FIELD: medicine, surgery.
SUBSTANCE: at suturing perforated gastroduodenal ulcers one should combine laparoscopy and minilaparotomy in perforation projection. Moreover, before performing minilaparotomy one should introduce an instrument for applying a cramping suture through a trocar with a ligature applied through the cramp. One should apply a cramp near perforative foramen onto duodenal section within healthy tissues. Then one should fix ligature through the cramp to duodenal walls, withdraw ligature into the wound together with duodenal section with perforative foramen.
EFFECT: higher reliability in suturing perforated ulcers.
2 ex
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