SU1502014A1 - Method of forming valve anastomosis of the small and large intestines - Google Patents

Abstract

This invention relates to surgery of the ileocecal region of the intestine. The purpose of the invention is the prevention of postoperative complications by covering the sutures on the stump of the colon and preventing the development of the blind bag syndrome. For this, evaginate is formed at the end of the small intestine by turning it out with a mucous membrane outward. Next, the zvaginate is inserted through a longitudinal incision from the base of the stump of the colon into its lumen and the stump is sutured, fixing its submucosa to the suture line previously exposed by longitudinal dissection of the mucous membrane of the evaginate. 1 il.

Description

This invention relates to madicin, namely surgery.

The purpose of the invention prof.maktika complications, obus. Unemenous inconsistency of the stump of the large intestine and the formation of blind MeHJKa, which is achieved by inserting the evaginated end of the small intestine into the lumen of the large intestine, across the axis of the large intestine, across its axis, preliminarily exposing the intestinal nasal membrane in the intestine mesenteric cavity the edge and stitching of the colon with puffing of the exposed submucous layer of the vagina.

The drawing shows a schema that implements a method of forming a valve small-colic anastomosis.

The method is described as follows.

The end of the small intestine I evaginig coziness by the mucous layer 2 outwards by 2.5-3 cm and the evaginate is fixed with two meters of interrupted sutures. The submucous layer 3 of the latter is exposed by a linear incision along the protivorezruzhezhny edge. The stump 4 of the thick cyst is dissected along the antipyretic margin, starting from the line of its resection at a distance early to the diameter of the small intestine 5.

The end of the small intestine is sewn into the incision of the wall of the large intestine, having an incision on the side of the resection line of the large intestine. The nodal UJBbi is placed on the wall of the tooth, forming a stump, successively flashing the wall of the stump of a thick film. naked submucous c, the same evaginate and again the wall 6 of the colon.

Example. Patient K., 9. icT, do it, and go to the clinic for any kind of acute abdominal pain. During laparotomy, necrosis of the walls of the subvarial intestine with spread to the c.ienyK) intestine due to thrombosis of the mesenteric artery was revealed. The ileocecal intestine was resected from the pa, 1 (: by the evacuation of the evaginated tonkoolyshechnogo anastomosis by the proposed) method. Laparotomnaya frame ynjnTa nag, 1uho. The postoperative course is smooth. Discharged on the 28th day in a satisfactory condition. Control examination after 4 months. There are no complaints, the general state of xopoHiee. The chair is decorated, regular, no pain. X-ray examination (L

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about

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Scientific research institutes, with filling of a large intestine with a baric suspension, there is no reflux phenomenon. Endoscopically — in the lumen of the colon — an evaginate 2.5 cm long, mucous is pink, without ulcers, the intestinal passage is 14) is not disturbed.

(Lyusob reduces the risk of developing inconsistencies in the stump of the large intestine by strengthening them by connecting them with a no-liziste layer of evaginate m and provides prevention of the development of the blind bag syndrome in children.

Method propile clinical and recommended for practical use-.

Claims (1)

Claims of the method of forming a valve metastatic anastomosis, including the extension of the evaginated end of the small intestine into a longitudinal incision of the large intestine along its anti-mesenteric rim, characterized in that, in order to prevent osteoarthritis caused by insolvency, the stump of the large intestine is caused by incompetence of the large intestine. the blind bag, the incision of the colon wall is narrowed from the line of its resection, the mucous membrane of the evaginate is dissected to the SLITTLE 1 of the layer, and, when the small intestine is stitched, the incision line of the evaginate is mixed with line of resection of the colon, and during the formation of the stump of the latter capture the wall of evaginate for the submucosal layer.