METHOD FOR SHORT-SCAR INCISION OF GALL BLADDER AND EXTRAHEPATIC BILE DUCTS

摘要

FIELD: medicine.;SUBSTANCE: skin and subcutaneous fat are incised longitudinally in a right hypochondrium 2-3 cm lower from an edge of a costal arch of the length up to 5 cm. An anterior leaf of an aponeurosis of an abdominal rectus muscle is incised longitudinally in compliance with the length of the skin incision. In an upper corner, the incision is extended to the right at an angle of 45 degrees, of the length up to 3 cm. In a lower corner of the wound, the incision of the leaf of the aponeurosis is similarly deflected to the left. Muscle fibres of the abdominal rectus muscle are bluntly layered, and a posterior leaf of the aoneurosis is exposed. The latter is gripped together with the peritoneum and dissected longitudinally up to 5 cm. The incision of the posterior leaf of the aponeurosis is formed similarly to the incision of the anterior leaf.;EFFECT: expansion of surgical manipulations on the gall bladder, hepatoduodenal elements, reduced intraoperative injuries and risk of developing postoperative hernias and other postoperative complications.;1 ex, 1 dwg