FIELD: medicine.
SUBSTANCE: wound is closed in the intestinal wall. An extramucous adaptative suture is applied on the intestinal wound. A serous-muscular submucosal and a submucosal musculo-serous layers of the intestinal wound edge are punctured on one wound end. The knot is formed. A short suture end is used as a stay suture. The stay sutures are applied separately on both wound ends from both sides. The stay sutures are tightened to form small inverting cushions. A long suture end is used to form a one-row continuous suture. On one wound side, the needle is pricked in the serous membrane and pricked out of the submucous membrane. On the other side, the needle is pricked in the submucous substrate and pricked out of the serous membrane. The needle is pricked in once more into the submucous substrate on the same wound side at 4-5 mm from the prick-out and along the intestinal wall edge in parallel with the formed cushion, and pricked out of the submucous membrane. The manipulation is repeated until the wound is completely closed.
EFFECT: high-accuracy precision reposition of the intestinal wall layers.
2 dwg
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Authors
Dates
2014-10-10—Published
2013-09-10—Filed