Surgery (A61B17)

A   Human necessities(305254)
A61B17                 Surgery(21042)
A61B17/068 - Internal fixation devices(102)
A61B17/072 - Intramedullary devices(92)
A61B17/076 - Fixed by screws(1)
A61B17/08 - Wound clamps(28)
A61B17/115 - (54)
A61B17/122 - (115)
A61B17/125 - (7)
A61B17/128 - (26)
A61B17/132 - (22)
A61B17/135 - (8)
A61B17/15 - Guides therefor(17)
A61B17/17 - Guides for drills(44)
A61B17/225 - (64)
A61B17/322 - (332)
A61B17/326 - (10)
A61B17/34 - Trocars; puncturing needles(411)
A61B17/36 - (189)
A61B17/39 - (12)
A61B17/425 - (4)
A61B17/43 - For artificial insemination(10)
A61B17/435 - (9)
A61B17/44 - Obstetrical forceps(19)
A61B17/46 - Embryotomes(7)
A61B17/48 - Bags for midwives(1)
A61B17/52 - agnets(27)
A61B17/54 - Chiropodists' instruments(3)
A61B17/68 - Internal fixation devices(153)
A61B17/72 - Intramedullary devices(100)
A61B17/76 - Fixed by screws(19)
A61B17/80 - Cortical plates(137)
A61B17/82 - For bone cerclage(5)
A61B17/84 - Fasteners therefor(3)
A61B17/86 - Pins or screws(16)
A61B17/90 - Guides therefor(41)

ethod for final intraoperative hemostasis of liver // 2615729
FIELD: medicine.SUBSTANCE: hemostatic susture application is started from the wound edge from the outer surface. An assembly is formed of two strands. A needle with a thread is inserted in the diaphragmatic surface, departing 1 cm from the wound edge, the needle is withdrawn on the median longitudinal axis of the liver stump wound. Then an insertion is made on the same line, stepping towards the suture direction. The needle is withdrawn on the diaphragmatic surface. A needle with another thread is similarly inserted and withdrawn from the visceral surface. A suture is formed as triangles with bases on the median longitudinal axis. Here a mutual ligature overlap is performed. Both ligatures are tied on the outer surface of the opposite wound edge. During liver resection, final intraoperative hemostasis of the liver is achieved. The wound surface of liver stump is covered with a vascularised portion of greater omentum.EFFECT: method can provide reliable hemostasis due to suture geometry, simplified technique of its imposition.1 ex, 2 tbl, 3 dwg
Surgical approach method for lateral cervical lymph node dissection // 2615728
FIELD: medicine.SUBSTANCE: to remove lymph nodes from the back and front of the neck, nuchal lymph nodes, a skin incision is made on the back surface of the ear in the projection of angle between the concha and the mastoid to the occipital portion of the trapezius muscle. Then, to the middle third of the sternocleidomastoid muscle with transition to its front surface. The main neurovascular neck bundle is exposed. The wound edges are separated while maintaining connection with the sternocleidomastoid muscle. A skin-subcutaneous-platysmal lateral flap is formed with inclusion of the trapezius muscle.EFFECT: method allows to reduce scarring, preserve natural lymph flow, reduce lymphorrhea, improve wound healing process, achieve a better cosmetic effect, prevents paralysis of muscles participating in bladebone movement by maintaining the trapezius branch of the accessory nerve, maintaining the trapezius muscle fibers connection with the lateral flap.2 ex

ethod for anterior abdominal wall prosthetics for compartment syndrome prevention // 2615725
FIELD: medicine.SUBSTANCE: prior to operation, bladder catheterization is performed, intra-abdominal pressure is measured. After herniotomy, abdominal rectus muscles are covered by endoprostheses on the front and back surface with one-sided adhesion based on polypropylene and collagen. Implants are fixed with U-shaped sutures along the outer and inner edges of the rectus muscles. A prosthesis dublication is formed in the hernia defect center by means of two continuous sutures. Abdominal pressure is measured intraoperatively, and prostheses dublication edges are abducted or brought together till the reference value of intraabdominal pressure. Then the dublication is fixed.EFFECT: method prevents compartment syndrome and recurrent hernias.2 dwg, 1 ex
ethod for cervical trachea cicatrical stenosis or laryngotracheal stenosis surgical treatment, and probe for stenosis imaging during cervical trachea cicatrical stenosis or laryngotracheal stenosis surgical treatment // 2615724
FIELD: medicine.SUBSTANCE: surgical treatment of cicatricial stenosis includes its imaging and scar-altered tissue excision. At that, for stenosis area imaging in the trachea posterior wall, a probe is used. The probe consists of a flexible conductor with a closed distal end and an inner tube with successive LEDs on its distal end, installed in the conductor to move longitudinally. During operation, first, the closed end of the conductor, and then the inner tube are guided into the esophagus lumen through the mouth. Further, under visual control from the trachea lumen, transillumination is applied, LEDs are arranged on the stenosis level, and the stenosis area is determined within the boundaries of lower intensity of luminescence compared to the unaltered tracheal tissue. Scar-altered tissue excision in the posterior tracheal wall is performed under the control of transillumination, with visual inspection from the trachea lumen, maintaining saving LEDs arrangement in the stenosis zone until the luminescence intensity in this area is equal to the luminescence intensity of the unaltered tracheal tissue. Probe for surgical treatment of cicatricial stenosis comprises a flexible conductor in the form of an elongated tube made of transparent silicone with a closed distal end, an inner tube mounted in the flexible conductor with the possibility of longitudinal displacement and fixation, lighting means in the form of light-emitting diodes, successively arranged at the distal end of the inner tube at a distance of 3-6 mm from each other and means for electric current source connection in the form of copper wires with electrical insulation on the outer surface. Copper wires are arranged in the inner tube and connected to the switch, and the LEDs are connected in parallel.EFFECT: maximum excision of the scar tissue in larynx and trachea in its posterior wall while maintaining the integrity of the esophagus anterior wall, allows to minimize the risk of recurrent laryngotracheal lumen restenosis, tracheoesophageal fistula formation, and to reduce the cannula carrying time due to application of the claimed probe and scar-altered tissue excision under transillumination control, until the luminescence intensity in the surgery area of equal to luminescence intensity of the unaltered tracheal tissue.5 cl, 1 dwg, 1 ex
Osteosynthesis method for multi-fragment comminuted fracture of patella // 2615665
FIELD: medicine.SUBSTANCE: knee is washed with an antiseptic solution. Small pieces of patella are removed. The patellar defect is filled with hydroxyapatite. Two spokes are directed vertically in the interior of the patella in the longitudinal direction so that the lateral and medial spokes fixed the lateral and medial patellar fragments, and the spokes are tightened with a 8-shape directed wire behind the quadriceps tendon. Two parallel spokes are injected in the horizontal direction in the interior of the patella to secure the proximal and distal fragments of the patella, the wire is directed transversely to the patella, and the spokes are tightened with a 8-shaped drawn wire loop.EFFECT: method increases osteosynthesis stability, reduces the risk of non-union, reduces the risk of contracture.2 dwg

