Universal device for active drainage of body cavities
(57) Abstract:The invention relates to medicine, namely to surgery. Drainage device consists of two parts - Cabinet base and mobile Explorer. Body part provided with a slit-like holes and slits at the distal end. Mobile Explorer includes a container with gel sorbent, which is closed from the proximal end of the tube connected to the ligature, the end part which has a coupling element with a hole in the middle. Introduction mobile Explorer in the Cabinet base by using ligatures, oiled oil solution, one end of which is fixed with the aid of the coupling device, and the other is through the Cabinet base and cuts in two directions. The technical result of the invention is to improve the efficiency of the drainage of body cavities, especially in hard-to-reach and easy-to-injure zones, which helps reduce complications and shorten the treatment time. 1 Il. The invention relates to medicine, namely to surgery.Known drainage device, which is a container of semi-permeable material filled gel is onicescu surgery. - Voronezh, publishing house of Voronezh state University, 1990, S. 16-18).The disadvantages of this device include the following: technical difficulties when draining the internal cavities of the body, inability replacement norbertstrasse capsules without removing the device from the initial installation.The aim of the invention was to increase the efficiency of the drainage of body cavities.The objective is achieved by designing the drainage device, consisting of two parts - Cabinet base and mobile Explorer, and the body part provided with a slit-like holes and slits at the distal end, the mobile conductor includes a container with gel sorbent closed side of the proximal end of the tube connected to the ligature, the end part which has a coupling element with a hole in the middle, with the introduction of mobile Explorer in the Cabinet base by using ligatures, oiled oil solution, one end of which is fixed with the aid of the coupling device, and the other is through the Cabinet base and cuts in two directions.The drawing shows a General view of the device.The device consists of two rabelink, rounded at the distal end 3. Part of Cabinet bases 1, directly in contact with the drainage area has a slit-like openings 4, through which the evacuation of the fluid. The distal end 3 has two slots 5. Mobile Explorer 2 is a hollow cylinder with a conical end 6. The mobile part of the conductor that is intended for contact with the drainage area, includes a container 7 of the semi-permeable material that is designed for filling powdered gel sorbent. The dimensions of the container 7 are determined by the particular conditions of drainage. The container 7 is connected with the mobile Explorer 2 narashimha. On the one hand, facing when you install to the conical end 6, the container 7 has a non-removable cap 8. On the other hand, the container is closed by a plug 9, which is connected with the ligature 10. The cone-shaped end 6 includes a coupling element 11 with a hole in the middle.Preparing the device for operation as follows. The container 7 mobile Explorer 2 is filled with powder gel sorbent by simply falling asleep. To prevent the reverse rash powder container is closed by a plug 9, dive torches etc the usual strong ligature 12, which is fixed by means of the coupling element 11. The other end of the ligature 12 is conducted through the Cabinet base 1, slot 5 and is done again through the Cabinet base 1, but in the reverse direction. The unit is ready for operation.Working with the device is as follows. Cabinet base 1 is placed in the area of the proposed drainage. The ligature 12 is smeared sterile oil medical solution, such as vaseline oil. Tightening at the end of the ligature 12 mobile conductor 2 is inserted into Cabinet base 1 to align the surface of the container 7 with slit-like openings 4. The implementation process is facilitated by a greased ligatures 12. To replace the contents of the container 7, you must remove the mobile conductor 2 of the Cabinet basics 1. This manipulation is done by simple traction mobile conductor 2 at the proximal end. Removed the tube 9 by pulling the ligature 10. The container is released from the content and is filled with a new portion of the drug, and then perform the above manipulations.Clinical example. Patient K., 48 years old was admitted with a diagnosis of acute pancreatitis, uninfected pancreonecrosis. Operated. P is rabotniki devices. Before installing the device in a sterile environment has been training them to work. The container 7 mobile Explorer 2 complete drug "Relevin" (Russia). The container was closed with a stopper 9. Through the hole in the tapered end 6 of the mobile Explorer 2 spent the ligature 12, which is secured by means of the coupling element 11. The other end of the ligature 12 is conducted through the cylinder Cabinet basics 1, slot 5, and again passed through the specified cylinder in the opposite direction. Cabinet base 1 installed in the projection of the pancreas in the packing bag. The ligature 12 smeared sterile vaseline oil. Tightening at the end of the ligature 12, mobile Explorer 2 introduced in Cabinet base 1 to align the surface of the container 7 with slit-like openings 4. To replace the contents of the container 7 mobile Explorer 2 was removed from the Cabinet bases 1 at the proximal end. Remove the tube 9 by pulling the ligature 10. The container was released on the content and filled with a new portion of Elevina", then did the above manipulations. Replace the contents of the containers held 2 times per day. Stay duration of drainage 6 days. Postoperative period was without osobista can significantly improve the efficiency of the drainage of body cavities, particularly difficult and legkomyslennyh zones, which helps reduce complications, reduce treatment time. Drainage device with a container of semi-permeable material with gel sorbent, characterized in that it consists of two parts - Cabinet base and mobile Explorer, and the body part provided with a slit-like holes and slits at the distal end, the mobile conductor includes a container with gel sorbent, which is closed from the proximal end of the tube connected to the ligature, the end part which has a coupling element with a hole in the middle, with the introduction of mobile Explorer in the Cabinet base by using ligatures, oiled oil solution, one end of which is fixed with the aid of the coupling device, and the other is through the Cabinet base and cuts in two directions.
