FIELD: medicine.
SUBSTANCE: bronchus is separated from surrounding tissues. Bronchial forceps and a Kocher's clamp are applied. The bronchus is transected between two clamps. A 1 cm mucous membrane is stripped in the proximal direction from an intersection area. A bronchial cartilage is dissected in two points at 6-8 mm from a membranous portion in parallel thereto. The formed mucous tube is closed with an uninterrupted suture so that a needle passes through an outer layer of the mucous membrane. The suture direction is in parallel to a line of the membranous portion of a bronchial ring. After knotting, a mucous 'filling' is formed. A bronchial stump is pleurised. The bronchial stump is closed.
EFFECT: method provides preserving the blood supply, eliminating the tension and asepticity of the wound edges, adequate leak-tightness, reduces postoperative complications by forming the mucous filling and reliable fixation of the bronchial stump.
2 dwg, 1 ex
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Authors
Dates
2015-02-10—Published
2013-09-04—Filed