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Method for prevention of postoperative inguinal wound abscess Method refers to medicine, namely to surgery. A cavity of the lesser pelvis is washed with antiseptic solutions through two perforated tubes. One tube is placed in the pelviorectal space in the more proximal direction from the levators. The second tube is inserted into subcutaneous fat in the more distal direction from the levators. The perineal wound chamber is washed with the antiseptic solution in a single fraction amount of 50-60 ml. That is followed with washing successfully through one of the tube ends with the second end hermetically closed. The wound hydraulic compression of the antiseptic is generated. A clamped end of the tube is opened, and the antiseptic is released. The residual content is completely aspirated. The wounds are flow-through washed daily once a day compression-free starting from the 3rd-4th up to 9th-10th day. |
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Method for surgical management of brain herniation Decompressive craniectomy is performed; a dura mater is dissected; an intracranial massive pathological substrate is removed. That is combined with exposing wound-adjoining liquor cistern: lateral cerebral fissure, optic cranial nerve, chiasmatic cistern, selectively or sequentially. They are drained by means of a closed passive drainage over a period of 3-14 days to normalise liquor circulation as shown by computed tomography findings with intracranial pressure control. |
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Method of treating hydrocephaly Ventriculoperitoneal bypassing is performed. The central end of a drainage system is inserted into the lateral ventricle of thecerebrum. The distal end is delivered subcutaneously under laparoscopic control through the falciform ligament of the liver into the right subphrenic space. |
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Method of treating old injuries of tendons Invention relates to medicine, namely to traumatology and orthopaedics, and can be applied in treatment of old injuries of tendons. For this purpose after plasty and processing of a sutured tendon by medical glue "Sulfacrylate" an area of the suture of the restored tendon is drained. In case of small scarring an irrigation is carried out, and in case of extensive scar growth - washing of the area of the restored tendon suture with a lydase solution for two weeks before the suture removal with simultaneous exercising the restored tendon by a method of active motions. |
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Syringe-trocar and kit for pleural cavity drainage and pneumothorax and hemopneumothorax elimination Invention can be used for emergency actions in penetrating wounds and closed chest injuries with the pulmonary injury accompanied by a developing pressure pneumothorax followed by intrapleural haemorrhages both in time of peace, and in time of war on the battlefield. A kit for the pleural cavity drainage and pneumo- and hemopneumothorax elimination contains a drainage unit, a disposable package and an anaesthetic bottle. As the drainage unit, the kit contains a syringe-trocar comprising a drain tube with a side hole at the working end. Inside the drain tube, there is a piston cylinder having a hollow intermediate portion at the end with a blade with sharp outer edges passing a hollow injection needle of the syringe. |
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Method for making drain tube for treating pyoinflammatory diseases of dentofacial soft tissues Coletex-M tissues are stripped and tape is made of polyethylene or rubber. The tissue strips and tape are overlapped and cut out after a wound configuration and size. The cut out tape is uniformly coated with a preparation of hyaluronic acid or Levomekol up to 1 mm. The tissue strips are applied on the tape with the preparation to form a plate. The plate is duplicated at the length S. Scissors are used to cut down a portion of the plate within the fold from the fold at an angle of 45°. |
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Method of treating distal pancreatic injuries in children Distal pancreatic injuries in children require removing fragments. Crushed tissues are resected. A haemorrhage is arrested. In-turning Z-sutures are applied on a pancreatic stump. The left descending vascularised greater omentum strand is laid about a drain tube as a duplex. |
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Invention refers to medical equipment, particularly to surgical armaments, and aims at tamponing and draining of the cavities after various types of surgical operations. A drainage tampon consists of a body in the form of a tube with a gauze tampon placed inside. A funnel made of an elastic material is rigidly and axially mounted on a working end of the body. Four drain canals at an angle of 90° to each other are formed in the thickness of the body wall. Drain tubes that are rigidly fixed from the working end on an inner side of the funnel throughout the length and project over 2-3 cm from a non-working end of the body, pass through the drain canals. The gauze tampon is movable inside the body. One end of the gauze tampon projects from the working end of the body of the funnel length, and it is accordion-fold from the non-working end of the body and placed inside a plastic case that is fixed to the body with the use of an elastic ring placed in a circular groove on the body from its non-working end. The drainage tampon is provided with a removable hollow tip on the body from its working end, and with a clamping plate with holes rigidly fixed on the body from its non-working end. |
