Surgery (A61B17)

A   Human necessities(308424)
A61B17                 Surgery(21508)
A61B17/068 - Internal fixation devices(111)
A61B17/072 - Intramedullary devices(122)
A61B17/076 - Fixed by screws(1)
A61B17/08 - Wound clamps(29)
A61B17/115 - (60)
A61B17/122 - (117)
A61B17/125 - (7)
A61B17/128 - (27)
A61B17/132 - (24)
A61B17/135 - (9)
A61B17/15 - Guides therefor(20)
A61B17/17 - Guides for drills(48)
A61B17/225 - (64)
A61B17/322 - (335)
A61B17/326 - (10)
A61B17/34 - Trocars; puncturing needles(419)
A61B17/36 - (189)
A61B17/39 - (12)
A61B17/425 - (5)
A61B17/43 - For artificial insemination(11)
A61B17/435 - (10)
A61B17/44 - Obstetrical forceps(19)
A61B17/46 - Embryotomes(8)
A61B17/48 - Bags for midwives(1)
A61B17/52 - agnets(27)
A61B17/54 - Chiropodists' instruments(3)
A61B17/68 - Internal fixation devices(154)
A61B17/72 - Intramedullary devices(103)
A61B17/76 - Fixed by screws(21)
A61B17/80 - Cortical plates(145)
A61B17/82 - For bone cerclage(5)
A61B17/84 - Fasteners therefor(3)
A61B17/86 - Pins or screws(18)
A61B17/90 - Guides therefor(41)

ethod for transposition of lower-polar aberrated kidney vessel in case of hydronephrosis // 2628460
FIELD: medicine.SUBSTANCE: transposition of the lower polar aberrated kidney vessel during hydronephrosis is performed by a flap from the parietal peritoneum of the abdominal cavity lateral canal. A flap on the feeding leg is directed under the aberrated lower-polar vessel and the vessel is moves upwards by pulling from the ureterocutaneous segment. The stretched flap is fixed by the fibrous capsule of the kidney to its front surface.EFFECT: method allows to exclude microcirculation disorders in the kidney capsule and cortical layer, as well as massive cicatricial process in the perirenal space.5 dwg
ethod for heterotopic ossification surgical treatment with local neural simulation of spastic syndrome // 2628370
FIELD: medicine.SUBSTANCE: for surgical treatment of heterotopic ossification with local neural simulation of the patient spastic syndrome, preliminary multilayer spiral computerized tomography (CT) is used to ptovide spatial imaging of bone structures and ossificates. The method of magnetic resonance imaging reveals the ossificate soft tissue component which is not visualized by MSCT. Then the heterotopic ossificate maturity stage is determine by calcium-phosphorus metabolism indices - alkaline phosphatase, osteocalcin, and bone matrix formation marker PINP - N-terminal pro-peptide of type 1 procollagen in patient's venous blood. If the measured parameters of N-terminal propeptide of type 1 procollagen - PINP are less than 76 ng/ml, even in case of an isolated lesion of one elbow or knee joint, alkaline phosphatase level is in the range 40-150 U/l and osteocalcin level is within 11-46 ng/mL, completion of osteoid formation and mineralization with formation and maturation of newly formed cancellous bone is concluded. In this case, surgical ossificates removal from the affected joint is prescribed. At that, local neural simulation of spastic syndrom is performed prior to surgical removal of ossificates, until it a stable decrease to the level of 0 to 1 on Ashworth scale is reached. Next, surgical treatment is performed involving ossificate resection or removal of an adequate volume of heterogeneous bone to restore the functionally adequate range of motion in the affected joint.EFFECT: possibility of surgical treatment of heterotopic ossification in patients with spastic syndrome, minimizing the risk of complications during surgical treatment, and pathological process recurrence.3 cl, 5 ex
ethod for low invasive surgical stimulation of reparative osteogenesis of slowly consolidated distraction regenerates in combination with false connection of limbs long bones of limbs in case of soft scar tissues // 2628368
FIELD: medicine.SUBSTANCE: under the control of electron-optical transducer, a guiding drill rod is introduced through the slow-consolidating distraction regenerate area and the false joint area, through which a cutting tool in the form of a cannulated flexible shaft with a drill is then introduced, and a hole of a specified diameter is formed in the medullary canal of the long tubular bone using a replaceable cutting tools set with drills of increasing diameter. A nanostructured composite implant is inserted into the formed internal cavities through a hole of a predetermined diameter formed in the medullary canal of the long tubular bone in slowly consolidating distraction regenerate and the false joint area.EFFECT: method allows to reduce the time of distraction regenerate reconstruction into a full bone.2 cl

ethod for mammoplasty // 2628238
FIELD: medicine.SUBSTANCE: mammary gland (MG) plasty with high ptosis or a stretched "dermal sheath" is performed. At that, Botox is injected into the large pectoral muscle 8-10 days before the operation and into the cavity in the large pectoral muscle base during the operation, prior to implant insertion. During the operation, the MG skin within the operating field is shrunk by exposure to laser radiation or ultrasound. Fibrin glue mixed with a solution of a nonpolarizing muscle relaxant is used, and the cavity is washed with an antibiotic solution before drying.EFFECT: method has a high aesthetic effect, ensures the stability of the mammary gland with the necessary shape, minimizes ptosis, excludes scars on the incision site.3 cl, 14 dwg, 3 tbl, 3 ex
ethod for laparoscopic left-sided lateral liver sectorectomy // 2628056
FIELD: medicine.SUBSTANCE: at laparoscopic left-sided lateral liver sectorectomy, the left hepatic artery, the left branch of the portal vein, is circularly isolated from the donor after liver left lobe mobilization. A line of resection is marked on the diaphragmatic surface of the liver 3-5 mm to the right from the crescent ligament of the liver. 2-4 cm2 of the liver parenchyma is separated along the intended line. LLS is rotated. 0.5-1 cm2 of the liver parenchyma is separated along the boundary between the lower and middle thirds of the furrow between the caudate lobe of the liver and the LLS. Dissector branches are introduced into the formed hole. On the side of the diaphragmatic liver surface, ends of two ribbons are captured by the dissector and removed from the visceral surface of the liver. Liver parenchyma with a portal plate is suspended on the first ribbon. Liver parenchyma with the left hepatic vein is suspended on the second ribbon. Then, the liver parenchyma is separated along the resection planes by the first and second braid. The portal plate is cut, the left hepatic artery, the left branch of the portal vein, is clipped and crossed, stitched with a hardware suture, and the left hepatic vein is crossed. The transplant is taken from the abdominal cavity.EFFECT: method allows to simplify the technique of liver parenchyma separation for prevention of biliary and vascular complications.5 cl, 4 dwg

