CN102475593B - Biodegradable enterostomy device - Google Patents
Biodegradable enterostomy device Download PDFInfo
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- CN102475593B CN102475593B CN2010105671659A CN201010567165A CN102475593B CN 102475593 B CN102475593 B CN 102475593B CN 2010105671659 A CN2010105671659 A CN 2010105671659A CN 201010567165 A CN201010567165 A CN 201010567165A CN 102475593 B CN102475593 B CN 102475593B
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- Prior art keywords
- biodegradable
- anastomosis
- anastomotic
- drainage
- caudal
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- 230000003872 anastomosis Effects 0.000 claims abstract description 42
- 230000000968 intestinal effect Effects 0.000 claims abstract description 20
- 210000003608 fece Anatomy 0.000 claims abstract 5
- TZCXTZWJZNENPQ-UHFFFAOYSA-L barium sulfate Chemical compound [Ba+2].[O-]S([O-])(=O)=O TZCXTZWJZNENPQ-UHFFFAOYSA-L 0.000 claims description 14
- 239000000463 material Substances 0.000 claims description 10
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 3
- 238000001727 in vivo Methods 0.000 claims description 3
- 229920003023 plastic Polymers 0.000 claims description 3
- 239000004033 plastic Substances 0.000 claims description 3
- 239000000741 silica gel Substances 0.000 claims description 3
- 229910002027 silica gel Inorganic materials 0.000 claims description 3
- 239000002202 Polyethylene glycol Substances 0.000 claims 1
- 239000002253 acid Substances 0.000 claims 1
- 229920001223 polyethylene glycol Polymers 0.000 claims 1
- 210000003405 ileum Anatomy 0.000 abstract description 14
- 230000000694 effects Effects 0.000 abstract description 3
- 206010016717 Fistula Diseases 0.000 abstract 1
- 230000003890 fistula Effects 0.000 abstract 1
- 230000001681 protective effect Effects 0.000 abstract 1
- 229920000954 Polyglycolide Polymers 0.000 description 6
- 239000004633 polyglycolic acid Substances 0.000 description 6
- 230000002980 postoperative effect Effects 0.000 description 6
- 210000003736 gastrointestinal content Anatomy 0.000 description 3
- 239000011148 porous material Substances 0.000 description 3
- 210000002784 stomach Anatomy 0.000 description 3
- 210000001015 abdomen Anatomy 0.000 description 2
- 238000005336 cracking Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 239000012634 fragment Substances 0.000 description 2
- RGCLLPNLLBQHPF-HJWRWDBZSA-N phosphamidon Chemical compound CCN(CC)C(=O)C(\Cl)=C(/C)OP(=O)(OC)OC RGCLLPNLLBQHPF-HJWRWDBZSA-N 0.000 description 2
- 230000035479 physiological effects, processes and functions Effects 0.000 description 2
- 206010038038 rectal cancer Diseases 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 206010050456 Anastomotic leak Diseases 0.000 description 1
- 208000015634 Rectal Neoplasms Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000000502 dialysis Methods 0.000 description 1
- 239000012467 final product Substances 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 210000000713 mesentery Anatomy 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 238000001959 radiotherapy Methods 0.000 description 1
- 208000020615 rectal carcinoma Diseases 0.000 description 1
- 201000001275 rectum cancer Diseases 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000003384 transverse colon Anatomy 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 230000003442 weekly effect Effects 0.000 description 1
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- Orthopedics, Nursing, And Contraception (AREA)
Abstract
本发明涉及一种可生物降解的肠造口装置，该装置包括头侧吻合机构、尾侧引流机构及集粪机构，头侧吻合机构可设在肠腔内，尾侧引流机构连接在体外，前端与头侧吻合机构连接，后端与集粪机构连接。与现有技术相比，本发明应用于一期保护性造瘘的手术，手术效果完全等同于传统的回肠末端或横结肠造口，但不需二期手术回纳，减轻患者的生理、心理及经济负担，另外手术器械的用法简单易学，便于推广。
The invention relates to a biodegradable enterostomy device. The device includes a cranial anastomosis mechanism, a caudal drainage mechanism and a feces collection mechanism. The cranial anastomosis mechanism can be set in the intestinal cavity, and the caudal drainage mechanism is connected outside the body. The front end is connected with the anastomotic mechanism at the head side, and the rear end is connected with the feces collection mechanism. Compared with the prior art, the present invention is applied to the operation of one-stage protective fistula, and the operation effect is completely equivalent to that of the traditional terminal ileum or transverse colostomy, but it does not need the second-stage operation, which relieves the patient's physical, psychological and Economical burden, the usage of surgical instrument is simple and easy to learn in addition, is convenient to popularize.