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Drain tube is placed into an intramuscular space along a wound. Its distal part is placed into a pleural cavity through a defect in parietal pleura. A second drain tube is placed from the other side. The function of two drain tubes is combined through one drain tube and one skin puncture. |
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Wound toilet device and suction unit for wound toilet device Invention refers to medical equipment, namely to a wound toilet device, as well as to a suction unit for this device used particularly within so called vacuum therapy. The wound toilet device comprises a filling material used to fill a wound, a suction unit to draining wound effluent off from the filling material and facing from a wound bottom outside the filling material; a drainage layer between the filling material and the suction unit to introduce effluent drained off from the filling material into at least one drain-off hole of the suction unit. The drainage layer comprises two approximately parallel stripe-like elements with a drainage chamber formed in between and having a depth perpendicular to the stripe-like elements, provides the capillary action on effluents in the drainage chamber. What is also presented is a suction unit for the above wound toilet device. |
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Invention refers to medical equipment, namely to a drainage system, particularly for aspiration in case of the aspiration treatment of fistulas, surgical wound dehiscences, decubitis ulcers, injuries and other similar damages, such as venous and arterial ulcers or diabetic foot related injuries. The drainage system comprises an aspiration bag carried by a sheet member that can be coupled with a cavitary injury and that is coupled or can be coupled with an aspirator by means of a joint member, and also at least one drainage layer inside the above drainage bag. The above sheet member is used as a carrier for the joint member. |
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Intramedullary osteosynthesis device Invention refers to medicine, namely traumatology and orthopaedics, aims at treating the fractures complicated by osteomyelitis, soft tissue infection, and preventing the above by drainage intraosseous osteosynthesis. A device comprises a nail with a central canal, a screw thread on an internal lateral surface of a proximal end, and locking screws. The device is provided with a cuff with an internal canal and a plastic tube. The cuff comprises a collar support and a screw thread on an external lateral surface of its proximal end. The nail is perforated along the lateral surface and has a solid tip with a through hole for a distal locking screw, and at least one side cut with a window at the base. The locking screws have a central canal and canals on the lateral surface at 120° to each other. A working end of the proximal locking screw represents a truncated cone with a base of the diameter of 1.4-1.5D, wherein D is a perforation diameter. The central and lateral canals of the distal screw are connected with the window of the side cut of the nail that in turn is coupled with the central canal of the nail. The distal screw is provided in the through hole of the nail tip so that its longitudinal axis is perpendicular to that of the tip. |
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Prevent invention refers to an absorbent medical body (10; 20; 30) used in particular for removing wound fluids from human and/or animal body cavities, and comprising a material holding the absorbent body (10; 20; 30) in the compressed form which may be removed when in contact with a biocompatible fluid. The present invention aims at providing the absorbent medical body which may be inserted into the body cavity with no external tube used, and which may be also removed inside the body cavity if needed. The absorbent medical body (10; 20; 30), in particular for removing wound liquids from human and/or animal body cavities comprising the material (12; 22; 32) which may be removed when in contact with a biocompatible fluid. The absorbent body (10; 20; 30) is provided with a drainage tube (14; 24; 34). The material (12; 22; 32) has a lyophilised form and holds the absorbent body (10; 20; 30) in the compressed form. The absorbent body (10; 20; 30) is made of polyurethane. |
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Infected wound healing apparatus Invention relates to medical equipment. An infected wound healing apparatus comprises a closed fluid container and a fluid outflow tube (5). The container is connected with an air pump element (23) through a tube and provided with a fluid supply hose (4). The container is multi-chamber, and each chamber (16-18) is connected through an individual pipe (13-15) with a collector (11) provided with a switch (12). The fluid supply hose (4) extends from the collector into a rigid cup (1) with a lower border (2) made of a viscoelastic material. The fluid outflow tube (5) is provided with an outflow level controller (29). On the surface of the cup, there is a handle (3) tightly pressing the viscoelastic border of the cup to the surrounding skin. The cup is provided with a Velcro strap (6, 7). |
