RU1804799C - Method for infusion therapy of surgical diseases in organs of abdominal cavity - Google Patents
Method for infusion therapy of surgical diseases in organs of abdominal cavityInfo
- Publication number
- RU1804799C RU1804799C SU894704273A SU4704273A RU1804799C RU 1804799 C RU1804799 C RU 1804799C SU 894704273 A SU894704273 A SU 894704273A SU 4704273 A SU4704273 A SU 4704273A RU 1804799 C RU1804799 C RU 1804799C
- Authority
- RU
- Russia
- Prior art keywords
- catheter
- abdominal
- artery
- abdominal cavity
- infusion therapy
- Prior art date
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- Media Introduction/Drainage Providing Device (AREA)
Abstract
Изобретение относитс к медицине, а именно к хирургии, и может быть использовано в абдоминальной хирургии. Цель изобретени - повышение эффективности лечени путем равномерного распределени медикаментов в брюшной полости. Во врем лапаротомии и санаций патологического очага надсекаетс права желу- дочно-сальникова артери и через нее проводитс перфорированный на всей своей внутрисосудистой части катетер, конец которого устанавливаетс в аорте на уровне чревного ствола, а затем катетер фиксируют на стенке артерии. Способ позвол ет снизить частоту послеоперационных гнойных осложнений и рекомендован дл применени в практике.The invention relates to medicine, namely to surgery, and can be used in abdominal surgery. The purpose of the invention is to increase the effectiveness of treatment by uniformly distributing medications in the abdominal cavity. During laparotomy and debridement of the pathological lesion, the right gland-omental artery is incised and a catheter perforated throughout its intravascular part is inserted, the end of which is placed in the aorta at the level of the celiac trunk, and then the catheter is fixed on the artery wall. The method allows to reduce the frequency of postoperative purulent complications and is recommended for use in practice.
Description
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Изобретение относитс к медицине, а именно к хирургии, и может быть использовано в абдоминальной хирургии.The invention relates to medicine, namely to surgery, and can be used in abdominal surgery.
Цель изобретени - повышение эффективности лечени путем равномерного распределени медикаментов в брюшной полости.The purpose of the invention is to increase the effectiveness of treatment by uniformly distributing medications in the abdominal cavity.
Способ осуществл етс следующим образом .The method is carried out as follows.
Во врем лапаротомии после санации очага патологии на прот жении 1,5-2 см мобилизуетс права желудочно-сальникова артери . Дистальна ее часть относительно чревного ствола лигируетс , а проксималь- на надсекаетс и в образовавшийс просвет вводитс катетер с проводником. Катетер, перфорированный на всем прот жении , продвигаетс в брюшную аорту на уровне чревного ствола, что контролируетс рентгенографически с помощью передвижного рентгеноаппарата, и затем катетер зав зываетс лигатурой, концы которойDuring laparotomy after sanitation of the lesion, 1.5-2 cm long, the rights of the gastro-omental artery are mobilized. The distal part of it relative to the celiac trunk is ligated, and the proximal is incised and a catheter with a conductor is inserted into the formed lumen. The catheter, perforated along its entire length, moves into the abdominal aorta at the level of the celiac trunk, which is monitored by x-ray using a mobile X-ray machine, and then the catheter is ligated, the ends of which
вывод тс на кожу живота, а катетер выводитс наружу через контрапертуру.tc is expelled to the skin of the abdomen, and the catheter is brought out through contraception.
Пример. Больной И. 40 лет, диагноз - перфоративна зва желудка, общий серо- зно-фибринозный перитонит. После вскрыти брюшной полости, ушивани перфоративной звы и санации брюшной полости была на прот жении 1,5-2 см выделена права желудочно-сальникова артери . Дистальна часть артерии относительно чревного ствола перев зана, а проксимальна часть рассечена на 1 /3 диаметра . В нее введен катетер, перфорированный на всем прот жении, и проведен в аорту на уровне чревного ствола. Правильность расположени конца катетера проверена рентгенологически. Выше места рассечени артери на катетере перев зана лигатурой, концы которой через переднюю брюшную стенку выведены на кожу, катетер выведен через контрапертуру, заполнен ге- парином и заглушен. В течение 3-х суток вExample. Patient I., aged 40, diagnosed with perforated gastric ulcer, general serous-fibrinous peritonitis. After opening the abdominal cavity, suturing the perforated ulceration and debridement of the abdominal cavity, the right gastro-omental artery was highlighted over 1.5-2 cm. The distal part of the artery relative to the celiac trunk is ligated, and the proximal part is dissected into 1/3 of the diameter. A catheter perforated throughout it was inserted into the aorta at the level of the celiac trunk. The correct position of the end of the catheter is checked by x-ray. Above the site of dissection, the artery on the catheter is ligated, the ends of which are brought out to the skin through the anterior abdominal wall, the catheter is pulled out through contraception, filled with heparin and plugged. Within 3 days in
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Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SU894704273A RU1804799C (en) | 1989-06-14 | 1989-06-14 | Method for infusion therapy of surgical diseases in organs of abdominal cavity |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SU894704273A RU1804799C (en) | 1989-06-14 | 1989-06-14 | Method for infusion therapy of surgical diseases in organs of abdominal cavity |
Publications (1)
Publication Number | Publication Date |
---|---|
RU1804799C true RU1804799C (en) | 1993-03-30 |
Family
ID=21453768
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
SU894704273A RU1804799C (en) | 1989-06-14 | 1989-06-14 | Method for infusion therapy of surgical diseases in organs of abdominal cavity |
Country Status (1)
Country | Link |
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RU (1) | RU1804799C (en) |
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1989
- 1989-06-14 RU SU894704273A patent/RU1804799C/en active
Non-Patent Citations (1)
Title |
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Савельев С,В. и др. в кн. Инфузионна терапи в комплексном лечении острых хирургических заболеваний брюшной полости - Барнаул, 1972, с.3-7. * |
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