Method for correcting combined deformations of external nose due to oral-vestibular operative access |
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IPC classes for russian patent Method for correcting combined deformations of external nose due to oral-vestibular operative access (RU 2243733):
        
Method for capsular pancreatic decompression / 2243732
One should perform incisions of parietal peritoneum by leaving 2 cm against inferior and superior edges of patient's pancreas being of 1.5 cm length to apply them in checkered order for the purpose to prevent vascular lesion.
Method for carrying out biliary tracts reconstruction / 2243731
Method involves carrying out rein performing pancreaticoduodenal resection. Cholecystoenteroanastomosis is built. Anastomosis application takes place between the right hepatic duct and gallbladder neck near its flexure.
 Method for treating duodenum stump / 2243730
Method involves evaginating duodenum stump with polypotomy loop into organ wall followed by electric surgical excision.
Method for treating the cases of male enuresis / 2243729
Method involves applying sling urethropexy. Pneumoextraperitoneum is created by means of trocar introduced under the pubis. Then, longitudinal perineotomy and paraurethral tissue dissection is carried out to the right and to the left towards the descending branches of pubic bones to pelvic fascia. The urethra is moved to its left. TVT needle is introduced under descending branch of pubic bone to the right of the urethra. The pelvic fascia is perforated in away that needle tip enters retropubic space laterally with respect to the prostate and in front of the urinary bladder. The needle is brought along the posterior pubic bone surface and exits via abdominal wall outside pulling one end of polypropylene ribbon. The like manipulations are accomplished at the left side to form a loop around the urethra tightly adjacent to bulbocavernous muscles. Final ribbon fixation is carried out after having eliminated the pneumoextraperitoneum and having removed the trocar.
 Device (protector) for preventing, stopping and controlling hemorrhages in performing laparotomic operations / 2243728
Device has thread knitted into fabric. Fabric for tamponing wound and removing it by pulling the thread is connected to internal film surface with collagen gel. The film overlaps fabric area and has opening equal to two-lumen draining tube canal connected to external film surface and having one canal longer than the other one. Distal end of the shorter canal is connected to opening in the film and distal end of the longer one is brought outside of its boundary. Proximal ends are connectable to vacuum receiver. Fabric thread is brought to the shorter canal from the internal wall and fixed on the external shorter canal wall.
 Method for preventing cicatricial commissure process development in epidural space after having removed intervertebral disk hernia at the lumbar level / 2243727
Method involves carrying out hernia removal in intralaminar way. Posterior longitudinal ligament defect is covered with Tacho-Comb plate after having done disk cavity curettage. Subcutaneous fat fragment on feeding pedicle is brought to dorsal surface of radix and dural sac.
 Method for carrying out plastic repair of the esophagus / 2243726
Method involves carrying out left-side laparophrenotomy. Esophagus and stomach stump extirpation is carried out. Large intestine is conducted in the posterior mediastinum. Distal end-to-end anastomosis of transplant and the duodenum is created using atraumatic sutures.
 Method for treating the cases of destructive pancreaticonecrosis aggravated with retroperitoneal space infection / 2243725
Method involves applying one or two parallel through draining tubes having lateral perforations. Flow lavage of the retroperitoneal space with antiseptic solutions is carried out via the perforations at room temperature and cooled solutions are administered concurrently with vacuum suction. Omental bursa is concurrently drained using the two parallel through draining tubes. Flow lavage of the omental bursa is carried out using these tubes.
 The method of determining the position of the needle tip in biological tissues and device for its implementation / 2243002
The invention relates to medical technology, and is intended to identify the location of the needle tip in biological tissues, for example when performing epidural anesthesia
The method of treatment of lung cancer / 2242998
The invention relates to medicine, in particular to cancer, and can be used in the treatment of resectable, including locally common forms of lung cancer
Method for treating the cases of destructive pancreaticonecrosis aggravated with retroperitoneal space infection / 2243725
Method involves applying one or two parallel through draining tubes having lateral perforations. Flow lavage of the retroperitoneal space with antiseptic solutions is carried out via the perforations at room temperature and cooled solutions are administered concurrently with vacuum suction. Omental bursa is concurrently drained using the two parallel through draining tubes. Flow lavage of the omental bursa is carried out using these tubes.
