FIELD: medicine, surgery.
SUBSTANCE: one should apply interrupted sutures through all layers, additionally , it is necessary to puncture serous layer and shift ligatures for both sides against the line of sutures for 5-6 mm, with the same ligatures one should suture the greater omentum up, but omental edges should be left unfixed. Then one should perform trans-serous puncturing for 4 opposite points along the edges of ulcerous infiltrate: each point should be injected with the mixture of 1.5 ml dispersed biomaterial "Alloplant" and 6 ml "actovegin". Then comes gastroomentopexy of omental edges towards the wall around ulcerous infiltrate. The method enables to suture perforation reliably, to provide prophylaxis of ulcer-formation relapses and excludes the development of coarse post-ulcerous cicatrix at the site of ulcer suturing in.
EFFECT: higher efficiency.
1 ex
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Authors
Dates
2005-09-20—Published
2003-02-03—Filed