ACUTE PANCREATITIS TREATMENT METHOD AND DEVICE FOR ITS REALIZATION Russian patent published in 1999 - IPC

FIELD: medicine; abdominal cavity surgery. SUBSTANCE: abdominal wall and gastroomental ligament are punctured through skin incision by means of the device. It is fixed in abdominal wall. Laparoscope is introduced through device hole. Then strained omentobursoperitoneum is applied, and omental bursa and retroperitoneal cellular tissue are examined. Pancreatonecroectomy is performed through manipulation channel of laparoscope. Then sequesters of parapancreatic cellular tissue are removed. Treatment procedures are performed periodically through laparoscope hole. The device for realization of the method has case with shaped nut on its external thread from one side and lobes, from the other. It includes cone with rod to be installed into case. Abdominal wall is punctured by tapered head of cone. This done, cone is removed from case, and hollow sleeve is installed instead of it. This sleeve locks external sides of lobes in position normal to case. The device case is fixed in abdominal wall by means of nut from outside and lobes, from inside. Insert may be placed in internal cavity of sleeve. It may be removed for patient's treatment. External part of sleeve may carry cap with through hole at its end through channel with branch pipe on side. Hole may serve for introduction of laparoscope and air may be supplied through channel under pressure for strained omentobursopneumoperitoneum. After treatment is completed, the device is removed and stitches are put in wound. As a result, efficiency of treatment of acute pancreatitis and reliability of control of pyo-inflammatory process in pancreas and retroperitoneal cellular tissue are enhanced. EFFECT: accelerated recovery of patient, reduced time of operation, reduced hazard of fistula and hernia formation. 2 cl, 10 dwg