Staple cartridge, including crushable plate // 2628054
FIELD: medicine.SUBSTANCE: end effector of the surgical stapler includes an abutment, wherein the end effector includes a staple cartridge. The staple cartridge contains a plate, a plurality of staples, a crushable tissue thickness compensator, and a supporting surface of the staple cartridge. The plate has a surface and a plurality of apertures passing through the plate. Each staple has a base and at least two legs protruding from the base, with the legs at least partially protruding into the apertures. The crushable tissue thickness compensator is located above the surface of the plate, while the tissue thickness compensator has a surface in contact with tissues. The support surface of the staple cartridge is designed to support the staple bases. The plate is slidable downwards, towards the support surface of the staple cartridge by the pushing action of the abutment for legs deformation. The staple cartridge for use with a surgical stapler including an abutment, wherein the cartridge includes a plate, a plurality of staples, and a crushable tissue thickness compensator. The plate is slidable downwards in the direction of the bases between the inoperative position and the actuation position by the pushing force of the surgical stapler abutment for legs deformation. For the second version, a staple cartridge for use with a surgical stapler including an abutment, wherein the cartridge comprises a plate and a plurality of staples. Each staple has a base and at least two legs protruding from such a base. The legs at least partially enter the apertures, and the plate can be crushed in the direction of such bases between the inoperative position and the operating position when the staple legs are deformed by the surgical stapler abutment.EFFECT: inventions provide compensation for various tissue thicknesses clamped in different staples.19 cl, 408 dwg

Surgical instrument with various speed direction switching mechanism // 2628048
FIELD: medicine.SUBSTANCE: surgical instrument contains a user interface with remote control and a trigger drive. The trigger is configured to create a rotational starting motion during the first actuation of the remote control user interface and a rotational retracting motion during the other actuation of the remote control user interface. The instrument comprises the first trigger element, at that, the remote control user interface is selectively connected to the first trigger element and the second trigger element. The user interface is selectively connected to the second trigger element. The elongated shaft is connected during operation to the first trigger element and to the second trigger element. The instrument further comprises an end clamp attached to the elongated shaft. The end clamp contains an elongated trough configured to retain the staple cartridge during operation, and a thrust member. The cutting tool, which is functionally connected to the elongated shaft during operation, is held in the elongated trough.EFFECT: increased convenience and accuracy of work.33 dwg
ethod for aorta cannulation through estuary of any aortic arch branches for artificial circulation // 2628046
FIELD: medicine.SUBSTANCE: estuary of any of the aortic arch branches is isolated from the general access to the aortic arch. A purse suture is formed around the estuary of the selected branch of the aortic arch. It is clamped by two vascular clamps. The clamped branch of the aortic arch is intersected between the two clamps. Aorta cannulation is performed directly through the estuary of the intersected branch of the aortic arch. Then, the installed cannula is fixed by means of a preformed purse suture.EFFECT: method allows to reduce traumatism due to the fact that no manipulation is performed on the aorta wall during cannulation, in addition there is no additional access to the peripheral arteries, it is possible to control cannulation of the true aortic lumen.1 cl
ethod of combined front-rear spondline // 2628044
FIELD: medicine.SUBSTANCE: performing anterior and posterior spinal fusion. To perform the intervention, access is made by the longitudinal incision of the skin along the spinous processes of the vertebrae, supposed to fix, peel the longitudinal muscles of the back from the spinous processes with exposure of the articular processes of the vertebrae, perform the incision that extends from the previous Th12 vertebra, which continues along the 12th rib and Further along the lateral surface of the abdomen in the direction of the anterior superiority of the iliac bone to the level of the navel, securing the 12th rib with resection of its medial portion.EFFECT: method allows to reduce the trauma, reduce the time of surgery.1 cl

Posterior-posteroexternal extraperitoneal-extrapleural approach to bodies of thoracolumbar division // 2628030
FIELD: medicine.SUBSTANCE: longitudinal cut of the skin along the spinous processes envisaged for fixation is performed. The longitudinal muscles of the back are exfoliated from the spinous processes with exposure of the articular processes of the vertebrae. A cut is made from the previous one at the Th12 vertebra level, the cut continues along the 12th rib and further along the lateral surface of the abdomen towards the anterior superiority of the iliac bone to the level of umbilicus, the 12th rib is isolated with resection of its medial portion.EFFECT: method allows to reduce trauma, reduce the time of surgery.3 dwg
ethod for hyaline cartilage production // 2627817
FIELD: medicine.SUBSTANCE: hyaline cartilage from the articular surfaces of the phalanx of additional fingers or toes of healthy children, removed intraoperatively in case of polydactyly. Some fragments of hyaline cartilage are used to carry out control studies, and the other part is used to obtain cell cultures.EFFECT: method provides high regenerative potential of the hyaline cartilage.1 cl
ethod for tubular bone defects plastic in patients with chronic osteomyelitis // 2627815
FIELD: medicine.SUBSTANCE: sanation of the osteomyelitis focus, plastic of the bone cavity by platelet-enriched autoplasm and biomaterial are performed. At that, prior to plastic surgery, a thin needle is rotated in various directions to provide revascularizing osteoperforation of the bone cavity walls along the edge of which the bioplastic membrane "Collost" is fixed with transossal sutures, without tightening the threads. The intact autologous muscle tissue is taken, which is ground to the state of muscle mince. It is mixed with the platelet-enriched autoplasma and densely placed in the bone cavity, which is sealed with the bioplastic membrane "Collost", tightening the threads of the transossal sutures.EFFECT: method allows to ensure sealing of the plastic area of tubular bones defects in patients with chronic osteomyelitis, to create optimal conditions for reparative processes of bone tissue.1 ex
ethod for chronic wounds treatment // 2627814
FIELD: medicine.SUBSTANCE: pre-sanitized wound is covered with a bioplastic membrane "Collost", fixing it with separate nodal sutures at a distance of 0.3 mm from each other. Near the upper edge of the wound, a subclavian catheter is installed, the tube of which is up to 1 mm and length is up to 150 mm . This tube is pre-perforated and inserted under the membrane through the upper edge of the wound. The membrane is covered with an antiseptic dressing so that the head with the subclavian catheter plug remains above it for daily single administration of platelet-enriched plasma, which is obtained by taking 20 ml of blood from the peripheral vein, which is centrifuged for 15 minutes at 4000 revolutions. Then, the liquid part of plasma is placed in a sterile tube without a stabiliser and is centrifuged at 3500 rpm for 15 minutes to obtain platelet-enriched plasma with a volume of up to 2 ml, which is injected through the subclavian catheter no later than 10 minutes after its production. The antiseptic bandage on the wound is replaced once in 5-7 days.EFFECT: method allows to increase the effectiveness of chronic wounds local treatment, reduce trauma, simplify wound treatment and care.1 ex

