METHOD FOR LAPAROSCOPIC GASTRIC BINDING Russian patent published in 2007 - IPC A61B17/94 

FIELD: medicine, abdominal surgery.

SUBSTANCE: the present innovation deals with treating morbid obesity. One should form a foramen being 1 cm below esophago-gastric passage along the lesser curvature of stomach; esophago-diaphragmatic ligament should be dissected for the length of about 13-15 mm in the site of intersection of the projection of diaphragm's left pedicle and the line coming at the angle of 45° against gastric axis through the point located at the lesser curvature of the stomach being 1 cm below esophago-gastric passage. One should form retrogastric tunnel along the same line being above the level of omental sac to apply there the bandage with a controlled lumen; then one should form minor ventricle, for this purpose one should suture up anterior wall of the stomach being closer to the bandage with the first suture towards diaphragm's left pedicle by capturing proximal part of the bandage, with three-four sutures one should suture up anterior wall of the stomach towards the wall of minor ventricle above the bandage. In peculiar case, at forming retrogastric tunnel it is important to separate fatty fiber of lesser omentum that contains anterior vagus nerve and cardioesophageal branch of left gastric artery, then one should take apart dorsally the posterior vagus nerve. The innovation restricts the mobility of gastric wall and bandage, provides optimal angle between gastric axes and bandage and decreases the stretchability of the wall of lesser ventricle that leads to decreased number of post-surgical complications.

EFFECT: higher efficiency.

1 cl, 2 dwg