KANDEMİR DIDEM (TR)
| US5743853A | 1998-04-28 | |||
| JP3766508B2 | 2006-04-12 | |||
| CN201267494Y | 2009-07-08 | |||
| CN105078521A | 2015-11-25 |
| CLAIMS 1 . An abdominal flap ecarteur (E) for use in abdominoplasty operations, characterized by comprising; • a tissue holding section (4) with a trowel form so as to hold and lift the upper flap tissue, • a ragged surface (4.1 ) on the upper surface of said tissue holding section (4), • an inclined tip (5) which is at the end section of said tissue holding section (4), has an inclined form, • a handle (6) so as to control the upward and/or downward movement of said abdominal flap ecarteur (E). 2. An abdominal flap ecarteur (E) according to claim 1 , characterized by comprising; hose (3) so as to carry fluid to the region where the surgery is made. 3. An abdominal flap ecarteur (E) according to claim 1 or claim 2, characterized by comprising; cold light (1). 4. An abdominal flap ecarteur (E) according to claim 1 or claim 2 or claim 3, characterized by comprising; aspirator (2) so as to provide cleaning in the area where the operation is carried out. |
DESCRIPTION
TECHNICAL FIELD
The invention relates to an abdominal flap ecarteur which is developed to be used in abdominoplasty surgeries in the plastic, aesthetic and reconstructive surgery.
The invention is particularly related to an abdominal flap ecarteur for use in plastic, aesthetic and reconstructive abdominoplasty surgeries, which comprises a tissue holding section with a trowel form so as to hold and lift the upper flap tissue, a ragged surface on the upper surface of said tissue holding section, an inclined tip (5) which is at the end section of said tissue holding section, extends along an edge and a handle so as to control the upward and/or downward movement of said abdominal flap ecarteur.
STATE OF THE ART
Most of the developments field in the plastic, aesthetic and reconstructive surgery consist of the studies in relation with the aesthetic appearance and dermatological health. The tummy tuck operation known as abdominoplasty today is a common surgical operation which is based on the experience of the surgeon and cooperation of the operation team. Excess fat in the middle and lower abdominal region and the sagged skin are removed in the abdominoplasty, the abdominal muscles are strengthened by various sutures. Thus the skin has stretched and smooth lines. There are many techniques used by the plastic surgeons so as to realize said operation. Among the techniques, the most popular ones are Mini Abdominoplasty and Total Abdominoplasty. It is acknowledged that, the other surgical methods such as suction method cannot be able to provide solution to the problems such as sagged skin.
A planning is done with drawing on the region where the operation will be carried out after the abdominal region of the patient is analysed prior to the abdominoplasty operation. During said drawing, the location and form of the scar which will remain after the operation is determined. First of all, during the operation, fat that remains in the back and waist regions are removed with general anaesthesia by means of the suction device so as to form the waist curve inwardly. At this phase, the patient is laid on his/her back and the skin between the upper section of the bikini line and the belly button is removed with a complete layer (together with the fat tissue in-between over the abdominal muscles). Subsequently, two abdominal muscles that remain separate from each other are sutured with durable and thick sutures and the stretched abdominal muscle is obtained. The navel is straightened through the incision opened from here and thus the new location of the belly button is determined. Lifting the upper flap tissue in the abdomen upwardly and pulling the same backwardly are carried out preferably by the assistant surgeon or scrub nurse. Simultaneously, another scrub nurse helps the surgeon in suturing the abdominal muscle. In this sense, said operation consists of a series of processes which require high effort for the operation team. The process of lifting said flap tissue and holding the same lead to inappropriate positions of the members of the operation team in terms of their body postures during the operation. This situation leads to muscle-skeleton system problems that includes serious back and/or shoulder pain etc. The musculoskeletal system disorders which are seen with severe pains, prevents the efficient work of the qualified employee and leads to labour losses.
Moreover, stretching the upper abdomen flap tissue more than required, may lead to the wear of tissue and thus the upper flap’s inability to hold the lower flap in some operations. In case such a situation is experienced in the postoperative period, it may be required to perform a second surgical intervention on the patient and to remove the flap tissue from another suitable region. In case the flap tissue is removed from another region, the scar which will occur in the donor region, would bring many problems such as new/different complication risk, late healing, high cost etc. Said scar leads to an increase in the length of hospital stay of the patient, this situation has negative results in relation with both the patient satisfaction and financial costs. The pain experienced in the postoperative period prevents the patient from carrying out his/her self-care requirements, increases the work load in the surgical clinics and extends the wound healing period due to the use of pharmacological agents, particularly the narcotic agents.
There are many ecarteur structures in the present state of the art which are specific for different fields of use. One of the ecarteur structures used widely in the state of the art is The Hoyos Retractor System of the Marin Medical Company. Said product is an ecarteur structure which is manufactured from a platinum raw material to be used for removing the upper flap tissue in mini abdominoplasty. However, said ecarteur structure is very heavy for use due to its platinum-based raw material and comprises many clip-like structures. This situation makes it difficult to mount and use said ecarteur structure. Moreover, when it is considered that most of the patients that are applied abdominoplasty in Turkey and in the world are overweight, then it is understood that the required efficiency may not be obtained from an ecarteur developed for mini abdominoplasty. Another problem is the high cost of said ecarteurs. The liver ecarteur used in the technical field serves for pulling the liver upwardly in the abdominal surgery. Moreover, said liver ecarteur is not appropriate for use in abdominoplasty due to its circular shape and its being positioned directly on the skin surface.
Abdomen ecarteur is an ecarteur structure used for lifting the lower layer of the sternum only in patients having especially excessive amounts of fat tissue in the abdominal surgeries. However, it mostly leads to flap tissue shift and thus fat tissue ruptures. This condition leads to collapses in wound healing, circulatory disorders and vascular tears.
