FIELD: medicine, surgery.
SUBSTANCE: while applying large intestine-large intestinal anastomosis one should make a single-row serous-muscular-submucous suture. Moreover, for applying sutures for posterior and anterior lips of anastomosis it is necessary to use separate ligatures. The first and the last fixing sutures should be performed due to puncturing in leaving about 1.0-1.2 cm against the edge of one anastomosed segment. Then one should puncture serous, muscular and submucous layers. Puncturing in should be performed due to leaving about 0.2-0.3 cm against the edge. In another anastomosed segment one should perform actions in reverse order. Ligature should be tightened. The rest sutures of every anastomosis lip should be performed as uninterrupted suture.
EFFECT: more simplified technique for anastomosis forming.
3 dwg, 2 ex
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