FIELD: medicine.
SUBSTANCE: method requires colonic decompression in obturation obstruction. A minilaparotomy is performed at the level of a projection of blind intestine; an ileal loop is brought into the wound at 15-20 cm from ileocecal valve. A purse-string suture is applied on an antimesenteric edge of the brought ileum. An intestinal wall is incised in the centre of the suture. A metal or plastic sleeve is inserted into the incision. The purse suture is hermetically tightened up. A probe is inserted into a lumen of ascending intestine through a valve in the sleeve, and the content is removed gradually. After the intestine is emptied, the probe is left in the lumen, and an ileostomy is formed.
EFFECT: method provides the intestinal decompression from the short-scar incision in acute obturation colonic obstruction, reduces the number of postoperative complications and fatal outcomes, improves the results of the following surgical intervention by a low number of injuries.
1 ex, 2 dwg
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Authors
Dates
2015-04-27—Published
2013-12-16—Filed