MD1273Y - Method for treating main biliary strictures - Google Patents
Method for treating main biliary stricturesInfo
- Publication number
- MD1273Y MD1273Y MDS20180031A MDS20180031A MD1273Y MD 1273 Y MD1273 Y MD 1273Y MD S20180031 A MDS20180031 A MD S20180031A MD S20180031 A MDS20180031 A MD S20180031A MD 1273 Y MD1273 Y MD 1273Y
- Authority
- MD
- Moldova
- Prior art keywords
- jejunum
- sutures
- bile duct
- duct
- jejunal
- Prior art date
Links
- 208000031481 Pathologic Constriction Diseases 0.000 title abstract 3
- 238000000034 method Methods 0.000 title abstract 3
- 210000000013 bile duct Anatomy 0.000 abstract 5
- 210000001630 jejunum Anatomy 0.000 abstract 5
- 210000003459 common hepatic duct Anatomy 0.000 abstract 3
- 230000003872 anastomosis Effects 0.000 abstract 2
- 239000010410 layer Substances 0.000 abstract 2
- 229920002463 poly(p-dioxanone) polymer Polymers 0.000 abstract 2
- 239000000622 polydioxanone Substances 0.000 abstract 2
- 238000007789 sealing Methods 0.000 abstract 2
- 210000001015 abdomen Anatomy 0.000 abstract 1
- 230000015572 biosynthetic process Effects 0.000 abstract 1
- 239000003814 drug Substances 0.000 abstract 1
- 238000002350 laparotomy Methods 0.000 abstract 1
- 210000002429 large intestine Anatomy 0.000 abstract 1
- 210000003041 ligament Anatomy 0.000 abstract 1
- 230000004807 localization Effects 0.000 abstract 1
- 230000003387 muscular Effects 0.000 abstract 1
- 239000002356 single layer Substances 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 abstract 1
- 230000001360 synchronised effect Effects 0.000 abstract 1
- 230000005945 translocation Effects 0.000 abstract 1
Landscapes
- Surgical Instruments (AREA)
Abstract
The invention relates to medicine, in particular to surgery, and can be used for treating main biliary strictures.Summary of the method consists in that it is performed the upper midline laparotomy, it is objectively determined the localization of the biliary stricture, is prepared the Roux jejunal loop along a length of at least 80 cm by transection of the jejunum 20…30 cm distal to the ligament of Treitz, the tightly closed end of the Roux jejunal loop is reinforced with interrupted sutures of polydioxanone 4-0 with its retrocolic and anteduodenal translocation, at the level of the middle vessels of the large intestine, in the right upper part of the abdomen is made a cut with the formation of a hole of 6…10 mm on the antimesenteric side of the Roux loop and 3…5 cm distal to the sutured jejunal stump to form the end-to-side hepatoenterostomy, then is mobilized the bile duct and is opened in the anterior part with a longitudinal incision the left hepatic duct, preserving the posterior wall of bifurcation, according to the Hepp-Couinaud technique, if necessary, the incision is also widened along the right hepatic duct, the first two sutures of polydioxanone 4-0…6-0 are applied in the right and left corners of the ends for anastomosis of the jejunum and bile duct, i.e. at the level of 3.00 and 9.00 o'clock, which in the bile duct pass from the outside to the inside, and in the jejunum from the inside to the outside, then are applied uninterrupted single-layer sutures through the serous and muscular layers of the jejunum and bile duct, with the distance between the sutures of 2…3 mm, after which the jejunal loop is moved downwards to the hepatic duct, and the sutures are tied together after the synchronous tightening of all threads for each anastomosis lip separately with the sealing and application of the bile duct and jejunum mucosae, covering the suture line, after which is carried out the sealing control and the tissues are sutured in layers.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20180031A MD1273Z (en) | 2018-04-02 | 2018-04-02 | Method for treating main biliary strictures |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20180031A MD1273Z (en) | 2018-04-02 | 2018-04-02 | Method for treating main biliary strictures |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| MD1273Y true MD1273Y (en) | 2018-08-31 |
| MD1273Z MD1273Z (en) | 2019-03-31 |
Family
ID=63435102
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| MDS20180031A MD1273Z (en) | 2018-04-02 | 2018-04-02 | Method for treating main biliary strictures |
Country Status (1)
| Country | Link |
|---|---|
| MD (1) | MD1273Z (en) |
-
2018
- 2018-04-02 MD MDS20180031A patent/MD1273Z/en not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| MD1273Z (en) | 2019-03-31 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FG9Y | Short term patent issued | ||
| KA4Y | Short-term patent lapsed due to non-payment of fees (with right of restoration) |