Method for carring out omentobursostomy in the treatment of acute necrotizing pancreatitis

摘要

the invention relates to medicine, in particular to surgery and can be applied for the treatment of acute destructive pancreatitis.the essence of the invention lies in that laparoscopul is inserted into the abdominal cavity, under his control through right and left hipocondrele is inserted into the abdominal cavity by a drain big headed curvature stomach, then laparoscopul is remove, the epigastrica line medi ana is a laparotomic performs access of 3,0...3,5 cmthrough which traction is out of the abdominal cavity through a large portion of the stomach with the gastrocolic and distal ends of drenurilor introdusein abdominal cavity, then is carried out an orifice in the mentioned...2,5 2.0 cm, princare suction swab of bu rsa omentala, in the sides of the mentioned runs one orifice.introducing in the omentala distal ends of drenurilor, where one end is heading towards the head of the pancreas, and second to the tail.the access is in laparotomic scholarship omentala a trocar for a work tool, then the curvature is large astomacului sutureaza of peritoneum and mesentery aponevroza, and the gastrocolic of omentobursostomei for training.on the perimeter stomei apply a provisional suture, heads which leave out the plague, stoma is inserted through a trocar, which is strange and ermetizeaza using trocar is inserted through the provisional laparoscopul, occurs omentopneumoperitoneum, and using the instrument work is being carried out surgical wrongdoings in the pancreas.then untie and remove laparoscopul provisional suture through stoma in bursa omentala insert a mesa with the application of the patch.