EA201400557A2 - METHOD OF RECONSTRUCTION OF THE INFRARENAL DEPARTMENT OF THE ABDOMINAL AORTA ABOUT ANEURYSMS - Google Patents
METHOD OF RECONSTRUCTION OF THE INFRARENAL DEPARTMENT OF THE ABDOMINAL AORTA ABOUT ANEURYSMSInfo
- Publication number
- EA201400557A2 EA201400557A2 EA201400557A EA201400557A EA201400557A2 EA 201400557 A2 EA201400557 A2 EA 201400557A2 EA 201400557 A EA201400557 A EA 201400557A EA 201400557 A EA201400557 A EA 201400557A EA 201400557 A2 EA201400557 A2 EA 201400557A2
- Authority
- EA
- Eurasian Patent Office
- Prior art keywords
- aneurysmal
- bag
- abdominal aorta
- vascular
- infrarenal
- Prior art date
Links
- 210000000702 aorta abdominal Anatomy 0.000 title abstract 5
- 206010002329 Aneurysm Diseases 0.000 title abstract 3
- 230000002792 vascular Effects 0.000 abstract 4
- 230000003872 anastomosis Effects 0.000 abstract 3
- 238000007631 vascular surgery Methods 0.000 abstract 2
- 230000017531 blood circulation Effects 0.000 abstract 1
- 230000006835 compression Effects 0.000 abstract 1
- 238000007906 compression Methods 0.000 abstract 1
- 239000003814 drug Substances 0.000 abstract 1
- 210000001105 femoral artery Anatomy 0.000 abstract 1
- 238000002682 general surgery Methods 0.000 abstract 1
- 230000002439 hemostatic effect Effects 0.000 abstract 1
- 210000003090 iliac artery Anatomy 0.000 abstract 1
- 210000000056 organ Anatomy 0.000 abstract 1
- 230000007170 pathology Effects 0.000 abstract 1
- 230000002093 peripheral effect Effects 0.000 abstract 1
- 210000002254 renal artery Anatomy 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 abstract 1
- 230000001732 thrombotic effect Effects 0.000 abstract 1
Landscapes
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
Изобретение относится к медицине, а именно к сосудистой хирургии, и направлено на уменьшение времени пережатия брюшной аорты при хирургической реконструкции неосложненной аневризмы инфраренального отдела брюшной аорты и инфраренальной аневризмы с неполным разрывом в отделениях сосудистой и общей хирургии у лиц пожилого и старческого возраста, отягощенных различной сопутствующей патологией с высоким риском оперативного лечения. Поставленная задача достигается тем, что в первую очередь накладывают дистальный анастомоз между периферической браншей сосудистого протеза с подвздошной или бедренной артерией на одной стороне, затем аневризматический мешок отсекается между двумя зажимами в области шейки ниже почечных артерий, тромботические массы выдавливаются из мешка путем открытия нижнего зажима над аневризматическим мешком, зажим снова закрывают, после чего аневризматический мешок максимально гофрируют путем вворачивания его стенок продольно внутрь с последующим наложением сверху и стягиванием П-образных швов, которые сводят стенки аневризматического мешка друг к другу, во время стягивания П-образных швов над аневризматическим мешком зажим над ним временно открывают, далее на проксимальный конец аневризматического мешка накладывают гемостатические П-образные швы вдоль всего периметра, нижний зажим над аневризматическим мешком снимают, формируют проксимальный анастомоз между центральной браншей сосудистого протеза и брюшной аортой, открывают магистральный кровоток по брюшной аорте через сосудистый протез и первый дистальный анастомоз к ноге и органам таза, затем формируют второй дистальныйThe invention relates to medicine, namely to vascular surgery, and is aimed at reducing the time of compression of the abdominal aorta during surgical reconstruction of uncomplicated aneurysm of the infrarenal abdominal aorta and infrarenal aneurysm with an incomplete rupture in the vascular and general surgery departments of elderly and old people burdened with various concomitant pathology with a high risk of surgical treatment. The task is achieved by first placing the distal anastomosis between the peripheral branch of the vascular prosthesis with the iliac or femoral artery on one side, then the aneurysmal sac is cut off between the two clips in the neck below the renal arteries, thrombotic masses are squeezed out of the bag by opening the lower clamp above aneurysmal bag, the clamp is closed again, after which the aneurysmal bag is corrugated as much as possible by screwing its walls longitudinally inwards with the last sticking over the top and tightening the U-shaped seams that bring the walls of the aneurysmal bag together to each other, while clamping the U-shaped seams above the aneurysmal bag, temporarily open the clamp above it, then apply a hemostatic U-shaped seams along the proximal end of the aneurysmal bag along the entire perimeter , the lower clamp above the aneurysmal sac is removed, a proximal anastomosis is formed between the central branch of the vascular prosthesis and the abdominal aorta, the main blood flow in the abdominal aorta is opened es vascular prosthesis and a distal anastomosis to the first leg and pelvic organs, and then forming a second distal
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| RU2013122150/14A RU2525280C1 (en) | 2013-05-14 | 2013-05-14 | Infrarenal abdominal aortic aneurysm repair technique |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| EA201400557A2 true EA201400557A2 (en) | 2015-02-27 |
| EA201400557A3 EA201400557A3 (en) | 2015-05-29 |
Family
ID=51355293
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EA201400557A EA201400557A3 (en) | 2013-05-14 | 2014-06-09 | METHOD OF RECONSTRUCTION OF THE INFRARENAL DEPARTMENT OF THE ABDOMINAL AORTA ABOUT ANEURYSMS |
Country Status (2)
| Country | Link |
|---|---|
| EA (1) | EA201400557A3 (en) |
| RU (1) | RU2525280C1 (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2654609C2 (en) * | 2016-07-18 | 2018-05-21 | Государственное бюджетное образовательное учреждение высшего профессионального образования Волгоградский государственный медицинский университет Министерства здравоохранения Российской Федерации | Self-expandable t-shape stent-graft-prosthesis for arterialization of aorto-iliac arterial segment |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2332939C1 (en) * | 2006-12-28 | 2008-09-10 | ГОУ ВПО Саратовский государственный медицинский университет Министерства здравоохранения Российской Федерации | Method of surgical treatment of abdominal aortic aneurysm |
| RU2471430C1 (en) * | 2011-11-01 | 2013-01-10 | Алексей Александрович Щербюк | Method of treating juxtarenal aneurysm of abdominal aorta by method of aorto-femoral bifurcation bypass grafting |
-
2013
- 2013-05-14 RU RU2013122150/14A patent/RU2525280C1/en not_active IP Right Cessation
-
2014
- 2014-06-09 EA EA201400557A patent/EA201400557A3/en unknown
Also Published As
| Publication number | Publication date |
|---|---|
| RU2525280C1 (en) | 2014-08-10 |
| EA201400557A3 (en) | 2015-05-29 |
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