| 摘要 |
FIELD: medicine.SUBSTANCE: neck is incised. Two incisions are made: one is 5 cm long on the side of an occluded brachiocephalic vein in an infraclavicular fossa 1 cm below a clavicle parallel therewith with a cephalic vein separated through 4-5 cm. The second incision is 4 cm long and extends on the neck on the opposite side along a front edge of a sternocleidomastoid muscle. An anterior jugular vein is separated from a jugular notch in the cranial direction through 4 cm. The anterior jugular vein is clamped within the jugular notch, and a longitudinal venotomy being 3 cm long is started 4 cm above. That is followed by creating an anastomosis of the anterior jugular vein with a funnel-shaped prosthesis cuff made of spiral-reinforced polytetrafluoroethylene. The prosthesis is placed top to bottom towards a lower edge of the wound; the prosthesis is brought subcutaneously using a short tunnelling device, arch-wise into the subclavicular wound. A cephalic vein is clamped within a subclavicular vein inflow, and a longitudinal cephalic venotomy 2-3 cm long extends 4 cm in the distal direction, and an anastomosis of the prosthesis and cerebral vein is created.EFFECT: method enables reducing invasiveness and arresting the venous hypertension syndrome of the upper limb and brain.2 ex, 7 dwg |
