Laparoscope hernial sac high ligation set and use method thereof

Abstract

The invention discloses a laparoscope hernial sac high ligation set and a use method thereof. The set comprises a ligature fetching needle, a ligature putting needle, a ligature and a ligature fetching hook. Tube cavities are formed in the ligature fetching needle and the ligature putting needle, the ligature fetching needle and the ligature putting needle are combined into an integrated needle, the tail end of the combined ligature fetching needle and ligature putting needle is provided with a puncture needle head, handles are arranged on the ligature fetching needle and the ligature putting needle, the handles are arranged at the other end opposite to the puncture needle head, and the ligature fetching needle and the ligature putting needle are combined through sliding rails. Through the method of the integrated needle, the abdominal wall skin, subcutaneous tissue and muscular tissue of a sick child only need to be punctured once, repeated puncture is not needed, the influences on development of the peritoneum and the abdominal wall muscle of the sick child are reduced, and the relapse rate of inguinal hernia is also lowered.

Description

technical field [0001] The invention relates to the field of medical auxiliary tools, in particular to a laparoscopic hernia sac high-position ligation kit and a method for using the same. Background technique [0002] The current surgical treatment of inguinal hernia is performed by tension-free hernia repair and high ligation of the hernia sac. With the development of laparoscopic technology, laparoscopic high ligation of the hernia sac has become more and more widely used. In the treatment of inguinal hernia in children, it has the characteristics of simplicity, ease of operation, safety, and small trauma. The key step of the operation is to accurately locate the midpoint of the inner ring mouth to the body surface after observing the inner ring mouth with a laparoscope, and then pass through the abdominal wall skin. , subcutaneous tissue, and muscular tissue, and when the tip of the puncture needle reaches the outside of the peritoneum under direct vision of the laparosc...

AI Technical Summary

Problems solved by technology

[0003] In this process, two punctures are required through the abdominal wall skin, subcutaneous tissue, and muscle tissue of the child, and it is difficult to ensure that the needle insertion channels are completely overlapped during the two punctures. The subcutaneous tissue and abdominal wall muscle tissue are driven into the knot so that the knot cannot be retracted into the extraperitoneal fat layer. The peritoneum at the inner ring opening is suspended and fixed at the inner ring opening by the subcutaneous tissue and abdominal wall muscle tissue. The anatomical level Disorder is not conducive to the development of peritoneum and abdominal wall muscles in children, and it is also easy to cause the recurrence of inguinal hernia

[0004] The Chinese patent application number 201410025687.4 discloses a laparoscopic hernia sac high-position ligature delivery sleeve hook, which consists of a hook body, a sleeve and a handle, and a first handle is provided at one end of the sleeve, and the first handle is connected to the sleeve Generally, a crochet body is provided in the casing, one end of the crochet body is provided with a second handle, and the other end of the crochet body is provided with a puncture needle. This technical scheme first makes a skin incision on the upper edge of the umbilical cord, and then penetrates the Veress needle to establish an artificial Insert the sleeve after pneumoperitoneum, and then insert a laparoscope to observe the inner ring of the hernia sac, and then make an incision at the projection of the inner ring of the hernia sac, and after the ligature thread is penetrated through the upper side hole of the sleeve, the thread end is left In the patient's body, the cannula drives the ligature to pierce the midpoint in front of the inner ring of the abdominal wall hernia, and the top of the cannula reaches the extraperitoneal space, where it gradually separates from one side of the hernia ring while piercing to the center behind the inner ring. After entering the laparoscope, use the hemostatic forceps to press and fix the ligature, then push out the sleeve, and then pierce the middle point behind the inner ring from the other side in the same way, send it into the crochet body, and hook it through the puncture needle of the crochet body After ligating the thread, put it into the cannula, and pull the cannula out of the abdominal wall together with the crochet body. In this operation, the cannula needs to puncture the abdominal wall skin, subcutaneous tissue, and muscle tissue of the child twice, and when knotting, or More or less, the subcutaneous tissue and abdominal wall musculature will be driven into the knot, so that the thread knot cannot be retracted into the extraperitoneal fat layer, and the peritoneum at the inner ring opening is suspended and fixed by the subcutaneous tissue and abdominal wall muscle tissue. The anatomical level disorder is not conducive to the development of the peritoneum and abdominal wall muscles in children, and it is easy to cause the recurrence of inguinal hernia

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