Patent RU-2210990-C1 (RU)
Inventor: SHULJAK S A
IPC: A61B17/00
Filed: 2002-01-11
Granted: 2003-08-27
Abstract: FIELD: medicine. SUBSTANCE: method involves fixing one end of ligature thread at the level of its proper end between palm surfaces of nail phalanges of the first and the second finger of a hand taking proximal position with respect to the end. This end is fixed in turn between palm surfaces of nail phalanges of the first and the second finger of a hand taking distal position with respect to the end not less than 19 cm far from the place of initial ligature thread end fixation. The initially proximal hand is set in supination position. The ligature thread end segment fixed between fingers of both hands is brought close to palmar surface of the fifth finger of the initially proximal hand and placed into skin fold above proximal interphalangeal articulation of this finger. The fixed thread segment is wound around the fifth finger of the initially proximal hand and two ring-shaped ligature loops are created around the finger. The fifth finger of the initially proximal hand is maximally bent in its interphalangeal articulations the ligature end at this finger is additionally fixed on this finger in skin fold eliminating fixation of the ligature end between the first and the second fingers of hands. The proximal hand is smoothly brought into probation position in fixing the second ligature thread end with nail phalanges of the first and the second finger of the initially proximal hand at the level of its proper end after having sutured human organism tissues. Nail phalanx of the second finger of the initially proximal hand is introduced into the formed ligature window from the back surface side of the initially proximal hand. Medial lateral surface of the distal interphalangeal articulation of this finger is set on the internal surface of the central part of the second ligature thread end. The initially proximal hand is brought into supination position and the ligature thread ends are crossed in skin fold of distal interphalangeal articulation of the second finger of the initially proximal hand in creating proximal and distal ligature windows. The initially distal hand is brought into supination position and the second finger of the same hand is palmary bent. The distal hand is smoothly brought into supination position and the middle portion of the second ligature thread end is caught with the second finger nail phalanx of the same hand and the second finger of the initially distal hand is extended and the second finger nail phalanx of the initially distal hand and the middle portion of the second ligature thread end is concurrently introduced into the ligature window. They are brought out from the proximal ligature window towards the palmar surface of the initially distal hand along stretched ligature thread ends. The middle portion of the second ligature thread end placed between palmar surfaces of the first and the second finger nail phalanges of the initially distal hand brought out from the proximal ligature window is fixed and this ligature thread end fixation is eliminated with the first and the second fingers of the initially proximal hand. The first and the second fingers of the initially distal hand are made sliding along the second ligature thread end in distal direction until it completely goes out from the ligature window. The hands are crossed in placing the initially distal hand above the initially proximal hand and the knot is tied. EFFECT: enhanced effectiveness, high quality and acceleration in tying knot.