Method adaptation of tissues with different thickness of the subcutaneous fat

 

The invention relates to medicine, namely to surgery, and may be applicable for the adaptation of tissues with different thickness of the subcutaneous fat. Produce separation of skin from underlying tissue. Perform vcol needle and thread from the inside outwards from one side of the wound and re-from the inside outwards from the other side of the wound. The method allows to prevent deformation of the operated area. 1 Il.

The invention relates to the field of medicine, particularly surgery and plastic surgery, and can be used for adaptation of tissues with different thickness of subcutaneous fat in patients with different nature of the surgical intervention.

A similar method are different types of adapting the seams, such as vertical mattress stitch the Donati, horizontal mattress suture, cosmetic stitch, blanket stitch. These species adapt seams are well established and have for a long time used in plastic surgery more fully the nature and species adapt seams and the technique of their application are reflected in the book Professor Zoltan J. Cicatrix optima (operating equipment and conditions for optimal wound healing. - Budapest, Publishing house of Academy of Sciences of Hungary, 1983.

When all neapturami subcutaneous tissue of different thicknesses to date proposed no. The main reason is lack of understanding of what the correct adaptation of the underlying tissue is half the success of a good cosmetic result.

The prototype of our method are adapting cosmetic seams type Donati.

Analysis of the known level of science and technology showed the novelty of the method, because up to the present time to adapt subcutaneous fat layer used conventional methods (plain stitch, plain stitch when connecting the edges of the wound with neodinakovy thickness). Using our method, we can perform the adaptation of the subcutaneous fat without breaking the anatomical relationships of the surrounding tissues.

The technical result of the invention consists in the adaptation of tissues with different thickness of the subcutaneous fat. This is achieved by applying a special seam, namely, in contrast to the simple joint, the imposition of which vcol needle is outside medially and then from the inside out, our seam involves fundamentally different movement. Originally for the best offset produced by szeparowka skin from the underlying tissues, and then do vcol needle and thread from the inside outwards from one side of the wound and re-from the inside outwards from the other side of the wound. CX is her namely:

the force vector And is part of the line goes up and down, as if squeezing the most part, and the force vector In-part thread directed upwards only, without reducing the thickness of the subcutaneous fat layer.

And part of the leg presses deep into the wounds of the upper edge of the fat layer, and the part of the thread raises the bottom edge of the fat layer and simultaneously maps the upper edge of the fat layer one side with the upper edge of the other side, and creates an exact adaptation of tissues with different thickness.

This technique has been tested on a large number of patients in whom it was necessary to adapt the subcutaneous fat layer with different thickness. In all cases there was a positive effect of adaptation without deformation of the operated area. The method is illustrated by examples.

Example 1. Patient U. was performed a wide excision of the breast tissue, after which there appeared a large defect that need to be filled by the local tissue, however, after allocation to the surrounding tissue thickness of the subcutaneous fat from one side of the wound significantly exceeds the thickness of the tissue with the other hand. Was applied our proposed method. Achieved the exact adaptation of tissues and a good cosmetic result.

Example enemy. When trying to match the edges of the wound revealed a strong deformation of the operated area. We used the proposed method adaptation of the tissues, resulting in a good cosmetic result.

Claims

Method adaptation of tissues with different thickness of the subcutaneous fat, including the use of adapting seam, characterized in that the produce szeparowka skin from the underlying tissues, and then perform vcol needle and thread from the inside outwards from one side of the wound and re-from the inside outwards from the other side of the wound.

 

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