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METHOD OF SURGICAL TREATMENT OF CYSTO - URETRO - ENTERO - AND PROCTOCELE AT DESCENSION OF PELVIC FLOOR WITH USE OF FIRM BRAIN TUNIC

机译:[中国矫形外科杂志Orthopedic Journal of China]王B,王DE,王OF,王OF-应用颅脑外科手术治疗膀胱输尿管-肠-肠和前列腺的方法。

摘要

FIELD: medicine.;SUBSTANCE: invention concerns medicine, in particular to operative gynecology, urology and a proctology. As a graft use a graft from the firm brain tunic, representing a connective tissue plate in the thickness of 0.8-1.0 mm. The plate includes 2-4 layers of cells with solitary fascicles of collagenic fibers in the thickness 20-90 microns between layers. Fascicles of collagenic fibers are focused in orthogonal planes with distance between fascicles 10 microns. Liquidate cysto - and-or urethrocele. Thus from an anterior wall of the vagina find the longitudinal flap corresponding to the form of defect. Separate the vagina mucosa in both sides. Form a tunnel between a mucosa of lateral walls of a vagina and pelvic a fascia. Place in a tunnel in a horizontal plane a graft, modelled under the defect form pelvic fascias. The size of a graft blocks defect pelvic fascias not less, than on 1 cm. A graft is fixed to subject tissues of a forward wall of a vagina with the allotendinous threads. The mucosa of the vagina is sewed after excising of surpluses. Then liquidate entero - and-or proctocele. Thus the triangular flap on the posterior wall of the vagina is found. Split a rectovaginal septum. Muscles of levators are allocated. Modelled under the form of defect a graft fix in a horizontal plane with allotendinous threads to subject tissues of the posterior wall of the vagina. The size of a graft blocks defect pelvic fascias not less, than on 1 cm. Over a graft stack levators. Take in them. Restore integrity of the posterior wall of the vagina. Form a perineum.;EFFECT: method allows to restore perineums architectonics at the expense of single-step liquidation of cysto - and-or urethrocele and entero - and-or proctocele, provides defect replacement with a regenerate, representing the dense issued connecting tissue on the structure, corresponding to a submucosa of walls of a vagina, prevents disease relapse.;4 dwg, 1 ex
机译:技术领域本发明涉及医学,尤其涉及手术妇科,泌尿科和直肠癌。作为移植物,使用来自牢固的大脑外衣的移植物,代表结缔组织板,厚度为0.8-1.0 mm。该板包括2-4层细胞,各层之间的厚度为20-90微米,具有胶原纤维的单独束。胶原纤维束聚集在正交平面中,束之间的距离为10微米。清除囊肿和/或尿道口。因此,从阴道的前壁找到与缺损形式相对应的纵向瓣。分离阴道粘膜的两侧。在阴道侧壁粘膜和骨盆筋膜之间形成一条隧道。在骨盆筋膜缺损的下方,将移植物放置在水平面上的隧道中。移植物的大小不小于骨盆筋膜缺损,小于1 cm。移植物通过同种异体线固定在阴道前壁的受检组织上。切除多余的部分后缝制阴道粘膜。然后清算肠腔和/或子宫突鞘。因此,在阴道后壁上发现了三角形的皮瓣。分裂阴道隔。提肌被分配。以缺损的形式进行建模,将移植物固定在水平平面上,该平面上具有同种异体的螺纹,以对阴道后壁的组织进行处理。移植物的大小不小于骨盆筋膜缺损,小于1 cm。在移植堆提肌上。收拾他们。恢复阴道后壁的完整性。形成会阴部;效果:该方法允许以减少膀胱癌和/或尿道上尿囊以及肠内和/或原肠膨出的单步清算为代价来恢复会阴建筑学,以再生的方式提供缺损替代,代表着密集的发散的连接组织对应于阴道壁粘膜下层的结构可防止疾病复发。; 4 dwg,1 ex

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