ethod for recovery of achilles tendon // 2615285
FIELD: medicine.SUBSTANCE: isolated tendon, without violating the integrity of the regenerate and its connection with the ends of the tendon. When equinus position of the foot reinforced reclaimed ligature, from the undamaged part of the central end of the tendon through its thickness, to the distal end, the entire length of the selected regenerate. The convergence of all produce shortening regenerate pull the ends of the ligature, which is fixed to the distal end of the tendon. Nestle reclaimed thin to thick 5 mm, split graft isolated from the central end of the Achilles tendon in the frontal plane and thrown in a distal direction, sew knotted sutures to regenerate and the distal end of the Achilles tendon.EFFECT: method increases tendon strength and prevents postoperative complications.4 dwg
Drive gear for hinged stapler // 2615281
FIELD: medicine.SUBSTANCE: stapler for circular clip application includes a drive shaft coupled to the trigger actuation of which causes drive shaft rotation. The distal portion of the drive shaft is held in the articulated arm holding the swivel clips. Upon trigger mechanism actuation, the drive shaft is rotated to ensure placement of the said staples distally outwardly from the articulated arm. The drive shaft comprises a cable, where a plurality of drive units is located at intervals along the axis, adapted to convert rotary motion of the drive shaft to staples rotation.EFFECT: improved mechanism operation.14 cl, 9 dwg
ethod for long tubular bones combined osteosynthesis during deformities correction for children with osteogenesis imperfecta // 2615279
FIELD: medicine.SUBSTANCE: supports of a transosseous distraction device with external fixation are mounted on the bone. The first elastic rod is introduced in the medullary bone cavity through the pineal gland, not reaching the expected osteotomy level. Bone osteotomy is performed. Bone fragments are set in the desired proper position. The set position of bone fragments is fixed with the transosseus external fixation device. The first elastic rod is directed further into the medullary cavity, beyond the osteotomy level, to the opposite metaphysis, and its end is immersed in the metaphysis. The second elastic rod is introduced through the opposite epiphysis towards the first elastic rod into the medullary bone cavity, directed beyond the osteotomy level, and its end is immersed in the metaphysis. During flexible rods introduction, equal bend curvature and opposite direction are provided. At least one flexible rod is directed through the bone growth zone. The free ends of the rods are bent and cut. Transosseous external fixation device provides moderate compression force on the bone fragments. After bone fragments fusion is reached, the transosseous external fixation device is removed.EFFECT: method prevenst re-strain during growth.2 dwg
Intestinal reinnervation method during extended lymphadenectomy and neurodissection of intestinal mesentery root // 2615277
FIELD: medicine.SUBSTANCE: after pancreatoduodenectomy with extended lymphadenectomy and total celiac-mesenteric neurodissection, small intestine reinnervation is performed. From the origin point of the first branch of the inferior mesenteric artery to the origin point of the inferior mesenteric artery from the abdominal aorta a paravasal fiber flap containing the inferior mesenteric plexus is separated. The resulting flap is fixed to the paravasal fiber of the superior mesenteric artery, comprising the superior mesenteric plexus.EFFECT: method allows to improve the quality of life for patients after extended lymphadenectomy and neurodissection, operated pancreatic cancer patients, by creating conditions for small intestine nerve fibers regeneration.
ethod for trachea and larynx side wall plastics // 2615272
FIELD: medicine.SUBSTANCE: linear incision of skin, subcutaneous fat, subcutaneous neck muscle is performed along the laringtraheostomy edge at a 2 cm distance under endotracheal anesthesia with intubation through the mouth. Skin-subcutaneous-platysmal flap is mobilized in the direction of the trachea side wall. The medial portion of the sternocleidomastoid muscle is mobilized and fixed to the side walls. A bed is formed in the medial portion of the sternocleidomastoid muscle, where polytetrafluoroethylene based ksenomaterial is placed. The installed material is fixed in the muscle tissue by interrupted sutures and covered by the skin-subcutaneous-platysmal flap. The wound is sutured in layers.EFFECT: method allows early rehabilitation of larynx and trachea functions.1 ex, 4 dwg

