CN105662544A - Absolutely scarless prepuce circumcision assembly and absolutely scarless prepuce circumcision method - Google Patents
Absolutely scarless prepuce circumcision assembly and absolutely scarless prepuce circumcision method Download PDFInfo
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- CN105662544A CN105662544A CN201610148205.3A CN201610148205A CN105662544A CN 105662544 A CN105662544 A CN 105662544A CN 201610148205 A CN201610148205 A CN 201610148205A CN 105662544 A CN105662544 A CN 105662544A
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- annular
- casing pipe
- foreskin
- fixed sleeving
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
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- 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
- A61B17/1155—Circular staplers comprising a plurality of staples
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
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- Animal Behavior & Ethology (AREA)
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Abstract
The invention provides an absolutely scarless prepuce circumcision assembly and an absolutely scarless prepuce circumcision method.The absolutely scarless prepuce circumcision assembly comprises an outer circumcision casing pipe and an inner fixing casing pipe; the outer circumcision casing pipe is arranged on the inner fixing casing pipe in a sleeving mode and connected with the inner fixing casing pipe in a clamping mode, the lower end of the inner fixing casing pipe is provided with an annular stop edge extending outwards, and the upper end of the inner fixing casing pipe is provided with a thread portion; the outer circumcision casing pipe comprises an outer casing pipe, an annular blade and an annular nail bin, the annular nail bin is fixed at the lower end of the outer casing pipe, and a connecting shaft penetrates through a sliding groove and is hinged to a lifting driving structure arranged outside the outer casing pipe.The absolutely scarless prepuce circumcision assembly further comprises a nut, and when the inner fixing casing pipe stretches out of the outer circumcision casing pipe, the nut is in threaded connection with the thread portion.According to the absolutely scarless prepuce circumcision assembly, a preputial outer plate at the penis, scrotum and abdominal wall can be cut out, so that postoperative preputial swelling is greatly relieved; an inner plate around the glans penis where nerve distribution is quite wide is retained, a scar of the cut part is hidden in pubes after the pubes grow out, and therefore the absolutely scarless effect can be achieved.
Description
Technical field
The present invention relates to medical instruments field, particularly to a kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method.
Background technology
Redundant prepuce, phimosis are high at Asian countries's sickness rate, the harm of redundant prepuce: 1, foreskin encases glans penis for a long time so that glans penis becomes very sensitive, and when there is sexual behaviour, glans penis very easily causes premature ejaculation due to very sensitive; 2, easily cause male sterility, cause prostatitis owing to smegma infects, reduce motility of sperm and semen liquefied duration, can cause sterile; 3, " smegma " during redundant prepuce, it is easily generated. Smegma appropriate bacterial grows, therefore can cause glans penis and foreskin inflammation; 4, redundant prepuce is the major source and the key factor that cause the cross infection repeatedly of men and women's reproductive disease; 5, the stimulation of the dirt such as the antibacterial in long-term prepuce of penis, virus, epithelial cell of coming off, can make the morbidity chance of carcinoma of penis increase. So popular so in short at Urology Surgery: this thing of foreskin, sooner or later to cut.
In the posthetomy that China is traditional, artificial operation has the disadvantage that: 1, short time consumption is long, often cannot complete operation in local anaesthesia drug treating time, it is everlasting the operation second half section, do second time anesthesia, the anesthesia of circumcision is suitable pain as everybody knows, so bringing many miseries to patient. 2, amount of bleeding is many, tradition is peritomized needs cut-out Inner prepuce, inner panel contains substantial amounts of blood vessel and lymphatic vessel, and petechia needs conventional silk thread hemostasis by ligation, thus can leave over a large amount of the end of a thread on the inner panel of foreskin, owing to silk thread cannot absorb, this just brings many miseries in the future to patient, and therefore a lot of doctors can select to stop blooding with electric knife, but the coagulation of electric knife can damage more lymphatic capillary, in postoperative foreskin water, meeting especially severe, brings great misery to patient. 3, due to the sensitivity that the foreskin at glans penis place is suitable, so pain when taking out stitches is even above operation.Partial Hospitals, in order to alleviate patient pain, can give local anesthesia when taking out stitches, so many hospitals can use expensive absorbable thread.