Description
Technical field
The present invention relates to a kind of surgery device for fistulation, especially relate to a kind of biodegradable intestinal ostomy appliance.
Background technology
In surgical clinic work; numerous disease; for example: after the low anastomosis of rectal cancer or low Low Level anastomosis; if the patient is to coincideing dissatisfied or suspecting when anastomotic leakage possible arranged; usually need do preventative colon or ileum protectiveness fistulation; in view of the ileum fistulation is easy to nursing relatively; therefore the increasing proportion of ileum fistulation in recent years; but traditional ileum fistulation need be gone second operation and also be received after 3 to 6 months, at physiology, still all the patient is caused to very large impact and burden economically psychologically.Along with the appearance of degradable anastomosis ring, we have invented a kind of use degradable anastomosis ring and have coordinated condom in the process of application in recent years; The application of general drainage pipe, make first phase protectiveness fistulation, and the degradable anastomosis ring needs cracking in 2～3 weeks usually, is enough to make anastomotic stoma to ride out critical days, can reach the purpose of protectiveness fistulation, also can avoid the strike of second operation.But the intestinal ostomy appliance that anastomosis ring, condom, general drainage pipe are combined into, " cooperation " therebetween is not often to coordinate very much, the effect of impact operation sometimes.
Summary of the invention
Purpose of the present invention be exactly in order to overcome the defect that above-mentioned prior art exists, provide a kind of simple in structure, without any residual biodegradable intestinal ostomy appliance.
Purpose of the present invention can be achieved through the following technical solutions:
A kind of biodegradable intestinal ostomy appliance, it is characterized in that, this device comprises a side-to-side anastomosis mechanism, tail side drain mechanism and collection excrement mechanism, described side-to-side anastomosis mechanism can be located in enteric cavity, described tail side drain mechanism is located at external, front end is connected with a side-to-side anastomosis mechanism, and rear end Yu Jifen mechanism connects.
Described side-to-side anastomosis mechanism is shaped as the anastomosis ring structure, offer hollow slots on the dome shape structure of the front and rear of this side-to-side anastomosis mechanism, two dome shape structures connect through the cylinder groove of hollow, the rear portion of this cylinder groove arranges the tail side that can connect tail side drain mechanism, on this tail side, external screw thread is set, the junction of tail side and medium pore arranges indenture.
The polyglycolic acid that the material of described side-to-side anastomosis mechanism is 87.5wt% and the barium sulfate of 12.5wt%, this side-to-side anastomosis mechanism in vivo can degraded after 2～3 weeks.
Described tail side drain mechanism is tubular structure, and front end arranges female thread, and rear end arranges external screw thread, and being shaped as of tail side drain mechanism is horn-like, and intracavity diameter is slightly less than medium pore.
The length of described tail side drain mechanism is 20～25cm, and diameter is 6～8mm.
The material of described tail side drain mechanism is silica gel or PVC plastics.
Described collection excrement mechanism comprises disposable drainage bag, and top arranges female thread.
A kind of biodegradable intestinal ostomy appliance, it is characterized in that, this device is a side-to-side anastomosis mechanism, described side-to-side anastomosis mechanism is shaped as the anastomosis ring structure, offer hollow slots on the dome shape structure of the front and rear of this side-to-side anastomosis mechanism, two dome shape structures connect through the cylinder groove of hollow, and the rear portion of this cylinder groove is membranaceous full-closed structure.
The polyglycolic acid that the material of described side-to-side anastomosis mechanism is 87.5wt% and the barium sulfate of 12.5wt%, this side-to-side anastomosis mechanism in vivo can degraded after 2～3 weeks.