Economy thrust unit for circular staple suturing device // 2615126
FIELD: medicine.SUBSTANCE: thrust assembly for a circular stapling device comprises a solid polymer thust and a staple suture formation surface attached to the thrust base. The solid polymer thrust comprises a thrust base, a thrust shaft coming out of the thrust based, and an opening extending through the thrust shaft and thrust base. At that, the first end of the metal shaft protrudes from the opening in the thrust base and stops against the upper part of the base, and the second end of the metal shaft protrudes from the opening in the thrust shaft. The circular staple suturing device contains the following components: a handle, a thrust control, a reciprocating drive shaft coupled to the control, and a thrust assembly. The thrust assembly is coupled to the reciprocating drive shaft, the thrust assembly comprises a solid polymerthrust, comprising a base a shaft coming out of the thrust base and a staple suture formation surface attached to the thrust base. The thrust shaft comprises an opening extending through the thrust shaft and thrust base, wherein the first end of the metal shaft protrudes from the opening in the thrust base and stops against the upper part of the thrust base, and the second end of the metal shaft protrudes from the opening in the thrust shaft, and the metal shaft is attached both to the thrust shaft and to the reciprocating drive shaft. Method of thrust assembly manufacture, for which the staple suture formation surface is placed into the mould, and the thrust unit is formed by moulding together with the staple suture formation surface in the mould, while the thrust shaft is coming out of the thrust base.EFFECT: invention provides a possibility to prevent unintentional repeated actuation of the circular staple suturing device blade, increased cleanliness and safety.18 cl, 47 dwg
ethod for correction of mechanical prostheses dysfunction in aortic position for children with congenital heart disease // 2615118
FIELD: medicine.SUBSTANCE: correction of mechanical prosthesis dysfunction in the aortic position for children with CHD includes repeated installation of aortic valve (AV) prothesis. Prior to surgery, echocardiography is performed, peak and average systolic pressure gradients are determined at the valve prosthesis level, together with the effective indexed area of the valve prosthesis aperture, left ventricle contractile function. Repeated installation of the prothesis is performed at peak systolic pressure gradient of more than 50 mm Hg, average systolic pressure gradient of more than 30 mm Hh, area of the valve prosthesis aperture less than 0.85 cm2/m2 and left ventricular ejection fraction of 55-60%.EFFECT: method allows prevention of intra- and postoperative complications due to the reduced rate of repeated procedures for mechanical prosthesis dysfunctions correction in the aortic position for children with CHD, by clarifying repeated installation indications based on the assessment of blood flow indicators in the prosthesis area, and justification of a possibility of a larger diameter prosthesis implantation for these patients.2 ex
ethod for correction of age-related changes of lower eyelid skin // 2615045
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to plastic surgery. Fragmentary excision of lower eyelid tissues: epidermis in medial zone, epidermis with underlying papillary layer in mid-medial zone, epidermis, papillary layer and proper derma in mid-lateral and lateral zone of changes skin of lower eyelid skin along wrinkles is performed. After that, edges of defects of traumatised tissues of lower eyelid are joined by means of atraumatic sutures. The following repetition of procedures is carried out after recovery of tissues of lower eyelid, traumatised in the process of performing previous manipulation, until customer-oriented effect is achieved.EFFECT: method makes it possible to perform correction of age-related changes of lower eyelid skin, eliminating trauma to supporting structures of lower eyelid, avoid lower eyelid retraction and eversion of lower lacrimal point.1 ex
ethod for fixation of electrode of system of chronic spinal stimulation // 2614970
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to neurosurgery. Electrode is implanted into the epidural space. Electrode is fixed to aponeurosis with silicone anchor and non-absorbable threads. Wherein electrode silicone anchor is fixed through Z-shaped polypropylene gasket; wherein three ligatures are made under aponeurosis in anchor projection and fastened with nodes. Then threads are driven through polypropylene gasket and ligatures are fixed with three nodes, both ends of threads are driven around anchor and fixed with 3–4 nodes, squeezing and fixing the electrode.EFFECT: method provides higher reliability of fixation of electrode to aponeurosis and prevention of its displacement.1 cl, 1 dwg