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Method of preventing suppuration of postoperative wounds Invention relates to medicine, namely to surgery and can be used for prevention of postoperative wound suppuration. For this purpose perforated tube is placed on the bottom of wound surface and its ends are brought outside through formed on patient's skin counteropenings with further fixation of tube to skin and their hermetic closing. Starting from the following after operation day and further on 2-3 postoperative days, 100-150 ml of antiseptic solution are forced fractionally once daily into wound through one of tube ends, the second one being closed. Intra-wound hydraulic compression of antiseptic is created and increased to such a degree that partial leakage of solution between skin sutures takes place. After that, compressed second end of tube is opened and all antiseptic is drained from wound. Then, remaining wound and drainage tube content is aspirated completely. After that from 3-4 to 9-10 days washing of wound in flow manner without element of hydraulic compression is continued on the same daily single time basis. |
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Invention relates to abdominal surgery, and can be used in laparoscopic operations in patients with destructive forms of acute pancreatitis. Device contains four immobile supports in form of petals for fixation of omentum to internal surface of anterior abdominal wall and four parallel to each other working valves, two with internal diameter 5 mm and two with internal diameter 10 mm for introduction of laparoscope, drainages and instruments. Case of device has cylindrical shape with thread, on which mobile fixer of cylindrical shape is screwed. Fixer contains four supports in form of petals, channel with internal diameter 40 mm with thread. Cylindrical case of device is introduced into omental bursa and by means of mobile detachable fixer is fixed to abdominal wall by means of thread, thus making it possible to adjust depth of device installation with respect to anterior abdominal wall. |
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Method of treating abdominal sepsis of bile origin, complicated by coagulopathy Invention relates to medicine, namely to surgery, and can be used in treatment of patients with abdominal sepsis of peritoneal origin, complicated by coagulopathy. For this purpose performed is laparotomy with intraoperational introduction of double-lumen nasogastric probe into small intestine lumen below Treitz ligament) for active aspiration of intestinal contents. After that, sodium hypochlorite solution is introduced into abdominal cavity once and wound edges are sutured tightly to drainages. Immediately after that, intravenous infusion and intestinal dialysis with application of sodium hypochlorite are performed. 0.04% solution of sodium hypochlorite is used for sanitisation of abdominal cavity through drainage tubes and for intravenous infusions, 0.06% solution being used for intestinal dialysis. In post-operative period sanitisation of abdominal cavity, intestinal dialysis and intravenous infusions with sodium hypochlorite are performed one time per day during 1-3 days in dose 15 ml/kg. |
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Invention refers to medicine, namely surgery and may be used for removing drain systems from a surgical areas. The drain tube removal device by drawing comprises a flexible conductor of a diametre not less than 1 mm. A proximal end of the conductor is attached to a handle. A distal end of the conductor is provided with a rounded tip of a diametre not less than 2 mm. Spines not less than 1 mm long are arranged on the whole surface of the conductor at 5 cm from each other and inclined 45°-60° to a conductor axis towards the proximal end. |
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Method for preoperative preparation of patients suffering extensive peritonitis Invention relates to medicine, particularly to abdominal surgery, and may be applied for preoperative preparation of the patients suffering extensive peritonitis. That is ensured by abdominal paracentesis by the introduction of a catheter through a trocar into an abdominal cavity that is followed by aspiration of the pathological content. Immediately after aspiration of the pathological content, hyperosmolar 10% NaCl is introduced in the abdominal cavity in the amount twice exceeding that of the discharged pathological content. Thereafter, the catheter is clamped for 5-10 minutes, then opened, and the content is evacuated; antiseptic solutions are introduced in the abdominal cavity in the amount twice exceeding that of the hyperosmolar solution. Then the catheter is clamped for 5-10 minutes and opened, the content is evacuated; the abdominal cavity is irrigated with the antibacterial solution. |
