SU942704A1

SU942704A1 - Method of application of nodal intestine suture

Info

Publication number: SU942704A1
Application number: SU792836970A
Authority: SU
Inventors: Николай Архипович Хлопов; Валерий Тимофеевич Гончаров; Рустам Махмудович Арсланов; Петр Семенович Сычев; Рифкат Махмудович Арсланов
Original assignee: Семипалатинский Государственный Медицинский Институт
Priority date: 1979-11-12
Filing date: 1979-11-12
Publication date: 1982-07-15

Description

(5) СПОСОБ НАЛОЖЕНИЯ УЗЛОВОГО КИШЕЧНОГО ШВА(5) METHOD OF IMPACTING THE NODE INTESTINAL SEAM

1one

Изобретение относитс к медицине а именно к хирургии.This invention relates to medicine, namely surgery.

Известен способ наложени узлового кишечного шва путем прошивани серозного, мышечного и подслизистого слоев по кра м стенки кишки с зав зыванием нити в просвет кишки .There is a known method of superimposing a nodal intestinal suture by flashing the serous, muscular and submucosal layers along the edges of the intestinal wall and tying the thread into the intestinal lumen.

Однако при наложении шва известным способом образуетс полость между первым и вторым р дами швов, сужение ю просвета кишки.However, when a suture is applied in a known manner, a cavity is formed between the first and second rows of sutures, a narrowing of the intestinal lumen.

Цель изобретени - ликвидаци полости между первым и вторым р дами швов, устранение сужени просвета кишки .15The purpose of the invention is the elimination of the cavity between the first and second rows of sutures, the elimination of the narrowing of the intestinal lumen. 15

Поставленна цель достигаетс тем, что согласно способу наложени узлового кишечного шва путем прошивани серозного, мышечного и подслизистого слоев по кра м стенки кишки с за- 20 в зыванием нити в просвет кишки, один конец нити с помощью иглы, отступив от кра раны, провод т через серозный и мышечный слои кишечнойThe goal is achieved by the method of applying a knotted intestinal suture by stitching the serous, muscular and submucosal layers along the edges of the intestinal wall with the needle sticking to one end of the thread with the help of a needle. through the serous and muscular layers of the intestinal

стенки с выносом на серозную оболочку , а затем вновь провод т через серозный , мышечный и подслизистыё слои кишечной стенки той же стороны разреза ближе к краю в просвет кишки,другой конец нити таким же образом провод т через противоположную сторону разреза кишечной стенки.the walls are carried out onto the serous membrane, and then re-run through the serous, muscular and submucosa layers of the intestinal wall of the same side of the incision closer to the edge into the lumen of the intestine;

Claims

Example. A dog weighing 10 kg under intubation anesthesia with an average midline incision is opened in layers into the abdominal cavity. A wound of the small intestine loop is removed into the wound, its resection is performed and the anastomosis is applied sideways to the side using the proposed method of applying a knotted intestinal suture. A small hole in the middle of the anterior lip of the anastomosis is sutured with a z-shaped suture. The edges of the intestinal wound are well adapted; the implementation of the method is technically easy. Chrome catgut N is used as a suture material.

2. Abdominal cavity. 39 is sutured in layers tightly. The postoperative period was uneventful. After 15 days, the animal feels well, the wounds healed by primary tension. Macroscopically: the tissue shaft is not pronounced, difficult to distinguish. Microscopically: the epithelium in the area of the anastomosis is fully restored, a tender tube is detected. The proposed method is applied when applying small-intestinal anastomoses in 5 patients and thick-intestinal anastomoses in 3 patients. There were no complications during suturing. The seam creates sufficient tightness, does not narrow the lumen of the anastomosis. Claims The method of superimposing a nodular intestinal suture by flashing serous muscle and submucosal layers along the edges of the intestinal wall with tying a thread into the lumen of the intestine, characterized in that the end of the thread with a needle, departing from the edge of the wound, is conducted through the serous and muscular layers of the intestinal wall with the removal of the serous membrane, and then again through the serous, muscular and submucosal layers of the intestinal wall of the same side The incision is closer to the edge into the lumen of the intestine, the other end of the filament is likewise guided through the vton opposite incision of the intestinal wall. Sources of information taken into account during the examination 1. Mateshuk AP and others. Technique of resections and anastomoses with the use of a single intra-seam suture. Yaroslavl, Medicine, 1962, p. one.