Device for puncture prostate biopsy under computed tomograph control // 2614969
FIELD: medicine.SUBSTANCE: device comprises a puncture needle and a mechanical biopsy gun, computer tomograph with a unit for radioactive implants installation, containing a support with vertical bars, to which a holderis attached via a carriage, the holder is made in the form of a telescopic arm with a matrix for needles located at the end of the movable section through the attachment assembly, the matrix has holes for the puncture needle and installed with the plane oriented at an angle of 24° to the horizon. The tomograph table has a backup for pelvis gluteal region inflection. Assembly for needle matrix attachment to the end of the holder movable section is designed as a coordinate device capable of performing fixed angular rotations of the matrix with the puncture needle about the longitudinal axis, and consists of fixed and movable parts attached respectively to the matrix and the end of the holder movable section and equipped with a clamp to fix the movable part with the matrix relative to its stationary part.EFFECT: use of the invention allows to expand the arsenal of technical means needle for puncture biopsy of the prostate.3 cl, 2 dwg
ethod for median ventral hernias surgery // 2614938
FIELD: medicine.SUBSTANCE: method involves access to the hernia sac, its treatment and hernia defect suturing. Prior to hernia defect suturing, two identical rollers made of synthetic mesh material, wherein the length of each roller is greater than the hernia defect length with reduced edges, are implanted into the rectus sheaths through separate punctures in rectus sheaths front walls and arrannged along their medial edge opposite the hernia defect. The hernia defect is sutured with synthetic mesh material seizure. Cross-section diameter of the folded synthetic mesh material rollers is 0.5-1 cm. Punctures in the rectus sheaths front walls are made at a distance of 0.6-1 cm from their medial edges. Punctures in the rectus sheaths front walls are sutured at hernia defect suturing using the same thread (threads).EFFECT: method prevents ventral hernias recurrence.3 cl, 2 ex, 6 dwg
Device for endoscopic papillotomy // 2614891
FIELD: medicine.SUBSTANCE: endoscopic papillotomy device includes a laser light guide and consists of a two-channel Teflon catheter 1.5 m long and 2.8 mm in outer diameter, connected to a handle. Inside a bore 0.5 mm in diameter, a conductive string is arranged with a tip at its distal end connected to the coagulation device via the handle. Inside a bore 1.2 mm in diameterm, a laser guide is arranged which is connected to the SurgiLas device via the handle from the proximal end.EFFECT: reduction of surgery trauma.1 dwg
ethod for bone diaphysis circular defects recovery // 2614888
FIELD: medicine.SUBSTANCE: polypropylene mesh "Lintex" for hernia plastics is applied in the circular bone defect area to the bone fragments limiting the defect, in the form of "clutch". "Collapan" in the form of granules, mixed with endosteum tissue, extracted from the medullary canal is poured into the defect in the mesh edges connection area.EFFECT: method allows to reduce trauma, reduce the time of surgery.1 dwg

ethod for preventing inconsistency of "difficult" duodenal stump // 2614884
FIELD: medicine, surgery.SUBSTANCE: invention relates to medicine, surgery. In the process of stomach resection extensive mobilisation of anterior-lateral wall of duodenum is performed. Posterior-medial wall is exposed in limited way below ulcer to 5 mm. Duodenal stump is sewn with one-row suture. Transverse gastroduodenoanastomosis with anterior duodenal wall is formed with 1.5-2 cm indent from the edge of sewn stump.EFFECT: method makes it possible to include duodenum into digestion, provides prevention of inconsistency of gastroduodenal anastomosis with "difficult" duodenal stump in case of low complicated duodenal ulcers due to decompression of duodenum (waterfall phenomenon) and application of anterior wall of duodenum for gastroduodenal anastomosis.1 ex, 2 dwg

ethod for autoplasty of false joints of tubular bones // 2614882
FIELD: medicine.SUBSTANCE: invention relates to traumatology and orthopaedics and can be applied for autoplasty of false joints of tubular bones. Reposition is performed. Longitudinal osteotomy of ends of bone fragments is realised with double circular saw with formation of two autotransplants of different length that continues each other. Ends of lines of longitudinal osteotomy are connected by means of oscillatory saw to bone surface at angle 45-60 degrees, as a result length of internal surface of autotransplants exceeds length of their external surface. Positions of both autotransplants are interchanged, four holes are drilled: one hole on each closest to each other ends of autotransplants and lateral holes from both sides of bone bed at the level of hole of the larger of the two autotransplants. Thread is passed through holes, tightened and knot is tied up, which is placed above the smaller of the two autotransplants. One of two ends of thread is passed around bone and tied, with placement of final knot near the previous knot.EFFECT: method makes it possible to increase fixation reliability.3 dwg
ethod for arterial atrioventricular valve prosthetics for patients with corrected transposition of great vessels at right heart formation and arrangement // 2614812
FIELD: medicine.SUBSTANCE: arterial atrioventricular valve prosthetics is performed for patients with corrected transposition of the great vessels (GVCT) at right heart formation and arrangement. Median sternotomy is performed, the left atrium is dissected to the left of the ascending aorta for 5-6 cm, starting from the base of the tab and the cut is continued to the area located in front of the left inferior pulmonary vein. Arterial atrioventricular valve flaps are excised. A mechanical prosthesis is implanted, and the left atrium integrity is restored.EFFECT: method allows prevention of intra- and postoperative complications, deaths due to the reduced duration of surgery, cardiopulmonary bypass and aortic cross-clamping time, elimination of expressed heart walls traction by optimizing the access to the arterial atrioventricular valve during prosthesis installation for patients with GVCT at right heart formation and arrangement.1 ex
ethod for postpneumectomic syndrome prevention // 2614525
FIELD: medicine.SUBSTANCE: lateral thoracotomy is performed in the 4 or 5 intercostal space. The skin, subcutaneous fat, intercostal muscles are cut by layers. The lung is selected down to the root. The pulmonary artery, the upper and lower pulmonary veins are double-ligated and crossed. The main bronchus in its distal part is sutured. Pneumonectomy is performed. After lung removal, bronchial stump reamputation is performed at the level of the mouth. The lateral tracheal wall is sutured manually using an atraumatic thread. Bronchial stump suture tightness is checked with the lung inflated under high pressure. Size and boundaries of pulmonary hernia are assessed. Mediastinal plastic is performed at the reducedrespiratoty volume. Z-shaped sustures are made in the mediastinal pleura between the pericardium and the chest wall to eliminate hernia sac. The pericardium is fixed by U-shaped sutures to the chest wall along the parasternal line.EFFECT: prevention of postpneumectomic syndrome, formation of mediastinal pulmonary hernia due to hernial ring elimination.3 dwg

