FIELD: medicine.
SUBSTANCE: invention relates to medicine and surgery. Colon loop is mobilised. Tube is passed through a puncture in avascular portion of its mesentery. Form a hole for a stoma on abdominal wall. With tube in an intestinal loop output aperture. In 4 cm from opening colostomy, on both sides, two skin incision to 0.5 cm in subcutaneous fat formed two tunnel connecting sections and a hole for colostomy. Ends of rubber tube are delivered through tunnels, fixed to skin with interrupted sutures, excess tube retractor is dissected away. Form a double-barrelled loop colostomy.
EFFECT: method reduces risk of postoperative inflammatory complications, enables use of stoma bags during first days after operation due to full adaptation of edges of holes deduced intestine to skin.
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Authors
Dates
2016-03-20—Published
2014-10-01—Filed