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Method of pancreatic necrosectomy

机译:胰腺坏死切除术

摘要

The invention refers to medicine, in particular to surgery and can be used for endoscopic treatment of destructive acute pancreatitis.Summary of the invention consists in that it is carried out the fibrogastroendoscopy, it is determined the state of Vater's ampulla, of biliary tracts and of Wirsung's duct. It is carried out the endoscopic papillosphincterotomy, drainage of Wirsung's duct, it is determined the place of maximum prominence of retrogastric formation, it is made puncture thereof in the indicated place, afterwards the given access is dilated up to 1,5…2,0 cm. There is removed through it the abscess content, it is carried out sanation and internabl, external or combined drainage thereof. Then it is introduced a probe for decompression and a probe placed behind the duodenojejunal flexure for alimentation of patient, and in 8…10 days through the formed access it is removed the sequestrum.
机译:本发明涉及医学,特别是外科手术,并且可以用于内镜治疗破坏性急性胰腺炎。本发明的概述在于,其进行了纤维胃镜检查,确定了瓦特壶腹,胆道和胆道的状态。 Wirsung的导管。进行内窥镜乳头括约肌切开术,Wirsung导管引流术,确定胃后部形成的最大突出位置,在指定位置进行穿刺,然后将给定的通路扩大至1.5、2.0、0厘米。通过其除去脓肿内容物,对其进行消毒和内部消毒,外部或组合排水。然后引入减压探针和置于十二指肠空肠弯曲后的探针以减轻患者的疲劳,并在8到10天通过形成的通道将死骨移除。

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