SU1517947A1 - Method of draining abdominal cavity in case of complicated cholecystitis - Google Patents

Abstract

The invention relates to medicine, more specifically to surgery, intended for the surgical treatment of diseases of the liver and biliary tract. The purpose of the invention is to reduce postoperative complications. To do this, the greater omentum is sutured to the parismal peritoneum of the posterior abdominal wall at the posterior edge of the right lobe of the liver so that the medial site of the omentum is located at the exit of the bile duct of the drainage tube, and the lateral area at the right edge of the liver. The method is reliable enough to prevent bile leakage in the postoperative period.

Description

The image is related to medicine, and

I.MePNO to CI) UGPP, and IARS should be ISPO, B3 () vano | ri surgical). The clinical course of the disease iHiii liver and biliary tract.

The invention invented a decrease in |; () deceleration effects.

The slyusob is carried out as follows.

After the upper median, aparotomy, cholecytectectomy with choledochotomy, polychlorae, the sumpy drainage pipe followed by the broth of the brine n) are introduced into the common duct. Along the bed of the bile duct, the bladder of the mouth is infused with tubular () rubber drainage. Drenes / nchi are brought to the anterior abdominal wall. FM-),: bHioii sal. Npc is removed from the abdominal cavity, brought into the right iodine duct and transferred as a pad apron with several nodal catgut sutures to the parpetal 11 b) K) posterior abdominal wall at the posterior edge of the abdominal 11 before, 1 and rjcneim so that the medial area of the flattened omentum is located at the place of exit from the bile duct of the drainage tube, and the lateral aspect of the right anterior liver. After filling the omentum, the drainage remains on it and thus the hepatic space is reliably isolated from the sore and sore bones, and the leaking blood and bile from the gallbladder bed, as well as, H (|) induced bile through the seams on the wall the duct and into the slot near the choled1) - hogomic tube through the carcass-nerch-roto 4fioMy drainage is drained outside, having no access to the free abdominal cavity).

Example 1. B-L., 42 g. Step 1a into the clique with a diagnosis of acute hccchipistig, mechanical jaundice. At the same time, the surgery, 1h-51lp, is enlarged, for example, stones are palpable in the lumen. In the case of ineiiKH bladder - expressive breath, 1pte, P) - Hbiii infiltrate. Produced xo, ieiuicT: (K-tomi, supraduep depressing ho, 1 snohtomi. P. -termpna, 1no | about o6niei department (i also removed the stone, ho, 1edo () tom on Robson-Vpnevskomu with the uniwi of the curved pattern, unplugged stitches. Bed, 1 vesicula} 1 yinnio. jo, ib- П10Й the gland is brought into the right hepatic space and in an uncomplicated way ((ixidated, the drains are placed above sa, and, the peak.

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with

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I loc. ionHoo suturing () iie) aiui () HH () H wounds. 15 ii) c.iO () ne | iaiuK) iinoM pernod for two sukhok showed moderate dwelling, 1h and 11s more likely vhmchh) after--: iTuie lack of loMHOKj hermetic wounds about doha The Vioed Scientific Research Institute for Isolation was stopped, drainage ii; i pppechenchechnog) and extended to 11 ml ni cyi KH, and: (choledochus 1) G1) 1st. () ate (1ZHN1. 11IY, connected with possible bile flow through the abdominal nostril, was not noted. 1eiana home at a satisfactory, 1n noe on 9th floor.

But also N HARDENED with a method of ONE) (() van () T) 7 patients.

rove111) 111 ana.i nkaza. that wasnred-L (W1 Other eoiobnadadadaye1 is sufficiently dearly-koit hegeienn) 11a.1unn) e1 and but nreduydiruyuNIK1 leaks of same.1ch to the free 6) JI1-) ando.yust ipeleoneratsionom | 1e | 111ode

and in from; 1 from the known methods provides a solution to this problem simultaneously in relation to the bed of the removed gallbladder and the choledochotomy wound.

This method is advisable to use in. The institutions of the system are practical about health care.

Claims (1)

Invention Formula The method of drainage of the abdominal cavity is complicated cholecystitis, including drainage of the biliary tract and their separation from the free abdominal cavity, characterized in that, in order to reduce ios. 1 of the operative complications, the great omentum and the ovum are distended in the temper and in the gut space to the posterior brunal area along the entire drainage node.