Many anastomats occur in clinical position in recent years, and be widely used in clinic, also material benefit is brought to extensive patients, its advantage is: 1, operating time is greatly shortened, common posthetomy probably needs 40-60 minute, and using anastomat, operating time shortens to 10-20 minute, it is possible to save a greater part of time; 2, amount of bleeding is few, only has several milliliters, and even major part blood loss volume during the operation is within 1 milliliter. 3, alleviating patient pain, operating time is short, and patient can strive for before anesthetic action is in the past to ward or rest of going home. 4, without taking out stitches, the nail of titanium alloy can start shedding off for about 1 week after surgery, within about 2 weeks, has come off.
Even if but in clinic, so still have disadvantages that needs go to improve: 1, current anastomat is in posthetomy, major part can be excised and originally held the inner panel of penis, this part inner panel is very sensitive, it it is the important sources of pleasant sensation in Male sexual life, excise this part inner panel, the pleasant sensation of male can be reduced; 2, needing the head end of foreskin to tie up on the holder when cutting foreskin, glans penis is enclosed in foreskin, does not see the position of foreskin and glans penis, is often not easy to hold the length of excision; 3, postoperative generally all no small cicatrix can be left at the foreskin on glans penis side, although wanting neat compared with traditional-handwork ring cutting cicatrix, but the postoperative meeting in the cicatrix some time of some patients is erecing or swelling, even subcutaneous fibrotic hamartoplasia after sexual life, brings no small misery to extensive patients; 4, owing to anastomat can excise the portion strap being close to glans penis, in frenulum, blood supply is enriched, especially glans penis and foreskin junction, and the petechia that this operation is main often often has the hemorrhage of activeness; 5, cut-out Inner prepuce, damaged portion lymphatic capillary, cause obstruction of lymphatic return, swelling is obvious.
Summary of the invention
It is an object of the invention to provide a kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method, the modus operandi of its thorough posthetomy of overturning over, the inner panel of original glans penis exoperidium can be retained, allow the foreskin at glans penis place keep ecosystem, and accomplish the accurate ring cutting effect without cicatrix.
This invention address that its technical problem is adopted the technical scheme that: a kind of accurate seamless foreskin cutting assembly, including outer cutting cannula and interior fixed sleeving, outer cutting cannula is placed on interior fixed sleeving, and with interior fixed sleeving clamping, interior fixed sleeving lower end has outward extending annular gear edge, annular gear is provided with blade pad in edge, interior fixed sleeving upper end is provided with threaded portion, circumferencial direction along interior fixed sleeving outer wall is provided with one group of positioning convex, and described interior fixed sleeving is shaped with the binding groove around its outer wall circumferencial direction near the one end on annular gear edge;
Described outer cutting cannula includes trocar sheath, annular blade and annular nail bin, annular nail bin is fixed on the lower end of trocar sheath, along the uniform some ejector pin bars of its circumferencial direction on annular blade outer wall, the inwall of annular nail seat is provided with the nail bin being slidingly fitted with ejector pin bar, the inwall of annular blade is additionally provided with the locating slot matched with positioning convex, also fixed connection axle on the outer wall of annular blade, it is connected spring connecting to be provided with between axle and ejector pin bar, the sidewall of trocar sheath offers slide slot, described connection axle through slide slot and with trocar sheath outside lifting drive structure be connected,
The seamless foreskin cutting assembly of described standard also includes a nut, and when interior fixed sleeving stretches out in outer cutting cannula, nut is connected with threaded portion.
Preferred structure as the present invention, described lifting drives structure to include fixed handle and the lifting handle being arranged on outside trocar sheath, one end downward bending of lifting handle and by connecting plate with is connected axle flexible connection, the bending place of lifting handle and the outer wall of trocar sheath are hinged.
Preferably, the front end of described lifting handle is also provided with offering the drive division of arcuate groove, and the tail end of lifting handle is provided with anti-skidding projection; It is additionally provided with safety block between fixed handle and lifting handle.
