SU990199A1 - Method of connecting tubular organs - Google Patents

Description

(54) METHOD OF CONNECTING TUBULAR BODIES

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The invention relates to medicine, namely, surgery, and concerns the formation of anasitomosis and the closure of defects in operations on tubular organs, for example, the gastrointestinal tract.

The known method of joining tubular organs is that when resecting the small intestine, the abdominal cavity is opened with one of the abdominal approaches, a loop of the small intestine is taken into the wound, the small intestine mesentery is mobilized, the necessary area is resected, and the anastomosis is formed through a single node. one.

There is also known a method of joining tubular organs, which involves holding the thread through all layers of the wall of the organ and applying ligatures 2.

However, with known methods, it is possible to invert the inner lining of the stitched organ and also postoperative complications.

The aim of the invention is to prevent the complete eversure of the inner lining of the stitched organ and postoperative complications.

The goal is achieved by the fact that according to the method of joining tubular organs, which includes holding the thread through all layers of the organ wall and the ligature of the ligatures, the protruding inner sheath is cut along the cut edge of the organ and the thread is led in an oblique direction from the outer sheath to the cut edge of the inner sheath, the ends the threads are passed under the middle part of it in opposite directions.

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Example. When resection of the small intestine, for example, the abdominal cavity is opened with one of the abdominal access. A loop of small intestine is inserted into the wound. Small intestinal mesentery is mobilized and resection is performed.

15 required area.

Excavate protrusion) part of the mucous membrane on the edge of the slice of the body.

On the stitched areas impose one row of sutures, with a puncture and holding the tip passes through all layers of the intestinal wall in an oblique direction from the serosa, indent 3-3.5. mm from the edge of the slice to the edge of the MERCURY sheath, indent 1 -1.5 mm from the edge of the slice.

The yarn edges are passed under its part in opposite directions.

The loop-shaped suture obtained by this method is tightened with a conventional surgical unit, in this case layer-by-layer contact of the stitched organ walls occurs and at the same time partial inversion of the mucous membrane towards the serous membrane and partial inversion of the serous membrane, towards the mucous membrane, the nodule of the loop-like suture is located in the deepening of the serosa membrane in the direction of the mucous membrane; .

The window is sutured in the mesentery of the small intestine, the surgical wound is sutured in layers.

The proposed method prevents the contact, in particular, of the mucous membrane of the membranes of the stitched organs with the abdominal organs, and retains the principle of a through, one-sided, knotted seam that turns the inner shell towards the outer shell. A layer-by-layer connection of the walls of the organs to be stitched is achieved with the additional covering of the connection line by a partially screwed outer shell towards the inner shell. The method provides conditions for the healing of the joint area by primary tension. The frequency of postoperative complications during surgery on tubular organs, such as the gastrointestinal tract, is reduced.

Claims (2)

1. Getzen L.C., Roe R. D., Hollowoy S. K. Comparative study of intestinal anastomotlchealing in inverted and eversted closures, Surgery Gynecology Obstetrics, 1966, v. G23, No. 6, p. 1219-1227. 2.Litman I. Abdominal surgeons. Hungary, Budapest. Publisher Academy of Sciences, 1970, p. 143-175 (prototype).