SUBSTANCE: method involves conducting bougie through the liver. Flexible tube is attached to its end and set in bile ducts. Flexible radio-opaque conductor is introduced through the flexible tube. The tube is removed. Draining tube is introduced along the conductor from porta hepatis to its diaphragmatic surface into the ducts to be drained.
EFFECT: reduced risk of traumatic complications.
SUBSTANCE: method involves puncturing pyogenic abscess cavity under ultrasonic control with draining tube left therein. Laparoscope connected to monitor unit is introduced into abscess cavity. One of introduced drains is set in upper point of the cavity and the other one in lower point. The abscess cavity is filled with ozonized solution to 2/3 of its volume and bubbled with ozone-oxygen mixture during 2-3 min changing the solution until it becomes transparent. The emptied cavity walls are treated from distance of 3-4 cm with laminar airflow heated to 38-40°C under pressure of 1-1.5 atm during 2-3 min. Next to it, the cavity walls are irradiated from distance of 2-3 cm with non-coherent red light during 2-3 min per each area.
EFFECT: improved safety conditions and healing quality.
FIELD: medical engineering.
SUBSTANCE: device has suction tube having lateral openings and irrigation tube. The irrigation tube is connected to jet-action atomizer. The atomizer is hollow collapsible cylinder with holes. Ultrasonic radiator having conductor to ultrasonic frequency oscillator is available in the cylinder. The radiator and conductor enable one to introduce ultrasonic oscillations into antiseptic solution.
EFFECT: enhanced effectiveness of treatment.
SUBSTANCE: method involves puncturing pyogenic cavity with trocar having blunt obturator via skin incision made outside of abscess boundary having length equal to arthroscope diameter. Then, arthroscope is introduced and the cavity is filled with physiologic saline. Pyogenic cavity revision is carried out under arthroscope control, irrigation cannula is set, constant water medium is created. Arthroscopic mill on shaver handle is introduced via another skin incision. Non-viable tissues are removed with stage-by-stage hemostasis using endocoagulator. The cavity is healed. Perforated draining tube is set under arthroscope control. Tube ends are brought out through pierces outside of the cavity and sutured to skin. Active suction of wound exudates is carried out using closed vacuum drain system in postoperative period. The drainage is removed when cleaning the wound from wound microflora and single sutures are placed.
EFFECT: enhanced effectiveness of treatment.
FIELD: medicine, abdominal surgery.
SUBSTANCE: the present innovation deals with treating patients in case of destructive forms of pancreatitis. One should lance a gastro-colic ligament, mobilize splenic and hepatic angles of large intestine, tighten a middle colic artery, descend mesenteric root cross-sectionally against a colon, dissect parietal peritoneum along the upper and lower edges of pancreas to withdraw it into abdominal cavity, remove necrotized tissues. Then one should apply a rubber balloon with drainage tubes along its upper and lower edges into omental cavity: one balloon's end should be withdrawn through median wound, another one - through contra-aperture being 5 cm below a costal arch along median axillary line. The method suggested enables to form adequate access to patient's pancreas.
EFFECT: higher efficiency of drainage.
6 dwg, 1 ex
FIELD: medical engineering.