Aiming at identification points of orthopedic devices // 2627677
FIELD: medicine.SUBSTANCE: group of inventions relates to medicine. Device for aiming at identification point of orthopedic implant comprises: case, made with possibility of engaging with mating structural element for attachment of case to orthopedic implant; and electromagnetic sensor, placed inside case of device in known position. When device case is engaged with mating structural element, position sensor relative to identification point of orthopedic implant is known in relation to five degrees of freedom. Method of aiming at identification point of orthopedic device includes following steps: location of first identification point of orthopedic device by means of identification device of identification point and first sensor of electromagnetic field, wherein identification point identification device comprises generator of electromagnetic field and first electromagnetic field sensor, when determining location of first identification point, is attached to orthopedic device and is located in zone of electromagnetic field generator, wherein location of first identification point includes movement of identification point identification device relative to orthopedic device and first sensor of electromagnetic field; attachment of second sensor of electromagnetic field to first identification point; placing of second sensor of electromagnetic field in zone of action; and location of second identification point of orthopedic device using identification point identification device and second electromagnetic field sensor using second electromagnetic field sensor attached to first identification point, wherein location of second identification point includes movement of identification point identification device relative to orthopedic device and second electromagnetic field sensor. Method of using device comprises: bringing of case to engage with mating structural element, thus attaching case to orthopedic implant; generation of electromagnetic field; movement of identification point identification device relative to orthopedic implant, thus moving electromagnetic field relative to sensor; calculation of sensor position relative to identification point identification device using signals received from sensor; and comparing calculated position of sensor relative to identification point identification device with known position of sensor relative to identification point.EFFECT: use of given group of inventions allows excluding effect of harmful radiation on patient and/or personnel, when aiming at identification point of implant, coated with tissues.25 cl, 18 dwg
Integrated compression hemostasis iduring organ preserving operative delivery in patients with placentar ingrowth // 2627633
FIELD: medicine.SUBSTANCE: after lower-medial laparotomy, Caesarean section is performed, the fetus is removed from the uterine cavity, and the umbilical cord is crossed. Then the uterine cavity is sutured without placenta extraction. At the next stage, the peritoneum of the vesicle-uterine fold is cut, the bladder is reduced with targeted coagulation of the vessels, exposing the anterior surface of the cervix. For the purpose of marking the healthy tissues boundaries, the cervix is stitched with a 1/2-wedge U-shaped suture in full width in the anteroposterior direction, the ends are fixed with a clamp. Then, "windows" are formed on the left and on the right in the broad uterine ligaments at the isthmus level, through which turnstile tourniquets from elastic rubber tubes are inserted along the rib of the uterus, tightened and fixed with two clamps. Ovaries are withdrawn lateral to the turnstiles, the 3rd turnstile is directed through the same windows around the cervix, tightened at the cervix level, fixed with a clamp. Further, the uterine wall in the area of the placenta ingrowth is excised, followed by placenta removal from the uterine cavity. Previously, a hydrostatic balloon is inserted into the uterine cavity, after which the uterine wall defect is sutured with individual U-shaped sutures followed by peritonization. Then the uterine wall is closed. The tank connected to the balloon catheter is filled, the tourniquets are removed. Broad ligament defects are sutured, if necessary, additional hemostasis is performed. The anterior abdominal wall wound is sutured tightly, an aseptic bandage is applied.EFFECT: method allows to perform organ-preserving delivery in pregnant women with ingrown placenta with a possibility of reproductive function in future.3 ex

obile element for use with compensator of tissue thickness // 2627629
FIELD: medicine.SUBSTANCE: cutting blade includes one or more elements for guiding or moving substances released from the tissue thickness compensators. Thickness compensators are used together with a surgical instrument. The cutting blade has a structured surface.EFFECT: substances from the tissue thickness compensator can be distributed over the surface of the blade.8 cl, 526 dwg

Tissue thickness compensators // 2627626
FIELD: medicine.SUBSTANCE: tissue thickness compensator assembly consists of two parts and contains the first and the second tissue thickness compensators. The first tissue thickness compensator is configured to be positioned relative to the abutment member of the surgical stapling tool. The second tissue thickness compensator is configured to be positioned relative to the staple cartridge of the surgical stapling tool. The first tissue thickness compensator and the second tissue thickness compensator are connected by a hinge. The first and/or the second tissue thickness compensator comprise additional gripping elements, such as an elevated protrusion that engages with a groove in the abutment member and/or the staple cartridge. The first and/or the second tissue thickness compensator may comprise an encapsulating element with a suitable biological agent. The end clamp assembly for surgical instrument attachment includes a staple cartridge, an abutment element, the first tissue thickness compensator located on the abutment plate, and the second tissue thickness compensator located on the staple cartridge.EFFECT: improvement of the device.18 cl, 407 dwg

anual pistol unit with power drive for drilling and sawing in orthopedics and power system providing drilling and sawing in orthopedics by indicated pistol unit // 2627614
FIELD: medicine.SUBSTANCE: group of inventions refers to medical equipment, in particular to a manual pistol unit for drilling and sawing in orthopedics, as well as to a power system providing drilling and sawing in orthopedics using a pistol unit, applied in surgical operations. The manual pistol unit with a power drive for drilling and sawing in orthopedics contains at least a handle body, a clamping device for cutting tool gripping, a driving motor for power generation and cutting tool driving to perform drilling and sawing operations, and a switch assembly to control the drive motor output power. The drive motor is connected to an external power source. The drive motor is connected to an external control system configured to control the drive motor operating mode using the switch assembly, and the control system is configured to actuate the drive motor for its rotation in the positive direction, reverse direction, and also rotation forward and backward, using the switch assembly. The switch assembly includes at least a guide rod, a guide rod control mechanism and a guide rod sensor element. At that, two guide rods are provided, which are located in the corresponding slots for guide rods. Two guide rods perform sliding reciprocating movements in the axial direction along the corresponding guide rods slots. A through radial opening is provided on the side wall of the guide channel of each rod guide slot, and the guide channel of the guide rod slot is adapted to pass through the corresponding guide rod. A roller is slidably mounted in the through radial opening, the length of the through radial opening is smaller than the roller diameter, and the guide rod is axially lockable by slipping the roller inwardly. At that, the guide rod control mechanism comprises a movable unit capable of rotating about an axis parallel to the guide rods. The rollers of the two guide rods are positioned so that they are facing directly towards the movable unit. The movable unit is characterized by two annular wave-like areas for rollers. The annular wave-like areas are configured to actuate by rotating the movable unit to communicate motion to the rollers that begin to move along the respective through radial openings. At that, the design of the two annular wave-like areas is arranged to actuate the rollers on both sides of these areas to simultaneously lock the respective guide rods, simultaneously releasing the corresponding guide rods or locking one of the guide rods and releasing the other guide rod at the same time. And the guide rod sensor element is adapted to receive signals about movement of the two guide rods and transmit the received signals about movement to the external control system. The power system provides drilling and sawing in orthopedics, contains the main device, a foot controller connected to the main device, and the above manual pistol unit with a power drive for drilling and sawing in orthopedics connected to the main device.EFFECT: inventions allow to ensure uninterrupted operation of the device, reduction of the device total weight, simplification of control and increase of operational efficiency.9 cl, 5 dwg

