CN105982711A

CN105982711A - Rectal surgery anastomosis leakage prevention and treatment system

Info

Publication number: CN105982711A
Application number: CN201510099117.4A
Authority: CN
Inventors: 刘忠臣
Original assignee: Individual
Current assignee: Individual
Priority date: 2015-03-04
Filing date: 2015-03-04
Publication date: 2016-10-05

Abstract

The invention relates to a rectal surgical instrument system, in particular to a rectal surgery anastomosis leakage prevention and treatment system. An anastomotic leakage prevention and treatment system mainly used for rectal surgery anastomosis is provided. The system is provided with tubular anastomat with a stayguy, an anus-expanding device with a thread, a corner needle holder, a rectal T-shaped wide-mouth flushable three-cavity drainage tube and a dual-purpose three-cavity flushable abdominal cavity and pleural cavity drainage tube, and the rectal surgery anastomosis leakage prevention and treatment system is formed.

Description

The operation on rectum leakage that coincide prevents and treats system

Technical field

The present invention relates to a kind of operation on rectum device system, prevent and treat system particularly with regard to the leakage that coincide of a kind of operation on rectum.

Background technology

In operation on digestive tract, it is frequently necessary to carry out digestive tract rebuilding sew up, and excision must dock the internal organs excess tissue after sewing up, so that alimentary reconstruction, in order to ensure smoothly completing of above-mentioned operation, generally use disposable digestive tract stapler, there is anastomotic leakage and the hemorrhage complication of anastomat after surgery, incidence rate about 1～3%, the lighter causes delay to leave hospital, and severe one causes patients ' lives dangerous.Design a set of tighter operation on rectum leakage preventing and treating surgical tool system that coincide surgery reduces this type of complication to have great significance.

The applicant is a kind of band bracing wire circular stapler disclosed in Chinese patent ZL201420061387.7, it is provided with flexible handle, device body, nail bit, nail bin, nail bit bar and bracing wire, the front end of device body is connected with nail bit, the rear end of device body is connected with flexible handle, and described nail bin is provided with nail kit, nail seat, anastomosis staple, and the top of nail bit is flexibly connected with nail bit bar, nail seat is coincide with nail kit activity and is connected, nail seat is coincide with nail kit activity and is connected, and described bracing wire is provided with 2～40, and bracing wire is located at position, anastomosis staple front end.

The applicant is a kind of threaded anus-expanding unit disclosed in Chinese patent ZL201420857531.8, is provided with threaded sleeve and tube core, tube core and threaded sleeve and uses Split type structure, and inserting anus mode is that rotation is inserted.

The applicant is a kind of dual-purpose three flushable abdominal cavities, chamber, intrathoracic drain disclosed in Chinese patent ZL201410848691.0, is provided with Integral double cavity supervisor, the big pipe joint of band stopper, band stopper fittings, one way pressure-reducing valve, interpolation tubule.Integral double cavity supervisor front end connects one way pressure-reducing valve, rear end is provided with multiple side opening, big pipe in being responsible for two-chamber with the big pipe joint of stopper communicates, tubule in being responsible for two-chamber with stopper fittings communicates, interpolation tubule is inserted by the big pipe joint of band stopper in the big pipe of two-chamber supervisor, forms three-cavity structure.

The applicant is a kind of flushable three chamber drainage tubes of rectum T-shaped wide-mouth disclosed in Chinese patent ZL201420857500.2.It is provided with wide-mouth shape front end, interior three lumens, trocar sheath, oral siphon, outlet pipe, front stator and rear stator.Interior three lumens are provided with into water cavity, drainage lumens and water sucting cavity, wide-mouth shape front end connects the drainage lumens of interior three lumen front ends, interior three lumen external connection trocar sheaths, trocar sheath are provided with apopore and suction hole, wide-mouth shape front end, interior three lumens and trocar sheath use integrative-structure, oral siphon is connected with the water cavity that enters of interior three lumen rear ends, and outlet pipe is connected with the water sucting cavity of interior three lumen rear ends.Interior three lumen rear ends are connected with front stator and rear stator, form " fourth " character form structure.

Summary of the invention

It is an object of the invention to provide a kind of anastomotic leakage being mainly used in operation on rectum identical and prevent and treat system.

The present invention is provided with band bracing wire circular stapler, threaded anus-expanding unit, corner needle holder, the flushable three chamber drainage tubes of rectum T-shaped wide-mouth and dual-purpose three flushable abdominal cavities, chamber, intrathoracic drain, forms a set of operation on rectum anastomotic stoma leakage protective system.

