Yaroshchuk Sergej Aleksandrovich (RU),Ярощук Сергей Александрович (RU),Baranov Andrej Igorevich (RU),Баранов Андрей Игоревич (RU),Katasheva Liliya Yurevna (RU),Каташева Лилия Юрьевна (RU),Kuznetsov Vi
申请号：
RU2017130473
公开号：
RU0002670694C1
申请日:
2017.08.28
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: chemistry.SUBSTANCE: invention relates to surgery and may be useful for obstructive resection of the small intestine with the imposition of delayed anastomosis. At the first stage, when a necrotic area of the intestine is revealed, its resection is performed without opening the lumen, the resulting and withdrawing stump of the small intestine is tightly closed, intubate the leading loop of the small intestine with the nasogastrointestinal probe, the leading and outlying stumps are placed parallel to each other, between them are applied two rows of nodal gray-serous interintestinal sutures for 65 mm, impose a double-barreled stoma without opening the lumen of the intestine, the leading and withdrawing stump of the small intestine is removed to the outside and fixed to the skin with the help of nodal filamentous serous-skin seams, the operation is completed by suturing the abdominal cavity tightly； second stage with the vitality of the stumps for 2–3 days from local access is the removal of stitches from the stump of the intestine and sero-skin seams, with the help of a linear stapler impose intercigost jointing 65–75 mm, end opening is sutured with a two-row seam by hand or by means of a linear stapler with an anastomosis immersed in the abdominal cavity, the wound of the anterior abdominal wall is sealed tightly.EFFECT: method allows to reduce traumatism, reduce the length of stay of the patient in the hospital.1 cl, 3 dwg, 2 exИзобретение относится к хирургии и может быть применимо для обструктивной резекции тонкой кишки с наложением отсроченного анастомоза. На первом этапе при выявлении некротически измененного участка кишки производят его резекцию без вскрытия просвета, приводящую и отводящую культи тонкой кишки ушивают наглухо, интубируют приводящую петлю тонкой кишки с помощью назогастроинтестинального зонда, приводящую и отводящую культи располагают параллельно друг другу, между ними накладывают два ряда узловых серо-серозных межкишечных швов на протяже
