FIELD: medicine.
SUBSTANCE: method involves exposing submuco-mucous layer of frontal stomach wall as 3-4 cm high cone by pulling the mucous membrane through incision in seromuscular layer along the stomach axis in body region. The cone is brought outside through separate 3 cm long transrectal incision. The frontal stomach wall is fixed near the cone base by attaching it to peritoneum and direct abdominal muscle sheath back wall near the internal ends of access zone with two sutures. Exposed cone tip is slightly cut. The mucous membrane is sutured to skin incision edges forming slit-like fistula.
EFFECT: high quality of stoma sealing; full-valued nutrition; reduced risk of traumatic complications.
3 dwg
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