METHOD Videoassisted pyloroduodenal suturing perforated ulcers through a single laparoscopic access

摘要

Method Videoassisted suturing perforated ulcers piloroduodenalnyh through a single laparoscopic access, comprising executing transrectal cut length of 2.5-3 cm on the anterior abdominal wall in the projection piloroduodenalnoy ulcer perforation in the right hypochondrium 2 cm distal to the costal arch and 4 cm to the right of the midline, wherein that formed through the incision into the abdominal cavity of a single set device for laparoscopic access, impose karboksiperitoneum 12-14 mmHg is set videolapa ROSCOP and conduct the panoramic examination of the abdominal cavity and visualization perforated holes carried lavage and drainage of exudate peritoneal cavity, the device for single laparoscopic access is removed from the wound with the elimination karboksiperitoneuma, wound edges pushing surgical hooks farabeuf perform suturing perforated holes separate interrupted sutures through transrectal cut with a surgical needle holder and forceps, access the wound is sutured in layers.