CN106236321B - Indirect inguinal hernia repairs sticking patch before peritonaeum - Google Patents

The present invention relates to indirect inguinal hernia before a kind of peritonaeum to repair sticking patch, the prosthese technical field belonged in medical science.The sticking patch is used to be placed between peritonaeum and transverse fascia and cover whole flesh pubis hole, sticking patch is oval and is folded in half into along its transverse, lower two half portions, when in use, the transverse of sticking patch is placed along iliopubic tract and pelvic cavity is pointed in one end, sticking patch it is upper, angle between lower two half portions is 50~70 °, folding has a turned-out flanging in cambered surface on the lower half of sticking patch, its arc side is to connect at transverse end point and the arc of any or be formed with the lower half elliptical side of sticking patch on the lower half of sticking patch at a connection transverse end point and the straightway trimming of any in the lower half elliptical side of sticking patch；It is the weight sticking patch made of 80~110g/m2 plain polypropylene at upper and lower two half portion of sticking patch, is the light-type sticking patch made of the macropore polypropylene less than 30g/m2 at flanging.The sticking patch has the advantages of safety and comfort and extremely simple structure.

Indirect inguinal hernia repairs sticking patch before peritonaeum

Technical field

The present invention relates to a kind of hernia patch, the prosthese technical field belonged in medical science.

Background technology

A part for hernia, i.e. human tissue organ have left original position, pass through human interstitial, defect or weak part Into another position.Traditional treatment method is that the tissue of defect carried out into suture repair, this method Postoperative recurrent rate is high, Pain is serious, recovers slower.

In recent years, praised highly extensively in the whole world and tension-free hernia is carried out using artificial material, this method can mitigate art Pain afterwards, and there is the advantages such as recovery is fast, recurrence rate is low.Traditional hernia repairing sticking patch hardness is relatively low, can not after human body is implanted into Bear the pressure from abdominal cavity, often occur net plug to external or intraperitoneal movement phenomenon, so as to occur hernia recurrence or other Severe complication.

The sticking patch that uses in indirect inguinal hernia repairing before peritonaeum, the sticking patch generally used be it is a kind of such as：Application No. CN201520146206.5, it is entitled：Fill-type hernia repairs sticking patch, and the sticking patch includes outer layer net plug and multiple inner layer nets Plug, multiple inner layer net plugs are disposed side by side in outer layer net plug, and multiple inner layer net plugs are fixedly connected with outer layer net plug.But Shen Ask someone to find, this sticking patch shrinks greatly, while human body has foreign body sensation, uncomfortable.

The content of the invention

The technical problem to be solved in the present invention is, in view of the shortcomings of the prior art, proposing a kind of safety and comfort and structure is extremely Indirect inguinal hernia repairing sticking patch before simple peritonaeum.

The present invention is to solve one of technical scheme that above-mentioned technical problem proposes to be：Indirect inguinal hernia repairing is mended before a kind of peritonaeum Piece, for being placed between peritonaeum and transverse fascia and covering whole flesh pubis hole, the sticking patch is oval and ellipse along its Circle major axis is folded in half into upper and lower two half portion, and when in use, the transverse of the sticking patch is placed along iliopubic tract and basin is pointed in one end Chamber, the angle between upper and lower two half portion of the sticking patch is 50~70 °, there is one turned-out folding on the lower half of the sticking patch Flanging；The flanging is in cambered surface, and its arc side is at connection transverse end point and one in the lower half elliptical side of the sticking patch The arc of point.

" flesh pubis hole " is proposed by Charles Robert Richet Frunchaud in 1956, at present by as including laparoscope and opening Put the dissection foundation of formula herniorrhaphy.Flesh pubis hole is an oval type ceasma for being connected with pelvis horizontal positioned at abdomen antetheca, Border is solid flesh and bony structure.Its composition：The upper bound is musculus obliquus externus abdominis and musculus trasversus abdomins, and lower bound is the bone of epipubis branch Film, inner side are rectus aabdominis outer rim, and outside is iliopsoas.Form lower edge part and abdomen stock on the inside of the musculus trasversus abdomins layer of groin pipe rear wall The muscle layer of ditch side is discontinuous, and aponeurosis (aponeuroses) fiber is also what is be separated from each other, is only full of by transverse fascia.This aponeurosis is up and down not Continuously, the gap being separated from each other is referred to as Frunchaud holes, and is divided into two parts up and down with ligamentum inguinale.Abdomen before peritonaeum The repairing of butt crack hernia is repairing this gap.

