BONDAR GRIGORIJ VASILEVICH,Бондарь Григорий Васильевич,PSARAS GENNADIJ GENNADIEVICH,Псарас Геннадий Геннадиевич,BONDARENKO NIKOLAJ VASILEVICH,Бондаренко Николай Васильевич,BASHEEV VLADIMIR KHARITONOVI
申请号：
RU2009130538/14
公开号：
RU0002477081C2
申请日:
2009.08.11
申请国别(地区):
RU
年份:
2013
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to surgery and can be applied for two-step treatment of large intestine cancer. Resection of large intestine section is performed. Ends of adducting and abducting 4-5 cm long segments of large intestine are released from mesentery and appendices epiploicae. A row of serous-muscular sutures is applied on walls of released from mesentery and appendices epiploicae sections of adducting and abducting segments of large intestine immediately near mesentery. Two sutures are applied on lateral walls of adducting and abducting segments of large intestine with 2-3 cm indent from the line of said sutures in direction towards transected edges of intestine A row of through interrupted sutures is applied on posterior walls of sewn to each other intestine segments, after that, they are dissected on the centre of the row to the depth 1-1.5 cm, separate through interrupted sutures are applied on dissected section of posterior walls of adducting and abducting segments of intestine. Edges of dissected peritoneum are mobilised 3-4 cm apart. Sewn to each other segments of intestine are brought out on abdominal wall and fixed with interrupted sutures to peritoneum, aponeurosis and skin. After 2-3 months restoration of intestinal continuity is performed.EFFECT: method makes it possible to reduce development of cicatricial changes, reduce risk of purulent-septic complications, reduce risk of anastomosis suture failure.13 dwgИзобретение относится к хирургии и может быть применимо для двухэтапного лечения рака толстой кишки. Проводят резекцию участка толстой кишки. Освобождают от брыжейки и жировых подвесков концы приводящего и отводящего отрезка толстой кишки длиной 4-5 см. Накладывают ряд узловых серозно-мышечных швов на стенки освобожденных от брыжейки и жировых подвесков участков приводящего и отводящего отрезков толстой кишки непосредственно у брыжейки. Отступая на 2-3 см от линии названных швов по направлению к пересеченным краям кишки, накл
