FIELD: medicine.
SUBSTANCE: duodenotomy is performed. Duodenal ulcer defect is sutured with penetration into the pancreas. Suture is put of the bleeding vessel. Dissect the posterior wall of duodenal mucosa around the defect, retreating from the edge 2-3 mm of healthy tissue. In the area of defect glue "Sulfacrylate" is applied to the line of the mucosal dissection. Impose a single-row suture anchor. Immerse the area of the ulcer, isolating it from the lumen of the duodenum. Impose a single-row suture anchor, restoring the continuity of the posterior wall of duodenal mucosa. Sutured is front wall of duodenal.
EFFECT: way to reduce the risk of deformation of the duodenal bulb, perforation, and bleeding from the ulcer, the risk of acute pancreatitis associated with pancreas injury in the allocation of ulcers by reliably removing from the lumen of duodenum ulcer without excision.
1 cl, 3 dwg, 2 ex