Transverse fascia is one layer of poor semi-transparent film, and according to Condon statistical results, intensity disclosure satisfy that suture requires Transverse fascia there was only 20%.Transverse fascia is by outer（It is shallow）Layer and it is interior（It is deep）Layer composition.Indirect inguinal hernia before the peritonaeum of the present invention " preperitoneal space " that neoplasty need to insert sticking patch is between transverse fascia shallow-layer and peritonaeum.

To sum up, the present invention is using the beneficial effect of above-mentioned technical proposal：

1）Because the sticking patch of the present invention is oval and is folded in half into upper and lower two half portion along its transverse, when in use, mend The transverse of piece is placed along iliopubic tract and one end sensing pelvic cavity, and the angle between upper and lower two half portion of sticking patch is 50~70 °, Folding has a turned-out flanging on the lower half of sticking patch, and so, sticking patch of the invention compares conventionally employed sticking patch, and structure is extremely Simply, it is easy to fixed, comfortableness is good.

2）There is a turned-out flanging by being rolled on the lower half of sticking patch, flanging is in cambered surface, and its arc side is that connection is oval The arc face of any at major axis end point and in the lower half elliptical side of sticking patch, can prevent wound of the sticking patch to rectum, bladder Evil, securely and reliably；Meanwhile the flanging can effectively be such that sticking patch is close on pelvic cavity wall to make sticking patch that displacement to be less likely to occur；In addition, It is convenient to be operated on for patient is secondary because the flanging causes the lower half of sticking patch to form a breach（Hyperplasia of prostate is performed the operation Deng）--- reserve requisite space.

3）By the way that the sticking patch of the present invention is placed between peritonaeum and transverse fascia and covers whole flesh pubis hole, make whole Individual region is strengthened, so as to complete hernia repairing truly.

The present invention is to solve the two of the technical scheme that above-mentioned technical problem proposes to be：Indirect inguinal hernia repairing is mended before a kind of peritonaeum Piece, for being placed between peritonaeum and transverse fascia and covering whole flesh pubis hole, the sticking patch is oval and ellipse along its Circle major axis is folded in half into upper and lower two half portion, and when in use, the transverse of the sticking patch is placed along iliopubic tract and basin is pointed in one end Chamber, the angle between upper and lower two half portion of the sticking patch is 50~70 °, and a trimming is formed with the lower half of the sticking patch, described Trimming be connection transverse end point at and the lower half elliptical side of the sticking patch on the straightway of a bit.

The present invention uses above-mentioned technical proposal, thus brings following effect：

1）Because the sticking patch of the present invention is oval and is folded in half into upper and lower two half portion along its transverse, when in use, mend The transverse of piece is placed along iliopubic tract and one end sensing pelvic cavity, and the angle between upper and lower two half portion of sticking patch is 50~70 °, A trimming is formed with the lower half of sticking patch, so, sticking patch of the invention compares conventionally employed sticking patch, and structure is extremely simple, easily It is good in fixation, comfortableness；

2）By being formed with a trimming on the lower half of sticking patch, trimming is at connection transverse end point and under sticking patch The straightway of any in half portion elliptical side, injury of the sticking patch to rectum, bladder can be prevented, securely and reliably；Meanwhile the trimming can Make sticking patch that displacement to be less likely to occur effectively to make sticking patch be close on pelvic cavity wall；Further, since the trimming causes the lower half of sticking patch Portion forms a breach, convenient to be operated on for patient is secondary（Hyperplasia of prostate operation etc.）--- reserve requisite space.

