| 摘要 |
FIELD: medicine, colorectal surgery. ^ SUBSTANCE: it is necessary to form a stoma in abdominal wall to introduce a trocar, withdraw intestinal loop through the developed stoma, lance intestinal lumen at forming a columella due to fixing the edges of incision towards the skin. Moreover, on forming the stoma from the side of abdominal cavity in direction being correspondent to the position of adducting intestine it is necessary to dissect parietal peritoneum and transverse fascia for 2-4 cm. On withdrawing the intestinal loop one should fix adducting intestine towards one of incision's edges along its whole length by suturing peritoneum at capturing the transverse fascia. While developing ileostoma one should form a troacar's stoma in right-hand iliac area. Dissection of parietal peritoneum and transverse fascia should be fulfilled in direction towards pubic symphysis. At forming transversostoma one should trocar's stoma in right- or left-hand mesogastric area. Parietal peritoneum and fascia should be dissected in direction towards adducting department of transverse colon. While forming sigmostoma one should form trocar's stoma in left-hand iliac area. Dissection of parietal peritoneum and transverse fascia should be carried out in direction towards adducting department of sigmoid flexure. The innovation enables to decrease the number of herniation- and invagination-associated complications. ^ EFFECT: higher efficiency. ^ 3 cl, 1 ex |
