SU1217357A1 - Method of right-hand hemicolectomy - Google Patents

Description

The invention is flaky for medicine, namely surgery, and can be used to treat complicated forms of colon diseases.

The aim of the invention is the prevention of intestinal insufficiency

-h,

Stitches and peritonitis.

The method is carried out as follows.

A patient with a tumor lesion or a fistula of the cecum, ascending or transverse colon is subjected to right-side hemicolectomy in the usual way. Impose the first row of sero-junctional sutures between the colon and ileum end to the side or side to side. Then, at the end of the colon stump, a serous-muscular pouch stitch is put (first), the clamp is removed, a V-shaped tube with pre-made lateral contours is made, and one end of which goes into the lumen of the ileum, and the other into the lumen of the colon guts for the place superimposed anasto mosaic. The stitching seam is tightened, the ends of the threads are cut off. The 2nd row of the submersible serous-pouch stringet suture is applied, which allows the wall of the colon to be screwed deeper. Form anastomosis. Then, through an additional transrectal incision, a tube and a stump are brought into the wound to

Editor M. Tsitkina

Compiled by Yu, Weilevsky

Tehred O. Vashchishnna Proofreader S.Shekmar

Order 1022/5 Circulation 659 Subscription

VNIIPI USSR State Committee for Inventions and Discoveries 4/5, Moscow, Zh-35, Raushsk nab. 113035

Branch PPP Patent, Uzhgorod j. Project, 4

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The level of the anterior leaflet of the aponeurosis is fixed with separate catgut sutures to the peritoneum from the side of the abdominal cavity. The next step is to fix the stump of the large intestine with separate silk sutures to the posterior leaflet of the aponeurosis of the rectum, the bone and the anterior leaflet of the aponeurosis from the transrectal incision. The wound is sutured in layers to the tube. Last fix piercing ligature to the skin. The constant decompression of the large and small intestines created in this way prevents the seams of both the stump and the inter-intestinal anastomosis from diverging. Fixing the colon stump to the abdominal wall eliminates the ptosis of the hepatic angle of the transverse colon.

Example. Patient V., 46 years old, with hepatic adenocarcinoma of the large intestine angle, extended right-sided hemicolectomy with anastomosis end to side. The operation was completed according to the developed methodology. The canal fistula formed in the postoperative period after removal of the tube was closed 26 days after the intervention. Viewed after 4 months, feels good.

The method is recommended for the treatment of complicated forms of colon diseases.

Claims (1)

METHOD. RIGHT HEMICOLEKTOMY, including decompression of the ileum by passing through the stump of the transverse colon and anastomosis of the drainage tube, suturing the stump of the intestine around the tube with a purse string suture, fixing the stump to the abdominal wall, characterized in that, for the prevention of suture, intestinal suture decompression is carried out by a U-shaped tube, with one of its ends placed in the colon distal to the anastomosis, the stump is sutured with two purse string sutures, and the fixation is carried out in the thickness of the br shnoj wall with suture capture in both muscle and aponeurosis sheets. SU .... 1217357