A device for drainage of the abdominal cavity

 

(57) Abstract:

The invention relates to medicine, namely to surgery. The technical result of the invention is improving the efficiency of treatment of patients with acute peritonitis. A device for drainage of the abdominal cavity is a hollow silicone tube in which through holes spiral conducted hydrosleeve of, provided with a slit valves, and at the distal end of the device is inflated cuff connected to it by air. 1 Il.

The invention relates to medicine, namely to surgery.

A device for drainage of the abdominal cavity in the form of a tubular drainage [N. G.Of poles. Drainage in surgery. - Kiev: Health, 1978. - 126 pages].

The disadvantages of this device include the rapid loss of effectiveness of evacuation actions by separating the drainage of the abdominal cavity.

The aim of the present invention is to increase the efficiency of treatment of patients with acute peritonitis.

This goal is achieved by use of a device for drainage of the abdominal cavity form of a hollow silicone tube in which pose the distal end of the device is inflated cuff is connected thereto by a duct.

General view of the device for drainage of the abdominal cavity is shown on the drawing. The device consists of a hollow silicone drainage tube 1, rounded at the distal end and is provided with ejection openings 2. The drainage tube 1 has an additional holes 3, designed for spiral conducting hydrosleeve of 4, provided with a slit valves 5. At the distal end of the drainage tube 1 has an inflated cuff 6, which summed up the duct 7.

Working with the device is as follows. The drainage device is installed in the area of the proposed drainage of the abdominal cavity according to generally accepted principles. To prevent separation device in the postoperative period is provided by the following events. In the hydrosleeve of 4 under the pressure of 4-6 bar served antiseptic solution, which through slit valves 5 expires from hidrologia in the form of radial thin threads. These flows solution prevent the formation of fibrin capsule around the drainage and at the same time not injure the organs of the abdominal cavity. To maximize the effectiveness of the drainage of the lesion in addition to the above activities provodnye of these activities depends on the specific clinical situation and ranges from one to several times per day.

The positive effect from the use of this device is to significantly increase the efficiency and duration of drainage, which in combination can improve the result of complex treatment of patients with acute peritonitis.

A device for drainage of the abdominal cavity, representing a hollow silicone drainage tube, characterized in that by means of additional holes through her spiral conducted hydrosleeve of, provided with a slit valves, and at the distal end of the device is inflated cuff is connected thereto by a duct.

 

Same patents:

Drainage device // 2160126
The invention relates to medicine, namely to surgery, and can be used in the treatment of widespread purulent peritonitis

The invention relates to medicine, namely to intensive care and neurosurgery, and can be used for the treatment of acute toxic lesions of the brain, followed by endocrinologia
The invention relates to medicine, namely to neurosurgery

The invention relates to medicine, namely to surgery, and can be used for treatment of suppurative cholangitis

The invention relates to medicine, namely to neurosurgery

The invention relates to medicine, namely to endosurgery, and can be used in the treatment of spilled purulent peritonitis

Drainage // 2148419
The invention relates to medicine, namely to purulent surgery

The invention relates to medicine, in particular to surgery, and can be used in the treatment of acute surgical diseases of abdominal cavity

The invention relates to the eye, in particular for the treatment of sinusitis and after radical surgery of the maxillary sinus

The invention relates to medical equipment, namely to devices used in surgery, and is intended for infusion or drainage of hollow organs and narrow cavities

FIELD: medicine.

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.

FIELD: medicine.

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.

1 dwg

FIELD: medicine.

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.

3 cl

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.

1 dwg

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

Draining tube // 2269365

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

Up!