3）By the way that the sticking patch of the present invention is placed between peritonaeum and transverse fascia and covers whole flesh pubis hole, make whole Individual region is strengthened, and completes hernia repairing truly.

The present invention is to solve the three of the technical scheme that above-mentioned technical problem proposes to be：Indirect inguinal hernia repairing is mended before a kind of peritonaeum Piece, for being placed between peritonaeum and transverse fascia and covering whole flesh pubis hole, the sticking patch is oval and ellipse along its Circle major axis is folded in half into upper and lower two half portion, and when in use, the transverse of the sticking patch is placed along iliopubic tract and basin is pointed in one end Chamber, the angle between upper and lower two half portion of the sticking patch is 50~70 °, there is one turned-out folding on the lower half of the sticking patch Flanging, the flanging are in cambered surface, and its arc side is at connection transverse end point and one in the lower half elliptical side of the sticking patch The arc of point；It is that weight is mended made of 80~110g/m2 plain polypropylene at upper and lower two half portion of the sticking patch Piece, the light-type sticking patch made of the macropore polypropylene less than 30g/m2 is can be at the flanging.

The present invention uses above-mentioned technical proposal, thus brings following effect：

1）Because the sticking patch of the present invention is oval and is folded in half into upper and lower two half portion along its transverse, when in use, mend The transverse of piece is placed along iliopubic tract and one end sensing pelvic cavity, and the angle between upper and lower two half portion of sticking patch is 50~70 °, Folding has a turned-out flanging on the lower half of sticking patch, and so, sticking patch of the invention compares conventionally employed sticking patch, and structure is extremely Simply, it is easy to fixed, comfortableness is good.

2）There is a turned-out flanging by being rolled on the lower half of sticking patch, flanging is in cambered surface, and its arc side is that connection is oval The arc face of any at major axis end point and in the lower half elliptical side of sticking patch, can prevent wound of the sticking patch to rectum, bladder Evil, securely and reliably；Meanwhile the flanging can effectively be such that sticking patch is close on pelvic cavity wall to make sticking patch that displacement to be less likely to occur；In addition, It is convenient to be operated on for patient is secondary because the flanging causes the lower half of sticking patch to form a breach（Hyperplasia of prostate is performed the operation Deng）--- reserve requisite space.

3）By the way that the sticking patch of the present invention is placed between peritonaeum and transverse fascia and covers whole flesh pubis hole, make whole Individual region is strengthened, so as to complete hernia repairing truly.

4）Due to being the weight sticking patch made of 80~110g/m2 plain polypropylene at upper and lower two half portion of sticking patch, It is the light-type sticking patch made of the macropore polypropylene less than 30g/m2 at flanging, so, had both make use of weight sticking patch shrinkage The advantages of property is small, prevents the injury to rectum, bladder, securely and reliably further through light-type sticking patch.

One of change of one of above-mentioned technical proposal is：The sticking patch is made up of 80~110g/m2 plain polypropylene Weight sticking patch.

Traditionally light-type sticking patch possesses the characteristics of high resiliency, high suppleness, highly conforming properties, while sticking patch surrounding tissue Inflammatory reaction can also significantly reduce, and then alleviate sticking patch implantation after caused human body foreign body sense and immoderation, weight mend Piece has foreign body sensation, and still, it has been found that light-type sticking patch shrinkage is big, the invention uses weight sticking patch, will Sticking patch is placed between peritonaeum and transverse fascia and covers whole flesh pubis hole, while sticking patch is oval and long along its ellipse Axle is folded in half into upper and lower two half portion, the advantages of both having make use of weight sticking patch shrinkage small, shape and position further through setting sticking patch Put so that human body foreign sense, moreover, weight sticking patch has certain hardness, be unlikely to deform, can resist in early days after surgery Abdominal pressure.

The two of the change of one of above-mentioned technical proposal are：The sticking patch is by expanded polytetrafluoroethylsealing micropore surface layer and gathered interior Alkene macropore surface layer is made as integral bilayer patch mesh by heat rolling.

Two change of above-mentioned technical proposal is：The sticking patch is weight made of 80~110g/m2 plain polypropylene Type sticking patch.

