METHOD FOR SURGICAL TREATMENT OF PREVIOUSLY SUTURED COMPLICATED LOW RELAPSING AND/OR UNHEALING DUODENAL ULCERS Russian patent published in 2004 - IPC

Abstract RU 2239370 C1

FIELD: medicine, surgery.

SUBSTANCE: it is necessary to provide operational access to scar-ulcerous focus and horizontal duodenal loop due to mobilizing and shifting right-hand colonic half to the left and upwards, due to mobilizing right-hand half of greater omentum and mesenteric root of small intestine, due to crossing Treitz ligament, due to crossing all ligaments and complete withdrawal of horizontal duodenal loop from under mesenteric root, due to mobilizing vertical duodenal part with pancreatic caput. One should withdraw pancreatoduodenal segment into the wound, perform disinvagination of sutured ulcerous calcar, lance duodenum through the ulcer, widen duodenotomy upwards and downwards by removing tubular stenosis up to the lower horizontal duodenal part, replace its walls towards defect's edges in proximal part by developing a complicated anastomosis due to closing the large defect in proximal part with the walls of the lower horizontal duodenal part by dissecting them along the middle line, if necessary. Anastomosis, duodenojejunal passage and the first jejunal loop should be placed downwards being right-hand against vertebral column. With earlier mobilized omental part one should cover anastomosis and the whole duodenum at the front, as for pancreas it should be covered at the rear. From the top one should apply right-hand department of large intestine, restore ligamentous apparatus of small and large intestines by suturing mesenteric window of small intestine being right-hand against aorta. The method enables to keep nervous-muscular pyloroduodenal bridge and save natural pyloro-papillary diastasis.

EFFECT: higher efficiency of therapy.

12 dwg, 1 ex

Similar patents RU2239370C1

Title Year Author Number
SURGICAL METHOD FOR TREATING DUODENAL PEPTIC ULCER 1997
  • Onopriev V.I.
  • Genrikh S.R.
  • Pakhilina A.N.
RU2131707C1
METHOD FOR MAKING RADICAL DUODENOPLASTIC REPAIR IN THE CASES OF DUODENAL PEPTIC ULCER DISEASE RESIDING ON THE POSTERIOR DUODENAL BULB BODY WALL AND AGGRAVATED BY PENETRATION INTO THE PANCREAS 2002
  • Onopriev V.I.
  • Genrikh S.R.
  • Sharapova E.G.
  • Popandopulo K.I.
  • Bodrova L.Eh.
RU2218874C1
SURGICAL METHOD FOR TREATING THE CASES OF GIANT LOW-POSITIONED DUODENAL ULCERS AGGRAVATED BY PENETRATION 2004
  • Onopriev V.I.
  • Pakhilina A.N.
  • Manujlov A.M.
  • Ozhug P.A.
  • Ignatchenko V.Ju.
  • Bodrova L.Eh.
RU2259169C1
METHOD FOR SURGICAL TREATMENT OF COMPLICATED LOW DUODENAL ULCERS 2004
  • Onopriev V.I.
  • Pakhilina A.N.
  • Ignatchenko V.Ju.
RU2257166C1
METHOD FOR TREATING COMPLICATIONS OF PERIPAPILLARY DUODENAL ULCER 2002
  • Onopriev V.I.
  • Pakhilina A.N.
RU2233124C1
METHOD OF SURGICAL TREATMENT OF DUODENAL PEPTIC ULCER 1997
  • Onopriev V.I.
  • Genrikh S.R.
  • Pakhilina A.N.
RU2143229C1
METHOD FOR RADICAL DUODENOPLASTY IN CASE OF COMPLICATED CHRONIC DUODENAL ULCER AT FOCAL LOCALIZATION BEING ALONG GREATER BULBAR CURVATURE AND TRANSITION ONTO ITS POSTERIOR WALL 2006
  • Onopriev Vladimir Ivanovich
  • Sharapova Elena Gennad'Evna
  • Voskanjan Sergej Ehduardovich
  • Bal'Jan Arman Stanislavovich
  • Bodrova Lada Ehmil'Evna
RU2316263C1
METHOD FOR SURGICAL TREATMENT OF COMPLICATED LOW DUODENAL ULCERS AT LESION OF MAJOR AND MINOR DUODENAL PAPILLAE 2006
  • Onopriev Vladimir Ivanovich
  • Voskanjan Sergej Ehduardovich
  • Bal'Jan Arman Stanislavovich
  • Popandopulo Konstantin Ivanovich
  • Bodrova Lada Ehmil'Evna
RU2312609C1
METHOD FOR SURGICAL TREATMENT OF POSTBULBAR DUODENAL ULCERS COMPLICATED WITH CHOLEDOCHODUODENAL FISTULA 2006
  • Onopriev Vladimir Ivanovich
  • Voskanjan Sergej Ehduardovich
  • Bal'Jan Arman Stanislavovich
  • Popandopulo Konstantin Ivanovich
  • Artem'Ev Aleksej Igorevich
RU2316262C1
METHOD OF SURGICAL TREATMENT OF DUODENAL PEPTIC ULCER 1997
  • Onopriev V.I.
  • Genrikh S.R.
RU2143230C1

RU 2 239 370 C1

Authors

Onopriev V.I.

Pakhilina A.N.

Genrikh S.R.

Karipidi G.K.

Sharapova E.G.

Bodrova L.Eh.

Dates

2004-11-10Published

2003-03-24Filed