FIELD: medicine.
SUBSTANCE: invention refers to surgery, and can be applied for prevention of purulent complications in surgical management of chronic pancreatitis. A flap is made of a right half of epiploon. A window exceeding a pancreatic wound defect by 1-2 cm is formed in an avascular centre of the epiploon flap. An internal border of the epiploon flap is fixed to a pancreatic capsule around the wound defect by single interrupted suture with a pitch 6-8 mm. Creation of a pancreatoenteroanastomosis is followed by formation of an omental sac drained to the outside. A border of the omental sac enveloping a segment of a small intestine is sutured to an intestinal wall. Free borders of the flap are sutured together above the pancreatoenteroanastomosis with a hole left in the middle of a suture line. Two emmisaries are introduced through the left hole into a cavity of the formed omental sac. A hole of the omental sac is sutured The emmisaries are delivered outside.
EFFECT: method allows reducing risk of inflammatory and purulent complications.
1 ex, 5 dwg
Title | Year | Author | Number |
---|---|---|---|
METHOD OF PREVENTING PURULENT COMPLICATIONS IN CASE OF ISOLATED RESECTION OF PANCREAS HEAD | 2011 |
|
RU2454942C1 |
METHOD OF SURGICAL TREATMENT OF CHRONIC PANCREATITIS | 2009 |
|
RU2421158C1 |
METHOD OF SELECTING TACTICS OF SURGICAL TREATMENT OF CHRONIC PANCREATITIS, COMPLICATED WITH THROMBOSIS OF PORTAL VEIN | 2011 |
|
RU2463972C1 |
METHOD OF SURGICAL TREATMENT OF CHRONIC PANCREATITIS COMPLICATED WITH THROMBOSIS OF PORTAL VEIN | 2011 |
|
RU2454957C1 |
METHOD OF SURGICAL TREATMENT OF PANCREATIC FISTULAS | 2010 |
|
RU2445023C1 |
METHOD OF SURGICAL TREATMENT OF DUODENAL FISTULA IN CASE OF FAILURE OF STOMACH RESECTION STUMP AND GASTRECTOMY | 2010 |
|
RU2452411C1 |
METHOD OF SURGICAL TREATMENT OF CHRONIC PANCREATITIS, COMPLICATED BY DUODENAL OBSTRUCTION | 2011 |
|
RU2459587C1 |
METHOD FOR SURGICAL MANAGEMENT OF EXTERNAL PANCREATIC FISTULAS | 2010 |
|
RU2447839C1 |
METHOD OF PREVENTING PANCREATITIS AND NECROSIS OF PANCREAS STUMP AFTER PANCREATODUODENAL RESECTION | 2009 |
|
RU2393780C1 |
METHOD OF SURGICAL TREATMENT OF CHRONIC PANCREATITIS, COMPLICATED WITH PORTAL HYPERTENSION | 2011 |
|
RU2452406C1 |
Authors
Dates
2011-10-27—Published
2010-06-11—Filed