ethod of videolaparoscopic treatment of large and giant hernia of the open end of the diaphragm // 2627601
FIELD: medicine.SUBSTANCE: pre-mesh implant is formed by joining the polypropylene mesh and the polytetrafluoroethylene mesh with Prolene 3/0 threads. When laparoscopic plastic of large and giant hernia of the esophageal aperture of the diaphragm is removed parietal peritoneum from the legs of the diaphragm. Fix an implant onto the feet of the diaphragm with a herniostepler. The polypropylene mesh adhesively adheres to the diaphragm stems. Non-adhesive polytetrafluoroethylene mesh is facing the peritoneum. Sew the parietal peritoneum, forming a pocket for the implant, excluding its contact with the esophagus.EFFECT: strengthening the frame properties of the diaphragm legs with an implant, reduces the risk of complications, perforation of the esophagus, bedsore from contact with the prosthesis, development of dysphagia.3 cl, 8 dwg, 2 ex

Surgical stapler // 2627599
FIELD: medicine.SUBSTANCE: surgical stapler includes a curved stop element assembly comprising a staple recess formed in the tissue contacting surface. The staple recesses are arranged along a curved path. Each staple recess contains a centerline, the first forming hole and the second forming hole. The centerline of the first staple recess is neither parallel nor collinear with respect to the axial line of the second staple recess.EFFECT: increased convenience.20 cl, 120 dwg, 10 tbl
ethod for nonspecific spinal osteomyelitis treatment // 2627466
FIELD: medicine.SUBSTANCE: for surgical treatment of spinal nonspecific osteomyelitis, vertebral bodies are accessed, the diseased vertebral body is dissected, the bone wound is treated with an antiseptic, and an implant is inserted into the formed defect. Bone wound antiseptic treatment is performed by wound cavity irrigation for 30 minutes using a pulse lavage system with a sodium chloride solution saturated by an ozone-oxygen mixture with ozone concentration of 20 mg/l and level of oxidation-reduction potential of not lower than 600 mV, which is maintained during the entire wound cavity treatment time by providing continuous saturation of the sodium chloride sloution with ozone-oxygen mixture until the end of wound cavity treatment.EFFECT: method allows to increase the effectiveness of bone injuries antiseptic treatment.1 ex
ethod for bone cavity treatment after necrosectomy // 2627465
FIELD: medicine.SUBSTANCE: for bone cavity treatment after necrosectomy, wound cavity irrigation is performed for 30 minutes using a pulse lavage system with a sodium chloride solution saturated by an ozone-oxygen mixture with ozone concentration of 20 mg/l and level of oxidation-reduction potential of not lower than 600 mV, which is maintained during the entire wound cavity treatment time by providing continuous saturation of the sodium chloride sloution with ozone-oxygen mixture until the end of wound cavity treatment.EFFECT: method allows to increase the effectiveness of bone cavities antiseptic treatment after necrosectomy.1 ex
ethod for protecting arteries of the brain from emboly in angioplastic and stenting of the brahiocephaltic stem // 2627352
FIELD: medicine.SUBSTANCE: performing the installation of the filtering device through the arteries of the right upper limb in the right common carotid artery, then perform angioplasty and stenting. The delivery of instruments to the brachiocephalic trunk is performed through the arteries of the right upper limb or from the transfemoral access.EFFECT: method allows to prevent embolic masses from entering the brain vessels, which makes it possible to maintain the necessary volume of cerebral blood flow and prevent the development of ischemic lesions.2 ex, 2 dwg

