SURGICAL METHOD FOR NORMALIZATION OF PASSAGE ALONG GASTROINTESTINAL TRACT Russian patent published in 2004 - IPC

FIELD: medicine, surgery. SUBSTANCE: on should carry out median laparotomy and duodenal revision. Additionally, it is necessary to study the state of ileocecal closing apparatus. In case of arteriomesenteric duodenal compression one should apply an element of rectangular shape under the lower surface of the initial department of small intestinal mesenteric radix. Along each long sides of the above-mentioned rectangular element there ligatures with free ends of not less than 30 cm length. Each end of ligatures should be successively applied through mesocolon, greater omentum towards the inferior edge of cartilaginous part of left costal arch. Ligatures' ends should be by pairs fixed at the beginning and at the end of each opposite ligatures by binding them together with a single knot. Simultaneously, by tightening ligatures and making single knots one should lift mesenteric radix being 1.5-2 cm above anterior wall of inferior horizontal part of duodenum. Ligatures should be fixed by making additional 4-5 knots more above single knots made. In case of failed ileocecal closing apparatus it is necessary to perform its correction. In peculiar case, the length of rectangular element equals the length of mesenteric radix. In peculiar case, the above-mentioned rectangular element is designed out of synthetic material applied for aortal plasty. The method suggested enables to avoid etiopathogenetic moments of chronic duodenal obstruction. EFFECT: higher efficiency of operation conducted. 2 cl, 2 dwg, 1 ex