split ring（1）Axle center bending.
3. a kind of anorectal PPH operation with guiding stiching instrument it is characterised in that：Including the extend into anal canal being made up of elastomeric material
In split ring（1）, described split ring（1）Two ends at opening are each provided with the body of rod being available for human hand held（2a）, adjust
Two bodies of rod（2a）The distance between can adjust described split ring（1）Caliber size, described split ring（1）By sheet like flexible
Material bends and forms, described split ring（1）Outer circumference surface on offer strip through-hole groove（4）, described through-hole groove（4）Length
Degree direction and split ring（1）Axial direction perpendicular.
4. a kind of anorectal PPH operation with guiding stiching instrument it is characterised in that：Including the extend into anal canal being made up of elastomeric material
In split ring（1）, described split ring（1）Two ends at opening are each provided with the body of rod being available for human hand held（2a）, adjust
Two bodies of rod（2a）The distance between can adjust described split ring（1）Caliber size, described split ring（1）Along itself axially
It is set side by side with two, each split ring（1）Two ends at opening are each provided with the body of rod being available for human hand held（2a, 2b）,
One of split ring（1）The body of rod at two ends at opening（2b）It is arranged to cylindrical shape, this columnar two body of rod（2b）Respectively
It is set in another split ring（1）The body of rod at two ends（2a）On.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410177274.8A CN103989498B (en) | 2014-04-29 | 2014-04-29 | Guide suture instrument for anorectal PPH operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410177274.8A CN103989498B (en) | 2014-04-29 | 2014-04-29 | Guide suture instrument for anorectal PPH operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103989498A CN103989498A (en) | 2014-08-20 |
| CN103989498B true CN103989498B (en) | 2017-02-15 |
Family
ID=51304014
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410177274.8A Expired - Fee Related CN103989498B (en) | 2014-04-29 | 2014-04-29 | Guide suture instrument for anorectal PPH operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103989498B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104207808B (en) * | 2014-09-05 | 2018-09-25 | 北京派尔特医疗科技股份有限公司 | One kind tying device |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2890847A1 (en) * | 2005-09-22 | 2007-03-23 | Claude Franceschi | Device for arresting and controlling haemorrhages of arterial or venous wounds whilst leaving the haemorrhage zone clear for inspection |
| CN101190144A (en) * | 2006-11-27 | 2008-06-04 | 苏州天臣国际医疗科技有限公司 | Hemorrhoids surgical instrument |
| CN202950698U (en) * | 2012-12-14 | 2013-05-29 | 南京曙光医院 | Mucosal open ring type fixed suturing device on hemorrhoids |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6102271A (en) * | 1998-11-23 | 2000-08-15 | Ethicon Endo-Surgery, Inc. | Circular stapler for hemorrhoidal surgery |
| US20040254590A1 (en) * | 2003-06-16 | 2004-12-16 | Hoffman Gary H. | Method and instrument for the performance of stapled anastamoses |
| US7318830B2 (en) * | 2004-04-12 | 2008-01-15 | Mayoral Jaime L | Apparatus and method of use of a circular surgical stapler |
| CN101757717A (en) * | 2008-12-01 | 2010-06-30 | 苏州天臣国际医疗科技有限公司 | Novel anus spreader base |
| EP2490600A1 (en) * | 2009-10-23 | 2012-08-29 | Le Groupe Hospitalier Des Diaconesses Croix Saint-Simon | Circular hemostatic apparatus and method of use thereof |
| CN201612650U (en) * | 2010-02-26 | 2010-10-27 | 中山大学附属第六医院 | Anal speculum stitching device |
-
2014
- 2014-04-29 CN CN201410177274.8A patent/CN103989498B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2890847A1 (en) * | 2005-09-22 | 2007-03-23 | Claude Franceschi | Device for arresting and controlling haemorrhages of arterial or venous wounds whilst leaving the haemorrhage zone clear for inspection |
| CN101190144A (en) * | 2006-11-27 | 2008-06-04 | 苏州天臣国际医疗科技有限公司 | Hemorrhoids surgical instrument |
| CN202950698U (en) * | 2012-12-14 | 2013-05-29 | 南京曙光医院 | Mucosal open ring type fixed suturing device on hemorrhoids |
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| Publication number | Publication date |
|---|---|
| CN103989498A (en) | 2014-08-20 |
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