Present invention also offers a kind of accurate seamless foreskin cutting method, comprise the steps:
(1) perineal position preserved skin, is first awarded, sterilization, paving hole towel, radix penis part local infiltration anesthesia;
(2), by interior fixed sleeving it is enclosed within radix penis part, and the foreskin outside plate of folding of wrinkling when being risen by downward strip surrounds annular gear along upper, prick fixing for the foreskin outside plate of wrinkle folding on described binding groove with suture or wire bundling device;
(3), then by outer ring Casing-Cutting being enclosed within described interior fixed sleeving, described positioning convex matches with locating slot, interior fixed sleeving and outer ring Casing-Cutting is fixed together with nut;
(4), safety block is unloaded, upwards hold lifting handle, drive connecting plate, annular blade is promoted to move down by connecting axle, when described annular blade is conflicted with the blade pad in annular gear edge, the prepuce tissues of wrinkle folding is cut off, and the suturing nail in nail bin is ejected by the ejector pin bar being also secured on annular blade, and foreskin incision is sewed up;
(5), after 10-15S, nut is backed out, annular Casing-Cutting and interior fixed sleeving, sterile dressing except whole removing.
The invention has the beneficial effects as follows:
(1) utilizing the present invention to excise and be positioned at radix penis part, namely penis is with the foreskin outside plate at scrotum and stomach wall place, owing to the outside plate of foreskin is very poor, seldom has big blood vessel and neural and lymphatic capillary, and this makes the swelling of postoperative foreskin significantly alleviate; Next remains the inner panel around Substance P glans penis quite widely so that postoperative life quality is protected, and the cicatrix at excision position can be hidden in pubes after pubes are longer, it is possible to accomplish accurate seamless; Dividing a word with a hyphen at the end of a line at radix penis part penis frenulum swells in " cicatrix " line sample of surface, and its internal contained blood vessel, neural to lack much compared with glans penis lower end, postoperative hemorrhage amount is few.
(2) during operation, owing to interior fixed sleeving and outer cutting cannula are all enclosed within penis, penis head stretches out interior fixed sleeving, when fixing foreskin outside plate, it is possible to observe the length needing excision foreskin intuitively; Safety is high.
Accompanying drawing explanation
Fig. 1 is the structural representation of outer cutting cannula in the present invention;
Fig. 2 is the structural representation of interior fixed sleeving in the present invention;
Fig. 3 is that the present invention lifts the schematic diagram driving structure;
Fig. 4 is that the present invention uses view. In figure:
1, threaded portion, 2. positioning convex, fixed sleeving in 3., 4. binding groove, 5. annular gear edge, 6. connecting plate, 7. slide slot, 8. fixed handle, 9. lifting handle, 10. trocar sheath, 11. connect spring, 12. ejector pin bars, 13. annular blade, 14. nail bins, 15. annular nail seats, 16. blade pads, 17. connection axle, 18. nuts, 19. foreskin outside plates, 20. penises, 21. safety block, 22. arcuate grooves, 23. anti-skidding projections.
Detailed description of the invention
The technical scheme of invention is further illustrated below by specific embodiment.
As Figure 1-3: a kind of accurate seamless foreskin cutting assembly, including outer cutting cannula and interior fixed sleeving 3, outer cutting cannula is placed on interior fixed sleeving 3, and with the clamping of interior fixed sleeving 3, interior fixed sleeving 3 lower end has outward extending annular gear along 5, annular gear is provided with blade pad 16 along 5, interior fixed sleeving 3 upper end is provided with threaded portion 1, circumferencial direction along interior fixed sleeving 3 outer wall is provided with one group of positioning convex 2, and one end that described interior fixed sleeving 3 keeps off along 5 near annular is shaped with the binding groove 4 around its outer wall circumferencial direction;
Described outer cutting cannula includes trocar sheath 10, annular blade 13 and annular nail seat 15, annular nail seat 15 is fixed on the lower end of trocar sheath 10, along the uniform some ejector pin bars 12 of its circumferencial direction on annular blade 13 outer wall, the inwall of annular nail seat 15 is provided with the nail bin 14 being slidingly fitted with ejector pin bar 12, the inwall of annular blade 13 is additionally provided with the locating slot matched with positioning convex 2, also fixed connection axle 17 on the outer wall of annular blade 13, it is connected spring 11 connecting to be provided with between axle 17 and ejector pin bar 12, the sidewall of trocar sheath 10 offers slide slot 7, described connection axle 17 through slide slot 7 and with trocar sheath 10 outside lifting drive structure be connected,
The seamless foreskin cutting assembly of described standard also includes a nut 18, and when interior fixed sleeving 3 stretches out in outer cutting cannula, nut 18 is threadeded with threaded portion 1.
