FIELD: medicine, endosurgery. SUBSTANCE: under laparoscopic survey one should bring together the walls of anastomosed organs. Openings are formed at adjoining sides to introduce compression device through them. Septum out of clamped tissues is dissected inside the above-mentioned device. Defect in fenestra is sutured. Moreover, one should percutaneously preintroduce either an atraumatic direct or a ski-shaped ligature- supplied needle into abdominal cavity. Serous-muscular suture is applied onto anastomosed organs. Ligature-supplied needle is punctured outwards. Thread is tightened so, that anastomosed organs to be in suspended state. Both ends of ligature are fixed. As compression device one should apply anastomosed clip made of stainless spring-controlled steel. After dissecting tissues inside the device one should tighten a ligature by its ends. Ligature should be placed into abdominal cavity. The method enables to safely dissect tissues inside compression element. EFFECT: higher efficiency of operation. 3 dwg
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Authors
Dates
2004-01-20—Published
2002-02-28—Filed