FIELD: medicine, surgery.
SUBSTANCE: on should form a serous-muscular-submucous rabble-shaped fragment at 3-4 cm width and 6-8 cm length out of anterior wall of antral gastric department at its bottom facing lesser curvature of the stomach and its free edge - stomach's body. One should dissect anterior semicircumference of pyloric sphincter. Fragment should be turned towards duodenum. One should suture in the fragment with submucous layer being inside duodenal defect with two rows of interrupted sutures: the first row of sutures - by submucous-muscular layer leaving about 0.3-0.4 cm inside against the fragment's edge, along the perimeter of perforating opening by applying sutures through all layers of duodenal wall. The second row of serous-muscular interrupted sutures should be applied between fragment's edge and duodenal wall being around the sutured defect. Gastric wound should be sutured with interrupted sutures. The method enables to exclude the bending of vascular pedicle and the stretching of antral department.
EFFECT: higher efficiency.
2 dwg
