SU1398833A1 - Method of determining the degree of injure of anthral branches of the vagus when carrying out proximal selective vagotomy - Google Patents
Method of determining the degree of injure of anthral branches of the vagus when carrying out proximal selective vagotomy Download PDFInfo
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- SU1398833A1 SU1398833A1 SU853916530A SU3916530A SU1398833A1 SU 1398833 A1 SU1398833 A1 SU 1398833A1 SU 853916530 A SU853916530 A SU 853916530A SU 3916530 A SU3916530 A SU 3916530A SU 1398833 A1 SU1398833 A1 SU 1398833A1
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- USSR - Soviet Union
- Prior art keywords
- branches
- vagotomy
- determining
- vagus
- vagus nerve
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- 238000000034 method Methods 0.000 title claims description 7
- XJDFBLQCLSBCGQ-UHFFFAOYSA-N anthracene-1-carbaldehyde Chemical compound C1=CC=C2C=C3C(C=O)=CC=CC3=CC2=C1 XJDFBLQCLSBCGQ-UHFFFAOYSA-N 0.000 title 1
- 210000001186 vagus nerve Anatomy 0.000 claims description 10
- 238000005259 measurement Methods 0.000 claims description 4
- 210000002784 stomach Anatomy 0.000 claims description 4
- 230000000638 stimulation Effects 0.000 claims description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 claims 2
- 229910052697 platinum Inorganic materials 0.000 claims 1
- 208000000718 duodenal ulcer Diseases 0.000 description 4
- 230000001684 chronic effect Effects 0.000 description 3
- 238000003745 diagnosis Methods 0.000 description 3
- 210000004379 membrane Anatomy 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 210000005036 nerve Anatomy 0.000 description 2
- 238000004321 preservation Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010017788 Gastric haemorrhage Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 210000002151 serous membrane Anatomy 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
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- Electrotherapy Devices (AREA)
Description
(21) 3916530/28-J4 i(22) 21.06.85 1(46) 30.05.88. Бюл. 20 (71) Иркутский государственный медицинский институт (72 G.Б.Пинский, В.Л.Шелест и В.А.Агеенко (53) 615.476(088.8) (56) Паицырев Ю.А. и др. Определение сохранности антральных ветвей блу г- ; дающего нерва при выполнении селективной проксимальной ваготомии.-Хи- рурги , 1984, 9, 14-17j(21) 3916530/28-J4 i (22) 06/21/85 1 (46) 05/30/88. Bul 20 (71) Irkutsk State Medical Institute (72 G. B. Pinsky, V. L. Shelest and V. A. Ageenko (53) 615.476 (088.8) (56) Paitsyrev Yu.A. and others. Determination of the preservation of antral branches of blue d-; giving nerve when performing selective proximal vagotomy. -Hirurgi, 1984, 9, 14-17j
(54) СПОСОБ ОПРЕДЕЛЕНИЯ СТЕПЕНИ ПОВРЕЖДЕНИЯ АНТРАЛЬНЫХ ВЕТВЕЙ БЛУЖДАЮЩЕГО НЕРВА ПРИ ВЫПОЛНЕНИИ ПРОКСИМАЛЬНОЙ СЕЛЕКТИВНОЙ ВАГОТОМИИ (57) Изобретение относитс к хирургии . Цель изобретени - упрощение способа. Провод т измерение окислительно-восстановительного потенциала серозно-мышечной оболочки передней и задней стенок аитрального отдела желудка . При снижении потенциала на 36-70 мВ определ ют частичное повреждение ветвей блуждающего нерва, а при снижении не более 35 мВ считают сохранность ветвей обеспеченной. Рентгенологически и электрогастрогра- фически подтверждаютс эти данные.(54) METHOD FOR DETERMINING THE DEGREE OF DAMAGE TO ANTRAL BRANCHES OF THE RANDOM NERVE DURING PERXIMAL SELECTIVE VAGOTOMY (57) The invention relates to surgery. The purpose of the invention is to simplify the method. The measurement of the redox potential of the sero-muscular membrane of the anterior and posterior walls of the pit of the stomach is carried out. With a decrease in potential of 36–70 mV, partial damage to the branches of the vagus nerve is determined, and with a decrease of no more than 35 mV, the safety of the branches is considered to be ensured. X-ray and electrogastrographically confirm these data.
Изобретение относитс к медицине j, а именно к хирургии, и может быть использовано дл определени сохранности антральных ветвей блуждающего .нерва при выполне ши селективной прок- симальной ваготомии у больных с звенной болезнью двенадцатиперстной ::кишки.The invention relates to medicine j, namely to surgery, and can be used to determine the preservation of the antral branches of the vagus nerve when performing selective proximal vagotomy in patients with duodenal ulcer disease.