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Method of membrane dialysis in case of purulent-inflammatory diseases of cattle Invention relates to field of veterinary surgery. Method includes surgical treatment of purulent cavity, installation into cavity of drainage dialysing device for animals, provided with guide-pin for introduction of the device into cavity and plastic fixer, filling of membrane capsule on 1/2 volume with multi-component medicinal solution, which contains dextran solution with molecular weight 40±15 kDa, polyethylene oxide 400, imosimase, ethacridine lactate, antibiotic in 1/2 therapeutic dose, lidocaine. Dialysate is replaced 1 time per 48 hours. |
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Device for liquid consumption control Invention relates to medicine and can be used for removal of fluid from brain ventricles into other part of body. Device contains inlet and outlet holes; and resistance-generating element, which contains first plate, with a groove on its surface and second plate. Second plate is pressed to the surface with groove in such a way that it forms resistance-generating duct, its inlet being hydraulically connected with inlet hole. Duct contains, at least, two outputs along its length, each of which can be hydraulically connected with outlet hole by means of switching device in order to change working length of resistance-generating duct, each of which contains a hole in first or second plate. Holes are blocked or are not blocked by switching device. Switching device contains rotor, installed near resistance-generating element and possessing through canal. Rotor is installed in device for rotation relative to resistance-generating device and is made with possibility of magnetic excitation. |
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Invention relates to system and methods of tissue growth stimulation, namely to means of detection and correction of flowing medium leaks on surgical napkin. System for carrying out tissue therapy contains data processing unit, lower pressure source, canal, connected with possibility of flow connection between said lower pressure source and section of patient's tissue, napkin for placement above tissue section for supporting on it lower pressure, flowing medium sensor, recording parameter of flowing medium, located in canal, and generating signal, and loudspeaker, connected with data processing unit, for creation of sound signal of flowing medium leak detection. In response to sensor signal change data processing unit changes signal of leak detection by changing loudness, tone height or frequency of sound signal variation. System work realises method of applying lower pressure to section of patient's tissue by registration of flowing medium parameter and generation of changing sound signal of flowing medium leak detection. Also - method of detecting flowing medium leak on the border between patient's tissue and napkin by determining fact of presence of flowing medium leak on the border between section of patient's tissue and napkin, listening to sound signal, application of effort to napkin, listening to change of sound signal in response to application of effort to napkin, determination of leak location place, basing on sound signal change, and reduction of leak in specific place of location on the border between patient's tissue and napkin. In addition realised is method of determining flowing medium leak from system of lower pressure supply, including determination of fact of leak existence, listening to sound signal, application of effort to the first section of napkin, listening to sound signal change in response to application of effort to the first section of napkin, carrying out correction of the first napkin section aimed at elimination of flowing medium leak, if sound signal changes in response to application of effort to the first napkin section, in opposite case - application of effort to the second section of napkin and application of effort. |
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Invention relates to field of medicine, namely to neurosurgery, traumatology and surgery and is intended for surgical treatment of decubital wounds in case of separation of adjacent tissues in patients with consequences of spinal cord trauma. Cavity of decubital wound is densely tamponed with turunda preliminarily soaked in solution of methylene blue and 3% hydrogen peroxide with ratio of ingredients in solution 9:1. Entrance gate of decubital wound is tightly sewn with interrupted sutures. On skin, transversely to gluteal fold projection, marked is cut of ellipsoid shape sufficient for excision of bedsore capsule, with which sewn entrance gate of decubital wound are located inside excised skin section. Skin cut is performed. Pathologic focus is ablated in one block, guided by size of tamponed cavity and stained tissues. "Blind" draining of operation wound with further plasty of skin-muscular flap is performed. Antibacterial therapy is carried out for 5 days. Drainage is removed after 3 days. |