On the other hand, there are different ecarteur structures in said technical field such as the laminectomic ecarteur used in lumbar disc hernias and perianal prostate urology ecarteur used in perianal prostectomy operations. However, said ecarteurs are specific for their usage areas, it is not possible to use them in abdominoplasty.
As a result, many problems and disadvantages are encountered in said technical field as mentioned above, the current applications are insufficient in solving these problems and disadvantages. This situation makes it necessary to make an improvement and innovation in the state of the art.
BRIEF DESCRIPTION OF THE INVENTION
The present invention is related to an abdominal flap ecarteur to be used in plastic, aesthetic and/or reconstructive surgery field in total abdominoplasty (tommy tuck) operations which fulfills the abovementioned requirements, eliminates all disadvantages and brings some additional advantages.
The main aim of the invention is to provide an abdominal flap ecarteur which can be used in all abdominoplasty operations so as to prevent the muscle-skeleton system of the health professional in the operation team from damaging and to prevent the flap tissue of the patient from being damaged, to eliminate the complications in relation with this. The flap tissue which is lifted and hold by the assigned health personnel in the state of the art applications can be easily intervened by means of the inventive abdominal flap ecarteur easily, thus it eliminates the possible musculoskeletal system disorders of said health personnel.
Another aim of the invention is to provide an abdominal flap ecarteur which contributes to the successful consequence of the operation without requiring extra applications. The flap tissue of the patient is not damaged during the surgical intervention by means of the inventive abdominal flap ecarteur, and various complications do not occur (such as failure to correspond tissues mutually, flap necrosis, delay in scar healing).
An ecarteur which provides the cold light and aspiration in a combined manner.
In order to fulfil all abovementioned aims and to provide solutions to the problems in the state of the art, the invention is an abdominal flap ecarteur to be used in the abdominoplasty operations; it comprises the following;
• a tissue holding section with a trowel form so as to hold and lift the upper flap tissue,
• a ragged surface on the upper surface of said tissue holding section,
• a tip which is at the end section of said tissue holding section, has an inclined form,
• a handle so as to control the upward and/or downward movement of said abdominal flap ecarteur.
The structural and characteristic features of the present invention will be understood clearly by the following detailed description. Therefore the evaluation shall be made by taking this detailed description and the figures into consideration.
FIGURES CLARIFYING THE INVENTION
In Figure 1 , general view of the inventive abdominal flap ecarteur is given.
REFERENCE NUMBERS
E Abdominal flap ecarteur
1 Cold light
2 Aspirator
3 Hose
4 Tissue holding section
4.1 Ragged surface
5 Inclined tip
6 Handle
DETAILED DESCRIPTION OF THE INVENTION In this detailed description, the preferred embodiments of the invention is described only for clarifying the subject matter in a manner such that no limiting effect is created.
The invention relates to an abdominal flap ecarteur (E) which is developed to be used in abdominoplasty surgeries in the plastic, aesthetic and reconstructive surgery. In Figure 1 , general view of the inventive abdominal flap ecarteur (E) is given. Accordingly said abdominal flap ecarteur (E) comprises a tissue holding section (4) with a trowel form so as to hold and lift the upper flap tissue, which is rich in terms of fat tissue. Said tissue holding section (4) compresses the upper flap tissue without giving damage to the blood vessels. There is a ragged surface (4.1 ) on the upper surface of said tissue holding section (4) which contacts with the tissue. Said ragged surface (4.1) is very important for completely catching said flap tissue. At the end section of the tissue holding section (4), there is an inclined tip (5) which extends along an edge. Said inclined tip (5) is the portion which will correspond to the lower section of the sternum region of the patient during the application. For this reason, while it separates sternum from the upper flap, it has an inclined form so as to prevent the flap from giving damage to the connective tissue on the sternum.
The inventive abdominal flap ecarteur (E) comprises a handle (6) which can be installed on the operation table, on the shield with clips, can move upwards and downwards based on the amount of fatty tissue in the abdominal region of the patient. Said handle (6) is engaged with the tissue holding section (4) through its lower end. There is a cold light (1 ) on the upper portion of said handle (6). Said cold light (1 ) is configured to help in monitoring internal section during the plication (stretching) of abdominal muscles. The cold light (1 ) enables the dissection line to be visible by the surgeon fully during the operation. The surgeon easily ends the dissection for the abdominoplasty when the abdominal muscles located under the sternum which is called xiphoid process by means of the cold light (1), illumination on the illuminated side that does not get heated. Since there is a cold light (1 ) in this region, it provides a larger field of sight to the surgeon and the surgical team.
There is an aspirator (2) on the upper portion of said handle (6) in the area of the operation which is responsible from removing the residues within the region. Particularly, said aspirator (2) is utilized for removing the solution (Ringer Lactate) from the environment which is given to the lower portion of the abdominal flap for cleaning and for preventing the flap from drying.
It is very important to carry fluid to the region of the abdominal flap so as not to dry the abdominal flap during the operation period. For this reason, there is a hose (3) within said abdominal flap ecarteur (E) structure so as to provide carrying fluid. Said hose (3) is preferably positioned on the upper section of said handle (6). A shield structure which is found fixed on the operation table on which operation is performed, functions as a connection for fixing the inventive abdominal flap ecarteur (E) to said operation table. Similarly, in addition to the abdominal flap ecarteur (E) having a trowel-formed holding section (4), it is possible to use a plurality of ecarteurs together which are connected to said operation table.
Next Patent: A PHARMACEUTICAL COMPOSITION CONTAINING EPIBRASSINOLIDE (EBR)