SIDE-TO-SIDE ENTEROENTEROANASTOMOSIS PROTECTION AND REINFORCEMENT METHOD WHEN USING A LINEAR SUTURING DEVICE

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, particularly to surgery, oncosurgery, minimally invasive abdominal colorectal surgery. Intestinal walls are brought together. They are fixed with seromuscular suture. Perforated holes are formed, then suturing lines of the apparatus are introduced. Intestinal walls are stapled. Tissues are dissected between two rows of staples thus creating a gap between intestinal walls, at the same time creating a longitudinal suture line. Then, the stapling cartridge is replaced, and a stapling apparatus is applied in a transverse direction perpendicular to the line of the anastomosis, wherein the removable portion of perforated holes is grasped. Intestine is removed and cut off by the apparatus to obtain a perpendicular staple suture. Additional suture is set aside 2 mm from the longitudinal stapling suture. Intestinal walls are connected and sutured together by a continuous seromuscular dissolving circular suture with incision of 5 mm with a resorbable suture material, wherein during the first stitch, a thread is left. After making the circular seam, the suture ends are tied. Purse-string suture is made on a transverse line of the staple suture, 5 mm from the staples, while turning the intestinal stump, forming a knot.;EFFECT: method enables avoiding the inconsistency of an anastomosis in edema of tissues, does not depend on the diameter of the cross-linked sections, is technically easier to implement, reliable, applicable both in laparoscopic and open operations.;3 cl, 2 dwg, 1 ex