CN101972155A - Small intestine isolating hood for laparoscopic surgery - Google Patents

Small intestine isolating hood for laparoscopic surgery Download PDF

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Publication number
CN101972155A
CN101972155A CN 201010528158 CN201010528158A CN101972155A CN 101972155 A CN101972155 A CN 101972155A CN 201010528158 CN201010528158 CN 201010528158 CN 201010528158 A CN201010528158 A CN 201010528158A CN 101972155 A CN101972155 A CN 101972155A
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CN
China
Prior art keywords
small intestinal
laparoscopic surgery
isolation cover
cover body
isolating
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.)
Pending
Application number
CN 201010528158
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Chinese (zh)
Inventor
钱锋
倪嘉
陈华
兰远志
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Third Military Medical University TMMU
First Affiliated Hospital of TMMU
Original Assignee
First Affiliated Hospital of TMMU
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of TMMU filed Critical First Affiliated Hospital of TMMU
Priority to CN 201010528158 priority Critical patent/CN101972155A/en
Publication of CN101972155A publication Critical patent/CN101972155A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a small intestine isolating hood for laparoscopic surgery. The small intestine isolating hood comprises a flexible isolating hood and traction lines, wherein the flexible isolating hood is used for isolating a small intestine from a surgical part; the traction lines are fixedly arranged on the edge of the isolating hood for fixing the isolating hood; and at least one of the traction lines is connected with a sewing needle. The small intestine isolating hood for the laparoscopic surgery can isolate the small intestine from the surgical part during operation, so that the surgical part is exposed to ensure that a doctor can perform surgery freely; and a surgery assistant does not need to shield off the small intestine and can coordinate with the doctor to perform fine operation, so that the quality of the surgery is improved.

