FIELD: medicine.
SUBSTANCE: distal pancreatic injuries in children require removing fragments. Crushed tissues are resected. A haemorrhage is arrested. In-turning Z-sutures are applied on a pancreatic stump. The left descending vascularised greater omentum strand is laid about a drain tube as a duplex.
EFFECT: method provides the optimum sealing of the pancreatic stump with sutures, and of the drain with a greater omentum fragment, prevents formation of fistulas, false cysts, progressing peritonitis, paranephritis, and re-laparotomy.
1 ex, 4 dwg, 1 tbl
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