FIELD: medicine, surgery.
SUBSTANCE: it is necessary to apply a side-to-side anastomosis between transverse colon and distal department of sigmoid flexure. The anastomosis mentioned should be formed with two rows of serosomuscular sutures. At the developed anastomosis around excluded transverse colon one should apply a nonabsorbable ligature to tighten it hermetically. At the distance of 6 and 8 cm being proximally against the anastomosis around excluded part of sigmoid flexure one should apply two ligatures to narrow its lumen for ½ diameter. This narrowed sector should be invaginated distally due to applying interrupted serosomuscular sutures. Moreover, one should, capture the wall being 3 cm below the distal ligature and 0.5 cm above proximal one. The innovation enables to create real exclusion of left-hand half of large intestine out of the passage of feces.
EFFECT: higher efficiency.
1 dwg, 1 ex
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Authors
Dates
2007-10-10—Published
2006-01-23—Filed