METHOD OF FORMATION OF ANTI-REFLUX INTESTINAL VALVE Russian patent published in 2009 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to surgery of organs of gastrointestinal tract. Claimed method can be used in gastroenterostomy, pancreatoenterostomy, cystoenterostomy, cholecystoenterostomy, enteroenterostomy, ileotransversostomy, transversosigmostomy. Anti-reflux intestinal valve is formed. For this purpose invaginate from duplicature of intestine wall is formed. Around intestine, catching up serous-muscular layer in 2-3 points, two ligatures from non-absorbable suture material are applied at the distance 2 cm from each other. Intestine lumen is tightened on 1/2. Intestine wall is caught with six-eight serous-muscular sutures 0.5 cm more proximally than proximal ligature taking into account desirable direction of contents passage. Intestine wall is also caught 3-3.5 cm more distally than distal ligature. Proximal and distal directions are determined relative to direction of desirable passage of intestine contents. Ligatures are applied in such way that when knots are tightened tubular invaginate - valve from intestine wall duplicature is formed. Method is not accompanied with necessity to open intestine, does not require essential prolongation of operation, can be applied at the background of commissural process in abdominal cavity, does not require special instruments and special materials, is not accompanied with development of specific complications, is easy to apply and available for wide group of abdominal surgeons.

EFFECT: invention allows to carry out prophylaxis of development and progress reflux-mediated pathologies after anastomisation of hollow organs of gastrointestinal tract with intestine by formation of anti-reflux mechanism in anastomised intestinal loop, preventing retrograde passage of intestine contents, does not prevent passage of intestine contents in antegrade direction.

3 dwg, 4 ex