FIELD: medicine.
SUBSTANCE: continuous seromusculosubmucosal suture of an intestinal wall is applied. Herewith the sutures are intersected. The suture extends in parallel with an intestinal wound edge; the needle is pricked out at 3-4 mm from the prick-in. The next stick is found on the opposite side of the intestinal wound by shifting the prick-in point diagonally, at 3-4 mm from the previous prick-out backwards. The stitches are alternated in an inverting and diverting loop by shifting every next prick-in from the previous one. After the continuous suture completes the full circle of the intestinal wall, the knots are tightened up.
EFFECT: method reduces a risk of cutting through, oedema and necrosis of the anastomosis line or the intestinal suture when repairing the gastrointestinal organs by adjusting the wound edges as much as possible with no tension.
2 cl, 2 dwg
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Authors
Dates
2015-10-10—Published
2014-09-23—Filed