METHOD FOR INVAGINATION LARGE-INTESTINAL ANASTOMOSIS Russian patent published in 2007 - IPC A61B17/11 

FIELD: medicine, surgery, urgent colorectal surgery.

SUBSTANCE: the present innovation refers to forming colonic anastomosis. On resecting a colonic segment it is important to mobilize both abducting and adducting departments at the length of about 3-4 cm at keeping a marginal vessel. Then one should form anastomosis' posterior lip with uninterrupted suture towards both sides against mesenteric edges. Marginal ligatures should be punctured out through the lumen of abducting loop as "sliding" sutures. Then anastomosis' anterior lip should be formed. Adducting loop should be wrapped with a TachoComb plate being of 3-4 cm width. Moreover, the invaginate should be sealed. Due to tightening by sliding sutures one should invaginate adducting loop into abducting one. Then one should apply the second row of seroso-muscular sutures and suture in the paracenteses of abducting loop. The innovation enables to remove the invaginate's infectioning and simplify the technique of invagination procedure.

EFFECT: higher efficiency.

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