Hemorrhoidectomy porous fixed retractor

Abstract

The present invention relates to a hemorrhoidectomy porous fixed retractor (1), which is located in the rectal canal of a patient in the lithotomy position (labour position); located at the 3, 7 and 11 o'clock directions on the clock quadrant; is used during the operation of haemorrhoids formed in the left lateral, right anterior and right posterior haemorrhoidal structures and as cushions formed by soft tissue and veins in the anal canal; prevents the passage of liquid, mucus and stool wastes by closing the direction of stool arrival, and is also used for internal area fixation by eliminating the risk of slipping during surgery by fixing it to the peri anal skin with surgical sutures and surgical needle with holes (4.1, 4.2, 4.3, 4.4) at 3, 6, 9, 12 o'clock directions on the clock quadrant. The retractor (1) ensures that the haemorrhoidal structures located on the haemorrhoidal pads in the anal canal at positions 3, 7 and 11 o'clock (left lateral, right anterior and right posterior) according to the clock quadrant (left lateral, right anterior and right posterior) are not displaced during the surgical procedure, also functions by allowing the internal haemorrhoids and external haemorrhoidal packs to sag into the anal canal through the channels (3.1, 3.2, 3.3), allowing excision of the excess structure and subsequent suturing.

Description

[0001] DESCRIPTION

[0002] HEMORRHOIDECTOMY POROUS FIXED RETRACTOR

[0003] Field of the Invention

[0004] The present invention relates to a hemorrhoidectomy porous fixed retractor, which is located in the rectal canal of a patient in the lithotomy position (labour position); originating from the anal pads located at the directions 3, 7 and 11 o'clock on the clock quadrant; is used during the operation of haemorrhoids formed in the left lateral, right anterior and right posterior haemorrhoidal structures and as cushions formed by soft tissue and veins in the anal canal; prevents the passage of liquid, mucus and stool wastes by closing the direction of stool arrival, and is also used for internal area fixation by eliminating the risk of slipping during surgery by fixing it to the peri anal skin with surgical sutures with holes at the directions 12, 3, 6, 9 o'clock on the clock quadrant.

[0005] The retractor ensures that the haemorrhoidal structures located on the prehaemorrhoidal anal pads in the anal canal at positions 3, 7 and 11 (left lateral, right anterior and right posterior) according to the clock quadrant (left lateral, right anterior and right posterior) are not displaced during the surgical procedure by keeping it stable, also functions by allowing the internal haemorrhoids packs to sag into the anal canal through the channels, allowing excision of the both internal and external excess structures and subsequent suturing. At the same time, the deepest rectangular grooves of the canals allow the hemorrhoidal vessels in this region to be ligated.

[0006] State of the Art

[0007] Hemorrhoidectomy is the surgical removal of diseased tissue called hemorrhoids. Today, in hemorrhoid surgery methods, mostly manual techniques and standard surgical instruments (Blades, Retractors, Clamps, Electrocautery, Ligature, Proctoscope or Rectoscope, Stapler and Hemorrhoidopexy (PPH)) are used to fix the hemorrhoidal structures in the anal canal and keep the surgical area clean.

[0008] During hemorrhoid surgeries, correctly stabilizing the hemorrhoidal cushions in the anal canal and keeping the surgical area clean is critical for a successful operation.

[0009] In traditional hemorrhoid surgeries, mucus, fluid and fecal waste coming from the rectum into the anal canal may leak into the surgery area and cause problems in both hygiene and visibility of the surgical area. This requires constant cleaning of the surgical field by an assistant, which can disrupt the flow of the operation and additionally increase the risk of infection. The entry of waste into the operating area limits the surgical field of view, making the surgeon's job difficult and increasing the risk of complications.

[0010] Holding the surgical instruments used in hemorrhoid surgeries in place is often done by an additional surgeon or surgical nurse. This situation makes coordination of the surgical team difficult and creates an additional workload. Additionally, if the instruments slip out of place or are placed incorrectly, there is a risk that the hemorrhoidal structures will move and obstruct the surgical field.

[0011] If the hemorrhoidal structures are not fully fixed and the passage of waste is not prevented, the risk of slipping of the surgical instruments used is quite high. Slipping leads to displacement of hemorrhoidal structures during surgery and rearrangement of the surgery. This may prolong surgery time and increase potential complications. Extended surgery times cause the patient to remain under anesthesia for a longer period of time and prolong the recovery process, which increases the risk of postoperative complications.

[0012] In the stapler hemorrhoidopexy technique, the internal hemorrhoid packs that hang out are cut all around with a special sewing tool and stitched together with the tool all around. However, since there is an incision and suturing process, there are some risks such as opening of stitches, bleeding, and fistula formation. Some of these complications, such as fistula, although rare, can have a serious course. A constant feeling of defecation called tenesmus may occur. In 10% of cases, prolapse, that is, sagging, may continue. There is a possibility of relapse in this method as well. One of the most important complications is the stenosis that develops later, and its solution is quite difficult.

[0013] Our invention has been developed to eliminate the problems in the above- mentioned existing technique and aims to protect the cleanliness of the surgical field by blocking the direction of stool arrival during haemorrhoid operations, preventing the passage of liquid, mucus and stool wastes, reducing the risk of infection, fixing the haemorrhoidal structures to be excised and eliminating the risk of slipping, and increasing the effectiveness of the operation without the need for an additional surgeon or nurse.

[0014] Detailed Description of the Invention

[0015] The Hemorrhoidectomy Porous Fixed Retractor used to achieve the aims of this invention is shown in the figures.

[0016] In these figures;

[0017] Figure-1 is the side perspective view of the Hemorrhoidectomy Porous Fixed Retractor, which is the subject of the invention, placed in the Anal Canal in the Lithotomy Position.

