METHOD OF DYNAMIC ENDOVIDEOKONTROLYA wealthy enteric ANASTOMOSIS in patients with acute abdominal surgical pathology

摘要

A method of dynamically endovideokontrolya consistency enteric anastomosis in patients with acute abdominal surgical pathology, comprising performing the standard relaparoskopii karboksiperitoneuma with creation of stress (pressure not less than 12-13 mm Hg), characterized in that during the first operation after applying enteric anastomosis, through the mesentery of the small intestine without a vascular area proximal anastomosis 5-6 cm, transversely to a paste under its gut wall, soft PVC pipe carried diameter m to 5 mm, which plays a role of fixing "taped" and then through counteropening made close to the anastomosis, both ends of the tube outputted to the anterior abdominal wall, where the ends of the tube are fixed hemostat Billroth, then through a separate incision in periomphalic region is set sleeve for dynamic observation first dynamic endovideokontrol performed 48 hours after the operation, to the sleeve for dynamic monitoring attached nozzle for gas supply and introduction of a laparoscope, create karboksiperitoneum unstressed (7-8 mm Hg) and injected with beveled laparoscope optics (45 °), the visualization of the anastomosis is carried out after pulling up a portion of the small intestine anastomosis by the anterior abdominal wall for the ends of the tube used as fixing "taped" consistency at the anastomosis, but continuing probability of its failure, the study was repeated at 24 h intervals up to two times.