METHOD OF FORMING COMPRESSION COLORECTAL ANASTOMOSES ON TRANSANAL INTUBATION DRAINAGE Russian patent published in 2010 - IPC A61B17/11 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, surgery and aims at restoring the continuity of colon in patients who underwent anterior-upper resection of rectum, as well as prevention of stenosis and failure of colorectal anastomosis. On the edge of the resected edge of the rectum stump four traction sutures are made at an equal distance from each other through the entire thickness of the wall. The thread is fixed from the lumen to the rectum mucosa at a distance of 2 cm from the resected edge of the perimetre at the eight points at equal distance from each other. The ends of the thread are put through puncture of the wall outside. Transanaly into the rectum and adducting segment of bowel an intubation drainage is inserted which is a PVC pipe with holes at the end of input, so that the distance from the leading edge of the resected segment of bowel distal to the drainage hole is at least 5 cm. Threads of traction suture are fixed at equal distances from each other along the circumference to the wall of intubation drainage and edge of the adducting segment of bowel. Threads of traction suture are sutured to the adducting segment of bowel at a distance of 0.4 cm from the edge of the resected through the entire thickness of the wall. All threads of traction suture are alternately tightened, closing to each other edges of resected segments of intestine and fixing them to intubation drainage. Intubation drainage is pulled out of the anus in a distal direction into the lumen of the rectum to intussusception fixed to the ID of the resected bowel edges so that the outer surface of the intestine segments were facing each other below the threads, stitched earlier in the rectal mucosa. The ends of the threads are knotted up tightly placed on the intubation drainage of invaginated walls faced to each other with outdoor surfaces. "П"-shaped sliding sutures are stitched on a circle to the pelvic diaphragm muscle and with the serous-musculo-submucous layer of adducting segment of intestine.

EFFECT: method prevents of stenosis and failure of colorectal anastomosis in a confined space of pelvis and a short stump of rectum.

1 ex, 5 dwg