Described lifting drives structure to include the fixed handle 8 and the lifting handle 9 that are arranged on outside trocar sheath 10, and one end downward bending of lifting handle 9 is also flexibly connected with being connected axle 17 by connecting plate 6, and the bending place of lifting handle 9 and the outer wall of trocar sheath 10 are hinged.
The front end of described lifting handle 9 is also provided with offering the drive division of arcuate groove 22, and the tail end of lifting handle 9 is provided with anti-skidding protruding 23; Safety block 21 it is additionally provided with between fixed handle 8 and lifting handle 9.
As shown in Figure 4, when utilizing accurate seamless foreskin cutting assembly to carry out the cutting of accurate seamless foreskin, (1), first award perineal position preserved skin, sterilization, paving hole towel, penis 20 root local infiltration anesthesia; (2), by interior fixed sleeving 3 it is enclosed within penis 20 root, and the foreskin outside plate 19 of folding of wrinkling when being risen by downward strip surrounds annular gear along 5, prick fixing for the foreskin outside plate 19 of wrinkle folding on described binding groove 4 with suture or wire bundling device; (3), then by outer ring Casing-Cutting being enclosed within described interior fixed sleeving 3, described positioning convex 2 matches with locating slot, it is prevented that during follow-up stubborn nut 18, sidespin occurs interior fixed sleeving 3, and penis is caused damage; Then with nut 18, interior fixed sleeving 3 is fixed together with outer ring Casing-Cutting; (4), safety block 21 is unloaded, upwards hold lifting handle 9, drive connecting plate 6, annular blade 13 is promoted to move down by connecting axle 17, when described annular blade 13 is conflicted with annular gear blade pad 16 along 5, the prepuce tissues of wrinkle folding is cut off, and the suturing nail in nail bin is ejected by the ejector pin bar 12 being also secured on annular blade 13, and foreskin incision is sewed up; (5), after 10-15S, nut 18 is backed out, annular Casing-Cutting and interior fixed sleeving 3, sterile dressing except whole removing; Treating wound healing, suturing nail comes off, and perineum place hair length is long, and otch is hidden in pubes, it is possible to accomplish accurate seamless cutting.
Outside technical characteristic described in description, it is those skilled in the art known technology.
Claims (5)
1. the seamless foreskin cutting assembly of standard, including outer cutting cannula and interior fixed sleeving (3), outer cutting cannula is placed on interior fixed sleeving (3), and with interior fixed sleeving (3) clamping, it is characterized in that: interior fixed sleeving (3) lower end has outward extending annular gear edge (5), annular gear is provided with blade pad (16) in (5), interior fixed sleeving (3) upper end is provided with threaded portion (1), circumferencial direction along interior fixed sleeving (3) outer wall is provided with one group of positioning convex (2), described interior fixed sleeving (3) is shaped with the binding groove (4) around its outer wall circumferencial direction near one end of annular gear edge (5),
Described outer cutting cannula includes trocar sheath (10), annular blade (13) and annular nail seat (15), annular nail seat (15) is fixed on the lower end of trocar sheath (10), along the uniform some ejector pin bars (12) of its circumferencial direction on annular blade (13) outer wall, the inwall of annular nail seat (15) is provided with the nail bin (14) being slidingly fitted with ejector pin bar (12), the inwall of annular blade (13) is additionally provided with the locating slot matched with positioning convex (2), fixed connection axle (17) on the outer wall of annular blade (13), it is connected spring (11) connecting to be provided with between axle (17) and ejector pin bar (12), the sidewall of trocar sheath (10) offers slide slot (7), described connection axle (17) drives structure to be connected through slide slot (7) and with trocar sheath (10) lifting outward,
The seamless foreskin cutting assembly of described standard also includes a nut (18), and when interior fixed sleeving (3) stretches out in outer cutting cannula, nut (18) is threadeded with threaded portion (1).
2. the seamless foreskin cutting assembly of standard according to claim 1, it is characterized in that: described lifting drives structure to include being arranged on the outer fixed handle (8) of trocar sheath (10) and lifting handle (9), one end downward bending of lifting handle (9) and by connecting plate with is connected axle (17) flexible connection, the outer wall of the bending place of lifting handle (9) and trocar sheath (10) is hinged.
