Preparation for biological packing drainage used for rectocele repairing and its using method
A technology of drainage and rectum, which is applied in medical science, prosthesis, surgery, etc., can solve the problems of unavoidable tension and high recurrence rate in repaired parts, and achieve the effect of reducing hospitalization time, low recurrence rate and promoting healing
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Embodiment 1
[0028] Example 1: Application of fresh porcine dermal tissue to prepare biological tampon drainage for rectocele repair surgery
[0029] Collect fresh porcine dermal tissue and cut into 1-3cm 3 Small pieces were immediately fixed with 2% formaldehyde solution for 2 to 4 hours, and washed several times with distilled water. Then, the tissue was incubated with 1N sodium hydroxide solution at a constant temperature of 20°C for 24 hours for decellularization. Then, the tissue was washed with sodium phosphate buffer until the tissue became translucent. Then the washed tissue was incubated in glycine-HCl buffer to eliminate residual fixative and lower the pH value until the pH value was 7.35-7.55.
[0030] Soak the treated tissue in a homogeneous aqueous solution of mixed 50 mg / ml gentamicin sulfate and 50 mg / ml metronidazole, take it out after 10 minutes, dry it, and then soak the tissue in 50 mg / ml dodecane After being dried in sodium sulfate solution, crushed, and pressed into...
Embodiment 2
[0031] Example 2: Surgical method for placing hemorrhoidal biotampon drainage
[0032] 1. Take an arc-shaped incision of about 3 cm on the side of the perineum near the vagina, cut open the skin and subcutaneous tissue, and bluntly separate the anal sphincter leading edge to separate the loose tissue of the rectovaginal septum, and the separation range reaches 1 cm above the weak area , to reach the anterior cross of the separated perineal body and levator ani.
[0033] 2. Pre-cut the biotampon drainage prepared in Example 1 into a suitable size with scissors according to the size of the weak area.
[0034] 3. Stuff the cut biological packing drainage in the weak area of the rectovaginal diaphragm, pay attention to spread neatly and fix it.
[0035] 4. Lead the outer end of the biotampon drainage through the perineal incision.
[0036] 5. Suture the subcutaneous tissue and skin.
[0037] 6. Remove the excess part of the outer end of the biotampon drainage so that the oute...
Embodiment 3
[0039] Embodiment 3: curative effect
[0040] Case selection: A total of 15 cases of rectocele were selected from June 2003 to October 2007, all of whom were middle-aged and elderly women. The biotampon drainage prepared in Example 1 was used, and the method provided in Example 2 was used for treatment. After follow-up, the results are as follows:
[0041]Rectal defecography reexamination in 15 patients showed that the rectocele disappeared without stool retention. No recurrence was found in the follow-up of 6 months to 4 years, and the cure rate was 100%. The postoperative hospital stay was 3 to 6 days, with an average of 4.8 days. Postoperatively, 2 cases complained of pain, all of which could be tolerated without treatment. The patient's anal shape returned to normal, without prolapse of hemorrhoids, smooth defecation, no blood in the stool, anal stenosis, infection, and fecal incontinence.
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