Compared with prior art; the present invention can be for the operation of first phase protectiveness fistulation; surgical effect is equal to traditional terminal ileum fully or transverse colon is made mouth; do not need secondary operation Hui Na; thereby can alleviate patient's physiology, psychology and financial burden; simple in structure in addition; usage is easy to learn; be convenient to promote, a side-to-side anastomosis mechanism is built by Biodegradable material, the barium sulfate radiopaque; postoperative check can be developed; polyglycolic acid resolves into fragment or dissolves voluntarily after 2～3 weeks, with stool, excrete, and anastomotic position is residual without any foreign body in human body.
The accompanying drawing explanation
Fig. 1 is structural representation of the present invention in embodiment 1;
Fig. 2 is main TV structure schematic diagram of the present invention in embodiment 2;
Fig. 3 is plan structure schematic diagram of the present invention in embodiment 2.
In figure, 1 is that a side-to-side anastomosis mechanism, 11 is that front end dome, 12 is that cylinder groove, 13 is that rear end dome, 2 is that tail side drain mechanism, 3 is for collecting excrement mechanism.
The specific embodiment
Below in conjunction with the drawings and specific embodiments, the present invention is described in detail.
A kind of biodegradable intestinal ostomy appliance (GE-I type), as shown in Figure 1, this device comprises and is positioned at enteric cavity with the coincide side-to-side anastomosis mechanism 1 of function of intestinal its structure, the tail side drain mechanism 2 that connector is inside and outside, be positioned at external collection excrement mechanism 3.The similar anastomosis ring of side-to-side anastomosis mechanism 1 shape, front and rear arranges respectively front end dome 11 and rear end dome 13, offer hollow slots on dome, two domes connect through the cylinder groove 12 of hollow, the rear design of this cylinder groove 12 becomes with the tail side that can connect drain section, tail side band external screw thread, tail side and main ring junction are designed with indenture, be convenient to after cracking in the dialysis of tail side, its material of head can be built by 87.5wt% polyglycolic acid and 12.5wt% barium sulfate, the barium sulfate radiopaque, postoperative check can be developed, polyglycolic acid resolves into fragment or dissolves voluntarily after (postoperative 2～3 weeks) through after a while, with stool, excrete, anastomotic position is residual without any foreign body.The requirement of tail side drain mechanism 2: 1, the about 20cm of length; 2, an end band female thread, for the external screw thread of union joint side-to-side anastomosis mechanism 1, an end band external screw thread, for external connection collection excrement mechanism 3, it is horn-like that tail side drain mechanism 2 enlarges step by step for inner chamber, is conducive to intestinal contents and draws; 3, the drainage tube intracavity diameter is slightly less than head medium pore 11, and medial surface requires smooth, and surface tension is little, is conducive to intestinal contents and flows out.4, the tube wall of drainage tube can not be too thick, and the drainage tube external diameter is 6～8mm approximately, and require that certain suppleness and hardness are arranged, and can be built by materials such as silica gel or PVC.External collection excrement mechanism 3 similar disposable urine drainage packs, but need to meet: anterior band female thread can connect the external screw thread of tail side drain mechanism 2; The drainage tube internal diameter is about the external diameter of tail side drainage tube; The other end, for collection excrement mechanism 3, is disposable together with the external drainage pipe, can be built by plastic material.
In view of the disease of the capable protectiveness ileum of needs, colostomy more; we only take the sufferer of the postoperative row peritoneoscope of Low Rectal radiotherapy DIXON art is example, introduces the concrete operation step that biodegradable intestinal ostomy appliance (GE-I type) carries out the preventative fistulation of first phase ileum.
1. after completing radical operation of rectal carcinoma by laparoscopy (DIXON art), through the hypogastric region otch, terminal ileum is proposed, measure the ileum diameter, determine the model of a side-to-side anastomosis mechanism 1, apart from ileocecus 20cm place ileum, mesentery edge intestinal wall is made to a belt pocket, vertically cut the about 2cm of intestinal wall, insert a side-to-side anastomosis mechanism 1 to proximal small bowel, apart from the about 5cm of cutting section place, the free about 0.5cm of mesostenium edge herein, through absorbable suture, the ligation small intestinal is between side-to-side anastomosis mechanism 1 two ends, a closed side-to-side anastomosis mechanism 1, tail side drain mechanism is inserted from the intestinal wall cutting section, and be connected with a side-to-side anastomosis section spiral, pocket inverting suture intestinal wall cutting section, tail side drain mechanism 2 other ends are drawn abdominal cavity from Right Lower Abdomen Trocar hole, intestinal wall cutting section surrounding and abdomen wall sewing are fixed, utilize part intestinal wall and stomach wall by the about 2～3cm of tail side drain mechanism embedding, the outer fixedly drainage tube of sewing up of stomach wall, spiral connects collection excrement mechanism 3, complete the preventative fistulation of ileum.
