METHOD FOR SUTURING IN LAPAROTOMIC WOUND Russian patent published in 2005 - IPC

FIELD: medicine.

SUBSTANCE: the present innovation deals with ways to suture post-operational wounds of anterior abdominal wall: one should suture in aponeurosis with uninterrupted suture by capturing patient's peritoneum, then one should suture in subcutaneous-fatty fiber and skin with separate sutures, perform the first puncture in - puncture out from the top downwards through aponeurosis, a muscle and peritoneum leaving 5 mm against the first edge of the wound, then comes the second puncture in puncture out from the bottom upwards through peritoneum, a muscle and aponeurosis by capturing both anterior and posterior leaves of sheath of rectus muscle of abdomen followed by the third puncture in - puncture out at the side of the second puncture in - puncture out in direction being similar to the first one, at the distance of 15 mm against wound's edge. Such manipulations as punctures in - punctures out should be carried out till complete wound closing. Moreover, by making uninterrupted suture with inclined ligature at anterior surface of muscular-aponeurotic layer of the wound it is possible to achieve better adaptation of wound edges, steady tension of tissue that enables to obtain hermetic and strong suture for more anatomical tissue adjustment of anterior abdominal wall.

EFFECT: higher efficiency in preventing wound complications.

3 dwg