Brief description of the drawings

The invention will be further described below in conjunction with the accompanying drawings：

Fig. 1 is the structural representation of indirect inguinal hernia repairing sticking patch before the peritonaeum of the embodiment of the present invention one.

Fig. 2 is the structural representation of indirect inguinal hernia repairing sticking patch before the peritonaeum of the embodiment of the present invention two.

Fig. 3 is the structural representation of indirect inguinal hernia repairing sticking patch before the peritonaeum of the embodiment of the present invention three.

Embodiment

Embodiment one

Indirect inguinal hernia repairs sticking patch before the peritonaeum of the present embodiment, as shown in figure 1, for be placed on peritonaeum and transverse fascia it Between and cover whole flesh pubis hole.

Sticking patch is oval and is folded in half into the first half 2 and lower half 3 along its transverse 1, when in use, the ellipse of sticking patch Major axis 1 is placed along iliopubic tract and pelvic cavity is pointed in one end, and the angle between the first half 2 of sticking patch and lower half 3 is 50~70 °.

Folding has a turned-out flanging 4 on the lower half 2 of sticking patch, and flanging 4 is in cambered surface, and its arc side is connection transverse 1 The arc of any at end point and in the elliptical side of lower half 2 of sticking patch.

The sticking patch of the present embodiment is the weight sticking patch made of 80~110g/m2 plain polypropylene.Transverse 1 is 12~14cm, ellipse short shaft are 8~10cm.

Embodiment two

Indirect inguinal hernia repairing sticking patch is the improvement on the basis of embodiment one before the peritonaeum of the present embodiment, with embodiment one Difference is：As shown in Fig. 2 the lower half 2 of the sticking patch of the present embodiment without it is upper folding one turned-out flanging 4, but A trimming 5 is formed with the lower half 2 of sticking patch, trimming 5 is at the connection end point of transverse 1 and the elliptical side of lower half 2 of sticking patch The upper straightway of a bit.The sticking patch of the present embodiment is weight sticking patch made of 80~110g/m2 plain polypropylene.

Embodiment three

Indirect inguinal hernia repairing sticking patch is the improvement on the basis of embodiment one before the peritonaeum of the present embodiment, with embodiment one Difference is：As shown in figure 3, it is by 80~110g/m2 plain polypropylene system at the first half 2 of sticking patch and lower half 3 Into weight sticking patch, be the light-type sticking patch made of the macropore polypropylene less than 30g/m2 at flanging 4.

The present invention has operating time by being implanted into sticking patch between peritonaeum and transverse fascia and covering whole flesh pubis hole The characteristics of short, anatomical isolation is few, and implantation material is few, especially need not be under musculus obliquus externus abdominis aponeurosis (aponeuroses)（I.e. in groin pipe）Implantation Patching material, effectively reduce the incidence of the complication, especially chronic ache after herniorrhaphy, while preperitoneal space（Abdomen Between film and transverse fascia）Free and sticking patch implantation can be safer under direct-view, learning curve is short, beneficial to popularization, and It is and economical.

The present invention covers whole flesh pubis hole with sticking patch, can repair the defect location of oblique hernia, straight hernia and femoral hernia simultaneously, Therefore the possibility recurred in theory is very small.Recurrence rate and complication rate are in gratifying scope, art in terms of PRELIMINARY RESULTS Infectious-related complication such as sense of discomfort, chronic ache, hydrops and the occurrence rate of hematoma is also very low.Patient can reactivate earlier, and one As postoperative 2~3d discharge, also shorten the hospital stays.Light with postoperative pain, rehabilitation duration is short, and recurrence rate is low, few intercurrent disease And the advantages that " a piece of three use " (while the oblique straight femoral hernia of repairing), clinic popularization and application.

The present invention is not limited to above-described embodiment, such as：Sticking patch is by expanded polytetrafluoroethylsealing micropore surface layer and poly internal olefins Macropore surface layer is made as integral bilayer patch mesh, etc. by heat rolling.All technical schemes formed using equivalent substitution, are all fallen within The protection domain of application claims.