MINIINVASIVE METHOD FOR TREATING GASTRIC AND DUODENAL ULCEROUS DISEASE DUE TO MEDICINAL STIMULATION OF CELIAC PLEXUS AT APPLYING A FLEXIBLE ENDOSCOPIC NEEDLE Russian patent published in 2008 - IPC A61B17/00 A61M31/00 

FIELD: medicine, miniinvasive abdominal surgery.

SUBSTANCE: the present innovation deals with treating gastric and/or duodenal ulcerous disease along with gastroesophageal reflux disease. It is necessary to remove the compression of celiac artery due to notching interganglonar comissures of celiac plexus, introduce a flexible tube into abdominal cavity through trocar point: cannula-free injection needle is connected to tube's one end, the cannula of injection needle - towards another end. With the help of a manipulator one should capture the tube at the border with the needle. Under visual control it is necessary to fulfill the puncture of celiac plexus till the support into the arresting device. By not removing a manipulator one should inject cytiton and physiological solution at 1:20 ratio to stimulate celiac plexus, 1.0 1.5%-gangleron solution. Moreover, due to regulating the length of free part of injection needle it is possible to alter the depth of injection. Through the tube into the site of puncture in into celiac plexus it is important to introduce a catheter for medicinal stimulation of celiac artery in post-surgical period. The plasty of diaphragmatic passage should be fulfilled with a spherical polymer explant of 10 cm diameter. In the center of the explant one should cut a circle of 3 cm diameter. Due to radial incision this circle is connected with external border. The explant should be applied so to keep the esophagus in the cut foramen of the prosthesis. The latter should be sutured without tension towards the diaphragm. The innovation enables to suppress gastric secretory function, provides anti-reflux action in area of gastroesophageal passage, prevents complications associated with excessive traumatism of the organs, ischemia of celiac artery and pathological narrowing of esophageal foramen.

EFFECT: higher efficiency of therapy.

1 dwg, 1 ex