| 摘要 |
FIELD: medicine.SUBSTANCE: invention relates to field of medicine, namely to thoracic surgery, and can be applied in closing tracheostomas. Method is realised in two steps. At the first stage of treatment 3.0 cm long vertical cut of skin is made on front surface of neck, with 2.0-3.0 cm indent from tracheostoma. In subcutaneous-adipose layer in blunt way formed is bed, in which polypropylene mesh is placed for 25-30 days before beginning of the second stage of treatment. At the second stage of treatment post-operation scar on front surface of neck is excised. Skin, limited by polypropylene mesh intergrown with connective tissue, is separated towards tracheostoma, leaving pedicle of skin flap with polypropylene mesh intergrown with connective tissue on the edge of tracheostoma. Formed first skin flap with polypropylene mesh intergrown with connective tissue on pedicle is laid on tracheostoma with epidermis inside and sewn to the edge of tracheostoma from the opposite side. After that, vertical cut of skin is made on front surface of neck from the opposite side on the edge of tracheostoma. Second skin flap is mobilised and laid over sewn first skin flap with polypropylene mesh intergrown with connective tissue and wound surface. Second skin flap is fixed to skin with sutures on the side of earlier cut out first skin flap with polypropylene mesh intergrown with connective tissue. Sutures are located outside tracheostoma from the opposite sides.EFFECT: application of claimed invention makes it possible to eliminate narrowing of trachea lumen and risk of stenosis development, as well as ensure hermetic closing of tracheostoma.3 dwg, 1 ex |
