Izmaĭlov G A, Izmaĭlov S G
Med Tekh. 1998 Jul-Aug(4):27-34.
Based on the data available in the literature and their own findings, The authors present a working classification of units for intra- and extrafocal transtissue vulnus synthesis, the so-called wound adapters. The design characteristics make it possible to bring close together and to fix the edges of a wound. Each model is critically evaluated by taking into account the revealed disadvantages and the ways of removing them in further more up-to-date models are considered. Comparative assessment of the closure of various wounds with a wound adapters and via routine suturing showed the benefits of the methods by using the proposed units: they speed up and facilitate technique of suture application, increase atraumacity and asepsis, create conditions for making a precision suture. The positive results of experimental studies and clinical observations suggest that wound adapters are promising in their practical application and that transtissue apparatus vulnus synthesis has considerable opportunity in soft tissue lesions.
基于文献中的现有数据及其自身研究结果,作者提出了一种用于局灶内和局灶外跨组织伤口缝合的单位的实用分类法,即所谓的伤口适配器。其设计特点使得能够将伤口边缘拉近并固定。通过考虑所发现的缺点以及在更新的模型中消除这些缺点的方法,对每个模型进行了批判性评估。用伤口适配器和常规缝合对各种伤口闭合情况的比较评估表明,使用所提出的单位有以下好处:它们加快并便于缝合技术的应用,增加无创伤性和无菌性,为精确缝合创造条件。实验研究和临床观察的积极结果表明,伤口适配器在实际应用中很有前景,并且跨组织器械伤口缝合在软组织损伤方面有很大的应用机会。