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Wound treatment system and method with using ultrasonic surgical purification Group of inventions refers to medicine, namely to wound treatment methods and apparatuses by means of combination of ultrasonic wound purification and low pressure therapy. The wound treatment system comprises a supply manifold, a low pressure source, a liquid source, an ultrasonic transducer and an adjoining protective film for closing of the supply manifold and the ultrasonic transducer. The second version of the treatment system additionally involves a sound-conducting membrane adjoining the manifold. The wound treatment method provides using the system with the supply manifold accommodating a number of flow passages and adjoining a wound area. For the first version, supplied ultrasonic energy power is 1 Wt/cm2 for 10 minutes a day. For the second version, liquid from the liquid source is supplied to the wound during first time, while ultrasonic energy is supplied during second time, and low pressure - during third time. For the third version, low pressure and ultrasonic energy are supplied to the wound simultaneously, and low pressure is maintained by means of the protective film placed over the supply manifold. For the fourth version, liquid is preliminary supplied in the wound, then ultrasonic energy; then liquid and separated tissue are removed by low pressure. The wound treatment system can be presented in the form of a wound bandage. |
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Low pressure feed system having manually activated pump for mild wound healing Group of inventions refers to medicine. A manually activated system contains a rigid casing; a face cover sliding on the casing; an internal chamber located between the face cover and casing. The internal chamber volume is variables by the face cover position inside the casing. The face cover is sliding between an uncompressed position in which the internal chamber volume has the maximum size, and a compressed position in which the internal chamber volume has the minimum size. A position indicating element is connected with the face cover and casing and designed to indicate the face cover position relatively to the casing in the preset positions between the uncompressed position and the compressed position. The position indicating element in addition contains an element chosen from a set of teeth and a claw located on the casing; and the remained element from: a set of the teeth and claw located on the face cover, and the set of the teeth and claw are designed to gear with each other to indicate the face cover position relatively to the casing in the preset positions between the uncompressed position and the compressed position. There are disclosed versions of the therapeutic low pressure system and a method of therapeutic low pressure pump activation. |
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Draining device for pleural cavity Invention relates to medical equipment and can be applied at cavity operations. Draining device for pleural cavity contains draining tube and external fixer to chest wall, made in form of plate with opening. Draining tube is made with extension on the end. In tube wall made are longitudinal canals, their free butts are open on extended tube end. Peripheral end of draining tube is connected with transitional bush, provided with ring-shaped canal, which is connected with force branch pipe, through which washing liquid gets into longitudinal canals. Output branch pipe of bush is connected with tube which removes, washing liquid together with pleural liquid out of central canal. |
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Method to treat localised pyoinflammatory diseases of abdominal cavity and retroperitoneal space Invention relates to medicine, namely, to surgery, and may be used for treatment of patients with localised pyoinflammatory diseases of abdominal cavity or retroperitoneal space. For this purpose, transcutaneous drainage of cavity of pyoinflammatory focus is carried out with subsequent evacuation of its content. Then fractional lavage of cavity is carried out, and solution of antiseptic is introduced in it in volume of up to 80% of volume of evacuated exudate. Drainage is closed and left as such for 12 hours. Afterwards drainage is opened, fractional lavage is carried out, and a solution of antiseptic is repeatedly introduced into cavity with subsequent closure of drainage for 12 hours up to the following sanitisation. Manipulations are repeated until complete reduction of ulcer. |
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Bioactive-coated drainage system for treating abdominal diseases Invention refers to medicine, and can be used in oncology (oncogynaecology, oncoproctology), abdominal surgeries, urology, otolaryngology, proctology (hemorrhoids, proctitis, anal fissures), gynaecology (erosion, colpitis, vulvovaginitis), and also active drainage in surgery. A bioactive-coated drainage system for treating abdominal diseases represents a hollow shape element in the form of a cylinder made of silicon elastomers. A cylinder exterior comprises a bioactive coating tissue made of a hydrophilic textile material coated with at least one layer of a complex bioactive substance and biocompatible biodegradable polymer. The bioactive coating is attached to the shape element with a medical-grade polymer adhesive, and at least one end of the bioactive coating is sutured. |
