METHOD FOR CREATING PARIETAL COLOSTOMA ANASTOMOSIS

摘要

FIELD: medicine. ^ SUBSTANCE: method involves suturing end opening in colon. Purse-string seroserous suture is placed on intestine wall 5 cm far from sutured intestine margin in proximal position in perpendicular to intestine axis. Ligature is conducted on mesenterial intestine margin under outer blood vessel not touching it. The distal intestine stump is invaginated into its lumen down to the purse-string suture. Two-canal Folley catheter No21 is introduced into the invaginate. The purse-string suture is tightened on Folley catheter. Two seroserous sutures are additionally stitched along mesenterial and antimesenterial intestine margin above the purse-string suture. Intestine wall is brought out along the antimesenterial intestine margin into the opening in the anterior abdominal wall. Folley catheter is brought on skin surface 6 cm below the stoma. The intestine wall is fixed with separate interrupted sutures to peritoneum and skin. The intestine wall is cut inside the opening in postoperative period. Fixing part of the Folley catheter is blown with physiologic saline, covering the opening in the intestine with invaginate wall. To empty the intestine, liquid is removed from the fixing part of Folley catheter. ^ EFFECT: enhanced effectiveness in creating conditions for retaining feces in the colon. ^ 1 dwg