The present invention has a following innovative characteristics:

Band bracing wire circular stapler: first using surgical thread as stand-off in rectum anastomotic stoma, it is that on the basis of existing circular stapler, surgical thread is preset at anastomosis staple or position, anastomat front end, pass through bracing wire, in the case of fully expanding anus, can tractive downward to anastomotic stoma tissue, inside, followed closely in anastomotic stoma exciting identical back guy simultaneously, can carry out anastomotic stoma reinforcing stitching with the help of bracing wire by per anum, become per anum and support the support line of tractive anastomotic stoma tissue, reach thoroughly to remove the purpose of anastomotic leakage.

Threaded anus-expanding unit: helicitic texture is applied on anus-expanding unit.

Utilizing helicitic texture, inserting anus mode is that rotation is inserted, it is to avoid cause anal mucosa to damage.

Helicitic texture can make anus-expanding unit insert anus rear stability more preferably, is difficult to slide, in order to avoid impact operation.

After inserting anus, placed-depth can adjust at any time, uses more convenient.

The flushable three chamber drainage tubes of rectum T-shaped wide-mouth: wide-mouth structure be applied on the flushable three chamber drainage tubes of rectum, drainage effect is more preferable, and anastomotic stoma can be avoided to pollute, and prevention of intestinal leaks.

Can to anastomotic stoma pollute directly rinse, drain, be possible not only to prevention of intestinal leakage, and to intestinal leakage can play good therapeutic effect.

Rinse and drain disposably completes, it is to avoid repeat to place flusher and drainage equipment, reduce the misery of patient.

Being applied to by bulge-structure on the flushable three chamber drainage tubes of rectum T-shaped wide-mouth, it is good to insert rear stability, the most more conducively drain.

Front and back stator forms " fourth " character form structure with interior three lumens, is fixed on anus position with medical proof fabric, replaces existing suture fixed form, it is easier to fixing, patient is easy to carry about with one, and can alleviate patient painful.

Dual-purpose three flushable abdominal cavities, chamber, intrathoracic drain:

Detachably, flushable, drain is dual-purpose, it is possible to individually drain.

Afterbody installs one way pressure-reducing valve additional, it is to avoid cause drain not go up owing to negative pressure is too high.

Large and small pipe integrated process, makes drainage tube appearance more smooth, it is simple to use.

Accompanying drawing explanation

Fig. 1 is the band bracing wire circular stapler schematic diagram of the embodiment of the present invention

Fig. 2 is the threaded anus-expanding unit schematic diagram of the embodiment of the present invention

Fig. 3 is the corner needle holder schematic diagram of the embodiment of the present invention

Fig. 4 is the flushable three chamber drainage tube schematic diagrams of rectum T-shaped wide-mouth of the embodiment of the present invention

Fig. 5 is the dual-purpose three flushable abdominal cavities, chamber of the embodiment of the present invention, intrathoracic drain schematic diagram

Fig. 6 is the anastomotic stoma schematic diagram after the use band bracing wire tubulose Anastomat hemorrhoidal circumcision of the embodiment of the present invention

Fig. 7 is that the threaded anus-expanding unit of use of the embodiment of the present invention sets up passage and inner space schematic diagram

Fig. 8 be the embodiment of the present invention use the flushable three chamber drainage tubes of rectum T-shaped wide-mouth and dual-purpose three flushable abdominal cavities, chamber, intrathoracic drain insert view

Detailed description of the invention

See Fig. 1 to Fig. 8.

First band bracing wire circular stapler (Fig. 1) is stretched into internal rectum appointed part during use, to needing operative site to cut and coincideing, after coincideing, anastomotic stoma state is as shown in Figure 6, then threaded anus-expanding unit (Fig. 2) is rotated and insert rectum, after adjusting position, extract tube core out, set up passage and inner space (see Fig. 7).Re-use corner needle holder (Fig. 3) per anum bracing wire 2 to carry out anastomotic stoma 1 reinforcing stitching.After stitching, flushable for rectum T-shaped wide-mouth three chamber drainage tubes (Fig. 4) are inserted rectum, set up drainage channel, use dual-purpose three flushable abdominal cavities, chamber, intrathoracic drain (Fig. 5) to insert rectum anastomosis through abdominal cavity simultaneously, to carrying out drain outside rectum anastomotic position, view is shown in Fig. 8.

If it occur that anastomotic stoma pollute, can use the flushable three chamber drainage tubes (Fig. 4) of rectum T-shaped wide-mouth to anastomotic stoma pollute directly rinse, drain.Use dual-purpose three flushable abdominal cavities, chamber, intrathoracic drain (Fig. 4) to insert rectum anastomosis through abdominal cavity simultaneously, to carrying out drain and cleaning outside rectum anastomotic position, thus prevent comprehensively, thoroughly and treat anastomotic leakage.

