METHOD FOR TERMINAL-LATERAL INVAGINATION SMALL INTESTINAL-LARGE INTESTINAL ANASTOMOSIS

摘要

FIELD: medicine, experimental and clinical surgery. SUBSTANCE: one should carry out right-hand hemicolectomy. Large intestinal stump is sutured. At anterior wall of large intestine at 5 cm against the stump one should perform cross-sectional incision of all layers at 2.5-3 cm length. By leaving 5-6 cm against an incision one should dissect serous-muscular layer being by 0.2 cm higher against small intestinal diameter. Two ligatures-holders are applied into angles of the second incision. Due to traction by ligatures withdrawn into the first wound one should conically protrude large intestinal wall and dissect mucous membrane at the top of protrusion. Stump of small intestine is directed through developed serous channel. Uninterrupted submucous suture is applied. Intestinal wound is sutured with analogous suture. Invaginate is fixed to intestinal wall with seroserous sutures. The present method enables to exclude the development of coarse scar in anastomosis area. EFFECT: higher efficiency. 5 dwg