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Method of fractional drainange of pleural space and related device for implementation thereof Group of inventions involving a method of fractional drainage of the pleural space and a related device for implementation thereof refers to medicine, namely to thoracic surgery. Substance of the method consists in dissection of thorax skin, insertion of a catheter into the pleural space on the upper edge of rim with the use of a trocar. A device comprising a two-way catheter consisting of an air pump tube with an air reservoir at the end and an evacuation tube metal-loaded at the end is used. The catheter is inserted into the fourth intercostal space along the medial axillary line, then provided the absence of air in the air reservoir of the two-way catheter, the metal-loaded evacuation tube of weight 2.5-2.7 g is lowered on the fundus of the pleural space to remove the purulent contents through a hole of the evacuation tube and to substitute the purulent contents by an antiseptic solution. Thereafter, air is pumped in the rubber reservoir through a passage of the second catheter tube to raise the catheter above the level of the antiseptic solution in the pleural space. Then the evacuation tube is used to deaerate the pleural space. |
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Device for installation of through drainage Invention relates to medicine, namely to surgery, in particular to through drainage of deep and narrow wounds and pathologic cavities in depth of organism tissues. Device for installation of through drainage includes rigid tube with sharp-ended mandarin. Rigid tube with sharp-ended mandarin is located with possibility of longitudinal travel and fixation in canal of coupling located on arch in form of semi-circle. On projection of the other end of arch motionlessly fixed is hollow needle with mandarin and oblique cut of working end which faces arch. Cut middle is located in the centre of arch semi-circle. Canal in coupling is directed to the centre of arch semi-circle. Needle and coupling canal are made in one plane located parallel to arch plane. In coupling slot for arch and bolt for fixation of coupling on arch are made. |
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Method of treating complicated forms of inflammatory diseases of uterine appendages Invention relates to field of medicine, namely to gynecology, and deals with treatment of complicated forms of inflammatory diseases of uterine appendages. For this purpose, when performing abdominal operation from two sides between round ligament of the uterus and isthmic part of fallopian tube medicinal mixtures of the following medications are introduced: at first - lidase 16 U in 1 ml of 0.25% Novocain, after that without removing the needle prednisolone 15 mg, amikacin 0.25 mg in 1 ml of 0.25% Novocain. Drainage of small pelvis with gauze-glove pad on lateral pockets to retrouterine space and bed of remote mass is carried out. In post-operational period antimicrobial drug is introduced intravenously. Limphotropically from two sides from anterior commisure of large pudental lips introduced are medicinal mixtures of medications: first - lidase 16 U in 1 ml of 0.25% Novocain, after that without removing the needle - prednisolone 15 mg, amikacin 0.25 mg in 1 ml of 0.25% Novocain, slowly during 15 minutes. Such introduction is carried out 1 time a day for 7-8 days. |
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Drainage device modelled by surface of suppurative masses Invention refers to medicine, namely to surgery, and can be used for drainage of suppurative cavities of abdominal cavity. A drainage device modelled by surface of suppurative masses comprises drainage perforated with antiseptic solution delivery aid and a purulent effluent aspirator. The device in addition includes a sleeve connected to the antiseptic and medical solution delivery aid and connected to the perforated catheter on the other side. In a catheter, there is a flexible wire fixed to the sleeve that enables to model the catheter by surface of suppurative masses. Also the device contains the second sleeve connected to the purulent effluent aspirator and connected to the perforated catheter on the other side. In the catheter there is a flexible wire fixed to second sleeve that enables to model the catheter by surface of suppurative masses. |
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Hose joint for vacuum therapeutic apparatus Present invention concerns medicine and covers stimulation of wound healing. An apparatus involves a coating surrounding the wound to form an air-tight pad above the wound. Between the wound and the coating there is a fluid-permeable pillow. A drainage pipeline connects the coating to a suction pump. A joint has a passageway to connect proximal end of the drainage pipeline with the wound. The joint is provided with fastening segments extending from the area that surrounds the passageway to the area adjoining the external edge of the coating and separated from each other with hollows. |
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Method of complex post-operation treatment of post-peritonitis patients Invention concerns medicine, particularly surgery. Method involves sanitisation of pathology locus by drainage. Forced exercises are performed before each sanitisation by body leaning to the left, to the right, forward and backward, combined by respiratory exercises. For sanitisation 50 ml of dioxydine per 800 ml of nitrofurazone solution is used, the procedure is performed each 4 hours. Afterwards classical manual massage of upper and lower extremities with transition to waist area is performed in combination with alcohol solution rubbing. Vobenzym is administered orally at the ratio of 7 pills per 1 l of water, by 200 ml 5 times a day for 2 weeks. Mix of 800 mg of Abaktal in 400 ml of 5% glucose solution is injected intravenously twice a day till leukocyte rate in blood is 7.0×109 or less. 200 ml of blood is exposed to UV radiation for 15-20 minutes in 10 sessions. |