ethod for vein transplant short-term storage // 2614499
FIELD: medicine.SUBSTANCE: for short-term storage of transplant, it is placed in a container with a sterile oxygenated nanoemulsion "Perftoran". Its distal end is cannulated under aseptic conditions. A zigzag clip is imposed on the proximal end of the vein and the vein is washed at intervals of 3-5 minutes. At the same time, the solution is supplied via a three-component sterile syringe through tubing and three-way valve.EFFECT: improved the quality of transplant preservation.3 dwg
Sighting device for hidden screw removal from femoral shaft // 2614496
FIELD: medicine.SUBSTANCE: sighting device for hidden screws removal from the femoral shaft, including a mallet handle with a channel for drill introduction followed by milling. The difference is that it comprises a centering rod with a parallel conductor branch and a connecting mallet handle, the end of the centering rod is equipped with a V-shaped groove top for reception of a hidden screw in the femur channel, on which the conductor branch channel is focused, which is intended for sleeve with a stylet for a removable hollow drill or a removable hollow mill.EFFECT: invention provides accurate drill and mill orientation on the axis hidden screw for its subsequent disposal during medullary canal liberation for leg prosthesis or intramedullary nail installation.5 dwg

Oval tunnel guide and isj reconstruction method // 2614495
FIELD: medicine.SUBSTANCE: group of inventions refers to medicine. The guiding device for elongated tunnel drilling into the bone includes a body and a protruding element. The housing has a proximal end, a distal end, an opening formed therein, and a central axis defined therein. The protruding element is attached to the distal end of the housing. The outer body diameter is larger than the outer diameter of the protruding element. The protruding element does not overlap the passage defined by the opening. The method for joint plastic includes provision of a guide configured to drill an oval tunnel in a bone oval, provision of a fixing device with least two separately formed ligature loops, the first and the second tissue flaps are connected to at least two ligature hinges; drilling of an oval tunnel through the bone with a drill using the guide, pulling of the fixing device through the oval tunnel; orienting the first and second transplant inside the oval tunnel and providing attachment of the fixing device to the exterior surface of the bone.EFFECT: invention provides precision placement of the bone tunnels.17 cl, 6 dwg

Surgical suture with barbs with metal coating // 2614492
FIELD: medicine.SUBSTANCE: invention relates to surgery. Surgical suturing thread with barbs with metal coating is suturing thread of monofilament with recesses along whole length of thread, on which there are metal ions or metal particles forming metal coating film. Inside thread evenly along whole length capsules with substances are located, made with possibility of destruction and releasing of substances contained therein after penetration into body tissue.EFFECT: device enables reducing risk of side effects. 6 cl, 4 tbl, 9 dwg