2. postoperative capable abdominal plain film examination weekly, dynamically to observe the anastomosis ring situation, after the complete disintegrate of discovery anastomosis ring (approximately postoperative 3 weeks), is pulled out drainage tube; After the stomach wall Wound during Dressing Change, cure.
Embodiment 2
A kind of biodegradable intestinal ostomy appliance (GE-II type), this device is a side-to-side anastomosis mechanism 1, its structure is as shown in Fig. 2～3, side-to-side anastomosis mechanism 1 is shaped as the anastomosis ring structure, front and rear arranges respectively front end dome 11 and rear end dome 13, offer hollow slots on dome, two domes connect through the cylinder groove 12 of hollow, and the rear portion of this cylinder groove is membranaceous full-closed structure.The material of side-to-side anastomosis mechanism 1 is regularly degraded after 2～3 weeks, and its material is built by 87.5wt% polyglycolic acid and 12.5wt% barium sulfate.
During use, the biodegradable intestinal ostomy appliance of GE-II type is placed in to ileum, by the full-closed structure with membranaceous, causes blocking fully of terminal ileum, at its near-end application drainage tube, intestinal contents is derived to external getting final product.
Claims (7)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010105671659A CN102475593B (en) | 2010-11-30 | 2010-11-30 | Biodegradable enterostomy device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010105671659A CN102475593B (en) | 2010-11-30 | 2010-11-30 | Biodegradable enterostomy device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102475593A CN102475593A (en) | 2012-05-30 |
| CN102475593B true CN102475593B (en) | 2013-12-04 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2010105671659A Expired - Fee Related CN102475593B (en) | 2010-11-30 | 2010-11-30 | Biodegradable enterostomy device |
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| Country | Link |
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| CN (1) | CN102475593B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110522485B (en) * | 2019-08-27 | 2020-12-11 | 浙江大学 | A degradable intestinal complete bypass stent |
| CN112826556A (en) * | 2021-03-04 | 2021-05-25 | 上海市同济医院 | Design of a long-term immobilization intraluminal device |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1339953A (en) * | 1999-02-10 | 2002-03-13 | 科洛普拉斯特公司 | An ostomy plug |
| EP1168992B1 (en) * | 1999-04-16 | 2005-12-28 | Bellini, Alberto | System for surgical colostomy implants |
| WO2008040582A1 (en) * | 2006-10-06 | 2008-04-10 | Ethicon Endo-Surgery, Inc. | Anastomotic ring device with locking means |
| CN101422382A (en) * | 2007-09-06 | 2009-05-06 | 蔡秀军 | Colon bundling type anastomotic bracket |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101264028A (en) * | 2008-04-14 | 2008-09-17 | 浙江大学 | Intestinal bypass device based on Valtrac anastomotic ring |
-
2010
- 2010-11-30 CN CN2010105671659A patent/CN102475593B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1339953A (en) * | 1999-02-10 | 2002-03-13 | 科洛普拉斯特公司 | An ostomy plug |
| EP1168992B1 (en) * | 1999-04-16 | 2005-12-28 | Bellini, Alberto | System for surgical colostomy implants |
| WO2008040582A1 (en) * | 2006-10-06 | 2008-04-10 | Ethicon Endo-Surgery, Inc. | Anastomotic ring device with locking means |
| CN101422382A (en) * | 2007-09-06 | 2009-05-06 | 蔡秀军 | Colon bundling type anastomotic bracket |
Non-Patent Citations (1)
| Title |
|---|
| 潘迪，过湘钗.应用生物可降解吻合环行超低位直肠癌保肛术的手术配合.《护士进修杂志》.2007,第22卷(第24期),2251－2252. * |
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| CN102475593A (en) | 2012-05-30 |
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Granted publication date: 20131204 Termination date: 20161130 |