FIELD: medicine, surgery.
SUBSTANCE: after removal from stump all previously made sutures, its non-viable edges are dissected. Anterior wall and mucous-submucous layer of posterior gut wall are mobilised. Suture is made in longitudinal, relative to pancreas axis, direction, from the middle of posterior semi-circle of stump to the middle of anterior semi-circle. First, edges of mobilised mucous-submucous layer of posterior wall are sutured. Then suture passes through all layers of anterior wall of stump released from adhesion. Further on, two semi purse-string sutures are made, first needle stick in both semi-purse-string sutures being made into demucosed muscle layer of posterior wall. Semi-purse-string sutures are tied with submerging and pulling sutured stump to pancreas head.
EFFECT: method prevents inefficiency of sutures, peritonitis and formation of external duodenal fistula.
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