SUBSTANCE: device has liquid-permeable porous lining that is to be placed on or in a wound, flexible plastic film having a set of holes distributed over its surface, liquid-impermeable film napkin and connection means. The porous lining has foamed polymer material having interconnecting cells. The plastic film makes contact with porous lining surface and is between wound surface and the lining when used. The film napkin is placed above the porous lining and is sticky along its perimeter to provide sealing in skin area surrounding the wound. The connection means passes through the film napkin and communicates to porous lining via liquid flow for making connection to negative pressure source for stimulating fluid flow discharged from the wound. Another embodiment has removable wound bandage usable in particular for treating large wounds requiring draining fluids. It has the first porous lining, the second porous lining, elastomer envelope, film napkin and tubular connection means. The first liquid-permeable porous lining contacts the wound and has foamed lining having foamed material based on polymer built of interconnecting cells and isolated transverse holes. The elastomer envelope has the first and the second sheets of elastomer film soldered along their periphery and enveloping said foamed lining. Each of the first and the second elastomer film sheets has spaced-apart holes. The holes in the second sheet are justified with said spaced-apart holes in the first sheet. The second liquid-permeable porous lining is to be placed under the first porous lining. It has foamed polymer material having interconnecting cells. The liquid-impermeable film napkin is placed above the second porous lining. The first porous lining is placed above the wound. The film napkin is sticky along its perimeter to glue the napkin to skin area surrounding the wound. The tubular connection means passes through said film napkin and communicates to porous lining via liquid flow for making connection to negative pressure source for stimulating fluid flow discharged from the wound. The third embodiment has the first elastomer film sheet having spaced-apart holes deviated from spaced-apart holes in the foamed lining. The second elastomer film sheet has spaced-apart holes adjusted to the spaced-apart holes in the foamed lining.
EFFECT: simplified usage; accelerated wound healing.
15 cl, 3 dwg
FIELD: medicine, surgery.
SUBSTANCE: one should perform decompression of Wirsung's duct with the help of silicone instrument or catheter in case of pancreatogastrostomy in the course of pancreatoduodenal resection. Moreover, the above-mentioned instruments should be fixed in anastomosis with one of the sutures in internal row, their free ends should be loosely located in the stomach and tightened to caprone ligature to be then withdrawn through patient's nose. In 7-10 d either silicone instrument or catheter should be removed due to pulling by caprone ligature. The innovation enables to decrease the risk in the failure of pancreatogastroanastomoses and post-operational pancreatitis.
EFFECT: higher efficiency of draining.
FIELD: medicine, surgery.
SUBSTANCE: at the end of the main stage of operation conducted one should perform paravertebral Novocain blockade by puncturing the sheath of m.erector trunci, the drainage should be introduced towards lateral edge of m.ilipsoas through paracentesis of lumbar area being about 1-2 cm above ilium's ala at the line made via the end of the 12th rib vertically up to ilium's ala. Retroperitoneal space should be, also, drained. The innovation enables to prevent purulent-septic complications and decrease the pain.
EFFECT: higher efficiency.
1 dwg, 2 tbl
FIELD: medicine, obstetrics, gynecology.
SUBSTANCE: uterine cavity should be drained in the course of operation, moreover, irrigator's distal end should be withdrawn through operation wound at anterior abdominal wall, and 2 h after the end of operation uterine cavity should be washed through irrigator with 400 ml of cooled 0.06%-sodium hypochlorite solution at perfusion rate being 200 ml/h, 6 times every 12 h up to 3-4 d; after each perfusion one should introduce 1 g kanamycin directly into uterine cavity, moreover, in case of availability of bacterioid and/or anaerobic flora in uterine cavity according to the results obtained due to pre-operational antibioticogram one should add 100 ml 3%-hydrogen peroxide solution into perfusion solution. The present innovation enables to efficiently sanitize uterine cavity due to intrauterine injection of antibiotics by taking into account antibioticogram performed at all stages of operative treatment.
EFFECT: higher efficiency of prophylaxis.
1 cl, 2 ex
FIELD: medical engineering.
SUBSTANCE: device has lateral holes and is manufactured from absorbable material like polydioxanon. The holes are diametrically arranged in two rows along the whole tube length in chessboard order in the first embodiment of the invention. The absorbable material of polydioxanon is manufactured as threads arranged as reticular mesh grid structure of 12-20 u/cm in building tube walls.
EFFECT: eliminated occurrence of pyo-inflammatory complications.
2 cl, 2 dwg