SU959764A1

SU959764A1 - Method of application of anastomosis on hollow organs

Info

Publication number: SU959764A1
Application number: SU792731059A
Authority: SU
Inventors: Николай Николаевич Каншин
Priority date: 1979-03-01
Filing date: 1979-03-01
Publication date: 1982-09-23

Description

Изобретение относитс к медицине, а именно к хирургии.This invention relates to medicine, namely to surgery.

Известен способ наложени анастомоза на полые органы, включающий соединение полых органов путем прошивани скобками их пересеченных концов вместе с. эластичными прокладками 1.There is a known method of imposing anastomosis on hollow organs, including joining the hollow organs by stitching together their broken ends with brackets. elastic pads 1.

Однако операци известным способом травматична. However, the operation in a known manner is traumatic.

Целью изобретени вл етс снижение травматичности операции.The aim of the invention is to reduce the morbidity of the operation.

Эта цель достигаетс тем, что согласно способу наложени анастомоза на полые органы, включающему соединение полых органов путем прошивани скобками их пересеченных концов вместе с эластичными прокладками, зластичные прокладки прошивают вместе с одним из концов пересеченного полого органа через его свободный просвет, затем аналогично прошивают эластичную прокладку с концом другого пересеченного органа, далее обе открытые поверхности эластичных прокладок склеивают и накладывают cepoзнo- пueчныe швы по всей окружности анастомоза.This goal is achieved in that according to the method of applying an anastomosis to hollow organs, including connecting hollow organs by stitching their crossed ends with elastic pads with brackets, elastic pads are stitched along with one of the ends of the crossed hollow organ through its free lumen, then similarly pierce an elastic pad with the end of the other crossed organ, then the two open surfaces of the elastic pads are glued together and superimposed with seams along the whole circumference of the anastomosis.

Пример. При резекции, например , тонкой кишки после удалени в пределах здоровых тканей пораженног.оExample. During resection of, for example, the small intestine after removal within the healthy tissue of the affected.

патологическим процессом участка на привод щий и отвод щий концы кишки накладывают кисетные швы, оставл их временно незат нутыми. Отведенную от корпуса упорную головку аппарата вместе с расположенной на ее сшивающей поверхности эластичной прокладкой ввод т в свободный просвет одно- го из концов кишки, зат гивают и за10 в зывают кисетный шов. Нити коротко обрезают над узлом. Обжигают головки аппарата до сдавлени тканей между двум эластичными прокладками и производ т их совместное прошивание с By the pathological process of the site, the leading and withdrawing ends of the intestine impose purse-string sutures, leaving them temporarily unstressed. The thrust head of the apparatus, taken away from the body, together with the elastic gasket located on its stitching surface, is inserted into the free lumen of one of the bowel ends, tightening and closing the suture. The threads are cut short over the knot. The heads of the apparatus are burned before the tissue is pressed between two elastic pads and they are jointly stitched with

15 одновременным круговым вырезом тканей циркул рным ножом. Головки аппарата развод т на некоторое рассто ние . В прорез.анное циркул рным ножом в ткан х вместе с эластичными 15 by a simultaneous circular incision of tissues with a circular knife. The heads of the apparatus are diluted for some distance. In the slotted circular knife in the fabric along with the elastic

Claims

By means of the pads, a small narrow hooks are inserted into the hole and, stretching the hole, remove the support head of the apparatus from the intestine. Similarly, the second intestine is stitched. 25 Open surfaces of gaskets sewn with metal clips1 to both intestinal loops are glued using, for example, an adhesive mass that covers a medical leuko30 plaster, then serous-muscular sutures are applied around the entire circumference of the anastomosis. The accretion of the intestinal walls occurs on a narrow platform from the serous l. seams to the outer edge of elastic pads glued together. After 10-12 days. Due to the rejection of the necrotic tissues of the gut ends joined together, squeezed by the corresponding pairs of pads, all four pads are separated out in a single block in a natural way. In the anastomo region there are no foreign bodies communicating with the lumen of the intestine. Sero-muscular sutures, superimposed by a biologically inert synthetic thread and not having contact with the lumen of a hollow organ, do not cause any educational response. The proposed method makes it possible to drastically reduce the invasiveness of the operation and its risk by eliminating the need to make an additional incision of one of the connected organs for insertion of the apparatus into the organ of the organ, / complete the complete tightness of the anastomosis, to obtain fusion of the walls of the connected organs under aseptic conditions according to the principle of primary tension with minimal inflammatory response. Elastic pads, necrotic tissue strip due to long-term uniform compression, and metal brackets are torn off 6–7 days after surgery and are expelled out naturally. Claims The method of applying anastomosis to hollow organs, including joining hollow organs by stitching together their crossed ends with elastic pads, characterized in that, in order to reduce the morbidity of the operation, elastic pads are stitched along with one of the ends of the crossed hollow organ through its free lumen, An elastic pad is then similarly stitched to the end of the other crossed organ, the two open surfaces of the elastic padding are glued together and the sero-membrane is applied. ngpechnye seams across the anastomosis. Sources of information taken into account during the examination 1. USSR Author's Certificate No. 571254, cl. A 61 B 17/11, 1977.