UA44499A - METHOD OF STRENGTHENING THE SUTE LINE OF THE END-END INTERSIDE ANASTOMOSIS - Google Patents

Abstract

Technique of strenthening the suture line of intestinal end-to-end anastomosis is performed employing the biological tissues. The suture line is wrapped around by a strand of the mesentary reprersenting the remainder of the intestine being resected.

Description

The invention relates to medicine, namely to surgery of the abdominal cavity and can be used when applying interintestinal anastomoses.

A well-known prototype is a method of strengthening the suture line of the interintestinal anastomosis with a strand of the omentum (1).

The disadvantages of the prototype are that the omentum sewn to the line of the anastomosis of the intestine is essentially an artificial adhesion of the abdominal cavity, which creates a danger of developing acute intestinal obstruction.

The invention is based on the task of creating a method of strengthening the suture line of the end - end interintestinal anastomosis, which provides a simple and highly effective protection of the suture line of the anastomosis in a natural biological way, and eliminates the danger of the development of adhesive intestinal obstruction.

The task is solved by the fact that in the developed method of strengthening the suture line of the end - end interintestinal anastomosis with the help of biological tissues, the suture line is wrapped with a strand of mesentery that remained from the resected section of the intestine.

The method is carried out as follows: after the formation of the interintestinal end - the final anastomosis, a strand on the vascular pedicle is cut out of the mesentery area remaining after the resection of the intestine (Fig. 1, 2).

The line of the anastomosis seams is wrapped around the cut strand. The strand is fixed to the intestine with single sutures (Fig. 3).

The following is an example of using the proposed methodology. In the operation for a closed abdominal injury with rupture of the walls of the small intestine, the damaged part of the intestine was removed for 12 centimeters. The ends of the remaining intestine were connected by an end-to-end interintestinal anastomosis. From the fragment of the mesentery that remained from the resected area, a P-like strand on the vascular pedicle was cut out. This strand was wrapped around the line of the anastomosis sutures. The strand is fixed on the intestine with liquid knotted sutures. The abdominal cavity is drained and sutured. The postoperative period was uneventful.

Thus, the proposed method eliminates the described shortcomings of the prototype, that is, it makes it possible to strengthen the line of seams of interintestinal anastomoses without the risk of causing the development of acute intestinal obstruction in the postoperative period. It is safe for the patient, technically simple, does not require additional materials and is available to a wide range of surgeons.

Approbation of the method was carried out on cadaver material, as well as in clinic conditions, which confirmed its high efficiency, simplicity, reliability and atraumaticity.

Sources of information taken into account during the examination: 1. Burtsev A.N. About the use of the omentum to create an esophageal-intestinal anastomosis. Diss. Ph.D. - Yenakievo, 1953 nn we y i YN / vach zva х ше: х хх se What is in J osv u m VV y cha I I I 7 A a s/v: ис

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Claims (1)

The method of strengthening the suture line of the end-to-end interintestinal anastomosis with the help of biological tissues, which is characterized by the fact that the suture line of the anastomosis is wrapped with a strand of mesentery left from the resected section of the intestine.