Method for carrying out plastic repair of the esophagus / 2243726
Method involves carrying out left-side laparophrenotomy. Esophagus and stomach stump extirpation is carried out. Large intestine is conducted in the posterior mediastinum. Distal end-to-end anastomosis of transplant and the duodenum is created using atraumatic sutures.
Method for preventing cicatricial commissure process development in epidural space after having removed intervertebral disk hernia at the lumbar level / 2243727
Method involves carrying out hernia removal in intralaminar way. Posterior longitudinal ligament defect is covered with Tacho-Comb plate after having done disk cavity curettage. Subcutaneous fat fragment on feeding pedicle is brought to dorsal surface of radix and dural sac.
Device (protector) for preventing, stopping and controlling hemorrhages in performing laparotomic operations / 2243728
Device has thread knitted into fabric. Fabric for tamponing wound and removing it by pulling the thread is connected to internal film surface with collagen gel. The film overlaps fabric area and has opening equal to two-lumen draining tube canal connected to external film surface and having one canal longer than the other one. Distal end of the shorter canal is connected to opening in the film and distal end of the longer one is brought outside of its boundary. Proximal ends are connectable to vacuum receiver. Fabric thread is brought to the shorter canal from the internal wall and fixed on the external shorter canal wall.
Method for treating the cases of male enuresis / 2243729
Method involves applying sling urethropexy. Pneumoextraperitoneum is created by means of trocar introduced under the pubis. Then, longitudinal perineotomy and paraurethral tissue dissection is carried out to the right and to the left towards the descending branches of pubic bones to pelvic fascia. The urethra is moved to its left. TVT needle is introduced under descending branch of pubic bone to the right of the urethra. The pelvic fascia is perforated in away that needle tip enters retropubic space laterally with respect to the prostate and in front of the urinary bladder. The needle is brought along the posterior pubic bone surface and exits via abdominal wall outside pulling one end of polypropylene ribbon. The like manipulations are accomplished at the left side to form a loop around the urethra tightly adjacent to bulbocavernous muscles. Final ribbon fixation is carried out after having eliminated the pneumoextraperitoneum and having removed the trocar.
Method for treating duodenum stump / 2243730
Method involves evaginating duodenum stump with polypotomy loop into organ wall followed by electric surgical excision.
Method for carrying out biliary tracts reconstruction / 2243731
Method involves carrying out rein performing pancreaticoduodenal resection. Cholecystoenteroanastomosis is built. Anastomosis application takes place between the right hepatic duct and gallbladder neck near its flexure.
Method for capsular pancreatic decompression / 2243732
One should perform incisions of parietal peritoneum by leaving 2 cm against inferior and superior edges of patient's pancreas being of 1.5 cm length to apply them in checkered order for the purpose to prevent vascular lesion.
 Method for correcting combined deformations of external nose due to oral-vestibular operative access / 2243733
The method is applied for the purpose to correct combined deformations of external nose due to oral-vestibular operative access. The method deals with dissecting mucosal membrane and periosteum in oral vestibule followed by separating soft tissues of the upper lip. Then one should perform internal incision along the edge of alar cartilages to connect two incisions together. Then comes final tissue separation at subsequent correction of the shape, size of external nose structures and its septum. The method enables to achieve wide access to all the structures of external nose and provide optimal cosmetic result.
