FIELD: medicine, surgery.
SUBSTANCE: in case of failed identification of Wirsung's duct mouth in folds of edematous duodenal mucosa it is necessary to perform wirsungotomy. Then comes sounding of Wirsung's duct due to applying a conductor into duodenal lumen. One should retrogradely drain Wirsung's duct along a conductor. Mobilization of distal edge of duodenal wall should be carried out against the edge of penetration crater. Opening of Wirsung's duct should be sutured in. Wirsungoduodenoplasty should be done with predrained Wirsung's duct. The method enables to prevent ductal damage.
EFFECT: higher efficiency of therapy.
5 dwg, 1 ex
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Authors
Dates
2004-07-27—Published
2002-11-22—Filed