METHOD FOR TEMPORAL REDUCTION OF CIRCULATION AT SPLENIC OPERATIONS

摘要

FIELD: medicine, abdominal surgery. SUBSTANCE: two accesses are performed, the first is 6-7 cm, it is situated against the edge of left rectus muscle of abdomen towards anterior axillary line being 3 cm below the edge of 12th rib to fulfill surgical splenic manipulations with the help of peritoneoscope and apply ligature under vascular splenic pedicle. The second access is 1-1.5 cm, it is made along posterior axillary line being 3-4 cm below the edge of 12th rib to introduce the rod of device for temporal reduction of circulation under peritoneoscope's control. Vascular splenic pedicle is ligated for 2-4 d. After that device should be removed out of abdominal cavity. The present innovation enables to increase efficiency of hemostasis at traumatic splenic ruptures. EFFECT: higher efficiency of temporal reduction. 2 dwg