The invention discloses a suture method for laparoscopic high ligation of inguinal hernia sac in children, in particular: after separating the peritoneum and spermatic cord, leaving a thread in the abdominal cavity, the surgical line is inserted into the syringe needle, and the surgical line is knotted into a retractable and retractable ring at the head end of the syringe needle, then the syringe needle is penetrated into the abdominal cavity and retained. The thread head is placed in the retractable and retractable ring. While the surgical line and the syringe needle are pulled out of the body, the retractable and retractable ring is tightened and the retained thread is taken out of the body together to complete the suture. The suture method of the invention obviously reduces the operation difficulty, and is beneficial to the popularization of the laparoscopic technique for treating children's inguinal hernia (laparoscopic high ligation of inguinal hernia sac) in the grass-roots hospitals, so as to benefit more children. At the same time, it shortens the operation time, reduces the use of anesthetic drugs, reduces the harm caused by the accumulation of anesthetic drugs, and reduces the use of surgical equipment.
【技术实现步骤摘要】
一种用于小儿腹腔镜腹股沟疝疝囊高位结扎术的缝合方法
本专利技术属于医疗处置
,具体涉及一种用于小儿腹腔镜腹股沟疝疝囊高位结扎术的缝合方法。
技术介绍
目前,由于腹腔镜技术的发展,临床上在给小儿进行腹股沟疝修补术时,常采用腹腔镜下疝囊高位结扎术,具体操作如下:首先戳卡位置:沿脐上缘取约10mm切口置入10mm戳卡建立观察孔,腹腔镜进入腹腔后探查双侧腹股沟区,明确有无对侧疝。在腹股沟疝对侧髂前上棘与脐连线中点处置入5mm戳卡建立操作孔(若术中探查诊断为双侧腹股沟疝,该操作孔建立在脐下约4cm处)。然后结扎内环缺损:第一步,腹膜与精索分离、腹腔留线:20ml注射器针头2带0号慕丝线a在内环口5缺损上方投影处刺入腹膜前,做内环口5外半周全腹膜前潜行,行至精索处,由助手注入10ml生理盐水,进行“水分离”(使腹膜与精索分离,便于更好的保护输精管及精索血管)后,于精索前方穿过精索后进腹,将针头内线拉入腹腔,退出20ml注射器针头2;第二步,缝合:不带线20ml注射器针头2在刺入点处再次进针,做内半圈全腹膜前潜行后进腹,将第一次穿刺留入腹腔的线(即0号慕丝线a)的线头传入针头,而后用吸引器1将线头吸出体外(图1),形成内环腹膜前荷包缝合;第三步:排除疝囊内二氧化碳气体,体外打结至皮下,关闭内环口。第四步,关腹:检查腹腔无明显出血后,用4-0可吸收线确切缝合戳口。目前该手术的难点在于:由于0号慕丝线直径比20ml注射器针头直径略小,要在腹腔镜下将第一次进针留入腹腔的0号慕丝线穿入第二次穿入腹腔的20ml注射器针头,然后用吸引器吸出体外,其难度很高,成为制约腹腔镜小儿 ...
【技术保护点】
1.一种用于小儿腹腔镜腹股沟疝疝囊高位结扎术的缝合方法,其特征在于,在腹膜与精索分离、腹腔留线后,在注射器针头内穿入手术线,并在注射器针头头端将手术线结成可收放环,然后将注射器针头穿入腹腔,将留线线头置于可收放环中,在手术线和注射器针头拉出体外的同时,可收放环收紧,将留线一并带出体外,从而完成缝合。
【技术特征摘要】
1.一种用于小儿腹腔镜腹股沟疝疝囊高位结扎术的缝合方法,其特征在于,在腹膜与精索分离、腹腔留线后,在注射器针头内穿入手术线,并在注射器针头头端将手术线结成可收放环,然后将注射器针头穿入腹腔,将留线线头置于可收放环中,在手术线和注射器针头拉出体外的同时,可收放环收紧,将留线一并带出体外,从而完成缝合。2.根据权利要求1所述的一种用于小儿腹腔镜腹股沟疝疝囊高位结扎术的缝合方法,其特征在于,具体按照以下步骤实施:步骤1,在腹膜与精索分离、腹腔留线后,将手术线穿入注射器针头,从针头头端拉出,然后将穿线的注射器针头在原切口处再次进针,做...
【专利技术属性】
技术研发人员:张文亮,雷庆林,薛娟红,祁钰乾,令淼今,张文娣,马晓飞,
申请(专利权)人:张文亮,
类型:发明
国别省市:甘肃,62
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