RU2774018C1 - Method for suitation with variable tension force of wound edges in oral cavity - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to dentistry, surgery. The vestibular and oral flaps are pierced through and an interrupted suture is applied. The vestibular and oral flaps are pierced through with the same thread. After the needle is punctured from the oral flap, the thread is not completely withdrawn, making a loop from the vestibular side. A needle is passed through this loop and the thread is pulled until the edges of the wound are aligned in the desired position and two stitches are formed: parallel and perpendicular to the wound. The same thread imposes identical stitches. To change the tension force to a greater one, a 360° loop is made, a needle is threaded through this loop, the thread is pulled, eliminating sagging of the thread. The stitches are continued to the end of the wound. The vestibular and oral flaps are pierced through and the thread is pulled. The needle is injected from the oral side in the middle between the already existing stitches perpendicular to the wound. Identical stitches are sewed in the opposite direction. Having reached the end of the wound, the oral and vestibular flaps are pierced through and a knot is tied using the already existing free end of the nodal suture thread.

EFFECT: method provides accurate comparison and adaptation of wound edges in height and width, suturing wounds of the oral mucosa with a minimum number of knots, relieving soft tissue tension on both sides of the wound, reducing manipulation time and adjusting the suture tension force.

1 cl, 11 dwg

Description

The invention relates to medicine, in particular to dentistry, and can be used for suturing the edges of an operating wound in the oral cavity.

A known method of applying a continuous closing suture (Zur, Otto. Plastic and aesthetic surgery in periodontology and implantology / Otto Zur, Mark Hürzeller - M., 2014. - 850 p., pp. 100-101), which is characterized by the presence of special closing loops.

The disadvantage of this method is the presence of two nodes: at the beginning of the wound and at its end, uneven tension of the soft tissues of the wound, the inability to change the degree of tension of the continuous seam.

The objective of the claimed invention is the stitching of wounds of the oral mucosa with a minimum number of knots, relieving tension in the soft tissues of the wound on both sides, reducing the manipulation time and regulating the suture tension.

This task is achieved by the fact that in the method of suturing with a variable tension force of the edges of the wound in the oral cavity, including the application of an interrupted suture, for which

- a needle is injected perpendicular to the tissues, 4 mm away from the edges of the wound, the vestibular and oral flaps are pierced through and a simple interrupted suture is applied,

- the vestibular and oral flaps are pierced through with the same thread, stepping back from the nodal suture 6 mm, after the needle is punctured from the oral flap, the thread is not completely removed, making a loop from the vestibular side,

- a needle is passed through this loop and the thread is pulled until the edges of the wound are aligned in the desired position and two stitches are formed: parallel and perpendicular to the wound,

- then identical stitches are applied with the same thread with an identical interval of 6 mm,

- to change the tensile force to a greater one, make a 360 ° loop, thread the needle through this loop, pull the thread, eliminating the sagging of the thread,

- then identical stitches are applied with the same thread with an identical interval of 6 mm to the end of the wound,

- having reached the end of the wound, a 360 ° loop is made at the extreme stitch, a needle is threaded through this loop, the thread is pulled,

- the vestibular and oral flaps are pierced through and the thread is pulled,

- the needle is injected from the oral side in the middle between the already existing stitches perpendicular to the wound,

- after the needle is punctured from the vestibular flap, the thread is not completely withdrawn, making a loop from the oral side,

- thread the needle through the loop from the oral side and pull the thread until the edges of the wound are aligned in the desired position and a stitch is formed,

- identical stitches are applied with the same thread,

- to change the tensile force to a greater one, make a 360 ° loop, thread the needle through this loop, pull the thread, eliminating the sagging of the thread,

- having reached the end of the wound, the oral and vestibular flaps are pierced through and a knot is tied using the already existing free end of the nodal suture thread.

A method for suturing with a variable tension force of the edges of the wound in the oral cavity is proposed. The method consists in sticking the needle perpendicular to the tissues, 4 mm away from the edges of the wound, piercing through the vestibular and oral flaps and applying a simple interrupted suture. Then the vestibular and oral flaps are pierced through with the same thread, stepping back from the nodal suture 6 mm, after the needle is punctured from the oral flap, the thread is not completely removed, making a loop from the vestibular side. A needle is passed through this loop and the thread is pulled until the edges of the wound are aligned in the desired position and two stitches are formed: parallel and perpendicular to the wound. Then identical stitches are applied with the same thread with an identical interval of 6 mm. To change the tension force to a greater one, make a 360 ° loop, thread a needle through this loop, pull the thread, eliminating sagging of the thread. With the same thread, identical stitches are applied with an identical interval of 6 mm to the end of the wound. Having reached the end of the wound, a 360 ° loop is made at the extreme stitch, a needle is threaded through this loop, pulled. Then the vestibular and oral flaps are pierced through and the thread is pulled, the needle is injected from the oral side in the middle between the already existing stitches perpendicular to the wound. After the needle is punctured from the vestibular flap, the thread is not completely withdrawn, making a loop from the oral side, the needle is passed through the loop from the oral side and the thread is pulled until the edges of the wound are aligned in the desired position and a stitch is formed. The same thread imposes identical stitches. To change the tension force to a greater one, make a 360 ° loop, thread a needle through this loop, pull the thread, eliminating sagging of the thread. Having reached the end of the wound, the oral and vestibular flaps are pierced through and a knot is tied using the already existing free end of the nodal suture thread.

