FIELD: medicine.
SUBSTANCE: group of inventions refers to an accessory device for placement of an implant for tissue recovery, a kit containing such a device, and a method for tissue defect correction in the body wall using the specified device. Device for placement of an implant for tissue restoration contains a flexible flat element and many guiding structures providing channels for reception of at least a part of the distal plot of the surgical stapler. The flat element has an upper surface, a lower surface and an outer periphery and is designed with an ability to move between the first initial position and the second placement position. A plurality of guiding structures is disposed on at least a portion of at least one surface of the flat element extending radially outwards. The kit for tissue restoration implant placement comprises a reticular tissue recovery device and the above placement device. The reticular device comprises the first layer of a surgical mesh base having an upper surface, a bottom surface, and an outer periphery; the second mesh layer mounted on the base layer and attached to the base layer along the base layer periphery. The second layer has an upper surface and a lower surface. Between the upper surface of the base layer and the lower surface of the second layer, a recess is formed; and an opening in the second layer providing access to the recess. At that, the placement device is at least partially inside the recess. The method for fixing of a body wall tissue defect includes the following stages: A. provision of the above reticular recovery device; B. provision of the above device for tissue recovery implant placement; C. transition of the placement device flat element from the first initial position to the second placement position; D. flat element introduction into the reticular recovery device recess; E. movement of the flat element and reticular recovery device into the body cavity adjacent to the tissue defect in the body wall, while the flat device is moved to its initial position; F. transition of the reticular recovery device to a position suitable for tissue defect recovery; G. introduction of the distal end of the surgical stapler into the mesh recess, while the guiding structures direct the distal end of the device to the reticular recovery device periphery, and surgical fixing element installation through the second layer of the mesh in the adjacent tissue of the body wall; and H. placement device removal from the reticular recovery device.
EFFECT: auxiliary device can be combined with a surgical implant for tissue recovery so that the device transits the implant for tissue recovery into a flat configuration for optimal surgical fixation, but can be removed after such fixation, it also has elements that allow the surgeon to guide the end of the fixing tool with a view to proper fasteners location along the device periphery.
15 cl, 18 dwg
