RU2002114884A - METHOD OF SURGICAL REHABILITATION AFTER DIRECTION OF THE DIRECT GUT - Google Patents

METHOD OF SURGICAL REHABILITATION AFTER DIRECTION OF THE DIRECT GUT

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Publication number
RU2002114884A
RU2002114884A RU2002114884/14A RU2002114884A RU2002114884A RU 2002114884 A RU2002114884 A RU 2002114884A RU 2002114884/14 A RU2002114884/14 A RU 2002114884/14A RU 2002114884 A RU2002114884 A RU 2002114884A RU 2002114884 A RU2002114884 A RU 2002114884A
Authority
RU
Russia
Prior art keywords
diameter
cuff
skin
muscle
bundles
Prior art date
Application number
RU2002114884/14A
Other languages
Russian (ru)
Other versions
RU2217077C1 (en
Inventor
Шамиль Ханафиевич Ганцев
Сергей Николаевич Афанасьев
Жанна Тохтаровна Кулжабаева
Юрий Михайлович Акмалов
Рустем Талгатович Аюпов
Наиль Маратович Сулейманов
Алла Павловна Каланова
Валерий Михайлович Дмитриенко
Original Assignee
Башкирский государственный медицинский университет
Filing date
Publication date
Application filed by Башкирский государственный медицинский университет filed Critical Башкирский государственный медицинский университет
Priority to RU2002114884/14A priority Critical patent/RU2217077C1/en
Priority claimed from RU2002114884/14A external-priority patent/RU2217077C1/en
Application granted granted Critical
Publication of RU2217077C1 publication Critical patent/RU2217077C1/en
Publication of RU2002114884A publication Critical patent/RU2002114884A/en

Links

Claims (1)

Способ хирургической реабилитации после экстирпации прямой кишки при ректальном раке, включающий формирование гладкомышечной конусовидной манжеты в дистальном отделе толстой кишки, подшивание ее к коже, выведение стомы в область промежности, отличающийся тем, что дополнительно обнажают волокна косых мышц живота, расслаивают их, после этого пучки мышц накладывают друг на друга путем перекрещивания таким образом, чтобы диаметр межмышечной щели соответствовал диаметру гладкомышечной манжеты, а манжету выводят в забрюшинный канал через перекрещенные пучки мышц, а выведение в область промежности осуществляют отдельным II этапом операции после тренировки искусственного сфинктера и получения удовлетворительных функциональных результатов, выражающихся в способности ощущать позыв на дефекацию, дифференцировать элементы кишечного содержимого, при этом широко иссекают кожно-мышечный лоскут, а на промежности иссекают циркулярно участок кожи таким образом, чтобы диаметр последнего совпадал с диаметром кожно-мышечного лоскута.A method of surgical rehabilitation after extirpation of the rectum in rectal cancer, including the formation of a smooth muscle cone-shaped cuff in the distal colon, suturing it to the skin, removing the stoma in the perineal region, characterized in that it additionally exposes the fibers of the oblique muscles of the abdomen, delaminate them, after which the bundles muscles are superimposed by crossing so that the diameter of the intermuscular gap matches the diameter of the smooth muscle cuff, and the cuff is brought into the retroperitoneal canal through crossed muscle bundles, and excretion into the perineal region, is carried out as a separate stage II of the operation after training the artificial sphincter and obtaining satisfactory functional results, expressed in the ability to feel the urge to defecate, to differentiate the elements of intestinal contents, while the skin-muscle flap is widely dissected, and the perineum is excised a circular skin region so that the diameter of the latter coincides with the diameter of the musculocutaneous flap.
RU2002114884/14A 2002-06-05 2002-06-05 Surgical method for applying rehabilitation treatment after carrying out rectum extirpation RU2217077C1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2002114884/14A RU2217077C1 (en) 2002-06-05 2002-06-05 Surgical method for applying rehabilitation treatment after carrying out rectum extirpation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU2002114884/14A RU2217077C1 (en) 2002-06-05 2002-06-05 Surgical method for applying rehabilitation treatment after carrying out rectum extirpation

Publications (2)

Publication Number Publication Date
RU2217077C1 RU2217077C1 (en) 2003-11-27
RU2002114884A true RU2002114884A (en) 2003-12-20

Family

ID=32027951

Family Applications (1)

Application Number Title Priority Date Filing Date
RU2002114884/14A RU2217077C1 (en) 2002-06-05 2002-06-05 Surgical method for applying rehabilitation treatment after carrying out rectum extirpation

Country Status (1)

Country Link
RU (1) RU2217077C1 (en)

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