METHOD OF RESTORING INNERVATION IN DENERVATED TISSUE OF RESECTED SMALL INTESTINE IN CASE OF GASTRECTOMY

摘要

FIELD: medicine.SUBSTANCE: invention relates to medicine and can be applied for restoration of innervations in denervated tissue of resected small intestine in case of gastrectomy. Anterior and posterior stem vagotomy at the place of vagus nerve branching and gastrectomy with further application of esophago-jejunoanastomosis are performed. Periendoneurolysis of bundles of nerve fibres along 5 mm is performed on distal end of vagus nerve stem. Inter-tissue canal is formed on small intestine wall in projection of formed anastomosis line to submucous layer. Implantation of both distal ends of stems of vagus nerves into wall of small intestine is started, for which purpose, submerging epineural sutures are passed through formed inter-tissue canal in such a way that puncture-in and puncture-out of needle took place from inside outside, after that, when sutures are tightened, distal stems of vagus nerve are in free way submerged into formed canal by means of epineural sutures to the depth10-15 mm with further fixation at the place of their implantation.EFFECT: method makes it possible to reduce risk of motor-evacuative function impairment.3 ex