Chastnoe uchrezhdenie obrazovatelnaya organizatsiya vysshego obrazovaniya "Meditsinskij universitet "Reaviz"
发明人:
Simatov Sergej Anatolevich (RU),Симатов Сергей Анатольевич (RU),Simatov Anatolij Mikhajlovich (RU),Симатов Анатолий Михайлович (RU),Supilnikov Aleksej Aleksandrovich (RU),Супильников Алексей Александр
申请号：
RU2019143442
公开号：
RU0002726346C1
申请日:
2019.12.19
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, particularly to surgery, oncosurgery, minimally invasive abdominal colorectal surgery. Intestinal walls are brought together. They are fixed with seromuscular suture. Perforated holes are formed, then suturing lines of the apparatus are introduced. Intestinal walls are stapled. Tissues are dissected between two rows of staples thus creating a gap between intestinal walls, at the same time creating a longitudinal suture line. Then, the stapling cartridge is replaced, and a stapling apparatus is applied in a transverse direction perpendicular to the line of the anastomosis, wherein the removable portion of perforated holes is grasped. Intestine is removed and cut off by the apparatus to obtain a perpendicular staple suture. Additional suture is set aside 2 mm from the longitudinal stapling suture. Intestinal walls are connected and sutured together by a continuous seromuscular dissolving circular suture with incision of 5 mm with a resorbable suture material, wherein during the first stitch, a thread is left. After making the circular seam, the suture ends are tied. Purse-string suture is made on a transverse line of the staple suture, 5 mm from the staples, while turning the intestinal stump, forming a knot.EFFECT: method enables avoiding the inconsistency of an anastomosis in edema of tissues, does not depend on the diameter of the cross-linked sections, is technically easier to implement, reliable, applicable both in laparoscopic and open operations.3 cl, 2 dwg, 1 exИзобретение относится к медицине, в частности к хирургии, онкохирургии, миниинвазивной абдоминальной колоректальной хирургии. Сближают кишечные стенки. Фиксируют их серозно-мышечным швом. Формируют перфоративные отверстия, затем вводят сшивающие линии аппарата. Выполняют сшивание стенок кишечника скобками. Рассекают ткани между двумя рядами скобок, тем самым создают просвет между стенками кишечника, при этом создают продольную линию шва. Затем про