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Method of prevention of bucket-handle graft plastics complication Invention concerns medicine, namely surgery, can be used in all application fields of bucket-handle graft plastics. A cellulocutaneous flap is cut out to form a bucket-handle graft. Before suturing, a tubular fenestrated drainage is inserted on edges of the formed bucket-handle graft through additional vertical incision in length 3-4 mm. Along the whole length of a draining part of the drainage, there are spiral holes 4×3 mm. In postoperative period, within four-six days the graft is irrigated with either antiseptics, or antibiotics, or bacteriophages. The drainage is removed. |
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Two-way transmembrane drainage Invention refers to medicine, particularly to surgery, and can be used for debridement of purulent wounds and cavities, and for prevention and treatment of purulent-septic complications following operative interventions or wounds. A two-way transmembrane drainage accommodates a membrane capsule comprising a tubular perforated microirrigator encased in the cavity of a semipermeable membrane. The proximal part of the capsule approaches a dialysis fluid vessel through said microirrigator. The distal part of the capsule is connected to a dialysate discharge vessel through the microirrigator which represents two interrelated dropping systems without injection needles. A reversible two-clamped suction tube is used for complementary connection of the two vessels. Said tube along with the microirrigator passes through paired sleeves of the membrane capsule. Besides, the vessels are joined with paired metal needles with their ends advanced through rubber stoppers of both vessels and are supplied with paired air bleeds with air vents in the bottom. |
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Method of prevention and treatment of visceral and parietal peritoneum adhesions Invention refers to medicine, namely to surgery, and can be used for prevention and/or treatment of visceral and parietal peritoneum adhesions. It is ensured as follows. At the final stage of operation, 1-4 silicone male drainage tubes of internal diametre 4-8 mm are inserted in subhepatic space, and/or in left subphrenic space, and/or in right lateral sinus and/or in left lateral sinus. Besides, 1 to 3 silicone female drainage tubes of internal diametre 6-8 mm are installed in left and/or right lateral canals, and/or in small pelvis cavity. Provided the blood analysis showed lymphocyte content more than 19%, leukocytes at least 3.5×109/l and thrombocytes at least 180×109/l, in early postoperative period, epidural anaesthesia aided 5% glucose, dialysis or Ringer-Lock based solution containing 5-Fluorouracil 0.25-0.75 g/m2 of body surface in amount 800 - 2000 ml is introduced through the inserted male tubes. Solution exposition in abdominal cavity makes 4-23 hours. After that the solution is evacuated from abdominal cavity through the drainage tubes. Further all drainage tubes are removed. The procedure is carried out daily starting from the first to fifth days after operation. |
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Abdominal cavity drainage technique in tertiary peritonitis Abdominal wall is dissected. Through incisions, drainages are inserted in upper, lower levels and inclined areas of abdominal cavity. Transverse incisions of length 3-4 cm are made, each being on the left and right lateral abdominal wall in projection of inclined area of abdominal cavity lateral in the middle of the length of free end of 12th rid and iliac crest. A short oblique incision of length 3-4 cm is performed in projection of lower level of abdominal wall to the right and to the left or both sides. Surgical gloves are used as drainages. One glove is inserted in lower level of abdominal cavity and delivered outside through the short oblique incision or the incisions cuts of anterior abdominal wall. The other glove is applied in upper level and the top floor and inclined areas of abdominal cavity, including laterals, and delivered outside through the transverse incisions of lateral abdominal wall. |
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Inventions concern medicine, urology and medical equipment. At extraction of nephrostomic drainage, a nephrostomic drainage tube curl is straightened. The tube is moved on a fistulous tract of an organism outside for limits of a fistulous tract. Thus before tube moving on its extremity a radiographic cone is put on. A radiographic cone on a tube is entered into a fistulous tract against the stop in a tube curl. Tube transposition is performed in radiographic cone. For nephrostomic drainage extraction realisation, in the channel of a radiographic cone with possibility of rotation and longitudinal moving the extractor is located. On one extremity of an extractor the handle of mainly round form is executed, and on other extremity of an extractor screw cutting is executed. Cutting includes an extreme first screw site and interfacing to it the second screw