Device for the sanation of abdominal cavity

 

The invention relates to medicine, namely to surgery, and can be used to treat common forms of peritonitis. The device comprises a container with inextensible middle part and elastically stretchable peripheral part and the two tubes, combined into a common header, with inextensible middle part made in the form of inextensible hydrophobic film with holes, connected with two short silicone inner tubes, and elastically stretchable part is made in the form of two more long silicone outer tube and elastically stretchable tanks, which are located between the outer and inner tubes are connected with its collector perforated tubes at one end and provided with elastically stretchable films on the other end. All four silicone tube connected to the manifold, equipped with plugs on the peripheral ends and valve openings increasing in size from the collector to the periphery, but are located on both sides of the outer long tubes and only on the rear surface of the short inner tubes. The peripheral outer ends of the long tubes are rounded inward. The invention improves effecti surgery, and can be used to treat common forms of peritonitis.

A device consisting of a perforated containers and pipes for drainage, additional capacity with a pipe for liquids, the middle part of which is inextensible, and the peripheral portion is elastically stretchable, with additional capacity connected to the elastic jumper located between the perforations of the tubes for fluid supply, combined into a common header (A. C. 1694148 And 61 M 27/00).

The disadvantage of this device is the uneven effectiveness of the reorganization of the various departments of the abdominal cavity due to insufficient contact of the steps used antiseptic solution on the parietal and visceral peritoneum, unnecessary design complexity, the inability to change the length of the device.

The technical result of the invention is to improve the effectiveness of the sanitation of the abdominal cavity.

The technical result of the device is achieved by the fact that the inextensible middle part made in the form of inextensible hydrophobic film with holes connected with two short silicone inner tubes, and elastically stretchable part is made in the form of two, Bennie tubes, connected with its collector perforated tubes at one end and provided with elastically stretchable films on the other end, all four silicone tube connected to the manifold, equipped with plugs on the peripheral ends and valve openings increasing in size from the collector to the periphery, but are located on both sides of the outer long tubes and only on the rear surface of the short inner tubes, while the peripheral outer ends of the long tubes are rounded on the inside.

In Fig. 1 shows a General view of the device of Fig.2 is a view of the device rear.

Device for the sanation of abdominal cavity contains gidrofobnoi film 1, which is marked holes to eliminate the suction effect of the surrounding tissues 2, which is associated with two silicone, short of the inner tubes 3, 4 and elastically stretchable portion made in the form of two, longer, silicone outer tubes 5, 6, elastically stretchable tank 7, which are located between the outer and inner tubes are connected with the collector 8 of their perforated tubes 9 at one end and provided with elastically stretchable films 10 on the other end, while all four of cepauskas in size from the collector to the periphery, located on both sides of the outer long tubes and only on the rear surface of the short inner tubes for bacterial infection did not fall with laparotomy wounds in the abdominal cavity.

Device for the sanation of abdominal cavity operates as follows.

After laparotomy, liquidation of the source of peritonitis and sanation of abdominal cavity set the device for the renovation of the abdominal cavity. The device is placed in the abdominal cavity between the parietal peritoneum and internal organs. The free ends of the tubes 5, 6 are placed in the cavity of small pelvis. The manifold 8 is brought out through the top corner laparotomic wound. Through the tube 9 is injected fluid (physiologic solution or any other). As the filling of containers 7, the lateral side stretchable and receives operating position. Tube 9 pinch. After the installation is sutured laparotomic wound.

In the upper right corner laparotomic wound is manifold 8 with the two tubes 9. Through the manifold 8 is supplied to the necessary solution under pressure through the openings 12, the slurry is sprayed in the form of multiple microdispensing flows evenly irrigate the abdominal cavity. Disposal of waste antiseptic solution and EXS the device is long, than necessary in a particular situation, then shortening device of the tubes 3, 4, 5, 6 remove the stub 11 and the scissors cut the distal device to the tank 7. Then the tubes 3, 4, 5, 6 put the stub 11.

To remove a device from the abdominal cavity through the tubes 8 and liquid containers 7 are evacuated, so that the dimensions of the device are reduced. In the upper right corner laparotomic wound dismiss a few stitches, and the device is removed from the abdominal cavity.

The use of this device with common forms of peritonitis improves the efficiency of sanation of abdominal cavity and prevents viscero-parietal binding; as a result, the quality of removal from the abdominal cavity blood and exudate decreases the formation of adhesions between intestinal loops, and due to the mechanical action of the jet of the solution on the wall of the intestine reduces the elimination of paresis. In aggregate, the use of this device reduces mortality in common forms of peritonitis.

Claims

Device for the sanation of abdominal cavity containing vessel with inextensible middle part and elastically stretchable peripheral h is Olney as non-tensile hydrophobic film with holes, connected with two short silicone inner tubes, and elastically stretchable part is made in the form of two more long silicone outer tube and elastically stretchable tanks, which are located between the outer and inner tubes are connected with its collector perforated tubes at one end and provided with elastically stretchable films on the other end, all four silicone tube connected to the manifold, equipped with plugs on the peripheral ends and valve openings increasing in size from the collector to the periphery, located on both sides of the outer long tubes and only on the rear surface of the short inner tubes, while the peripheral outer ends of the long tubes are rounded inward.

 

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