FIELD: medicine.
SUBSTANCE: creating an enteroenteroanastomosis follows an enterectomy. An afferent end of the small intestine is closed tightly, U-shaped and sutured together along a mesenteric border with interrupted sutures. A serous membrane is incised 18-20 mm in the transverse direction from the length of the small intestine. A pinhole of 2-3 mm is made to uncover muscular, submucosal and mucous layers. The pinhole in the mucosal layer is enlarged up to 18-20 mm. An efferent intestine is laid on the afferent portion of a U-reservoir, and a single-layer anastomosis is created. A blind reach of the reservoir is sutured over the efferent intestine to cover the anastomosis additionally.
EFFECT: method enables creating the safe anastomosis by forming a leak-tight junction, eliminating the risk of developing afferent loop syndrome.
3 dwg, 1 ex
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Authors
Dates
2015-07-10—Published
2014-10-17—Filed