[0018] Figure-2 is the front perspective view of the Hemorrhoidectomy Porous Fixed Retractor, which is the subject of the invention, placed in the Anal Canal in the Lithotomy Position.

[0019] Figure-3 is the view that allows the expression of the Hemorrhoidectomy Porous Fixed Retractor, which is the subject of the invention, during its application phase.

[0020] Other parts of the Hemorrhoidectomy Porous Fixed Retractor that are the subject of the invention and that allow explanation are numbered as follows in the attached figures:

[0021] 1) Hemorrhoidectomy Porous Fixed Retractor

[0022] 2) Metal Curved Tip

[0023] 3) Body

[0024] 3.1) Channel in the 7 direction according to the Clock Quadrant

[0025] 3.1.1) Rectangular Upper (Deep) Tip

[0026] 3.1.2) Elliptical Lower Tip

[0027] 3.2) Channel in the 3 o’clock direction according to the Clock Quadrant

[0028] 3.2.1) Rectangular Upper (Deep) Tip

[0029] 3.2.2) Elliptical Lower Tip

[0030] 3.3) Channel in the 11 o’clock direction according to the Clock Quadrant

[0031] 3.3.1) Rectangular Upper (Deep) Tip

[0032] 3.3.2) Elliptical Lower Tip 4) Round Tip Clearance

[0033] 4.1) Fixing hole in the 12 o’clock direction according to the Clock Quadrant

[0034] 4.2) Fixing hole in the 6 o’clock direction according to the Clock Quadrant

[0035] 4.3) Fixing hole in the 9 o’clock direction according to the Clock Quadrant

[0036] 4.4) Fixing hole in the 3 o’clock direction according to the Clock Quadrant

[0037] The Hemorrhoidectomy Porous Fixed Retractor (1) of the present invention comprising the following;

[0038] - A metal curved tip (2) at the end of the body (3), which is integral to the body (3), allows the retractor (1) to be easily inserted into the anal canal and provides stability by closing the direction of stool passage; not allowing the passage of liquid, mucus and stool residues, allowing the surgical procedure area to remain clean,

[0039] - A body (3), which forms the main structure of the retractor (1), is positioned in the 3,7,11 o’clock directions according to the clock quadrant therein, by allowing internal hemorrhoid packs to spontaneously sag into the anal canal, fixing the haemorrhoidal upper end structures by helping to connect the haemorrhoidal arteries with the rectangular tip parts (3.1.1,3.2.1,3.3.11 of the channels (3.1,3.2,3.3k which allow the process of haemorrhoidal crest and vein suturing, excision and suturing and eliminates the risk of slipping, stabilising the excision of external haemorrhoids with elliptical lower tips (3.1.2,3.2.2,3.3.21,

[0040] - A round tip clearance (4), which is in the lower part of the body (3), integral to the body (3), is fixed to the peri-anal skin with the help of surgical suture and surgical needle through the holes (4.1,4.2,4.3,4.41 positioned in the 3, 6, 9, 12 o’clock directions according to the clock quadrant thereon; prevents the retractor (1) from slipping and fixes the same, and provides the necessary clearance by facilitating the determination of the location of the retractor (1) inside through the holes (4.1, 4.2, 4.3, 4.4),

[0041] .The Hemorrhoidectomy Porous Fixed Retractor (1) of the present invention prevents the passage of unwanted fluids by closing the direction of stool flow during hemorrhoid surgeries. In this way, a cleaner surgical procedure area is created and the risk of infection during and after surgery is minimized. It anatomically attaches to the haemorrhoidal packs anatomically positioned in the 3,7,11 o’clock directions according to the clock quadrant with the help of the channels in the body (3), with the upper end rectangular part (3.1.1, 3.2.1, 3.3.1) and acts as vascular ligation and fixation with peak suturation, and with the lower end elliptical parts (3.1.2, 3.2.2, 3.3.2), it provides excision of external haemorrhoids; thanks to the long channels (3.1, 3.2, 3.3) positioned in the 3,7,11 o’clock directions according to the clock quadrant, excision and suturing of internal hemorrhoids that spontaneously hang in a neutral position are made more practical. This invention shortens surgery time, increases the accuracy and safety of surgical procedures, and minimizes the risk of complications.

Claims

CLAIMS1) A Hemorrhoidectomy Porous Fixed Retractor (1) of the present invention characterized by comprising the following; a metal curved tip (2) at the end of the body (3), which is integral to the body (3), allows the retractor (1) to be easily inserted into the anal canal and provides stability by closing the direction of stool passage; not allowing the passage of liquid, mucus and stool residues, allowing the surgical procedure area to remain clean, a body (3), which forms the main structure of the retractor (1), is positioned in the 3,7,11 o’clock directions according to the clock quadrant therein, by allowing internal hemorrhoid packs to spontaneously sag into the anal canal, fixing the haemorrhoidal upper end structures by helping to connect the haemorrhoidal arteries with the rectangular tip parts (3, 1.1, 3.2, 1,3.3.1) of the channels (3, 1,3.2,3.3), which allow the process of haemorrhoidal crest and vein suturing, excision and suturing and eliminates the risk of slipping, stabilising the excision of external haemorrhoids with elliptical lower tips(3, 1.2,3.2.2,3.3.2), a round tip clearance (4), which is in the lower part of the body (3), integral to the body (3), is fixed to the peri-anal skin with the help of surgical suture and surgical needle through the holes (4, 1,4, 2,4, 3, 4, 4) positioned in the 3, 6, 9, 12 o’ clock directions according to the clock quadrant therein; prevents the retractor (1) from slipping and fixes the same, and provides the necessary clearance by facilitating the determination of the location of the retractor (1) inside through the holes (4,1, 4,2, 4,3, 4,4).

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