METHOD OF SURGICAL FORMATION OF INVAGINATING SINGLE-ROW CLOSED ANASTOMOSIS IN CASE OF COLON RESECTION

摘要

FIELD: medicine.;SUBSTANCE: invention relates to method of surgical formation of invaginating single-row closed anastomosis in case of colon resection. Colon resection is performed. Closing of anastomosed segments of adducting and abducting intestines is carried out by apparatus suture. Immediately under mechanical suture serous-muscular layer is dissected circularly. Sero-muscular sheath is separated from mucous-submucous layer on 1.5-2 cm and sero-muscular cushion is created on both anastomosed segments of adducting and abducting intestines. On exposed mucosa with catgut thread applied is suture which closes intestine lumen. Mechanical clips are cut off and anastomosis "end-to-end" is formed with closed lumens by Matestchuk sutures with atraumatic suture material vicryl No 4/0. Before tightening the last suture of formed anastomosis ligature is removed from mucosa of ends of anastomosed adducting and abducting intestines, excess of mucous-submucous layer of adducting anastomosed intestine is freely invaginated into lumen of abducting anastomosed intestione, covering with the excess line of formed anastomosis sutures. Last mucous-submucous suture is tightened.;EFFECT: method makes it possible to reduce trauma, reduce risk of abdominal cavity infection, increase anastomosis reliability.;2 ex, 5 dwg