METHOD OF REPAIRING MECHANISM OF CARDIAC ARREST IN DISTAL GASTRECTOMY Russian patent published in 2010 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to surgery and can be applied for repairing the mechanism of cardiac arrest in gastrectomy. Two downright parallel dissections of a serous-muscular layer of the anterior wall of stomach in length 65-70 mm are performed 18-25 mm below the cardiac level on the anterior wall of stomach along the lesser curvature of a stomach on the periphery of a mobilised anterior leaf of the lesser omentum at 25-30 mm therefrom. The distal ends of the dissections are connected by a transverse incision of the serous-muscular layer. The intended serous-muscular flap is underrun with two restraining sutures in the corners on the top and separated from the submucous membrane in the direction from the top of the flap to its base on a proximal end with preserving the base of the flap being connected with the wall of stomach. Gastrectomy below the base of the flap is conducted. The restrained flap is passed around a tourniquet on oesophagus - at first through the angle of His between fundus of stomach and a left wall of oesophagus on a back semicircle of the oesophagogastric junction, and then - on the anterior wall of stomach with reducing the angle of His to 10-15° by pulling up an elastic tourniquet. The flap is tension-free fixed below its base to the anterior wall of the lesser curvature of stomach by 3-4 interrupted sutures. The anterior oesophagofundography is performed by 3-4 interrupted sutures between fundus of stomach and the anterior wall of oesophagus above the front semicircle of the created muscle cardiac loop.

EFFECT: method enables higher physiological value of the mechanism of arrest.

1 ex, 9 dwg