Adjustable cannula // 2614489
FIELD: medicine.SUBSTANCE: invention refers to medical equipment, namely to adjustable cannulas. The cannula includes a tubular body with a proximal end and a distal end, and a central axis defined therein, the first and the second deformable projecting structural elements. The length of the tubular body is adjustable between first and second positions depending on the thickness of the tissue, in the first position, the tubular body is fully compressed and the length of the tubular body is minimal, while in the second position, the tubular body is fully extended and the length of the tubular body is maximal. In this case, the tubular body has a hole formed therein. Thus, the first deformable projecting element of the structure is connected to the outer surface of the proximal end of the tubular body. The first projecting member includes the upper surface of the first projecting member and the lower surface of the first structure projecting element; the lower surface of the first projecting element is adapted to attachment to the outer surface of the body tissue. Thus, the second deformable projecting element is connected to the outer surface of the distal end of the tubular body. The second projecting member includes the upper surface of the secondprojecting member and the lower surface of the second structure projecting element; the lower surface of the second projecting element is adapted to attachment to the outer surface of the body tissue. The diameter of the first projecting element of the structure coupled to the outer surface of the proximal end of the tubular body, and the diameter of the second protruding element connected to the outer surface of the distal end of the tubular body is larger than the outer diameter of the tubular body.EFFECT: invention provides improved imaging and increased working space inside the body.6 cl, 4 dwg
ethod for hemorrhoidal foot processing during complicated internal hemorrhoids surgery // 2614362
FIELD: medicine.SUBSTANCE: hemorrhoidal feet processing is performed during surgical treatment of complicated internal hemorrhoids. A Luer clamp is imposed on the hemorrhoid tissue and the node feet is sutured proximally by an 8-shaped catgut ligature. Billroth forceps is imposed on a half of the foot and the node is undercut above it. The main suture is imposed with a node formed proximally to the retaining suture. An additional suture is imposed by the first injection of needle under the main ligature and second injection directly next to the stump in the direction of perianal skin. Node tissue is cut off after the last suture is applied. The third suture node is formed over the main ligature.EFFECT: reliable hemostasis during and after hemorrhoidectomy, reduced risk of postoperative submucosal hematomas and paraproctitis due to three 8-shaped stitches on the node foot during removal.3 dwg
Treatment method of haematogeneous osteomyelitis of vertebral column // 2614360
FIELD: medicine.SUBSTANCE: invention may be applied for the treatment of the haematogeneous osteomyelitis of the vertebral column. A porous implant, inside which a perforated drainage is mounted, is installed into a bone defect of vertebrae. Elimination of a pyoinflammatory exudate from the affected area is performed by means of vacuum at (-0.1)-(-0.2) mPa within 7-10 days.EFFECT: method allows improving efficiency of the drainage of the bone cavity and epidural space during the treatment of the haematogeneous osteomyelitis of the vertebral column.4 dwg, 1 tbl
ethod for brain protection in case of carotid reconstruction during acute ischemic stroke // 2614270
FIELD: medicine.SUBSTANCE: degree of the internal carotid artery (ICA) stenosis is determined and the initial blood pressure (BP) is measured. If the degree of ICA stenosis on the stroke side is up to 79% or in case of contralateral ICA occlusion and initial systolic blood pressure (SBP) less than 150 mm Hg, the main stage of surgery is arterial bed clamping, common carotid artery (CCA) longitudinal dissection with transition to the ICA, temporary internal bypass (TIB) installation, arteriotomical hole suturing, TIB removal and blood flow restoration in the carotid arteries, is performed at SBP level of 100-120 mm Hg, and if the initial SBP is 150 mm Hg and more - the main stage of surgery is carried out at SBP level of 120-140 mm Hg. If the degree of ICA stenosis on the stroke side is 80% or more, the main stage of surgery is arterial bed clamping, CCA dissection with transition to the ICA, arteriotomical hole suturing, TIB removal and blood flow restoration in the carotid arteries, is performed at SBP equal to the initial SBP plus 30%, but no more than 160 mm Hg.EFFECT: invention reduces intraoperative complications, which is achieved by SBP regulating depending on the degree of stenosis.2 cl, 1 dwg, 3 ex
ethod of posterior interbody fusion // 2614219
FIELD: medicine.SUBSTANCE: invention refers to the traumatology and orthopedics and may be used for posterior interbody fusion. Channels in the intebody space is formed with maintaining of integrity of the endplates of adjacent vertebral bodies. An autotransplant of bone chip formed during conduction of interlaminectomy, facetectomy, or decompression of spinal cord roots is formed by means of expression of the liquid fraction of a bone mass and compression until formation of a supportable bone column of an intended size. The implant of porous titanium nickelide is installed into the channel in such way to provide maintaining of support ability of the autotransplant.EFFECT: method of posterior interbody fusion allows quickening of formation of a bone and metal block.
ethod for rear retroperitoneal adrenalectomy perfomance // 2614218
FIELD: medicine.SUBSTANCE: rear retroperitoneoscopic adrenalectomy is performed through an incision to 30 mm under the 12th rib end. The workspace is created using an endoscope tube. Along the wound edges two punctures for the endoscope and working tool are made. Detection of adrenal gland tumours is performed. First, the lower part of the adrenal gland, then the side surfaces are subjected to mobilization, then the adrenal gland central vein is suppressed, and the rear surface is mobilized. The upper part is the last to be suppressed.EFFECT: method eliminates the costly special equipment, reduces pain in the postoperative period and provides a good cosmetic effect due to operation according to a specially developed algorithm of adrenal gland selection from the surrounding tissues.4 cl, 1 tbl, 2 ex
Low-invasive method for elimination of isolated residual adduction of anterior part of foot in case of equino-varo-adduction deformation of feet in children // 2614215
FIELD: medicine.SUBSTANCE: method includes performance of longitudinally lateral cut in projection of 5 metatarsal bone, reaching tendon of peroneus brevis. Tendon is cut off with cortical plate. Bed is formed on the base of 5 metatarsal bone. Free end of tendon of peroneus brevis with cortical plate is placed into bed, and cortical plate is fixed to metatarsal bone in position of foot deformation correction. It is advisable to shape cortical plate in form of polygon, and to shape bed on the base of 5 metatarsal bone if form of the same polygon as cortical plate.EFFECT: method prevents postoperative complications and fixes tendon to bone in more reliable way.4 cl, 3 dwg, 1 ex

ethod for proximal gastrointestinal transplant blood circulation improve in case of esophagoplasty // 2614213
FIELD: medicine.SUBSTANCE: esophagus is formed by the isoperistaltic stem from the greater stomach curvature retaining the right gastro-omental artery. Ligation and intersection of three branches of the right gastric gastro-omental artery are performed. First, the gastric branch of the right gastro-omental artery is transected at a distance of 5-6 cm from the pylorus. Subsequent artery branches are ligated and transected preserving at least two branches between them.EFFECT: improved blood supply of the proximal transplant in case of total replacement of diseased esophagus.1 dwg

Suture material // 2614212
FIELD: medicine.SUBSTANCE: suture material contains a thread/(threads) of the superelastic NiTi. The suture material structure further includes a thread/(threads) made of an alloy with the following composition: 45% of titanium, 0.5% of molybdenum, 1.5% of iron, the rest - nickel. The diameter of the applied threads is selected from the range of 30-60 microns.EFFECT: increased handling quality of the suture material.3 dwg
eans for fixation of tissues connected during surgery // 2614211
FIELD: medicine.SUBSTANCE: fixation means is made of a cord material based on knitted fabric of nickel alloy and titanium thread. The means has the form of a ribbon, formed by cord material laying by several layers flattened to contact and layer binding along edges with each other.EFFECT: increased possibility of intraoperative monitoring of tightening effort adequacy and reduced local pressure and underlying tissues atrophy.5 dwg