Claims

1. the operation on rectum leakage that coincide prevents and treats system, it is characterised in that by band bracing wire circular stapler, threaded anus-expanding unit, The flushable three chamber drainage tubes of corner needle holder, rectum T-shaped wide-mouth and dual-purpose three flushable abdominal cavities, chamber, thoracic cavity Drainage tube, forms the leakage that coincide of a set of operation on rectum and prevents and treats system.

2. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its tubulose stay-supported is kissed Clutch is provided with flexible handle, device body, nail bit, nail bin, nail bit bar and bracing wire, and the front end of device body is with nail bit even Connecing, the rear end of device body is connected with flexible handle, and described nail bin is provided with nail kit, nail seat, anastomosis staple, nail bit Top is flexibly connected with nail bit bar, and nail seat is coincide with nail kit activity and is connected, and nail seat is coincide with nail kit activity and is connected, Described bracing wire is provided with 2～40, and bracing wire is located at position, anastomosis staple front end.

3. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its tubulose stay-supported is kissed Clutch, is preset at anastomosis staple or position, anastomat front end by surgical thread, by bracing wire, in the feelings fully expanding anus Under condition, can tractive downward to anastomotic stoma tissue, inside, followed closely in anastomotic stoma exciting identical back guy simultaneously On, can carry out anastomotic stoma reinforcing stitching with the help of bracing wire by per anum, become per anum and support tractive kiss Heal up the support line of tissue, reaches thoroughly to remove the purpose of anastomotic leakage.

4. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its threaded anus-expanding unit Being provided with threaded sleeve and tube core, sleeve pipe is provided with helicitic texture, tube core and threaded sleeve and uses Split type structure.

5. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its threaded anus-expanding unit Being applied on anus-expanding unit by helicitic texture, inserting anus mode is that rotation is inserted, it is to avoid cause anal mucosa to damage Wound.

6. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its rectum T-shaped is wide Mouthful flushable three chamber drainage tubes be provided with wide-mouth shape front end, interior three lumens, trocar sheath, oral siphon, outlet pipe, Front stator and rear stator.Interior three lumens are provided with into water cavity, drainage lumens and water sucting cavity, and wide-mouth shape front end is even Connect the drainage lumens of interior three lumen front ends, interior three lumen external connection trocar sheaths, trocar sheath be provided with apopore and Suction hole, after wide-mouth shape front end, interior three lumens and trocar sheath use integrative-structure, oral siphon and interior three lumens The water cavity that enters of end connects, and outlet pipe is connected with the water sucting cavity of interior three lumen rear ends.Interior three blank pipe rear ends are solid with front Stator and rear stator connect, and form " fourth " character form structure.

7. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its rectum T-shaped is wide Wide-mouth structure is applied on the flushable three chamber drainage tubes of rectum by the flushable three chamber drainage tubes of mouth, can be to anastomotic stoma Pollution is directly rinsed, drain, rinse and drain disposably complete, it is to avoid repeat place flusher and Drainage equipment, is possible not only to prevention of intestinal leakage, and intestinal leakage can be played good therapeutic effect.

8. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its rectum T-shaped is wide Bulge-structure is applied on the flushable three chamber drainage tubes of rectum T-shaped wide-mouth by the flushable three chamber drainage tubes of mouth, Insert rear stability good, the most more conducively drain, front and back stator forms " fourth " character form structure with interior three lumens, It is fixed on anus position with medical proof fabric, replaces existing suture fixed form, it is easier to fixing, patient is prone to Carry, patient can be alleviated painful.

9. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its dual-purpose three chamber Ke Chong Wash abdominal cavity, intrathoracic drain is provided with Integral double cavity supervisor, the big pipe joint of band stopper, band stopper fittings, One way pressure-reducing valve, interpolation tubule, interpolation tubule designs for split with Integral double cavity supervisor, detachably, punching Wash dual-purpose with drain；Integral double cavity supervisor front end connects one way pressure-reducing valve, and rear end is provided with multiple side opening；Band Big pipe during the big pipe joint of stopper is responsible for two-chamber communicates, band stopper fittings and the tubule in two-chamber supervisor Communicating, interpolation tubule is inserted by the big pipe joint of band stopper in the big pipe of two-chamber supervisor, forms three-cavity structure.

10. the operation on rectum as claimed in claim 1 leakage that coincide prevents and treats system, it is characterised in that its dual-purpose three chamber Ke Chong Wash abdominal cavity, intrathoracic drain detachable, flushable, drain is dual-purpose, it is possible to individually drain, afterbody installs list additional To air relief valve, it is to avoid cause drain not go up owing to negative pressure is too high, large and small pipe integrated process, make drainage tube Appearance is more smooth, it is simple to use.