ethod for external nasal valve reconstruction in case of its dysfunction // 2627351
FIELD: medicine.SUBSTANCE: underwing incision is made. Lateral lower leg of the lateral cartilage is allocated. A pocket of soft tissue is formed to the pyriform hole bone edges; retreating 6 mm from the nose dome, excised in the lateral direction and the lateral lower leg of the lateral own cartilage is removed. An autologous transplant from the nose septum cartilage is laid medially - on the remaining lateral portion of the lower lateral cartilage. The transplant lateral edge is placed in the soft tissues pocket on the bone edge of the pyriform hole. The transplant is fixed by suturing the wing of the nose through by one or two sutures.EFFECT: effective recovery of nasal breathing at the level of the external nasal valve due to increased stiffness and the external nasal valve width.6 dwg, 3 ex
ethod of treatment of epithelial pilonidal sinus at the stage of abscedation // 2627350
FIELD: medicine.SUBSTANCE: after excision of the epithelial pilonidal sinus with the abscess shells, the wound bottom is treated for 5 minutes with a gas stream containing the nitrogen monoxide of the Plazon apparatus in the NO-therapy regime. After suturing and vacuum drainage of the wound along the Redon, deviating from the left and right edges of the ends of the postoperative wound, is administered subcutaneously in a solution of 32 units of lidase. 10 minutes after the administration of lidase, retreating to 1 cm from the place of its introduction, injected subcutaneously in a solution of 50 mcg of immunophane. The administration of lidase and immunofan is repeated after 48 hours in combination with the treatment of the postoperative wound for 5 minutes with nitrogen monoxide in the NO-therapy regimen.EFFECT: method allows to improve the results of treatment of patients with epithelial coccygeal circulation at the stage of abscess formation, due to the combined and complex effect on the wound and its area.3 dwg, 1 ex
ethod for achilles tendon plasty // 2627293
FIELD: medicine.SUBSTANCE: in the thickness of the proximal and distal ends of a ruptured Achilles tendon, sagittal incisions are made into which a fine-celled lavsan band is laid, which is sutured to the sides of the convergent ends of the ruptured tendon side to side, and the preserved parathyon and ruptured tendon filaments are stitched with thin lavsan threads.EFFECT: method allows to create favorable conditions for tendon regeneration, reduce the risk of relapse.1 cl
ethod of surgical treatment of bronchial fistula following pulmonary tuberculosis surgery // 2627292
FIELD: medicine.SUBSTANCE: at the first stage thoraco is formed, through which the pleural cavity is sanitized. At the second stage a bronchoscope is introduced into the trachea, a wire is introduced into the bronchial fistula via bronchoscope channel, ASD-occluder is fixed at the wire by the thoraco, the wire with ASD-occluder are drawn into the fistula, intrabronchial disk of the ASD-occluder is straightened under the control of the bronchoscope, stand of the outer disk of the ASD-occluder is controlled by the thoraco, the wire is disconnected from the ASD-occluder and it is removed from the bronchoscope.EFFECT: method enables to effectively sanitize the pleural cavity, accelerate the healing process, improve the patient's life quality.
ethod for correction of combined flexion contracture of three-phalangeal fingers and adduction contracture of first finger in case of spastic paralysis // 2627291
FIELD: medicine.SUBSTANCE: tendons of the superficial finger flexor is cut off at the level of the main phalanges, and the tendons of the deep finger flexor - 1 cm proximally to the wrist canal origin, followed by movement of the distal ends of the deep flexor tendons to the proximal ends of the superficial flexor tendons with elongation. The proximal ends of the tendons of this deep finger flexor are transposed, suturig them to the structures of the first ray of the hand, and the distal ends of the tendon of the superficial finger flexor are used to form the tenodes of proximal interphalangeal joints of II-V fingers.EFFECT: method allows to provide active removal and opposition of the first finger, prevent hyperextension in the proximal interphalangeal joints.4 cl, 7 dwg
ethod for correction of combined flexion contracture of three-phalangeal fingers and forearm pronation contracture // 2627290
FIELD: medicine.SUBSTANCE: tendons of the superficial and deep finger flexors are intersected, followed by the movement of distal ends of the tendons of the deep finger flexor to the proximal ends of the tendons of the superficial flexor with elongation. Tendons of the superficial finger flexor are cut off at the level of main phalanges, and the tendons of the deep finger flexor - 1 cm proximally to the wrist canal origin. The proximal ends of the tendons of the deep finger flexor are transposed in the subcutaneous tunnel through the ulnar side to the rear forearm and fixed to the distal metaepiphysis of the radius at the place where the brachial muscle tendon is attached, to obtain active supination, and the distal endsof the superficial flexor tendon are used to form the tenodes of proximal interphalangeal joints of II-V fingers.EFFECT: method allows to strengthen active supination, prevent hyperextension in proximal interphalangeal joints.10 dwg

ethod for surgical treatment of phrenospasm // 2627151
FIELD: medicine.SUBSTANCE: surgical treatment of phrenospasm includes esophagocardiomyotomy, fundoplication cuff formation and fixation to the diaphragm. After esophagocardiomyotomy, the posterior wall of the stomach bottom is sutured 2-3 cm below the myotomy incision, the same thread is use to suture the posterior wall of the esophagus 3-5 mm above the the myotomy section. The sutured areas are brought to each other and a nodular suture is tied. The fundoplication cuff is fixed to the right and left side walls of the esophagus and in the region of the esophageal opening of the diaphragm using the same sutures. The cuff edges are stitched together by a nodal suture above the level of the esophageal-gastric junction, anterior to it without fixation to the esophagus wall.EFFECT: reduced number of complications, prevention of development of long-term complications, reduced duration of inpatient treatment of phrenospasm of stage III-IV.1 ex, 1 dwg

Clamping devices for surgical fasteners supply to soft environment // 2627149
FIELD: medicine.SUBSTANCE: clamping device for surgical fasteners supply includes an upper arm and a lower arm. The lower arm has a proximal end, a distal end and a longitudinal axis that extends between the proximal and the distal end. The upper arm is rotatably connected to the lower arm. The actuator is connected to the upper and lower arms to move their distal ends to each other for clamping. Surgical fasteners dispenser is attached to the distal end of the lower arm. The dispenser includes a cassette body having a top surface with a dispensing opening for surgical fasteners. The plate is rotatably coupled to the distal end of the upper arm. When the clamping device closes, the bottom surface plate provides a compressive force on the upper surface of the cassette body to supply one of the surgical fasteners at an angle perpendicular to the longitudinal axis.EFFECT: reliability increase.20 cl, 18 dwg
ethod for median laparotomy access closure for small domestic animals // 2626994
FIELD: veterinary medicine.SUBSTANCE: method for median laparotomy wounds suturing combines two rows of sutures, partly in the vertical, partly in the horizontal planes. The suture is superimposed using synthetic absorbable threads with an average period of biodegradation in the tissues. The architectonics of this two-row submerged suture allows to minimize the disturbance of hemocirculation in the area of the sutured tissues; contributes to reliable accurate approximation of the surgical wound edges, which leads to the formation of a thin even wound scar. After fusion of the surgical wound edges, no suture removal procedure is required.EFFECT: immersion of the suture anchoring nodes under the skin excludes gnawing of suture material by the animal during the postoperative period.3 ex, 7 dwg

