FIELD: medicine.
SUBSTANCE: method involves stitching two traction sutures 3 cm far from end face opening rim. Needle holder is placed in colon lumen. Musculomucosal layer of the intestine is sutured along the mesenterial margin to 1/3 of diameter in perpendicular to intestine axis. Rectoromanoscope is introduced through anus and rectum stump. Both traction ligatures are brought through colonoscope lumen to the perineum. The colonoscope is withdrawn. Two meticulous sutures are put in on colon and rectum wall on the left and right wall. The sutures are tightened. Meticulous row of sutures is put in over anterior anastomosis lip. The anastomosis is first turned 90° to the right about the sutured organs axis, by pulling outer suture ligatures. Right half of posterior anastomosis lip is stitched with meticulous sutures. The anastomosis is also turned 90° to the left about the sutured organs axis, by pulling outer suture ligatures. Left half of posterior anastomosis lip is stitched with meticulous sutures. The ligatures brought out through the anus to perineum skin and the afferent organ is invaginated 3 cm far into the efferent organ lumen. The second row of sutures is first placed on anterior anastomosis lip. Using the abovementioned sutured organs rotation procedure, sutures are put in over posterior anastomosis lip. Ligatures are removed via the anus by pulling the free end of each of them.
EFFECT: prevented inflammatory changes in anastomosis sutures hindering its inconsistency development.
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Authors
Dates
2006-12-27—Published
2005-05-03—Filed