FIELD: medicine.
SUBSTANCE: invention relates to surgery and can be applied for duodenoplasty in case of chronic ulcer of posterior wall of duodenal (D) bulb, complicated with decompensated stenosis and penetration into intrapancreatic part of common biliferous duct. After duodenotomy posterior D wall is separated from ulcer crater, and tissues, affected with scarring or ulcer, are ablated sparingly with obligatory preservation of pylorus. Through defect of intrapancreatic part of common biliferous duct nipple polychlorovinyl 6-7 cm long drainage with 1.0-1.2 mm diameter is introduced and passed into supraduodenal part of common biliferous duct. Second end of drainage is left in D lumen and fixed with separate interrupted sutures with monolithic thread.
EFFECT: method makes it possible to reduce risk of necroses, reduce risk of suture failure.
1 ex, 5 dwg