3. the seamless foreskin cutting assembly of standard according to claim 2, it is characterized in that: the front end of described lifting handle (9) is provided with the drive division of arcuate groove (22), connecting axle (17) and be positioned at arcuate groove (22), the tail end of lifting handle (9) is provided with anti-skidding projection (23).
4. the seamless foreskin cutting assembly of standard according to claim 1, it is characterised in that: it is additionally provided with safety block (21) between described fixed handle (8) and lifting handle (9).
5. one kind adopts the method that the seamless foreskin cutting assembly of the standard described in claim 1 carries out the cutting of accurate seamless foreskin, it is characterised in that: comprise the steps:
(1) perineal position preserved skin, is first awarded, sterilization, paving hole towel, radix penis part local infiltration anesthesia;
(2), by interior fixed sleeving (3) it is enclosed within radix penis part, and the foreskin outside plate (19) of folding of wrinkling when being risen by downward strip surrounds annular gear on (5), prick fixing for the foreskin outside plate (19) of wrinkle folding on described binding groove (4) with suture or wire bundling device;
(3), then by outer ring Casing-Cutting being enclosed within described interior fixed sleeving (3), described positioning convex (2) matches with locating slot, interior fixed sleeving (3) and outer ring Casing-Cutting is fixed together with nut (18);
(4), safety block (21) is unloaded, upwards hold lifting handle (9), drive connecting plate (6), annular blade (13) is promoted to move down by connecting axle (17), when described annular blade (13) is conflicted with annular gear blade pad (16) along (5), the prepuce tissues of wrinkle folding is cut off, and the suturing nail in nail bin is ejected by the ejector pin bar (12) being also secured on annular blade (13), and foreskin incision is sewed up;
(5), after 10-15S, nut (18) is backed out, annular Casing-Cutting and interior fixed sleeving (3), sterile dressing except whole removing.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610148205.3A CN105662544B (en) | 2016-03-16 | 2016-03-16 | A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610148205.3A CN105662544B (en) | 2016-03-16 | 2016-03-16 | A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method |
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| CN105662544A true CN105662544A (en) | 2016-06-15 |
| CN105662544B CN105662544B (en) | 2018-01-30 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201610148205.3A Active CN105662544B (en) | 2016-03-16 | 2016-03-16 | A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method |
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| CN (1) | CN105662544B (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108606821A (en) * | 2016-12-12 | 2018-10-02 | 创生医疗器械（中国）有限公司 | A kind of percutaneous opening device |
| CN110179531A (en) * | 2019-07-04 | 2019-08-30 | 河西学院附属张掖人民医院 | A kind of radix penis part circumcision auxiliary girdling device |
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| CN104523323A (en) * | 2015-01-23 | 2015-04-22 | 王世游 | Prepuce suturing cutter |
| CN105078546A (en) * | 2015-09-14 | 2015-11-25 | 湖北博康医药科技有限公司 | Prepuce cutting and stitching instrument |
| CN205493960U (en) * | 2016-03-16 | 2016-08-24 | 程广东 | Standard does not have trace foreskin cutting assembly |
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| JPS49105395A (en) * | 1973-02-12 | 1974-10-05 | ||
| US20060180157A1 (en) * | 2004-08-18 | 2006-08-17 | Williams James H | Foreskin prosthesis |
| CN201001746Y (en) * | 2006-12-29 | 2008-01-09 | 何育驹 | Circumcision stapler |
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| WO2011017737A1 (en) * | 2009-08-13 | 2011-02-17 | Milad Melhem | A circumcision device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN108606821A (en) * | 2016-12-12 | 2018-10-02 | 创生医疗器械（中国）有限公司 | A kind of percutaneous opening device |
| CN110179531A (en) * | 2019-07-04 | 2019-08-30 | 河西学院附属张掖人民医院 | A kind of radix penis part circumcision auxiliary girdling device |
| CN110179531B (en) * | 2019-07-04 | 2022-05-10 | 河西学院附属张掖人民医院 | Auxiliary ring cutter for penis root prepuce operation |
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| Publication number | Publication date |
|---|---|
| CN105662544B (en) | 2018-01-30 |
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