FIELD: medicine; surgery.
SUBSTANCE: treatment of chronic colostasis combined with chronic duodenal obstruction, splanchnoptosis and hernia of esophageal opening is ensured with mobilisation of the left colon, the right large intestine, root of mesentery from duodenal transition to ileocecal angle, head of pancreas with duodenum, rectosigmoid transition. The left large intestine is resected with rectosigmoid transition. Mesocolon of resected part is kept. Root of mesentery is rotated clockwise. Ileocecal transition is transposited to the left hypochondrium and fixed therein. Transversorectal anastomosis is formed. Duodenum is completely delivered from under root of mesentery. Hernia of esophageal opening is removed in diaphragm apertures . Root of mesentery, right large intestine, descending branch of duodenum are fixed to parietal peritoneum of posterior back wall of abdominal cavity and pancreatic capsule. For fixing, sewn-in bundle suturing is applied.
EFFECT: improved life quality for chronic patients, eliminated chronic duodenal obstruction and hernia of esophageal, treatment of associated complex pathologies.
8 dwg, 1 ex
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