Description

Laparoscopic surgery small intestinal isolation cover
Technical field
The present invention relates to a kind of laparoscopic surgery medical apparatus and instruments, particularly a kind of apparatus that in laparoscopic surgery, is used to isolate small intestinal.
Background technology
Small intestinal is Intraabdominal main organs, and about 5 meters of normal adult small intestinal length is tortuous in the intraperitoneal of transverse mesocolon inferior segment, is free intestinal loop, and activeness is very big, only is attached to the abdominal cavity rear wall by mesostenium.When carrying out behind the operation of rectal cancer resection operation, uterus adnexa, vesicoureteral operation, ventral aorta peripheral lymph node cleaning operation or the peritoneum lower abdomen in the trunk operation etc., pelvic cavity and posterior peritoneum operation, small intestinal must be stopped, just can appear surgical field of view, undergo surgery calmly.
In traditional abdominal, continue to stop small intestinal to expose surgical field of view by the assistant with wide and big surgery tractor, the big gauze pad of polylith, can undergo surgery.Entering 21st century, is the important directions that the minimally invasive surgery of representative becomes medical development with the laparoscopic technique, and most abdominal operation can be finished under peritoneoscope.But carry out middle lower abdomen, operation on pelvis under peritoneoscope, when especially doing behind ventral aorta peripheral lymph node cleaning, the peritoneum posterior peritoneum operation such as trunk displacement, small intestinal has become matter of utmost importance to the obstruction of surgical field of view, is difficult to solve.Internal organs such as liver, uterus also often hinder surgical field of view, but liver, uterus have fixed shape and hardness, can stop with apparatuses such as SANYE baffle plate, ring-type drag hook, uterus raising devices under the peritoneoscope.And the small intestinal amount is many, free, satiny, soft, wall is thin, mobile big, existing laparoscopic surgical instruments is difficult to small intestinal is stopped, and has seriously restricted carrying out of posterior peritoneum operation such as trunk displacement behind the cleaning of ventral aorta peripheral lymph node, the peritoneum.
Therefore when doing laparoscopic surgery, need a kind of medical apparatus and instruments that small intestinal and operative site can be separated, to appear operative site, allow the doctor undergo surgery calmly, the assistant need not do the work of stopping small intestinal again, can cooperate the doctor to carry out accurate operation, improve the operation quality.
Summary of the invention
In view of this, the purpose of this invention is to provide a kind of laparoscopic surgery small intestinal isolation cover, can when operation, small intestinal and operative site be separated,, allow the doctor undergo surgery calmly to appear operative site.
Laparoscopic surgery of the present invention small intestinal isolation cover comprises being used for the flexible isolating cover body that small intestinal and operative site are kept apart and being fixedly installed on isolating the cover body edge and being used for fixing the drag wire of isolating cover body, has at least one to be connected with sewing needle in the described drag wire.
Further, described isolation cover body is a rectangle;
Further, described isolation cover body is set with drag wire in four bights at least;
Further, described isolation cover body is provided with and is with the edge of sewing needle drag wire to be provided with graduation mark;
Further, described isolation cover body, drag wire and sewing needle are made by aseptic medical material;
Further, described rectangle is isolated the long 15-25cm of cover body, wide 10-15cm.
Beneficial effect of the present invention: laparoscopic surgery of the present invention small intestinal isolation cover, can when operation, small intestinal and operative site be separated, to appear operative site, allow the doctor undergo surgery calmly, the assistant need not do the work of stopping small intestinal again, the assistant can cooperate the doctor to carry out accurate operation, improves the operation quality.
Description of drawings
Below in conjunction with drawings and Examples the present invention is further described.
Fig. 1 is laparoscopic surgery of the present invention small intestinal isolation cover structure sketch map;
View when Fig. 2 prepares to roll drag wire with the small intestinal isolation cover for laparoscopic surgery;
Fig. 3 uses the small intestinal isolation cover tractive coil of wire by the view of time-out for laparoscopic surgery;
Fig. 4 prepares to roll the view of band sewing needle drag wire with the small intestinal isolation cover for laparoscopic surgery;
Fig. 5 is rolled up by the view of time-out with small intestinal isolation cover band sewing needle drag wire for laparoscopic surgery;
Fig. 6 is sewn to the view of mesostenium root with the small intestinal isolation cover for laparoscopic surgery;
Side view when Fig. 7 isolates the small intestinal state for laparoscopic surgery with the small intestinal isolation cover;
Front view when Fig. 8 isolates the small intestinal state for laparoscopic surgery with the small intestinal isolation cover.
The specific embodiment
Fig. 1 is laparoscopic surgery of the present invention small intestinal isolation cover structure sketch map; View when Fig. 2 prepares to roll drag wire with the small intestinal isolation cover for laparoscopic surgery; Fig. 3 uses the small intestinal isolation cover tractive coil of wire by the view of time-out for laparoscopic surgery; Fig. 4 prepares to roll the view of band sewing needle drag wire with the small intestinal isolation cover for laparoscopic surgery; Fig. 5 is rolled up by the view of time-out with small intestinal isolation cover band sewing needle drag wire for laparoscopic surgery; Fig. 6 is sewn to the view of mesostenium root with the small intestinal isolation cover for laparoscopic surgery; Side view when Fig. 7 isolates the small intestinal state for laparoscopic surgery with the small intestinal isolation cover; Front view when Fig. 8 isolates the small intestinal state for laparoscopic surgery with the small intestinal isolation cover.
As shown in the figure, laparoscopic surgery of the present invention small intestinal isolation cover, comprise and be used for the flexible isolating cover body 1 that small intestinal and operative site are kept apart and be fixedly installed on isolating cover body 1 edge and being used for fixing the drag wire 2 of isolating cover body 1, described isolation cover body 1 is a rectangle, can certainly do quadrate, an orthogonal long limit spaced set has 4 drag wires, and wherein two drag wires are arranged on end, long limit, and another long limit respectively is provided with the drag wire of a band sewing needle 3 at two ends.Certainly the drag wire that is provided with sewing needle can be 1 or many.Sewing needle is used for the small intestinal isolation cover is sutured in the mesostenium root on one side.
In the present embodiment: the edge that described isolation cover body 1 is provided with band sewing needle drag wire is provided with graduation mark 4, is convenient to indicate the sewing needle needling position.
In the present embodiment: described isolation cover body 1, drag wire 2 and sewing needle 3 are made by aseptic medical material, can not bring infection.
In the present embodiment: described rectangle is isolated cover body 1 long 25cm, wide 15cm; Certainly the big I of isolating cover body 1 is selected as the case may be, and its long limit is in the 15-25cm value, and broadside is all more suitable in the 10-15cm value.
Laparoscopic surgery of the present invention with the concrete use step of small intestinal isolation cover is: at first, external laparoscopic surgery is rolled into a reel with the small intestinal isolation cover; One side of elder generation's winding drag wire when curling is put into drag wire and is isolated cover body 1 volume to from about one side 0.5cm of band sewing needle, the part of spooling is tied up fixing, prevents to scatter; Then will put into isolation cover body 1 and curl into a spool, again spool be tied up the fixing integral body that forms with sewing needle and the drag wire that is connected sewing needle.
Then, the laparoscopic surgery of reel is involved in the abdominal cavity with the small intestinal isolation cover by the abdomen wall puncture device, is placed on the mesostenium root.If need small intestinal is kept off to epigastrium, then spool be placed on radix mesenterii subordinate side; If need small intestinal is kept off abdominal part left, it is right-hand then spool to be placed on the mesostenium root; If need small intestinal is kept off abdominal part to the right, then spool be placed on mesostenium root left.
At last, cut off the outer bounding wire of spool,, laparoscopic surgery is sutured in mesostenium root and knotting continuously with the small intestinal isolation cover with needle holder clip suture pin 3; Cut off unnecessary suture, connect pin and take out together.Cut off internal layer spool bounding wire, launch laparoscopic surgery small intestinal isolation cover, with crochet hook with drag wire respectively hook go out outside the abdomen, outside stomach wall, tie a knot, fix; Small intestinal is promptly stopped with the small intestinal isolation cover fully by laparoscopic surgery, and operative site reveals.
Cut off draught line and stitching thread after operation finishes, laparoscopic surgery is taken out by the abdomen wall puncture device with the small intestinal isolation cover.
Explanation is at last, above embodiment is only unrestricted in order to technical scheme of the present invention to be described, although the present invention is had been described in detail with reference to preferred embodiment, those of ordinary skill in the art is to be understood that, can make amendment or be equal to replacement technical scheme of the present invention, and not breaking away from the aim and the scope of technical solution of the present invention, it all should be encompassed in the middle of the claim scope of the present invention.

