RU2610560C1 - Method of surgical knot formation - Google Patents

Abstract

FIELD: medicine, surgery.

SUBSTANCE: invention relates to medicine, surgery. Surgical knot is formed. In initial position ends of thread are held with 4 and 5 fingers on right and left hands. Threads are placed parallel to internal surface of 3-d finger. Loops are formed on 2 and 3 fingers by counterclock-wise rotary movement of both hands. End of thread, fixed by left hand, is gripped by 2 and 3 fingers of right hand. End of thread, fixed by right hand, is released and gripped by 2 and 3 fingers of left hand. Knot is formed by pulling ends of threads through loops, formed around fingers.

EFFECT: invention makes it possible to form knot, quickly fixing and holding tissues due to smaller, in comparison with the prototype, movement of hands.

5 dwg

Description

The invention relates to the construction of surgical nodes, in particular to combined multidirectional nodes and methods for their implementation.

Known combined methods of forming a surgical site.

In particular, a knot with double twisting of the thread on the II and III fingers of one hand (1). However, these nodes do not have simultaneous fixation, which provides faster tissue fixation.

The closest in similar features is a knot with double winding of the thread. (1 p. 221, 223)

The aim of the invention is less, compared with the prototype, the movement of the hands when tying the knot, and as a result of this more rapid fixation and retention of tissue.

This goal is achieved by the fact that the simultaneous rotational movement of both hands counterclockwise on the 2nd and 3rd fingers loops are formed, through which the ends of the threads are drawn with pulling and forming a knot.

The proposed method of forming a surgical node is implemented by the following set of actions.

In the initial position, the ends of the thread are taken with the right and left brushes and held by 4 and 5 fingers of both hands. When this thread is placed between 3 and 4 fingers parallel to the inner surface of the 3rd finger of the right and left hand (Fig. 1).

Rotational counterclockwise movements of both hands simultaneously on 2 and 3 fingers form a loop (Fig. 2).

The end of the thread, fixed with 4 and 5 fingers of the left hand, is released and captured with 2 and 3 fingers of the right hand (Fig. 3).

The end of the thread, fixed with 4 and 5 fingers of the right hand, is released and captured with 2 and 3 fingers of the left hand (Fig. 4).

The captured ends of the thread are passed through loops formed around 2 and 3 fingers of the right and left hands, and by pulling the ends of the threads form a knot (Fig. 5).

Information sources

1. Semenov G.P. Surgical stitch 2nd ed. / G.P. Semenov, V.L. Petrishin, M.V. Kovshova. St. Petersburg: Peter, 2006 - 256 s.

Claims (1)

The method of forming a surgical node, which consists in the fact that in the initial position the ends of the thread are taken with the right and left hands and held by 4 and 5 fingers of both hands, while the threads are placed between 3 and 4 fingers parallel to the inner surface of the 3rd finger of the right and left hand, with rotational counterclockwise movements of both hands simultaneously form loops on 2 and 3 fingers, then the end of the thread, fixed with 4 and 5 fingers of the left hand, is released and captured with 2 and 3 fingers of the right hand, and the end of the thread, fixed with 4 and 5 fingers of the right Isth, release and capture with 2 and 3 fingers of the left hand, then the captured ends of the thread are passed through the loops formed around 2 and 3 fingers of the right and left hands, and by pulling the ends of the threads form a knot.

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