ethod for postaural fold formation while removing total auricle defect // 2626989
FIELD: medicine.SUBSTANCE: bordering incision is made along the perimeter of the prefabricated auto-rib cartilaginous frame of the auricle. The formed capsule of the auto-rib cartilaginous frame is milled from the underlying soft tissues to the lateral edge of the anti-curvature. A tunnel is formed in the auto-rib cartilaginous frame capsule under the frame itself to the border with the concha fovea. The semilunar graft is modeled from the auto-rib cartilage and placed in the tunnel. At that, three incisions are made in the capsule of the auto-rib cartilaginous frame in the lower pedicle area and in the middle part of the anti-curavture and in the anti-curavture area. Further, three tunnels are formed perpendicular to the course of the anti-curvature to the border with the concha fovea in the auto-rib cartilaginous frame capsule, under the frame itself. Three semilunar grafts with a length of 0.3-0.7 cm, width of 0.2-0.4 cm, height of 0.4-1.0 cm are formed from the auto-rib cartilage. The obtained grafts are placed in the tunnels in the auricle frame capsule parallel to the border of the concha fovea.EFFECT: method allows to increase the aesthetic result of the operation due to the achievement of the necessary degree of frame retraction along the entire border of the concha fovea for postaural fold formation, to reduce the traumatic nature of the method due to preservation of blood supply to the auto-rib cartilaginous frame capsule of the auricle.1 ex, 2 dwg
ethod for two-level hemostasis during organo-preserving operative delivery in patients with placenta ingrowth // 2626984
FIELD: medicine.SUBSTANCE: after standard mid-lower-middle laparotomy, bottom Cesarean section is performed. The fetus is removed from the uterine cavity, the umbilical cord is crossed, then the uterine cavity is sutured, without extraction of the placenta. Further, free loops of the intestine are removed in the head direction and the uterus is removed into the wound. Aortic bifurcation and common iliac arteries are visualized subperitoneally. An arcuate abdominal incision is then performed at the site of the common iliac artery with using a dissector and a bipolar coagulator. The front and side walls of the common iliac arteries are exposed, the peritoneum of the vesicle-uterine fold is then dissected, the bladder is reduced with targeted vascular coagulation. The front surface of the cervix is exposed. The uterine cervix is stitched with a Vicrystal filament by a full-width 1/0 U-shaped suture in the anterior-posterior direction, to mark the healthy tissues boundaries, the filaments ends are fixed with a clamp. Further, in the wide ligament of the uterus, on the left and right, at the isthmus level, "windows" are formed, through which turnstile tourniquets from elastic rubber tubes are placed along the rib of the uterus, on the left and right, which are tightened and fixed by two clamps, with the ovaries withdrawn proximally to the turnstiles. Then the third turnstile is deirected through the same windows around the cervix, tightened at the cervix level and fixed with a clamp. After a preliminary intravenous injection of 2500 units of heparin into the common iliac arteries, direct vascular clamps are superimposed as closely as possible to the site of their departure from the aortic bifurcation. The uterine wall is excised in placenta ingrowth area, followed by placenta extraction from the uterine cavity. The uterine wall is sutured with separate U-shaped sutured followed by peritonization. After uterine walls suturing, the clamps are remobed from the common iliac arteries. Turnstile tourniquets are removed, broad ligament defects are sutured, if necessary, additional hemostasis is performed. Peritoneum is sutured above the vessels with a continuous suture. lower limb tissues oxygenation is monitored throughout the operation with a pulse oximeter located on the big toe. After clamps removal, pulsation is determined on the posterior tibial and anterior artery of the foot.EFFECT: method allows to minimize the anatomical and functional damage of the operation, provide a lower volume of blood loss, perform organ-preserving delivery in pregnant women with placenta ingrowth with a possibility of reproductive function in the future.3 ex
ethod for treatment of pharmacoresistent form of generalized epilepsy // 2626983
FIELD: medicine.SUBSTANCE: access to the interhemispheric fissure of the brain is perfromed, the corpus callosum is exposed, dissected from the corpuscle of the corpus callosum and the front commissure towards the platen of the corpus callosum. When epileptic activity is detected from the cingulate gyrus area, the lower gyrus adjacent to the anterior and middle parts of the corpus callosum is additionally subpially resected.EFFECT: method increases treatment effectiveness, which is achieved by additional resection of the cingulate gyrus adjacent to the anterior and middle parts of the corpus callosum.1 ex

Bone screw and method for manufacture // 2626963
FIELD: medicine.SUBSTANCE: orthopedic screw includes a barrel, a thread made at least on a portion of the said barrel, at least one groove and one or more facets cut in at least one groove. This thread has a leading edge, a trailing edge and depth. The groove is formed on a leading edge or trailing edge and is configured to increase the surface area of the respective leading or trailing edges. According to the second version, the orthopedic screw comprises a barrel, a thread made at least on a portion of the said barrel, and a helical groove and one or more facets cut in one helical groove. This thread has a leading edge, a trailing edge and depth. The groove is formed in the barrel between the at least one leading edge and trailing edge configured to increase the barrel surface area. According to the third version, the orthopedic screw includes a barrel, a plurality of the first thread turns, at least one groove and one or more facets cut in at least one groove. The first thread turns are made at least on a portion of the said barrel. The said first thread turns have a leading edge, a trailing edge and depth, wherein a barrel portion remains between the leading edge and the trailing edge of the adjacent first threads. The groove is formed in the barrel between the leading edge and the trailing edge of the adjacent first thread turns and is configured to increase the barrel surface area. According to the fourth version, the orthopedic screw comprises a barrel, a plurality of the first thread turns, made at least on a portion of the said barrel, the said first thread turns have a leading edge, a trailing edge and depth, wherein the adjacent turns are separated by the barrel, and a helical groove formed in the barrel portion between the adjacent thread turns and configured to increase the barrel surface area, and one or more facets cut in a helical groove.EFFECT: reduced probability of twisting.13 cl, 21 dwg

Adjustable devices for knee arthritis treatment // 2626961
FIELD: medicine.SUBSTANCE: system for tibia angle changing for patient having knee osteoarthritis comprises an adjustable non-invasive implant and a drive member. The adjustable non-invasive implant comprises an adjustable actuator configured to fit inside the tibia longitudinal cavity and having an outer housing and an inner rod telescopically arranged in the outer housing. The outer housing is connectable to the first part of the tibia, and the inner rod is configured to be connected to the second part of the tibia. The second part of the tibia is at least partially separated from the first part of the tibia by means of osteotomy. The drive element comprises a permanent magnet and is adapted to remote actuation, in order to telescopically displace the inner rod relative to the outer housing. The system for bone angle changing includes an adjustable non-invasive implant and a drive member. The adjustable non-invasive implant comprises an adjustable actuator having an outer housing and an inner rod telescopically arranged in the outer housing. The outer housing is connected to the first anchor hole, and the inner rod is connected to the second anchor hole. The first anchor hole is configured to pass the first anchor to connect the adjustable actuator to the first part of the bone. The second anchor hole is configured to pass the second anchor to connect the adjustable actuator with the second part of the bone. The second part of the bone is at least partially separated from the first part of the bone by means of osteotomy. The drive element is adapted to remote actuation, in order to telescopically displace the inner rod relative to the outer housing. The adjustable non-invasive implant is adapted to be indefinite in angle relatively to at least one of the first or the second part of the bone when connected to both the first part and the second part of the bone.EFFECT: prevention of adjustment angle loss.20 cl, 69 dwg
ethod for epidural catheter installation for conduction of epidural analgesia in young mothers // 2626909
FIELD: medicine.SUBSTANCE: aseptic treatment and local anesthesia of the puncture site is performed, inserting the Tuohi needle No. 16-18G in the sagittal plane between spinous processes L2-L3. The mandrel is removed after sensation of a dip, a low-pressure syringe with saline is attached and the needle is moved till the loss of resistance for the saline in the syringe. The syringe is disconnected, then the catheter is inserted into the needle and pushed through the needle. A syringe with a 5-7 mm of saline is attaced to the outer end of the catheter. The catheter is slowly and continuously advanced in the cranial direction. Simultaneously, the connective tissue of the epidural space is infiltrated together with the epidural veins with saline, the catheter is placed at a depth of 4-5 cm.EFFECT: method allows to reduce the risk of epidural hematoma and unintentional injection of local anesthetic into the bloodstream for young mothers.1 cl