Claims (6)

1. laparoscopic surgery small intestinal isolation cover, it is characterized in that: comprise being used for the flexible isolating cover body (1) that small intestinal and operative site are kept apart and being fixedly installed on isolating cover body (1) edge and being used for fixing the drag wire (2) of isolating cover body (1), have one in the described drag wire (2) at least and be connected with sewing needle (3).
2. laparoscopic surgery small intestinal isolation cover according to claim 1 is characterized in that: described isolation cover body (1) is a rectangle.
3. laparoscopic surgery small intestinal isolation cover according to claim 2 is characterized in that: described isolation cover body (1) is set with drag wire (2) in four bights at least.
4. laparoscopic surgery small intestinal isolation cover according to claim 3 is characterized in that: the edge that described isolation cover body (1) is provided with band sewing needle drag wire is provided with graduation mark (4).
5. laparoscopic surgery small intestinal isolation cover according to claim 4 is characterized in that: described isolation cover body (1), drag wire (2) and sewing needle (3) are made by aseptic medical material.
6. laparoscopic surgery small intestinal isolation cover according to claim 5 is characterized in that: described rectangle is isolated the long 15-25cm of cover body (1), wide 10-15cm.
CN 201010528158 2010-11-02 2010-11-02 Small intestine isolating hood for laparoscopic surgery Pending CN101972155A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 201010528158 CN101972155A (en) 2010-11-02 2010-11-02 Small intestine isolating hood for laparoscopic surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 201010528158 CN101972155A (en) 2010-11-02 2010-11-02 Small intestine isolating hood for laparoscopic surgery

Publications (1)

Publication Number Publication Date
CN101972155A true CN101972155A (en) 2011-02-16

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110680422A (en) * 2019-11-06 2020-01-14 中国医科大学附属第一医院 Uterus lifting device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
JP2004290375A (en) * 2003-03-26 2004-10-21 Hakko Co Ltd Excluding device
JP2008093407A (en) * 2006-09-12 2008-04-24 Nobuyuki Sakurazawa Organ traction device
CN201469322U (en) * 2009-04-21 2010-05-19 孟凡刚 Scale brain spatula with scale marker
CN101790352A (en) * 2007-08-29 2010-07-28 伊西康内外科公司 tissue retractors

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
JP2004290375A (en) * 2003-03-26 2004-10-21 Hakko Co Ltd Excluding device
JP2008093407A (en) * 2006-09-12 2008-04-24 Nobuyuki Sakurazawa Organ traction device
CN101790352A (en) * 2007-08-29 2010-07-28 伊西康内外科公司 tissue retractors
CN201469322U (en) * 2009-04-21 2010-05-19 孟凡刚 Scale brain spatula with scale marker

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110680422A (en) * 2019-11-06 2020-01-14 中国医科大学附属第一医院 Uterus lifting device
CN110680422B (en) * 2019-11-06 2021-06-08 中国医科大学附属第一医院 Uterus lifting device

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Application publication date: 20110216