FIELD: medicine, surgery.
SUBSTANCE: in case of formation of parapancreatic infiltrate with abnormality of transverse or descending colon patency laparotomy is performed. Place of obstacle location for passage of chyme along large intestine is detected. Retroperitoneal space is opened on anterior surface of pancreas and on left lateral duct. These cuts are retroperitoneally connected behind descending colon. Drainage tubes are introduced into retroperitoneal space. Laparotomic wound is sutured. In right iliac region cecostomy is performed. Before opening cecostome, within cupula of blind gut limited by operation wound purse-string suture is made with diameter of 2 cm. Inside purse-string suture gut wall is pierced. In its lumen one end of latex tube is introduced. By means of electrosuction through tube content of intestine is removed. Tube is left in blind gut lumen for two days. After that tube is removed. Cecostome is covered after resorption of parapancreatic infiltrate and recovery of chyme passage along large intestine.
EFFECT: method allows preventing complications.
1 ex
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Authors
Dates
2008-09-27—Published
2006-12-21—Filed