Spun-casting multilayer polymer bariatric clip and method of its installation // 2626875
FIELD: medicine.SUBSTANCE: bariatric clamp includes the first elongated portion having a distal end, a proximal end, the first substrate member and the first polymer portion, the second elongated portion having a distal end, a proximal end, the second substrate member and the second polymer portion, a bent portion with a flexible hinge, at least partially formed by the third polymer portion, and an attachment portion connecting the first and the second elongated portions at the proximal end of the first elongated portion of the bariatric clamp and at the proximal end of the second elongated portion of the bariatric clamp, adjacent the distal end of the second elongated portion, and an engaging portion located in the immediate vicinity of the first elongated portion and configured to engage the attachment portion to retain the bariatric clamp substantially in a closed position, wherein the first and second elongated bariatric clamp portions form a section that creates a partition located near the distal end of the bariatric clamp when the bariatric clamp is in the substantially closed position, and the curved portion of the bariatric clamp forms a section that creates a channel located adjacent to the proximal end of the bariatric clamp when the bariatric clamp is in the substantially closed position. During installation, the bariatric clamp is closed to exert pressure on portions of the outer surfaces of the stomach to ensure at least partial separation of the internal stomach cavity, thus bariatric clamp closure for at least partial separation of the internal stomach cavity comprises stomach separation to form at least a partial gastric pocket for meals in close proximity to the esophagus, and to form the excluded portion of stomach, at that the channel forming portion of the bariatric clamp located near the stomach bottom, permits gastric juice flow between the excluded portion of the stomach and the gastric pocket.EFFECT: group of inventions reduces trauma at sufficient pressure on the latched body wall.40 cl, 55 dwg
ethod for barrier membrane manufacture for prevention of mucous tissues growth into bone formation area at oral surgeries // 2626691
FIELD: medicine.SUBSTANCE: patient's blood is taken to the Plasmolifting tube. The Plasmolifting tube is then centrifuged in the 850-1250 g mode for 5 minutes. The plasma obtained from the Plasmolifting tube is collected in a 2 ml syringe and heated in a thermostat at a temperature of 95°C for 5 minutes. The resulting gel is spread on a foil, so that the resulting membrane size could overlap the closed defect 1.5-2 cm outside its limits. Then the gel is covered by another layer of foil. Then the foil with the gel on the inside is laid in the tray and thermostated at a temperature of 180°C for 20 minutes. Then the obtained membrane is separated from the foil, cooled and placed into the bone formation zone.EFFECT: method allows to obtain a membrane for directed tissue regeneration, not toxic, not carcinogenic, not antigenic, biodegradable, easily controlled with high mechanical properties, preventing mucous tissues growth into the bone formation area.1 cl
ethod for pancreaticojejunoanastomosis formation during pancreaticoduodenal resection // 2626683
FIELD: medicine.SUBSTANCE: two-row pancreaticojejunoanastomosis is formed end in the side at the blind end of the small intestine loop. The anastomosis is imposed at a distance of 7-10 centimeters from the blind end and 12 cm from hepaticojejunostomy.EFFECT: method reduces the risk of postoperative complications related to pancreaticojejunoanastomosis insolvency during pancreaticoduodenectomy, by reducing the pancreatic juice pressure on the anastomosis seams.1 dwg

ethod for surgical treatment of side post-operative abdominal hernias // 2626596
FIELD: medicine.SUBSTANCE: after external oblique muscle, internal oblique muscle and hernial sac isolation from the scar tissue and dissection, the hernial sac is invaginated without opening. The isolated internal oblique abdominal muscle is sutured above the hernial gates. Then a modeled polypropylene endoprosthesis is placed on top. In the upper part of the polypropylene endoprosthesis two incisions are made at equal distances, forming three flaps, 5 mm longer than the rib width. At the end of each incision, a diamond-shaped aperture is cut out with sides of 5 mm. The 11th rib and the distal part of the 12th rib are isolated and mobilized with neurovascular bundle preservation. The middle flap of the polypropylene endoprosthesis is directed under the 11th rib, and the lateral flaps of the endoprosthesis are placed over the 11th rib and fixed to the rib periosteum and to the middle flap in the upper part. The endoprosthesis is fixed from the lateral edge to the aponeurotic part of the broad back muscle, to the 11th rib periosteum and the distal part of the 12th rib periosteum. From the medial side, the endoprosthesis is fixed to the edge of the rectus abdominis muscle, and from below - to the ligamental part of the inner oblique abdominal muscle. The external oblique abdominal muscle is sutured over the endoprosthesis.EFFECT: method excludes the possibility of endoprosthesis migration and development of muscles relaxation on the lateral wall of the abdomen.2 dwg, 1 ex
ethod of treatment of posttraummatic fibrosive ankiloses of small juices of brush // 2626591
FIELD: medicine.SUBSTANCE: method includes the installation of an external fixation device (EFD) and the implementation of a stage distraction of the joint area up to 9 mm by 3 mm per day. In the formed cavity on the 3rd and 6th day after the AVF installation, 1.5-2 ml of plasma enriched with platelets (PRP) is injected, which amounts to 1,000,000-1200,000 cells. After the second injection, the EFD is dismantled and active rehabilitation treatment is carried out. The third injection of PRP is performed pararticularly on the 9th day.EFFECT: reducing the time to restore or improve the function of the fingers.1 ex, 5 dwg

