普外科手术缝线的介绍(课堂PPT)

2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
10
PRODU CT
PDS* II普迪丝*
(聚二氧六环酰胺 Polydioxanone) 缝线
• 伤口支撑时间60天 • 在90天时，张力消失 • 材质吸收时间180~210天
2020/8/2
* 注册商标 Trademark
2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
11
PRODU CT
同等规格的丝线和PDS在植入体内6周的张力对比
PDS和丝线在植入体内6周的张力对比 20
15 10 2020/8/2 5
Silk（Pound） PDS（Pound）
0
1st week 2nd week 4th week 6th week
细菌不易窝藏
2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
8
PRODU CT
PDS* II普迪丝*
(聚二氧六环酰胺 Polydioxanone) 缝线
2020/8/2
• 人工合成 • 单股 • 可吸收
* 注册商标 Trademark
2020/8/2
FRANCHISE OF EXCELLENT
2020/8/2
较短的伤 口支撑时 间和材质 吸收时间
中短期伤口支
撑时间和材质 吸收时间
中短期伤 口支撑时 间和材质 吸收时间
Monofilament单股 缝线
长期伤 口支撑 时间和 材质吸 收时间
Braided 编织缝线
2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
PEOPLE PROCESS
9
PRODU CT
PDS* II普迪丝*
(聚二氧六环酰胺 Polydioxanone) 缝线
• 人工合成
• 组织反应小
• 可吸收
• 无异物残留
• 单股
• 细菌不易窝藏
2•020更/8/2强的初始张力， 更长的伤口支撑
* 注册商标 Trademark
• 更适于缝合筋膜
• 可用于骨科，恶性肿瘤， 或营养不良患者
PEOPLE PROCESS PRODU CT
Suture Types缝线的种类
Absorbable 可吸收类
Natural 天然材质
Synthetic 人工合成
Non-Absorbable 不可吸收缝线
Natural 天然材质
Synthetic
人工合成
Monofilament 单股缝线
Braided 编织缝线
2020/8/2
FRANCቤተ መጻሕፍቲ ባይዱISE OF EXCELLENT
PEOPLE PROCESS
2
PRODU CT
Johnson & Johnson
» World’s most comprehensive and broadly based manufacturer
of healthcare products
From the earliest materials to that of natural materials-GUT & SILK to newer, less reactive synthetic materials, ETHICON has been at the forefront of technology从早期生产天然材质的肠 线及丝线到研制新型的组织反应极小的人工合成缝线，爱 20惜20/8康/2 缝线一直是走在技术的最前沿。
强生爱惜康缝线缝针在 肝胆胰手术中的应用
2020/8/2
强生公司爱惜康缝线部 产品技术专员
2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
1
PRODU CT
讨论内容
➢强生公司爱惜康部门概况 ➢缝线的分类 ➢关腹缝线、减张缝线 ➢肝胆胰手术缝线的选择
2020/8/2
PEOPLE PROCESS
3
PRODU CT
ETHICON, INC.
Johnson & Johnson began manufacturing suture products in 1887
ETHICON, INC., which stands for Ethical and Confidence, was officially established as a separate division of Johnson & Johnson in 1949
2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
4
PRODU CT
ETHICON, INC. product line
Suture Dermbond Hemo
Mesh
Absorbable Non-absorbable
Surgicel
Flat mesh
Coated Vicryl
2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
12
PRODU CT
普迪丝PDSII适用 于…
➢腹壁全层连续缝合 ➢“8”字分层缝合 ➢连续分层缝合
Prolene
Nu knit
Vipro I
Vic2r0y2l0/R8/a2pid Monocryl PDSII
Ethibond Ethilond Mersilk
Fibrillar Sposon
Vipro II 3DP PHS
2020/8/2
FRANCHISE OF EXCELLENT
Proceed 5
» Annual sales of $36.3 billion » Over 200 operating companies worldwide » Approximately 108,300 employees » Billions invested in R&D
2020/8/2
2020/8/2
* Data oFn fiRle, EATHNICOC N,HINCI S E O F E X C E L L E N T
6
PRODU CT
丝线关腹现状
• 窦道 • 感染 • 切口裂开 • ……
2020/8/2
2020/8/2
FRANCHISE OF EXCELLENT
PEOPLE PROCESS
7
PRODU CT
关腹线的选择
我们的需要
➢缝线张力强度大 ➢人工合成 ➢单股缝线
2020/8/2
防止上口裂开 组织反应小