 Method for correcting rotating penile deformation / 2243734
The present innovation deals with affecting the sclera and applying deformation-correcting sutures at the background of medicinal erection. Along lateral surfaces of cavernous bodies symmetrically from both sides one should make incisions of scleral surface layer. Then comes manual derotation, moreover, at the side of derotation incision's lower edge should be shifted downwards and backwards, its upper edge - upwards and to the front, and at contralateral side the lower edge is shifted downwards and to the front, and the upper edge - upwards and backwards. After manual penile derotation one should apply sutures onto the edges of dissected scleral layer in incision area by shifting needle's puncture out towards the side being opposite to shift direction of the lower edge against incision's perpendicular axis. The quantity of incisions should be calculated by the following formula: Q = N/n, where Q - the desired quantity of incisions, N - the angle of total initial rotation, n - the angle of derotation achieved after applying sutures onto the first pair of incisions. The method enables to decrease the risk for development of either new or residual penile deformation in postoperational period.
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FIELD: medicine, surgery. SUBSTANCE: the method is applied for the purpose to correct combined deformations of external nose due to oral-vestibular operative access. The method deals with dissecting mucosal membrane and periosteum in oral vestibule followed by separating soft tissues of the upper lip. Then one should perform internal incision along the edge of alar cartilages to connect two incisions together. Then comes final tissue separation at subsequent correction of the shape, size of external nose structures and its septum. The method enables to achieve wide access to all the structures of external nose and provide optimal cosmetic result. EFFECT: higher efficiency of correction. 4 dwg
The invention relates to medicine, namely to surgery, and can be used for correction of the combined deformation of the external nose. Existing surgical methods for the correction of deformed external nose are from external or endonasal approaches. As well known endonasal surgical access, which is carried out on the edge krylnyh cartilage [Clinical operative oral and maxillofacial surgery. Edited Wenbley., St. Petersburg: Special literature. 1998, s-311]. Its disadvantages are defective visual inspection of the wound in patients with combined deformation of the external nose. For the correction of complex combined deformation of the external nose is more often used external accesses, which carry in the field of percutaneous columella or tip of the nose [Atlas of operative otorhinolaryngology. Edited by Prof. Usepagov. - Moscow: Medicine, 1983, p.27]. This access allows you to adjust the shape of the structures of the external nose under visual control. However, the lack of outdoor access is not large enough for the correction of complex combined deformation of the external nose, its invasiveness, and cosmetic defect on the face. The aim of the proposed method is the correction of the combined deformation of the external nose. The uke is this goal is achieved by correction of the deformed structures of the nose of the oral-predgornogo online access. The essence of the proposed method is that the correction method of the combined deformation of the external nose oral-predgornym online access, including incision and separation of tissues in anticipation of the mouth, supplemented by internal incision along the edge krylnyh cartilage allows wide access to all the structures of the external nose and provide optimal cosmetic result. The method is as follows. After infiltration anaesthesia and hydraulic ofseparate 1% solution of novocaine soft tissues, Nadirashvili, the periosteum of the external nose, Nadirashvili septum of the nose, the transition folds gums and lips make a cut in the vestibule of mouth from canine to canine tooth of the upper jaw, above the transition fold at 5 mm and Then produce the detachment of the soft tissues of the upper lip to the lower edge of the bone part of the bottom of the nasal cavity (figure 1). Then do a cut on the edge krylnyh cartilage, with subsequent exposure of the lateral and medial his legs (figure 2). Connect two previously made incision (figure 3). Through the generated access carry out the separation of soft tissue together with nadgradnja and periosteum from krylnyh cartilage, the lateral cartilages of the nose, the nasal bone edges of the pyriform aperture and divert them up (figure 4). This provides an unobstructed view of all structure is R, involved in the formation of the external nose and septum, allowing to adjust their shape and size without damaging the skin. Then the soft tissue is placed on the bone and cartilage framework of the external nose and layers are sutured wound on the eve of his mouth. Thus, the correction method of the combined deformation of the external nose oral-predgornym online access allows you to achieve high-quality correction of combined deformation of the external nose, while ensuring optimal cosmetic effect. The correction method of the combined deformation of the external nose oral-predgornym online access, characterized in that an incision of the mucous membrane and periosteum on the eve of the mouth, separating the soft tissues of the upper lip, and then perform an internal incision along the edge krylnyh cartilage, and then produce a connection between the two sections, the final separation of the tissues with subsequent correction of the shape, size structures of the external nose and septum.
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