FIELD: medicine, abdominal surgery.
SUBSTANCE: the present innovation deals with surgical therapy of duodenal ulcerous disease. One should form a fundoplication cuff due to suturing up a mobilized abdominal bottom to left wall of mobilized abdominal esophageal department, apply esophagus into the fold between anterior and posterior gastric walls, due to their suturing from abdominal angle by coming onto abdominal bottom. Moreover, one should include lesser curvature of stomach up to esophagocardial passage into the suture between anterior and posterior gastric walls. Then one should continue to form fundoplication cuff without any taking the area of esophagocardial passage into suture along with right wall of mobilized esophageal department. The innovation enables to decrease the chance for the development of cardiac hyperfunction, "gas bloat"-syndrome, remove possible esophageal pressing in fundoplication cuff and improve functional results in performing selective proximal vagotomy.
EFFECT: higher efficiency of prophylaxis.
3 dwg, 3 ex
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Authors
Dates
2005-05-20—Published
2003-10-27—Filed