METHOD OF OBSTRUCTIVE RESECTION OF THE SMALL INTESTINE WITH IMPOSITION OF DELAYED ANASTOMOSIS

摘要

FIELD: chemistry.;SUBSTANCE: invention relates to surgery and may be useful for obstructive resection of the small intestine with the imposition of delayed anastomosis. At the first stage, when a necrotic area of the intestine is revealed, its resection is performed without opening the lumen, the resulting and withdrawing stump of the small intestine is tightly closed, intubate the leading loop of the small intestine with the nasogastrointestinal probe, the leading and outlying stumps are placed parallel to each other, between them are applied two rows of nodal gray-serous interintestinal sutures for 65 mm, impose a double-barreled stoma without opening the lumen of the intestine, the leading and withdrawing stump of the small intestine is removed to the outside and fixed to the skin with the help of nodal filamentous serous-skin seams, the operation is completed by suturing the abdominal cavity tightly; second stage with the vitality of the stumps for 2–3 days from local access is the removal of stitches from the stump of the intestine and sero-skin seams, with the help of a linear stapler impose intercigost jointing 65–75 mm, end opening is sutured with a two-row seam by hand or by means of a linear stapler with an anastomosis immersed in the abdominal cavity, the wound of the anterior abdominal wall is sealed tightly.;EFFECT: method allows to reduce traumatism, reduce the length of stay of the patient in the hospital.;1 cl, 3 dwg, 2 ex