METHOD FOR OPERATIVE TREATMENT OF ACUTE CHOLECYSTIC INFLAMMATION Russian patent published in 2005 - IPC

FIELD: medicine, surgery.

SUBSTANCE: it is necessary to perform an incision of the length being 7 cm not more in epigastral area along the median line at equal distance against xiphoid process and umbilicus. Peritoneum should be lanced right-hand against the round hepatic ligament to be taken the holders on sutures together with aponeurosis. A dilator with prolonged packings should be introduced into the wound, then by applying certain technique one should approximate cholecyst with hepatoduodenal ligament towards operational wound by "dislocating" cholecyst with its bottom being into the wound. Then comes puncture cholecystic decompression, then it should be isolated from the bottom up to Gartman's pouch to be crossed between two clamps and removed. On treating an infiltrate on should remove cholecystic residue to apply a drainage tube towards epiploic foramen. The present innovation enables to prevent the lesion of extrahepatic biliary ducts and vessels.

EFFECT: decreased traumaticity level of surgical interference.

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