ethod for extraperitoneal endoscopic hernioplasty // 2626556
FIELD: medicine.SUBSTANCE: device is used, including a blade made in the form of a steel tray with a longitudinal section of 1/3 of the diameter of the tube with an internal diameter of 10 mm, length of 180 mm, curvature radius of 200 mm, combined with a light source, a gas pipe and olive, 20 mm long, up to 12 mm wide. The device blade together with the laparoscope inserted into its tray is injected through the hypoumbilical incision to create a cavity into which a 5 mm trocar is inserted along the middle line, 5 cm above the pubic symphysis. The second 5 mm trocar is injected in the middle of the distance between the hypoumbilical incision and the access above the pubic symphysis for the first trocar introduction. A bed is created to accommodate the mesh implant so that it covered the area of inguinal and femoral hernias formation. For patients younger than 50 years, with a body mass index of less than 30, with the largest size of hernial gates less than 3.5 cm , the implant is not fixed. For patients older than 50 years, the lower inner area of the implant is fixed with spirals to the Cooper ligament, the upper inner area of the implant is fixed to the posterior surface of the outer edge of the rectus and pyramidal muscles of the abdomen. For patients with a body mass index of more than 30, with the hernial gate size exceeding 3.5 cm, the outer upper corner of the expanded implant is additionally fixed to the transverse fascia by a spiral directed forward from the back.EFFECT: method allows to prevent damage to the parietal peritoneum, adjacent vessels and bladder wall, to create sufficient space for the safe installation of trocars, and to determine objective criteria for the need for implant fixation, depending on the local and general premorbid background.4 cl, 1 dwg, 3 ex
ethod of implantation of carcal prosthesis of heart valves in aortal position with one-ment prosthetics of mitral and aortal valves // 2626318
FIELD: medicine.SUBSTANCE: dissecting the natural aortic and mitral valves and implanting the mitral valve prosthesis. SUBSTANCE: s-shaped incision of the aorta is performed with a transition to the fibrous ring through the commissure top of the aortic valve between the left and non-coronary aortic valve leafs. The incision is continued to the base of the front leaf of the mitral valve to the inter-valve fibrous triangle. Expanding the fibrous ring with a patch and fix the prosthesis of the aortic valve in the supranannular position. A pear-shaped patch is formed. The width S of the patch in the region of the blunt end is determined by the formula: S=(D2-D1) 8, where: S (cm) is the width of the patch at a distance of F (cm) = L+(0.3-0.5 cm) From the blunt end; L (cm) is the length of the incision from the fibrous ring of the aortic valve to the base of the anterior mitral valve; D1 (Cm) - the initial diameter of the fibrous aortic ring; D2 (Cm) is the required diameter of the fibrous aortic ring. Patch blunt end is fixed in the cut by a continuous suture. The prosthesis is fixed using separate U-shaped seams, passing the threads from the bottom to the top. The threads of the superimposed sutures are directed through the cuff of the prosthesis using 2/3-3/4 of the cuff diameter. The remaining part of the cuff is stitched with U-shaped sutures, the threads of which are passed through the patch from the inner side to the outside and then through the common felt pad. Patch fixation in the cut is finished. The remaining aortic incision is sutured.EFFECT: method allows to adequately expand the fibrous ring of the aortic valve due to the patch used, by implanting a prosthesis corresponding to the body surface area of ​​the patient, minimizing surgical aggression by excluding the opening of the left atrium dome, ensuring the possibility of combined prosthetic repair of the mitral and aortic valves.1 tbl, 1 ex, 1 dwg
ethod for proximal anastomosis application in case of supra-coronary prosthetics of ascending aorta // 2626308
FIELD: medicine.SUBSTANCE: ends of the corrugated synthetic tube and the proximal end of the aorta are connected after its transverse intersection above the sinotubular junction level. Beforehand, the tube end is turned out all around the perimeter. Through the inverted end of the tube, three U-shaped sutures are drawn. The threads of each suture are drawn from the space between the main tube and the outwardly turned portion thereof, 1-2 mm away from the bending line. The anastomosing end of the tube is placed inside the aorta root. The threads of the superimposed sutures are directed through the anastomosed aortic department. A 4-6 mm wide strip is cut from Teflon felt; the strip length corresponds to the length of the anastomosis circumference. The strip is located outside the aorta along the anastomosis circumference. Threads of superimposed seams are conducted through the strip. The inverted end of the tube and strip are fixed by tying the imposed suture threads to the inner and outer surfaces of the aortic wall, respectively. An anastomosis line is formed with a continuous mattress suture. At that, the edge of the inverted tube section, the edge of the aorta and the felt strip are connected. Then the final sealing of the anastomosis is carried out, applying a continuous twisted suture to the indicated sections.EFFECT: method allows to increase the strength and tightness of the proximal anastomosis at supracoronary aortic prosthetics, simplify the technique of its application, reduce intraoperative blood loss due to hemorrhages along the suture line, prevent joint eruption due to double anastomosis strengthening from the inside - by the inverted part of the prosthesis and externally - by the Teflon strip.3 cl, 9 dwg

ethod of surgical access for installing the shin implant // 2626274
FIELD: medicine.SUBSTANCE: dissect the skin in the popliteal fossa along the natural fold medial to the median line. The fascia's own fascia is dissected longitudinally over the medial head of the gastrocnemius muscle (GM). Access to the subfascial space above the lateral head of the GM is carried out from the medial head of the IM under the Pirogov canal, containing a small subcutaneous vein and medial cutaneous nerve. Place the implant over the lateral head of the GM.EFFECT: method prevents damage to the medial and lateral cutaneous nerves and a small saphenous vein.4 dwg

ethod for hip implant installation // 2626271
FIELD: medicine.SUBSTANCE: implant is placed in the facial tissue of the thin muscle from the inside through the deep sheet of the hip own fascia, for which access is made to the medial hip muscle with dissection of the posterior intermuscular septum through the posterior facial hip tissue and through skin dissection in the hypogynous fold.EFFECT: method prevents the implant from shifting in anterolateral direction.4 dwg

ethod for installing the immobilant // 2626267
FIELD: medicine.SUBSTANCE: dissect the skin in the popliteal fossa along the natural fold medial to the median line. The fascia's own fascia is dissected longitudinally. Access is carried out from the medial edge of the medial head of the gastrocnemius muscle (MHGM), for which the MHGM traction is performed laterally. The dissector creates a container for the implant, bounded from the front by the soleus muscle, from behind - MHGM, medially - by the fascia's own fascia. Place the implant and cover it with MHGM, the wound is sutured layer by layer.EFFECT: method allows to prevent damage to the small saphenous vein, the medullary nerve, and to prevent the implant from moving.4 dwg
ethod for acceleration of tubular bones distraction regenerate formation // 2626250
FIELD: medicine.SUBSTANCE: immediately after receipt of the required segment length, the bone is extended by another 4 mm. A carbon nanostructure cylindrical implant with ends having the form of truncated cone is placed into the bone regenerate, diameter of the implant is 30% of the bone diameter, and its length exceeds the required value of elongation by 4 mm. After implant insertion the bone fragments are brought together to the required value of elongation so that the ends of the implant were introduced into the medullary channels of proximal and distal bone fragments (2 mm for each piece). Fixing is performed using the device to form a strong supporting ability of the bone-carbon unit.EFFECT: method can shorten the life of hardware fixation, duration of treatment.2 cl, 10 dwg
 
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