SU1387996A1 - Method of forming end-to-end intestinal anastomomosis - Google Patents

Abstract

The invention relates to medicine, more specifically to surgery, and is intended for the implementation of atille anastomoses. The purpose of the invention is to prevent the inconsistency of the intestinal suture by maintaining the trophism of the suture band. For this, extraorgan and intramural vessels are clearly revealed at the margin of the preserved mesentery. The angloarchitecture of the suture strip is determined, and the blood pressure in this part of the intestinal wall at the mesenteric and prostrate mesenteric margins is examined. In the suture strip, where the extreme lengths of the straight vessel are preserved, the gut is crossed transversely, while the short vessel is retained, the boil is crossed at an acute angle to the mesentery, removing a larger portion from the anti-mesenteric edge. After determination of the line of the intestine along the suture band, the KOilce-terminal intercompany anastomosis is formed, providing a complete blood supply at the mesenteric and anti-mesenteric edges of the intestine. 1 il. about

Description

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The invention relates to medicine, namely to surgery, and can be used when performing intestinal anastomoses.

The purpose of the invention is to prevent the inconsistency of the intestinal suture by maintaining the trophism of the suture band.

The drawing shows the scheme of drying, the reduction of the method, and the cut line (BB) with the long straight vessel stored; b - cut lines (CC) with a saved short straight vessel).

The method is described as follows.

After determination. resection volume

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of the intestine and marginal resection of the liver is transfused by the mid-colonic artery. Under transillumination control, suture bands were prepared. At the proximal end, the suture strip was supplied with blood by a long, straight vessel.

The blood pressure in the intramural segment of the long straight vessel was 160/100, 20 mm Hg at the mesenteric margin. Art. with a system pressure of 130/80 mm Hg. Art.

At the proximal end, a straight cut of the intestine is applied at the intersection of the suture line.

The distal suture band of the blood supply to a short straight vessel in which the most mobilization of the removed intestine sections 15 was observed blood pressure at the mesenteric edge 120/80, 35 mmHg. Art. with a system pressure of 130/80 mm Hg. Art. The distance between the straight vessels was 3 cm.

areas of the walls of the proximal and distal stumps are determined on which the inter-intestinal anastomosis will be applied. Skeletization under the control of transillumination. At the same time, extraortany and intramural vessels at the edge of the preserved mesentery are clearly revealed. The antioarchitecture of the suture strip is determined, and the blood pressure in this section of the intestinal wall at the mesenteric and anti-posterior edges of the intestine is examined.

In the suture strip, where the extreme long straight vessel 1 is preserved, the gut is crossed transversely (HS). If a short straight vessel 2 is preserved, the intestine is crossed at an acute angle to the mesentery (CC), removing a larger area near the mesenteric margin.

After defining the line of the intestine along the suture band, an end-end interintestinal anastomosis is formed along this or the other.

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foot edge 120/80, 35 mm Hg. Art. with a system pressure of 130/80 mm Hg. Art. The distance between the straight vessels was 3 cm.

Imposed inter-intestinal anastomosis end to end.

Healing of the anastomosis by primary tension. The postoperative course without complications.

The proposed method allows to ensure a complete blood supply to the anastomosis area.

Claims (1)

Invention Formula thirty The method of forming the end-terminal intestinal anastomosis, including the crossing of the intestine, characterized in that, in order to prevent the incompetence of the intestinal suture by maintaining trophism suture band, previously identified a different technique. At the same time, in the intersection zone, the type of vessel is provided with a jj and, with a long, valuable blood supply in the mesenteric vessel, the intestine is crossed through the transverse margins of the intestinal edge. Patient K., 47 years old, after gastric gastritis at an acute angle to the mesenteric rectomy with resection of the transverse rim-edge. of the intestine and marginal resection of the liver is transfused by the mid-colonic artery. Under transillumination control, suture bands were prepared. At the proximal end, the suture strip was supplied with blood by a long, straight vessel. The blood pressure in the intramural segment of the long straight vessel was 160/100, 20 mm Hg at the mesenteric margin. Art. with a system pressure of 130/80 mm Hg. Art. At the proximal end, a straight cut of the intestine is applied at the intersection of the suture line. The distal suture band supplied the short straight vessel in which blood pressure was observed in the mesenteric tubes. foot edge 120/80, 35 mm Hg. Art. with a system pressure of 130/80 mm Hg. Art. The distance between the straight vessels was 3 cm. Imposed inter-intestinal anastomosis end to end. Healing of the anastomosis by primary tension. The postoperative course without complications. The proposed method allows to provide a complete blood supply to the anastomosis area. Invention Formula The method of forming the end-terminal intestinal anastomosis, including the crossing of the intestine, characterized in that, in order to prevent the incompetence of the intestinal suture by maintaining trophism