METHOD OF DYNAMIC ENDOVIDEOCONTROL OF ABDOMINAL CAVITY IN PATIENTS WITH GENERALISED PERITONITIS AND PNEUMOOBTURATOR FOR ITS REALISATION

摘要

FIELD: medicine.;SUBSTANCE: group of inventions relates to medicine and can be applied for dynamic endovideocontrol of abdominal cavity in patients with generalised peritonitis. Installation of trocars for installation of videocamera and instruments for carrying out dynamic videocontrol or sanitation of abdominal cavity is performed into all counterpunctures for drainages in anterior abdominal wall, into which pneumoobturators are preliminarily introduced with end with inflated cuff. Atmospheric air is pumped into cuff through airway of pneumoobturator. Trocar is passed through one of pneumoobturators for dynamic monitoring with nozzle for gas supply and introduction of videocamera, troacars are also passed through remaining pneumoobturators for introduction of instruments for carrying out dynamic endovideocontrol or abdominal cavity sanitation. Pneumoobturators are successively tightened, with cuffs tightly closing all drainage counterpunctures from the side of abdominal cavity for its sealing. Each pneumoobturator is tied around with two fixing capron threads, which are held with two Billroth clamps with long jaws, preventing pneumoobturators with trocars from descending into abdominal cavity in the process of passing videocamera or instruments. CO₂ gas is insufflated into abdominal cavity through trocar for dynamic observation with nozzle for gas supply and videocamera introduction, creating carboxyperitoneum with pressure not higher than 7-8 mm Hg. Carrying out dynamic endovideocontrol or sanitation of abdominal cavity is carried out after laparolifting by means of traction by pneumoobturators. Pneumoobturators for carrying out dynamic endovideocontrol of abdominal cavity in patients with generalised peritonitis contains polymer tube, on one end of which placed is inflated polymer cuff, connected with environment via air duct, passing inside tube wall and released from the other tube end, and having connecting element for air pumping on free end.;EFFECT: group of inventions makes it possible to reduce risk of cardio-vascular and pulmonary complications.;2 cl, 1 ex, 3 dwg