FIELD: medicine, surgical gastroenterology.
SUBSTANCE: one should dissect a complicated ulcer of anterior duodenal wall due to blunt technique. Moreover, by applying a clamp supplied with two braces for elastic fixation of sutured duodenal walls at its working ends. Under clamp's braces one should suture duodenal walls with uninterrupted P-shaped suture, dissect a clamp-fixed part of anterior duodenal wall with ulcer to be removed with a clamp. Duodenal wall should be sutured in the site of dissection with a transfixion blanket suture in reverse direction, connect the beginning and the end of the ligature applied. Moreover, one should finish applying a double uninterrupted transfixion suture. The innovation enables to simplify the dissection of anterior duodenal wall ulcers and decrease the chance for abdominal cavitary infection.
EFFECT: higher efficiency of therapy.
4 dwg, 1 ex
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Authors
Dates
2006-02-27—Published
2004-01-26—Filed