; Цель изобретени упрощение спо- собэ за счет исключени интраолера- ционной стимул ции блуждающего нерва.; The purpose of the invention is to simplify the process by eliminating intraoperative stimulation of the vagus nerve.
Способ осуществл етс следующим образом.The method is carried out as follows.
Провод т измерение окислительно- восстановительного потенциала (ОВП) серозно-мьшечной оболочки передней и задней стенок антрального отдела же- ;лудка. При снижении ОВП на 36-70 мВ |определ ют частичное повреждение вет - ;Вей блуждающего нерва, при снижении Iболен 70 мВ - их полное повреждение, а при снижении не более 35 мВ считагг ют сохранность ветвей обеспеченной,The measurement of the redox potential (ORP) of the serous-small membrane of the anterior and posterior walls of the antrum of the same body is carried out. When ORP is reduced by 36–70 mV, partial damage to the slow-; Wei vagus nerve is determined, when Ibolen 70 mV is reduced, their complete damage, and when not more than 35 mV is found, the safety of the branches is ensured
П р..и мер 1„ Больной К,,35 лет, поступил в клинику с диагнозом: хроническа зва двенадцатиперстной кишки . Под интубационным наркозом произведена селективна проксимальна ва- готоми (СПВ). Величины ОВП до вагото мин со стороны серозно-мьппечной оболочки передней и задней стенок ант- рального отдела желудка составили соответственно 75 и 70 мВ, После прове- (дени СПВ величины ОПВ в тех же точ- Iках составили 40 и 35 мВ соответст- |венноут.е, произопшо снижение ОВП I на 35 мВ, что свидетельствует о со- :крайности антральных ветвей блуждающего нерва и подтверждено рентгеноло- гически и электрогастрографически.Pp. And measures 1 “Patient K, 35 years old, was admitted to the hospital with a diagnosis of chronic duodenal ulcer. Under intubation anesthesia, selective proximal vagotomy (SPV) was performed. The ORP values up to the vagotominas from the side of the seromalgamous membrane of the anterior and posterior walls of the antrum of the stomach were 75 and 70 mV, respectively. After the SPV was performed, the OPV values in the same points were 40 and 35 mV, respectively. .e, it is possible to reduce the ORP I by 35 mV, which indicates the co-extremes of the vagus nerve and is confirmed radiographically and electrogastrographically.
Пример 2„ Больной С,,51 год, поступил в клинику с диагнозом: хроническа зва двенад1датиперстной киш- ки. Произведена СПВ. При измеренииExample 2 “Patient C ,, 51 years old, was admitted to the hospital with a diagnosis of chronic duodenal ulcer. Produced SPV. When measuring
ОВП со стороны серозной оболочки до и после выполнени ваготомии вы влено снижение величины ОПВ на передней и задней стенках антрального отдела желудка на 70 мВ (125 и J20 мВ до ваготомии; 55 и 50 мВ после ваготомии), что свидетельствует .о частичном повреждении антральных ветвей блуждающего нерва и подтверждено рентгенологически .AFP from the serous membrane before and after performing vagotomy revealed a decrease in the amount of OPV on the anterior and posterior walls of the antrum by 70 mV (125 and J20 mV before vagotomy; 55 and 50 mV after vagotomy), which indicates partial damage to the antral branches vagus nerve and confirmed radiologically.
Пример 3.Больной 56 лет, поступил в клинику с диагнозом: :хро- ническа зва двенадцатиперстной кишки , осложненна желудочным кровотечением . Измерение ОВП до и после проведени ваготомии показало снижение величины ОВП со стороны передней , стенки антрального отдела желудка на 80 мВ и задней на 75 мВ, что свидетельствует о полном повреждении антральных ветвей блуждающего нерва и подтверждено клинически, рентгеноло- гически и электрогастрографически.Example 3. A 56-year-old patient was admitted to the clinic with a diagnosis of: chronic duodenal ulcer complicated by gastric bleeding. Measurement of AFP before and after vagotomy showed a decrease in the magnitude of AFP from the anterior, wall of the antrum of the stomach by 80 mV and posterior by 75 mV, which indicates complete damage to the antrum of the vagus nerve and was confirmed clinically, radiographically and electrogastrographically.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU853916530A SU1398833A1 (en) | 1985-06-21 | 1985-06-21 | Method of determining the degree of injure of anthral branches of the vagus when carrying out proximal selective vagotomy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU853916530A SU1398833A1 (en) | 1985-06-21 | 1985-06-21 | Method of determining the degree of injure of anthral branches of the vagus when carrying out proximal selective vagotomy |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1398833A1 true SU1398833A1 (en) | 1988-05-30 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU853916530A SU1398833A1 (en) | 1985-06-21 | 1985-06-21 | Method of determining the degree of injure of anthral branches of the vagus when carrying out proximal selective vagotomy |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1398833A1 (en) |
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1985
- 1985-06-21 SU SU853916530A patent/SU1398833A1/en active
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