Figure 1 - the initial state of the wound before suturing.

Figure 2 - the imposition of nodal seam.

Figure 3 - the formation of parallel and perpendicular wound stitches.

Figure 4 - the formation of a loop 360° to control the tension force of the edges of the wound from the vestibular side.

In Fig.5 - a tightly stretched thread, threaded through a 360 ° loop.

On Fig.6 - needle pierce the vestibular and oral flaps.

In Fig.7 - injection and threading between the already existing stitches perpendicular to the wound.

Figure 8 - the formation of a loop 360° to control the tension force of the edges of the wound from the oral side.

In Fig.9 - the last parallel and perpendicular to the wound screed before the final fixation of the seam.

On Fig.10 - oral and vestibular flap is pierced with a needle.

On Fig.11 - the final view of the seam.

The method is carried out as follows.

The needle is injected perpendicular to the tissues, retreating 4 mm from the edges of the wound, the vestibular and oral flaps are pierced through and a simple interrupted suture is applied. Then the vestibular and oral flaps are pierced through with the same thread, stepping back from the nodal suture 6 mm, after the needle is punctured from the oral flap, the thread is not completely removed, making a loop from the vestibular side. A needle is passed through this loop and the thread is pulled until the edges of the wound are aligned in the desired position and two stitches are formed: parallel and perpendicular to the wound. Then identical stitches are applied with the same thread with an identical interval of 6 mm. To change the tension force to a greater one, make a 360 ° loop, thread a needle through this loop, pull the thread, eliminating sagging of the thread. With the same thread, identical stitches are applied with an identical interval of 6 mm to the end of the wound. Having reached the end of the wound, a 360 ° loop is made at the last stitch, a needle is threaded through this loop, the thread is pulled. Then the vestibular and oral flaps are pierced through and the thread is pulled, the needle is injected from the oral side in the middle between the already existing stitches perpendicular to the wound. After the needle is punctured from the vestibular flap, the thread is not completely withdrawn, making a loop from the oral side, the needle is passed through the loop from the oral side and the thread is pulled until the edges of the wound are aligned in the desired position and a stitch is formed. The same thread imposes identical stitches. To change the tension force to a greater one, make a 360 ° loop, thread a needle through this loop, pull the thread, eliminating sagging of the thread. Having reached the end of the wound, the oral and vestibular flaps are pierced through and a knot is tied using the already existing free end of the nodal suture thread.

The present invention allows to obtain the following technical result - accurate matching and adaptation of the wound edges in height and width, suturing the wounds of the oral mucosa with a minimum number of nodes, reducing the manipulation time, relieving the soft tissues of the wound from both sides and regulating the tension force of the wound edges.

Claims (15)

A method for suturing with a variable tension force of the edges of the wound in the oral cavity, including the application of an interrupted suture, for which - a needle is injected perpendicular to the tissues, 4 mm away from the edges of the wound, the vestibular and oral flaps are pierced through and a simple interrupted suture is applied, - the vestibular and oral flaps are pierced through with the same thread, stepping back from the nodal suture 6 mm, after the needle is punctured from the oral flap, the thread is not completely removed, making a loop from the vestibular side, - a needle is passed through this loop and the thread is pulled until the edges of the wound are aligned in the desired position and two stitches are formed: parallel and perpendicular to the wound, - then identical stitches are applied with the same thread with an identical interval of 6 mm, - to change the tensile force to a greater one, make a 360 ° loop, thread the needle through this loop, pull the thread, eliminating the sagging of the thread, - then identical stitches are applied with the same thread with an identical interval of 6 mm to the end of the wound, - having reached the end of the wound, a 360 ° loop is made at the extreme stitch, a needle is threaded through this loop, the thread is pulled, - the vestibular and oral flaps are pierced through and the thread is pulled, - the needle is injected from the oral side in the middle between the already existing stitches perpendicular to the wound, - after the needle is punctured from the vestibular flap, the thread is not completely withdrawn, making a loop from the oral side, - thread the needle through the loop from the oral side and pull the thread until the edges of the wound are aligned in the desired position and a stitch is formed, - identical stitches are applied with the same thread, - to change the tensile force to a greater one, make a 360 ° loop, thread the needle through this loop, pull the thread, eliminating the sagging of the thread, - having reached the end of the wound, the oral and vestibular flaps are pierced through and a knot is tied using the already existing free end of the nodal suture thread.

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