Experimental operations

The present invention relates to medicine, namely, to surgery, and may be used for suturing on tubular structures, such as a bleeding vessel (Russian patent for invention № 2246269 from 20.02.2005, the).

The closest the claimed solution is the way ligation of vessels, BA Barkov, differing from other modes of the first loop having a Single weave, but the two rings of the stitch. (Sleptsov, IV, Chernikov, RA, 2000).

However, the known method is complex loop formation, which brand viagra online requires long training and relevant manual skills, which increases the cost in time and eventually the duration of the operation. For loop formation requires a large amount of suture material, which increases the likelihood abstsedirovaniya and ligature fistula formation.

The problem of invention - improving the quality of suturing.

The assigned task is achieved by the first loop ligate formed a special way, as a result it allows to keep tubular structures in the narrowed state during the formation of loops.

Figure 1 shows a loop Barkov (prototype), while Figure 2 shows the formation of loops own way.

Method of suturing on bleeding vessels is different in that after the imposition of hemostat, a special way of the future form the first loop ligature. Thread is fixed thumb and forefinger of his left hand and the same fingers of the right hand of opposites end of the thread is carried out under the clamp. End of the thread, which is in the right hand, endure and forth between fixed palmar surface of thumb and forefinger of his left hand while holding a loop in tension. The working end of the thread on the left derive from him, and without tension again performed under clamp, which forms the second half-loop. End of free half-loop, hold 1 and 2 fingers of his right hand from right to left give birth to a bottom-up by two threads stretched half-loop and using the index finger of right hand hold between them and freely lying thread right of free half-loop from the bottom up and re-capture the 1 and 2 finger right hand. After that delay in a loop and fix the fastening hub (nodes) (Figure 3).

Method is used when performing experimental operations on animals. Under operbloka department of operative surgery and topographic anatomy of the Kursk State Medical University (Head of Department, MD, Professor AD Myasnikov) during various experimental interventions performed generic levitra ligation of large vessels in the skin, mesentery, small intestine, stomach, muscles and etc. using the method described. As a result of the proposed method the authors did not observe rebleeding due to creeping eruption or the unleashing of suturing as during the intervention, and in the postoperative period.

Thus, the proposed method of suturing reduces the formation of the first loop ligation education tubular structures, which ultimately shortens the duration of the operation. Reliability ligation of the vessel is not inferior to the prototype. The proposed loop allows to keep the associated tissue (eg, narrowing of a bleeding vessel) during the formation of a second (enshrining) loop. One of the advantages of the proposed solutions is the high compression force of tissue with minimal risk of the eruption of filaments, which is especially important for ligation of large vessels. In addition, the first loop has puncture-proof structure that allows it to attach to the tightened state, even while easing tension wires. Decreases the amount of suture material needed for the formation of loops, which in turn reduces the severity of tissue reactions to foreign body and reduces the risk of suppuration and the formation of ligature fistulas.

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