site. The radiographic cone is executed with an end face the rounded off form for sliding of a tube and with the handle placed on the extremity, mainly round form which has a flute under fingers of the operator on perimetre. The flute is located under the extractor handle. Extract is executed with d1<d2>dh<dt>db, where d1 - diametre of the first site of screw cutting of an extractor; d2 - diametre of the second site of screw cutting of an extractor; dh - diametre of the channel of the nephrostomic drainage tube; dt - diametre of the channel of a radiographic cone; db - external diametre of the nephrostomic drainage tube. At work with an extractor, at first the handle of a radiographic cone is connected to the handle of an extractor and fixed in this position. Rotation of the handle of an extractor together with the handle of a radiographic cone or separately from it is performed. Screw cutting of an extractor is screwed up in the tube channel of nephrostomic drainage. The handle of a radiographic cone is disconnected from the handle of an extractor and a radiographic cone is moved aside from the extractor handle on the nephrostomic drainage tube to depth of a fistulous course against the stop in the nephrostomic drainage tube curl. Then the radiographic cone is pressed to the tube curl of nephrostomic drainage and simultaneously with it the extractor handle is moved aside from the handle of the radiographic cone till the moment of its excision from a fistulous course of an organism. |
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Method of treating diffused purulent peritonitis Invention relates to medicine, namely to surgery and can be used in treatment of diffused purulent peritonitis. Drainages are installed in upper and lower levels of abdominal cavity and in mesentery sinuses with putting their distal parts outside. Abdomen is sutured. Through additional counterpunctures made in right iliac region of anterior abdominal wall, into mesentery sinuses in upward direction along small intestine mesentery two drainage tubes are installed. One drainage tube is installed through counterpuncture made 2.5-3.5 cm lower than the level of anterior-superior spine of iliac bone. Drainage tube is laid behind cupula of blind gut on posterior surface of root of mesentery. The other drainage tube is laid through counterpuncture made at the level of anterior-superior spine of iliac bone on pararectal line, onto anterior surface of root of mesentery. |
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Retroperitoneal fat phlegmon drainage technique in infected pancrenecrosis Invention concerns medicine and surgery. Pancreas is drained that is followed with sequestrectomy and pancreas abdomination to form omentobursostoma. It is combined with additional retroperitoneostoma that is ensured with oblique incision of skin, subcutaneous tissue, aponeurosis of abdominal external oblique muscle in left iliac region. Abdominal internal oblique muscle and transverse muscle of abdomen are split. Peritoneum is detached medially while retroperitoneal fat is uncovered to pancreas tail. Fascia of transverse muscle of abdomen is lined to aponeurosis and wound edges. Pancreas tail and small pelvis fat are drained. If extensive purulent process is observed in retroperitoneal fat and distributed to the right, retroperitoneal fat is additionally drained on the right forming retroperitoneostoma on the right similarly. |
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Invention concerns medicine, particularly surgery, and can be applied in treatment of closed wound cavities in soft tissues. Peristaltic drainage device includes tank with antiseptic solution, exudate collector, guide tube connecting antiseptic tank with wound cavity, aspiration tube, air guide connection tube attached by one end to antiseptic solution tank, air intake tube and rubber bulb. Aspiration and air guide connection tubes are attached and sealed at wide bulb part. Effluent tube is fixated at narrow bulb end and runs to exudates collector. Lower end of air intake tube is attached to guide tube by injection needle. Guide tube features clamp. |
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Invention refers to medicine, namely to radical mastectomy technique in breast cancer surgery. Radical mastectomy involves vacuum-drainage established in axillary region before skin closure, combined with establishing two auxiliary drainages through counterincisions of superior and inferior skin grafts in interior wound angle, thereafter attached to skin with interrupted suturing. The drainages are opposed, and the end of the superior drainage is positioned at final mobilisation point of the inferior skin graft, while the end of the inferior drainage is located at final mobilisation point of superior skin graft. Then the ends of each said drainage is attached to greater pectoral muscle. The postoperative period involves continuous irrigation of an incisional wound within the first 24 hours with normal saline 0.9% droplet injected into the superior and inferior drainages at rate 1.7 ml/min, and evacuated through the vacuum-drainage established in axillary area. Then the superior and inferior drainages are removed, and wound discharge is aspirated through the drainage in axillary area. |
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Another patent 2531346.