Anchor for legiment and muscles reinsetion in case of their separation from bones and key for installation and removal // 2614208
FIELD: medicine.SUBSTANCE: anchor for legiments and muscles reinsertion in case of separation from the bone comprises a threaded cylindrical portion and a head for the anchor installation and removal key, with hole and slots in the thread on both sides. Grooves are made along the entire length of the thread, a suture hole extends perpendicularly to the side surface and connects slots in the middle part, the key head has a cylindrical shape with flats at the grooves in the thread. The key for installation and removal of the above anchor is T-shaped and includes a handle and a rod. The working end of the rod is a stepwise cup, two opposing recesses are arranged on the lower step, coming from the edges of the rod to the handle. The recess height exceeds the anchor head height by 1 mm, while the walls of the lower cup step are flat from the inside at anchor head flats. The side wall of the rod contains an inclined channel extending to the upper step of the cup for suture withdrawal from the rod cavity, the channel outlet opening is located in a plane perpendicular to the side recesses plane.EFFECT: structural strength to secure the suture, suturing without any contact with the cutting edge of the anchor.2 cl, 6 dwg

ethod of treating chronic elbow and prepatellar brusitis // 2614207
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to traumatology-orthopedics and surgery, and can be applied for treatment of chronic elbow and prepatellar brusitis. For this purpose puncture of bursa, its content aspiration, introduction of medication in its cavity, drainage of bursa with constant active aspiration are realised. As medication 2 ml of heparin 10000 IU are introduced in bursa cavity. After 24 hours aspiration of content is carried out and 2 ml of heparin 10000 IU and 10 mg of trypsin are introduced. 3 hours after this vacuum system of active aspiration is placed in bursa cavity. Further, in a day removal of aspiration liquid from system is realised in the process of bandaging. System of active aspiration is applied until exudate extraction from bursa stops.EFFECT: method ensures improvement of treatment effects as a result of reduction of pain reaction to medicinal procedure, reduction of quantity of recurrences as a result of active influence on synovial envelope of bursa, thorough evacuation of its content and activation of regeneration processes.1 dwg, 2 ex

ethod of surgical management of congenital hip dislocated in adolescence // 2614101
FIELD: medicine.SUBSTANCE: invention relates to traumatology and orthopaedics and can be used for surgical management of congenital hip dislocated in adolescence. Gigli saw is brought around femoral bone. Hip is transected by half its diameter. Osteotomy of external cortical thighs is made with vibration saw oblique downwards and from outside inwards to contact with previous line of corticotomy to make two fragments of hip with oblique fracture line in intertrochanteric and subtrochanteric areas. Behind lesser trochanter groove is made with grooved chisel, where proximal end of distal bone fragment is embedded. And proximal end of femur is shifted downward and forward as much as possible. Biomechanical axis of extremity is restored by bringing distal part of hip. Preset position of extremity is fixed on plate.EFFECT: method enables reducing length of staying in hospital, reducing risk of deformation in remote period.1 cl, 1 dwg
ethod for hand skin plastics // 2614100
FIELD: medicine.SUBSTANCE: general condition of the patient is pre-stabilized. An autograft is prepared. Necrotic tissues are removed, hemostasis and autoplasty are performed. At that, a fringing scalpel cut is made perpendicular to the skin surface at the border between the burn and the healthy skin in the interdigital spaces and on the side surfaces of the fingers. The skin is incised to the subcutaneous adipose tissue with formation of cuts in the form of angles and straight lines. Next, an electrodermatom is used on the hand dorsum, including the phalanges, to remove necrotic tissues down to the lower layers of the dermis, additionally in interdigital spaces and on the finger sides in the direction from the wound to the healthy skin and perpendicular to the bordering section, cuts are adhusted in the form of angles and straight lines to provide fit congruence of the solid free graft to the healthy skin.EFFECT: method ensures fit congruence of the solid free graft to the healthy skin, prevents development of postoperative scarring syndactyly and flexion contractures of fingers.8 dwg, 1 ex
ethod for neck of radius intramedullary osteosynthesis for children // 2614099
FIELD: medicine.SUBSTANCE: two needles are passed: one through the styloid process of the distal radius, the other - through the distal radius over the ulna notch to the proximal fragment of the neck of radius. The needles are introduced into the proximal fragment without entering the joint cavity. The needles are bent and cut in the distal section. The limb is fixed by a plaster cast.EFFECT: method allows to reduce trauma and increase the stability of fixation, prevent elbow joint contracture.1 dwg

Device for treatment of fractures of the greater tubercle of the humerus // 2614097
FIELD: medicine.SUBSTANCE: invention relates to medical equipment, specifically to devices applicable in traumatology and orthopaedics. Device for treatment of fractures of the greater tubercle of the humerus is a bone plate with serrated outer contour. Plate is made with the possibility of the location on the transverse axis of the humerus. Inner surface of the plate is ribbed. There are six serrations, four of which are located at the corners of the plate and two in the middle. Plate has a conical holes of larger diameter for screws located longitudinally on center, and cylindrical holes of smaller diameter for the spokes or a seam, located longitudinally along the edges between the conical holes.EFFECT: invention provides increased efficiency and reduction of terms of treatment of patients with fractures of the greater tubercle of the humerus.1 cl, 4 dwg

ethod for acromioclavicular joint ligament lavsan plastics in case of rupture // 2614096
FIELD: medicine.SUBSTANCE: skin incision is perfromed in the acromioclavicular joint projection. The acromion and the clavicle are mobilized, four channels are drilled, including two in the acromion and two in the clavicle at the same distance from the articular surface, dorsally and ventrally. A double lavsan thread is passed through the channels. The thread is first passed from the top to the bottom in the ventral canal in the acromion, then from the bottom to the top in the ventral channel of the clavicle, then the thread is passed from the top to the bottom in the dorsal channel of the clavicle, and finally from the bottom to the top in the dorsal channel of the acromion. Joint anatomic integrity is provided by finger pressure, thread ends are tied with a double knot without removing the finger pressure.EFFECT: method can reduce the frequency of relapses, reduce the number of postoperative complications, shorten the rehabilitation period.1 ex, 3 dwg

ethod for fibula autoplastic properties optimisation // 2614095
FIELD: medicine.SUBSTANCE: fibula is sawed longitudinally into two parts, multiple perforations are applied to each half and stacked on the defect with cortical walls rotated towards each other.EFFECT: method allows to optimize the plastic properties of the fibula.1 dwg
ethod for formation of duodenal stump // 2613940
FIELD: medicine, surgery.SUBSTANCE: invention relates to medicine, namely to surgery. After application of apparatus suture duodenal stump is submerged by means of monofilamentous thread with two needles on ends, tightened with serous-muscular-submucosal suture on caudal semicircle of intestine and tied up with knot above apparatus suture. Cranial semicircle of intestine is sewn with the same thread. Capsule of pancreas is sewn with one of thread ends in cranial direction. Needle with thread is turned and intestine is sewn from caudal side. Capsule of pancreas in caudal direction and wall of intestine from cranial side are sewn with the second needle. Threads are evenly tightened until tight fixation of duodenal stump to pancreas capsule takes place. Threads are tied up.EFFECT: method makes it possible to provide prevention of postoperative complications, and optimal reparative properties of stump.2 ex, 10 dwg
Low invasive method for face superficial muscular aponeurotic system ligament fixation // 2613786
FIELD: medicine.SUBSTANCE: threads with opposite direction notches are used, which are inserted through skin punctures in the temporal and zygomatic facial area. At that, 2-3 threads are directed from the zygomatic ligament to the bucco-maxillary ligament with additional fixation in the orbicularis oris muscle fibers. 2-3 threads are directed from a point in the temporoparietal fascia through the zygomatic ligaments along the lateral temporomandibular buccal fatty package through mastication-cutaneous ligaments to the mandibular ligament with fixation in the chin muscle fibers. Thread ends are output to the skin surface, and further fixed by surgical knots that are immersed in facial soft tissues.EFFECT: method allows to increase trauma safety and durability of ligament fixation conservation.4 dwg, 1 ex
ethod of heel bone fixation // 2613727
FIELD: medicine.SUBSTANCE: distraction apparatus is applied, distraction of heel bone is realised by telescopic drafts. After that, wire, on which canal to fragment to be impressed is formed by cannulated drill, is passed on heel bone axis. Displacements are eliminated and provisory fixation of fragments of posterior articular facet is performed through canal by means of elevator, with wires, which are passed subchondrally perpendicular to fraction line towards sustentakulum. Canals for cancelous screws are formed on provisory wires by means of cannulated drill and compression between fragments of posterior articular facet is provided. Elevator is removed and formed canal in heel bone is deepened with drill. Rod is introduced by means of conductor and blocked with screws. Distraction apparatus is demounted.EFFECT: method reduces trauma of soft tissues, provides stability of fixation of heel bone fractures.1 ex, 11 dwg
Endoventricular patch plastics in case of left ventricular aneurysm // 2613675
FIELD: medicine.SUBSTANCE: aneurysm cavity autopsy and debridement are performed. An intraventricular balloon corresponding to the volume of the left ventricle cavity and size depending on the patient's body size is placed. A purse-string suture is applied along the scar edge, with subsequent tightening. The patch is sutured to the wall defect by a twisted suture. Aneurysmal sac walls are sutured above the patch after purse-string suture tightening along the scar edge. At that, two Z-shaped sutures are formed in the area between the interventricular septum, rear and side walls of the left ventricle. The first Z-shaped suture is formed by injection of a needle with a thread into the septum and left ventricle rear wall closure area with the pitch at a distance of 0.3-0.5 mm with an outer wrap of the purse-string suture thread. After the thread is passed similarly at a distance of 0.3-0.5 mm from the first injection and pitch with thread increment of 0.3-0.5 mm forming the second line of the Z-shaped suture. Similarly, the second Z-shaped suture is made on the diametrically opposite side wall of the left ventricle.EFFECT: method allows to improve the treatment efficiency by reducing the severity of postinfarction left ventricular remodeling processes, improving its contractile function and myocardial perfusion, as well as provide the absence of life-threatening ventricular arrhythmias.1 ex

ethod of alveolar bone plastics for children with congenital cleft lip and palate // 2613673
FIELD: medicine.SUBSTANCE: mucosa is cut along the edges of the alveolar bone cleft. Flap is exfoliated from the defect edges. Upper jaw alveolar bone fragments are exposed. Nasal mucosa is filled into the defect and suturing is performed by inserted sutures. Bone block is withdrawn from the chin area or the lower jaw body, while its size is selected to overlap the defect. Lower jaw premolar is withdrawn and used as an autotransplant, at first, the premolar is placed into the prepared alveolar bone bed, the remaining defect cavity is filled with osteoplastic material, then the bone block is rigidly fixed outside of the defect, followed by covering of the attached gingiva with the mucosa flap, cut on the side fragment of the alveolar bone.EFFECT: method allows to increase the surgical treatment efficiency and restore upper jaw and dentition integrity in the aesthetically important area.3 dwg, 1 ex

Staples unit with compressible components resistant to deformation // 2613603
FIELD: medicine.SUBSTANCE: invention relates to medicine. Unit with cross-linking elements can comprise support part, tissue thickness compensator and multiple connecting elements placed inside support part and/or tissue thickness compensator. Tissue thickness compensator is located relative to support part. Connecting elements are used for suturing of tissue. When using, unit with cross-linking elements is installed in first branche of surgical suturing device. Second branche or support can be placed opposite to first branche. Staples driving element is moved through unit with cross-linking elements for moving of cross-linking elements to stop. After placing cross-linking elements can capture at least, part of tissue thickness compensator together with at least part of sutured tissue.EFFECT: staples unit with compressible components resistant to deformation is disclosed.21 cl, 389 dwg
 
2551067.
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